bedbound-patient
Peg Tube
Instructed patient you may need to keep track of how much formula and other liquids you have each day. You may also need to keep track of how much you urinate and how many times you have a bowel movement each day. Bring this record to your follow-up visits.
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 to instruct patient Call your doctor or nurse call line now or seek immediate medical care if: you have new or worse symptoms of a kidney infection. These may include: pain or burning when you urinate, a frequent need to urinate without being able to pass much urine, pain in the flank, which is just below the rib cage and above the waist on either side of the back, blood in the urine.
SN to instruct patient change the bandage around the tube, the bolsters, skin barriers, and tube attachments at least every 7 days. If your bandages, barriers, or devices get dirty or wet, change them right away, and as often as needed.
SN to instruct patient Keep the site covered when you shower. Tape a piece of clear adhesive plastic over the dressing to keep it dry while you shower. Do not take tub baths.
Instructed caregiver keep the patient's skin around her PEG tube dry. This will help prevent skin irritation and infection. Caregiver verbalized understanding.