wound care/1000
Sn instructed patient that venelex ointment contains balsam peru 87.0mg and castor oil usp 788.0mg in an ointment base of glyceryl monostearate and trypsin. It promotes debridement of eschar and other necrotic tissue. Balsam peru is a effective capillary bed stimulant used to increase circulation in the wound site area. Also, balsam peru has a mildly bactericidal action. Castor oil improves epithelialization by reducing premature epithelial desiccation and cornification. Also, it can act as a protective covering and aids in the reduction of pain. Venelex ointment is used to promote wound healing and the treatment of decubitus ulcers, varicose ulcers and dehiscent wounds. Venelex™ ointment is easy to apply and quickly reduces odors frequently accompanying a decubitus ulcer. The wound may be left open or appropriate dressing applied. Please note that wounds generally heal poorly in the presence of hemoglobin or zinc deficiency. Venelex™ ointment can relieve pain and promote healing. Venelex ointment is for external use only. Do not apply to fresh arterial clots. Avoid contact with eyes. Keep this and all other medications out of reach of children. Keep tightly closed. Use only as directed by a physician. When applied to a sensitive area, a temporary stinging may occur. Apply a thin film of venelex™ ointment topically a minimum of twice daily or as often as necessary. Wound may be left unbandaged or appropriate dressing can be applied. To remove, wash gently with an appropriate wound cleanser.
Patient was instructed on the optimization of wound environment. Adequate nutrition and hydration, remove nonviable tissue, maintain moisture balance, protect the wound and peri-wound skin, eliminate or minimize pain, cleanse, prevent and manage infection, control odor.
Instructed patient fresh fruits and vegetables eaten daily will also supply your body with other nutrients essential to wound healing such as vitamin A, copper and zinc. It may help to supplement your diet with extra vitamin C. Keep your wound dressed. Wounds heal faster if they are kept warm. 2- Instructed patient getting more sleep can help wounds heal faster eat your vegetables, stay active, don't smoke, keep the wound clean and dressed.
Instructed patient when should I call my clinician when on V.A.C. Therapy: immediately report to your clinician if you have any of these symptoms: fever over 102°, diarrhea, headache, sore throat, confusion, sick to your stomach or throwing up, dizziness or feel faint when you stand up, redness around the wound, skin itches or rash present, wound is sore, red or swollen, pus or bad smell from the wound, area in or around wound feels very warm.
Instructed in wound care as ordered by MD such as proper storage of dressing supplies, proper handwashing technique and removal of dressing, proper storage of dressing supplies, cleansing of wound as specifically ordered by MD, proper application of ointments, powders, solutions, etc, if ordered by MD, proper application of specific dressing change if ordered by MD, return demonstration of complete dressing change technique; more than one teaching may be needed.
Instructed in proper handwashing before and after wound care or touching wound site to prevent spread of infection.
Instructed in signs and symptoms of complications and/or deterioration of wound status such as temperature above 100 grade, increase redness, drainage, edema, increase pain, increase size of wound.
SN instructed patient on s/s of infected wound susch as: Thick green or yellow drainage, Foul odor, Redness or warmth around wound, Tenderness of surrounding area, and Swelling.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.