Question

Mrs. Johnson, a 67year-old female patient has recently been discharged from the hospital following an admission for COPD.she has a past medical history of 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 visited were ordered. (Learning objective 5)
a.what would be involved in setting up the first care visit?
b. Describe the nursing assessments and management that would occur during the visit.

Answer 1

A. For the first home care visit , the should set up items for wound care, equipment for monitoring vital signs and pulsoxymeter, ietems for cannulation, dressing materials, surgical gloves, and sterile gloves, also require ietem for collection wound sample. If possible, also arrange materials for health education.

B. The nursing assessment at the first home care visit would be ;

- Assessment of airway, oxygen saturation and breathing pattern.

- Assess the condition of wound, check for any furthering of infection, check the dressing of wound discharges.

- Assess the general condition of Mrs. Johnson, vital signs, ability to follow instruction.

Nursing management would be wound care and change of dressing, insertion of new I've access if required, adjust the flow of oxygen according to.