Instructed patient How can a urostomy fit into you lifestyle: Stay active and exercise as directed. Ask your caregiver about the best exercise plan for you. Wear your pouch when you swim. Use waterproof tape over the edges of your skin barrier to keep your pouch from leaking.
Skilled nurse flush blader catheter and performed urostomy care was done. Instructed patient When should I contact your caregiver? You have a fever, You have blood in your urine, and your urine has a strong odor, your incision wound or stoma is red or swollen, or you have a rash.
Instructed patient when you call your nurse or doctor you have nausea, bloating, pain, or are vomiting, you have little or no urine coming from your stoma, your stoma changes in size or appearance, you are weak and unable to do your normal activities.
Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician immediately:. If you have an irregular heart rate, if you feel increased pain or discomfort, note: It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure.
Patient was instructed on personal hygiene. Hygiene and good habits are commonly understood as prevention methods against infection. Hygiene is the maintenance of health and healthy living. Hygiene involves healthy diet, cleanliness, and mental health.
Patient was instructed on personal hygiene. Personal hygiene includes health practices such as washing the hair at least once a week, bathing every day, brushing the teeth after every meal and at bed time, and cleaning the clothes.
Instructed in the importance of exercise. This avoids phlebitis, decubitus ulcer, pneumonia, fractures, depression, urinary complications, muscle weakness and atrophy and constipation.
Instructed patient and caregiver about the procedures followed in the case of a hurricane. Should such event occur the Home Health Agency will be on call assisting any patient who has an emergency. Keep Agency phone number at hand.
Instructed patient that during a hurricane she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to her house. In the event that the patient has no family or friends she should go to the closest shelter for proper assistance.
SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.