Page 38 - Home Health Marketing

SECTION 9. Emergency Care Plan

Please call the nurse at ____________________ if you experience any of the
following symptoms/problems:

Heart/Lung Problems: Too Much Blood Thinner:
 New onset of a productive/frothy  Bleeding from the nose, mouth,
cough or new congestion gums, rectum or surgical site
 Change in color, thickness or odor  Bruising
of sputum  Leg pain
 Increased shortness of breath  Black tarry stools
 New onset of irregular or rapid  Blood in urine
heartbeat
 Chest pain relieved by rest or
medication
 More swelling in your legs or feet
 Weight gain of _______ pounds in
24 hours
Signs of Infection: Urinary Problems:
 Increased redness  Foul odor to urine
 Wound gets bigger or more  Catheter not draining
painful  Low back or flank pain; body aches
 Temperature of 100°F or more  Unable to urinate
 Change in amount, color or odor  Change in frequency of urination
of wound drainage  Increased weakness
 _________________________________  Bloody, cloudy or change in urine
color
 _________________________________
Diabetic Problems: Other Problems:
 Sudden weakness  No bowel movement in three days
 Uncontrollable thirst or hunger  New skin problems
 Increased urination  Change in balance, coordination
 Sweating spells or strength
 Sudden dizziness  Fall with small or no injury
 Frequent headaches  Change in mental status
 Itching  Signs of high blood pressure or
 Drowsiness stroke: new onset of headache,
 Blood sugar level greater than dizziness, nosebleeds, blurred
_____ or less than _____ vision, ringing in ears, heart
palpitations (fluttering)
Call 911 if you experience any of the following:
 A fall with a broken bone or bleeding • Unable to wake patient
 Chest pain that medicine doesn’t help • Severe or prolonged bleeding
 Difficulty in breathing • Severe or prolonged pain
This information was developed in part by The Carolinas Center for Medical Excellence under a contract with the
Centers for Medicare and Medicaid Services (CMS). The contents do not necessarily represent CMS policy.

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