bedbound-patient
General
Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet to help reduce odor.
Ostomy care Instructed patient the materials you use to wash your stoma and the skin around it should be clean, but they do not need to be sterile.
Instructed patient f the blockage does not clear, clamp the tube for at least 5-15 minutes, allowing the warm water to soften the clog.
Ostomy care Instructed patient you may shower or bathe with your pouch on or off. Remember that your stoma may function during this time.
Urostomy care Instructed patient When to Change the Pouch. Most urostomy pouches need to be changed 1 to 2 times a week. It is important to follow a schedule for changing your pouch. DO NOT wait until it leaks because urine leaks can harm your skin.
Instructed patient call your health hare provider immediately if you have: pain, fever, a large amount of bright red bleeding and also if you have: warmth, redness, or swelling along the arm or PICC line insertion site. A tear or break in the PICC line catheter or tubing.
Instructed patient as much as possible, use the arm with the PICC in it for normal daily activities. Lack of movement can lead to blood clots. So it's important to move your arm as you normally would. Your healthcare team may suggest light arm exercises. Avoid activities or exercises that require major use of your arm, such as sports, unless your healthcare provider says it's OK.
Instructed patient caregiver clean technique includes tracheostomy care: hand washing, using gloves is optional, re-using a trach tube and/or inner cannula that has been properly cleaned, using prepared sterile water and normal saline, re-using the same trach ties if they are properly cleaned, re-using suction catheters if they are properly cleaned ( up to 8 hrs or 3/per day )
SN instructed patient/ CG about laxatives. Laxatives should be taken as ordered. Drink plenty of fluids. Overuse of laxatives can cause constipation.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit.