skin care
Patient was instructed about the feet care
: always wear shoes or slippers. Always wear socks with the shoes, since leather, plastics, and manmade shoe materials can irritate your skin
and quickly bring on blisters. While the Diabetic patient might prefer the look of hose, nylon knee-highs, or thin socks, may find that these doesn't give to the toes or heels enough protection. Wear thicker socks to pad the feet and cushion any calluses or sore spots. Further teaching is needed.
The patient was instructed in burns and its classification. The patient was advised that the curative process with new skin
progress is expected in 6 weeks with mature healing within 6 to 12 months, depending on the extended of injury. The patient was taught to care
of healed burns, avoiding exposure to direct sunlight, harsh detergent, fabric softeners etc., avoid contact with persons with infections especially upper respiratory infections. The patient was recommended to obtain medical supplies for dressing and any special assistive devices for home care
management. The patient was encouraged in the importance of physiotherapy to assist in the exercise regimen and water exercises to maintain limb mobility.
The patient was instructed in endometrial cancer uterine cancer the importance of applies pain management techniques. The patient was instructed to care
for the incision with general sanitation and daily bathing. The patient was taught in radiation therapy the need to prevent infection by evading large multitudes and persons with upper respiratory infections. The patient was advised in skin care
including maintenance of colorant markings and the need to evade use of soap and other ointments. The patient was taught the importance of oral hygiene; elude tight or constricting clothing around the radiation site.
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care
activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care
and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care
daily and after each bowel movement. The patient was taught perianal and perianeal skin care
. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
SN instructed patient about cast care
: keep the cast clean and avoid getting dirt or sand inside the cast. Do not apply powder or lotion on or near the cast. Cover the cast when eating, do not place anything inside the cast, even for itchy areas. Sticking items inside the cast can injure the skin
and lead to infection. Using a hair dryer on the cool setting may help soothe itching, do not pull the padding out from inside your cast.
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin
. If this changes at all, let your health care
provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care
team right away.
SN instructed patient on Colostomy Care
. You contact your healthcare
provider if: You have a fever, you have a foul odor coming from your colostomy bag or stomach that lasts longer than a week, your skin
around the stomach becomes red and irritated, you have nausea, vomiting, pain, cramping, or bloating, you do not have regular bowel movements through your stomach, the size of your stomach changes, you have questions or concerns about your condition.
SN instructed patient about Jackson Pratt care
. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed
flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or
gauze pad in the solution and gently clean your skin
.
Ostomy care
Instructed patient the materials you use to wash your stoma and the skin
around it should be clean, but they do not need
to be sterile.