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Mrs. Johnson, a 67-year-old female patient, has recently been discharged from th

ID: 246956 • Letter: M

Question

Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5)

What would be involved in setting up the first home care visit?

Describe the nursing assessments and management that would occur during the visit.

Explanation / Answer


1. For the first home care visit the settings involved are checking IV, wound dressing and oxygen saturation.
2. The nursing assessment:
• Check the dressing site for infection
• Check for oxygen saturation
• Check for activities of daily living
Nursing management:
• Perform dressing using aseptic precautions
• Administer IV Zosyn
• Provide oxygen
• Provide comfortable position
• Provide chest physiotherapy
• Advice to take lots of fluids
• Advice to do activities of daily living according to the well-being
• If colostomy is present give colostomy care and teach patient or significant others to give colostomy care.


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