Instructed patient what are some of the benefits of the care wear PICC line cover. The unique mesh window provides an innovative way to allow patients and caretakers to view the site and check for infection and leakage. The innovative designs . and colors allow for patients to get back to living their lives. Skilled nurse instructed care giver in medication management review and update medication schedule, specially new or changed medications (action side effects, adverse reactions) and complications.
Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.
instructed patient call nurse or doctor if your body changes: Nausea or vomiting that does not go away, constipation with no bowel movement for 3 days. Diarrhea of more than 6 loose stools a day, stomach becomes bloated or swollen and tight, a stomach residual more than the amount your doctor has set for you.
SN instructed patient about high blood pressure. Normal blood pressure is when your blood pressure is lower than 120 / 80 mm / Hg most of the time. High blood pressure ( hypertension ) is when your blood pressure is 140 / 90 mm / Hg or above most of the time.
SN instructed patient that bleeding is frequently associated with any non-tunneled catheter insertion. More frequent dressing changes and/or a mild pressure dressing may be required. Excessive bleeding or bleeding that persists for more than 24 hours is not normal. Excessive bleeding may be caused by coagulation disorders, vigorous physical activity, or a traumatic insertion procedure.
SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
Instructed patient in emergency care These pages will cover prevention of an emergency situation, and what to do if: Your loved one has trouble breathing or stops breathing You cannot insert a trach tube The trach falls out.
Instructed patient be careful not to touch the trach cannula while changing the tube. You do not want to contaminate the cannula. Other times to suction include before eating, or before and after sleeping. Be aware that every sound you hear does not mean they need to be suctioned.
Instructed on emergency preparedness. Planning ahead to ensure adequate care in case of severe weather or natural disaster is imperative. Here are a few key tips that warrant consideration in any elderly person’s disaster plan: Create an emergency contact card listing all of the emergency contact numbers and family information, including a list of doctors and relatives or friends who should be notified in case of injury. Discuss what to do in case of an emergency. Create a “disaster kit” that includes: Water for three days, Non-perishable food for three days (examples include protein and fruit bars, dried fruit, nuts, peanut butter, crackers, canned juices and canned food), plus a manual can opener Battery-operated radio with extra batteries, Flashlight with plenty of extra batteries Change of clothes, plus extra blankets First aid supplies, Prescription medicine list, plus copies of prescriptions Extra eyeglasses and hearing-aid batteries, Copies of medical insurance and Medicare cards, Some cash on hand, as a bank or ATM machine may be inaccessible Extra warm clothing