skin care
SN teaching patient / caregiver on measures to prevent pressure ulcers, such as: Clean skin at times of soiling, avoid irritating cleaning agents, use moisturizers on dry skin, do not message bony prominences, keep skin clean and dry, and comply with proper lifting and positioning techniques.
SN instructed patient and caregiver that Diabetes can dry out your skin. That means you could get injured more easily, be more likely to get an infection, and take longer to heal. When you bathe or shower, use warm water, and a mild, moisturizing soap. After washing and drying off, use a mild lotion to prevent dry skin. Avoid scratching dry skin, apply moisturizer instead.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
SN advised patient to call doctor immediately if any of the following happen: The cast gets wet, damaged, or breaks, skin or nails on the toes below the cast become discolored, such as blue or gray, skin, or toes below the cast are numb, tingling, or cold, the swelling is more than before the cast was put on, bleeding, drainage, or bad smells come from the cast, and severe or new pain occurs. Patient verbalized understanding of instructions given.
The patient was instructed in glomerulonephritis in the significance of daily weights, same time, same clothing, after urination and before eating. The patient was advised on finding supplies for home blood pressure checking. The patient was taught to measurement blood pressure and how frequently to do it. The patient was instructed the need to keep good skin care of edematous body areas to stop excoriation and skin breakdown. The patient was instructed in fluid limitations, fluids may be contingent on how much urine is put out.
The patient was instructed in nephrotic syndrome in the significance of daily weights, same time, same clothing, after urination and before eating. The patient was advised on finding supplies for home blood pressure checking. The patient was taught to measurement blood pressure and how frequently to do it. The patient was instructed the need to keep good skin care of edematous body areas to stop excoriation and skin breakdown. The patient was instructed in fluid limitations, fluids may be contingent on how much urine is put out.
The patient was instructed in venous thrombosis in amount and records the size of the affected extremity daily. The patient was taught in the good skin care, using mild soap, rinse well, and dry gently. The patient was instructed in the use of antiembolic stockings for ambulation and times of extended sitting. The patient was instructed to remove them every 8 hours to evaluate the leg and skin. The patient was recommended to use of the bed cradle. The patient was recommended to apply of warm packs to the affected extremity.
Instructed caregiver about checklist for care your skin and catheter: Wash your hands to prevent
infections,check the skin around your catheter.
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin
Inspect the skin at least once every day. Pay attention to any red areas that remain even after
changing position.