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Discharge TeachingJonelle MilfortSarasota Memorial HospitalNovemeber 20, 2014PB was admitted to the hospital for spinal stenosis. He underwent a laminectomy, a procedure in which the entire lamina is removed to relieve the pressure on the nerve roots. The patient understood both the terms spinal stenosis and laminectomy. He understood that the spinal stenosis is what was causing his back pain and that the laminectomy will hopefully prevent future back pain from occurring. 24 hours after discharge, the patient may not drive or operate any hazardous machinery, or drink any alcohol. Performing simple tasks such as housework or gardening will not cause any serious problems. However, doing any extraneous bending or lifting objects greater than 15 pounds might cause injury to the patient. It is important for the patient who has undergone a laminectomy to stay active. Exercises such as walking, pedaling, and swimming may help the patient to recover faster. Conversely, vigorous athletic activity, such as running or training, is contraindicated for 4 weeks. If the patient leaves the hospital with a wound dressing, then the dressing should be removed 48 hours after discharge. Before removing of the dressing, the wound may not get wet, so the patient must abstain from showering or bathing until the dressing has been removed. If the patient has steri-strips or staples on the wound, the patient must follow-up with the doctor after a week to have them removed. The patient must call the provider if there is drainage, increased pain, or swelling. The patient will be prescribed Oxycodone for at home use to relieve moderate to severe pain. The patient will take this medication as needed as not on a timed schedule. This medication could cause breathing problems, so the patient should call the provider if he is having any feelings of shortness of breath. Other adverse effects include: irregular heartbeat, chest pain, swelling, difficulty swallowing, seizures, and extreme drowsiness. Any of these side effects should be reported to the provider immediately. The patient will return home with his wife who will be providing care for him until he has returned to his baseline state. Both the wife and the patient have and know how to operate a car, but for the time being, the wife will provide transportation. The provider wants the patient to follow-up in one week, and the wife will drive the patient there. After discharge from the hospital, the patient and his wife are going to WalGreens to fill and pick up the prescription for Oxycodone. To prevent readmission of this patient, the nurse should make sure that the patient understands his discharge instructions. The nurse should have the patient reiterate that he will no lift anything greater than 15 pounds. The patient should know not to twist his waist and to always bend at the knees. The patient should also take care of the incision site. The nurse should educate the patient on signs of infection including redness, warmth, tenderness, pain, and drainage. ................
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