Discharge And Home Healthcare Guidelines

Patient education varies with the etiology of osteomyelitis; an individualized teaching plan needs to be developed for each patient. Regardless of the etiology, prolonged bedrest and parenteral antibiotic therapy are usually a part of the treatment plan. Discuss the cause and treatment of osteomyelitis with the patient, along with the importance of following the treatment plan. The major issues that need to be addressed are medication administration, activity, and signs and symptoms that may require notification of the physician. Discuss the need to contact the physician if increased pain, temperature, drainage, redness, or swelling develops. Also make certain the patient understands the signs of allergic drug reactions.

Emphasize the importance of long-term antibiotics that the patient requires, including the need to continue the medication even after the symptoms disappear. If intravenous or central line antibiotics are prescribed at home, arrange for assistance from home healthcare nurses. Also include the family in all patient teaching. Note that significant others are often responsible for delivering the care. Have the patient or significant other not only explain all procedures but also demonstrate all techniques.

Osteoporosis DRG Category: 244

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