diabetes skin
Procedures
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
Instructed patient call doctor if increase pain in the abdomen or the incision,fever, redness or drainage of the incision, irritation, or redness , or drainage of the incision, change bowel habits, such as:diarrhea, or constipation or skin irritation.
Instructed patient Call your doctor if the skin around your stoma: Pulls back, Is red or raw, has a rash, is dry, hurts or burns, swells or pushes out.
Instructed patient while your body adjusts, it's a good idea to avoid high-fat foods for a few weeks after having gallbladder surgery.High-fat foods include: Pizza, foods made with lard or butter, creamy soups or sauces, meat gravies Chocolate, oils, such as palm and coconut oil, skin of chicken or turkey
Instructed patient when to call your doctor although it's common to have some food-related symptoms after surgery, it is important to contact your surgeon if you experience the following symptoms, since they may be symptoms of a serious complication: Persistent, worsening, or severe abdominal pain, severe nausea or vomiting, yellowing of your skin, called jaundice.
Instructed patient in medications Vancomycin and
Cefepime treats bacterial infections. Instructed patient about Midline activities to avoid Bathing: Caregivers may tell you to
take showers rather than baths to help prevent infection. When bathing, keep the area where the catheter is inserted covered
and sealed with plastic wrap. This will keep the area of skin and the bandage dry, and help prevent an infection.
Instructed patient check your skin where the
catheter enters it every day. Look for signs of infection and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs
of infection (fever, chills), are short of breath.
Skilled nurse performed PICC line dressing change , prepare to change your dressing in a sterile (very clean) way ,
Remove the dressing and check patient's skin, clean the area and catheter, place a new dressing, Tape the catheter to
secure it and write down the date you changed your dressing.
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.
Instructed patient when skin redness where the tape or dressing was the nurse may need to change the dressing size or the type of tape or dressing used. Call home care nurse.