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Resident will not develop increased edema |
- Assess amount of edema to extremity daily and document.
- Keep extremity elevated all times except during ambulation
- Assess site for weeping and pitting
- Report any redness, heat or rash accompanying edema to the physician.
- Follow dietary guidelines, i.e.: fluid restrictions; low sodium diet
as ordered.
- Wrap weeping extremities with gauze and cotton absorbent terry socks
to prevent the resident from slipping on dripping fluids and change
as needed.
- Provide education on the resident's medical condition.
- Remove any obstructions on the floor of the resident's room.
- Maintain clear path in front of the resident at all times during
ambulation.
- Administer cardiac medication and/or diuretic as ordered by the physician.
- Review lab work ordered by the physician.
- Remind the resident to wear nonskid or rubber-soled shoes or slippers
at all times every shift.
- Encourage the resident to ask for assistance to transfer from bed
to wheelchair or any other surface.
- Keep all personal items within the resident's reach at the bedside
table at all times.
- Assess for signs and symptoms of a rash on the weeping extremity
site.
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- N
- A,N
- N
- N
- ALL
- N
- N
- ALL
- ALL
- N
- N
- N
- N
- N
- N
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