here
...
refference:
lSince the patient is a resident of a nursing home, it is vital to educate the nursing and support staff.
lProvide FREQUENT reminders
- Elevate lower extremities - I & O (as accurate as possible)
- Wear support stockings
- OBTAIN A DAILY WEIGHT EVERY MORNING!!!
- Enforce fluid restriction
lEnsure that the dietician is aware of the patients CHF and Dementia and prepares a diet that it LOW SODIUM, NAS,MECHANICAL SOFT
lContact in house rehab- have them assess the patient for appropriateness of a mild exercise program 3 times per week or as tolerated.
lEncourage the nursing and support staff to COMMUNICATE with the family as well as the physician/NP, ask questions, update each other on patient status