whats the discharge instruction 4 pt with PVD

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Hi

How are you ?

hope you are fine :)

i want from you to assist me, if their is no problem :imbar

i want to know , as we a nurse, whats the discharge instruction we will give to the pt with peripheral vascular diseases Or POAD

espicailly on

Diet

Foot care

Exercise

Drugs

Smoking cessation

Etc

plz, correct me if i have mistakes because an not good in english :bluecry1::imbar:cry:

Best regards

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:eek: no body answer me

why ? :confused:

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Specializes in med/surg, telemetry, IV therapy, mgmt.

discharge planning: determining what the patient's medical needs will be after discharge from a hospital or other inpatient treatment.

the next time you are in clinicals, ask a unit secretary for a blank discharge form so you can see what is included on it:

  • their diet
  • allowed physical activity
  • medications they need to take
  • any treatments and tests they need to be doing after discharge
  • referrals to any outside agencies or support groups
  • follow up appointments with doctors have been made and patient understands

  • teaching materials and/or contact with outpatient professionals for continued care and teaching have been provided to the patient

peripheral vascular disease, or poad

see the weblinks on this thread for disease information and patient teaching tools- provide information about signs, symptoms, when to notify the doctor that their symptoms are becoming worse:

smoking cessation

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thanks my dear

but their is alot fo links

i dont know whats to choise !!!

but when i search

i found some information

i will but it hear

and i want your comment plz

****

3. Exercise

*The pt encouraged to make the lifestyle changes necessitated by the onset of a chronic disease including:

- pain management

- modifications in diet

- activity

- hygiene ( skin care)

*Tell pt to not cross his legs and avoid severe hip or knee flexion..... why??!!

- It might impair her circulation

- compromise the patency of the graft

*Teach your patient how to promote circulation:

- add a foot­board to the bed

- use a sheepskin under his legs

- place him on an air, pressure, or other special mattress.

*Help him devise a progressive exercise program to:

- develop collateral circulation

- enhance venous return

*Instruct him to stop exercising if he feels pain.

*Advise the patient to change positions frequently and doesn't sit in one position for a long period :

- To prevent pressure on her legs and feet

- avoid blood pooling in the feet.

*Teach him how to promote perfusion by:

- keeping his legs and feet warm

- avoiding vasoconstrictive substances, such as caffeine and nicotine.

Tell pt that not to wearing tight, restrictive clothing on the legs

- because its hinder blood flow.

* Elevate the affected leg

- to reduce edema

*Instruct the pt to avoid keeping the affected leg in a dependent position for a prolonged period.

*The patient's activity may be restricted

- make sure the pt wears appropriate foot­wear, even for short distances.

- Shoes or slippers that don't fit properly can cause further injury and lengthen her hospital stay.

4. Drugs

*If the physician has prescribed an anticoagulant, review its therapeutic effect, dosage, and adverse effects with your patient.

*Tell him that he'll have to undergo frequent blood tests that monitor the drug's effectiveness.

5. Smoking cessation

*The nurse assists the pt in developing and implementing a plan to stop using tobacco

Etc

*The nurse ensure that the pt has the knowledge and ability to assess for any postoperative complication such as:

- infection

- occlusion of the artery or graft

- decreased blood flow

*If the patient has had surgery for peripheral vascular disease, instruct him to check his:

- leg for color, temperature, sensation and movement.

- Observe the incision site for redness, swelling, and drainage.

***

am waiting for you

i need this

see you

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Specializes in med/surg, telemetry, IV therapy, mgmt.

I don't know what you expect me to comment on. What are this patient's teaching needs?

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Coming to the internet is nice for help, but you need to figure it out on your own if you want to succeed in nursing school. We cant always depend on Daytonite to bail us out.

She provided you with tons of resources..use it.

And stop.

Edited to say: If theres something you dont understand your professor is there to help, dont wait until you leave class and scratch your head. If you need someone to double check your work, hand it in early. My professor is sucha hardass yet if we hand something in early she gives it a quick glimpse over.The worst that can happen is you have to do it over. At least your LEARNED from your mistake.

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hi

excuses sister

if you dont want to help, dont talk like this

i am just waiting for a comment about what i am allredy found

i dont want from any body to do my work instead of me

i am appreciate that from her because she want to help me

and thank you for your advice

but really your wods embarrassing me

any way

i checked the information today with my teacher

all what i want just helping

because our teachers not present all of the time with us

and i need it because i have presentaion

thanks again

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Specializes in ICU/CCU/MICU/SICU/CTICU.

You also have to think about your teaching from another point of view. Look at the patients who have PVD.

They also have other co-morbidities that go along with that. Usually they have HTN, ESRD and DM. All of these increase the progression of PVD.

Another thing, if your patient has PVD, they may have wounds.... teach wound care and management.........

Your teaching should focus on those areas as well.

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You also have to think about your teaching from another point of view. Look at the patients who have PVD.

They also have other co-morbidities that go along with that. Usually they have HTN, ESRD and DM. All of these increase the progression of PVD.

Another thing, if your patient has PVD, they may have wounds.... teach wound care and management.........

Your teaching should focus on those areas as well.

thanks sister :rolleyes:

i dont include this points which are about diet and foot care

because my frinde will present that :rolleyes:

not me

but nice to includ the wound care management, i forget that

thanks agian

i am very happy with your replay :rolleyes::nurse::)

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Specializes in med/surg, telemetry, IV therapy, mgmt.

If this is a group presentation, it would be helpful to know what information the others in the group have to present. The project must have cohesiveness. Discharge instructions are, in part, based on what was done previously during the patient's acute illness. That information is unknown at present. You really need to know what is going to be presented by the others in your group. What if you find information that is contrary to theirs? It won't look good for anyone in the whole group. This is why the nursing process needs to be followed when doing these case studies and communication between the members of the group must be done on a regular basis. I'm thinking you may have done way too much work on this already without some structure to guide you.

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