Knowledge deficit of management of visual impairment related to patient being unfamiliar with facial cellulitis as evidenced by the patient and spouse asking about what needs to be done to manage the cellulitis and what kind of assistance the patient may need . | Patient and spouse will understand that patient will need assistance with ADLs (toileting, eating, walking, taking meds) by end of shift.Patient and spounse will state 3 techniques to manage cellulitis by discharge | 1. Assess readiness to learn management techniques of cellulitis from the patient and spouse. It needs to be made sure that the patient and spouse are willing to learn these interventions so they can apply them. 2. Explain to spouse to clear obstructions along his path when ambulating. This reduces chance of falls (Harkreader and Hogan, 2004, p. 988) 3. Explain to spouse that rooms at home should be well or brightly lit. This prevents chance of pt. bumping into things and injuring self and falling. (Harkreader and Hogan, 2004, p. 988) 4. Explain to spouse that she needs to give medications to client. Since his vision is hindered, his wife is the only one who can read the label for the correct meds. 5. Collaborate with dermatologist or wound-care nurse to find ways to treat and manage symptoms of cellulitis (mainly the inflammation) that can be used to teach the patient and spouse. Dermatoligist and wound care nurse can find other methods of treamtent and possible medications. 6. Teach patient to moisturize skin to prevent cracking and peeling. Cracks and peels serve as portals of entry of bacteria and this can lead to complications such as cellulitis. (http://www.mayoclinic.com, 2007) 7. Tell patient, when resting, to try to sit at 90 degrees with head straight to promote maximum venous return to prevent venous stasis. Venous stasis is a risk factor for cellulitis. (Venes, 2005, p. 373) 8. Teach patient and spouse to
Knowledge deficit of management of visual impairment related to patient being unfamiliar with facial cellulitis as evidenced by the patient and spouse asking about what needs to be done to manage the cellulitis and what kind of assistance the patient may need . | Patient and spouse will understand that patient will need assistance with ADLs (toileting, eating, walking, taking meds) by end of shift.Patient and spounse will state 3 techniques to manage cellulitis by discharge | 1. Assess readiness to learn management techniques of cellulitis from the patient and spouse. It needs to be made sure that the patient and spouse are willing to learn these interventions so they can apply them. 2. Explain to spouse to clear obstructions along his path when ambulating. This reduces chance of falls (Harkreader and Hogan, 2004, p. 988) 3. Explain to spouse that rooms at home should be well or brightly lit. This prevents chance of pt. bumping into things and injuring self and falling. (Harkreader and Hogan, 2004, p. 988) 4. Explain to spouse that she needs to give medications to client. Since his vision is hindered, his wife is the only one who can read the label for the correct meds. 5. Collaborate with dermatologist or wound-care nurse to find ways to treat and manage symptoms of cellulitis (mainly the inflammation) that can be used to teach the patient and spouse. Dermatoligist and wound care nurse can find other methods of treamtent and possible medications. 6. Teach patient to moisturize skin to prevent cracking and peeling. Cracks and peels serve as portals of entry of bacteria and this can lead to complications such as cellulitis. (http://www.mayoclinic.com, 2007) 7. Tell patient, when resting, to try to sit at 90 degrees with head straight to promote maximum venous return to prevent venous stasis. Venous stasis is a risk factor for cellulitis. (Venes, 2005, p. 373) 8. Teach patient and spouse to