Case Study, Chapter 9, Chronic Illness and Disability 1. Mr. Edwards is 20-year-

Question

Case Study, Chapter 9, Chronic Illness and Disability 1. Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure- relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. (Learning Objective 5) a. What nursing considerations should be made for Mr. Edwards related to his disability? b. What health promotion and prevention education does Mr. Edwards need?

Explanation / Answer

a-Assess the patient's temperature at regular intervals and report if the temperature is over 38.50 C. Fundamental signs demonstrate an adjustment in the body

-Record the qualities of pee as to discover/distinguish signs of advance or deviations from expected outcomes.

-Instruct the patient to drink 2-3 liters if no contraindications to forestall pee stasis

-Monitor reconsideration of the pee culture and affectability to decide reaction to treatment to knowing how far the impact of treatment on persistent conditions.

-Instruct the patient to discharge the bladder totally each time the bladder to avoid bladder distension.

-Give perineal care, keep up to keep them perfect and dry to keep up tidiness and maintain a strategic distance from bacterial disease of the urethra making.

b-Take all the prescription you were endorsed, rest easy. Not completing the drug can influence the disease to return. It might likewise make a future contamination harder to treat.

-Unless advised not to by your human services supplier, drink 8 to 12 glasses of liquid consistently. Clear liquids, for example, water, are ideal. This may help flush the disease from your framework.

-Keep your genital zone clean. Utilize mellow cleanser. Wash with water.

-If you are a lady, dependably wipe the genital zone.

-Urinate much of the time. Abstain from holding pee in the bladder for quite a while.

-Always urinate after sex.

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