skin care
Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.
Instructed patient When to seek medical care: Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg, Fever of 100.4°F (38.0°C) or higher, chills, signs of infection at the catheter site (pain, redness, drainage, burning, or stinging), Coughing, wheezing, or shortness of breath.
Instructed patient immediately after surgery, people are usually practicing very basic self-care and are soon encouraged to get up, to breathe deeply, and to resume eating, drinking and walking. The American Heart Association is working to help families and communities live heart-healthy lives. Use this physical activity information to help you get active and stay active, for life.
SN instructed patient to always assess wound dry sterile dressing when removed for any symptoms / signs of infection, such as increase drainage amount, any odor, drainage color, etc . Check your temperature once or twice a day. Report any fever or increase pain.
Instructed on emergency preparedness. Planning ahead to ensure adequate care in case of severe weather or natural disaster is imperative. Here are a few key tips that warrant consideration in any elderly person’s disaster plan: Create an emergency contact card listing all of the emergency contact numbers and family information, including a list of doctors and relatives or friends who should be notified in case of injury. Discuss what to do in case of an emergency. Create a “disaster kit” that includes: Water for three days, Non-perishable food for three days (examples include protein and fruit bars, dried fruit, nuts, peanut butter, crackers, canned juices and canned food), plus a manual can opener Battery-operated radio with extra batteries, Flashlight with plenty of extra batteries Change of clothes, plus extra blankets First aid supplies, Prescription medicine list, plus copies of prescriptions Extra eyeglasses and hearing-aid batteries, Copies of medical insurance and Medicare cards, Some cash on hand, as a bank or ATM machine may be inaccessible Extra warm clothing
SN instructed that self-care measures can help ease the pain of a migraine headache. Such as, muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. SN instructed that relaxation techniques may include progressive muscle relaxation, meditation or yoga. SN also instructed that it is best to get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. SN instructed on the importance of being able to rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp.
SN instructed patient to contact your primary healthcare provider if: you drain less than 30 milliliters ( 2 tablespoons ) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°f ( 38.6°c ). You have increased pain, redness, or swelling around the drain site. You have questions about your JP drain care.
SN instructed that keeping your regular cast dry is very important! There are no devices that are 100% effective in keeping any cast dry. Sponge baths are the safest way to keep the cast dry. If you have to take a bath or shower, please follow these instructions: place a towel or washcloth around the upper portion of the cast. Cover the entire cast with 2 plastic bags ( use two in case one has a leak, secure the bag at the top with tape or a rubber band, if the cast gets moist, dry the top or bottom of the cast using a blow dryer. Use only the cool or low setting, if the cast is soaked all the way through, it needs to be changed ( call doctor office )
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
SN instructed patient about tracheotomy care suctioning always involves: assessment , oxygenation management, use of correct suction pressure,
liquefying secretions, using the proper-size , suction catheter and insertion distance appropriate patient positioning,
evaluation, using the proper - size suction catheter and insertion distance appropriate patient positioning evaluation.