skin breakdown
Instructed patient it’s important to routinely clean catheters to prevent infections. Wash your hands well before and after you handle your catheter. Clean the skin around the catheter twice a day using soap and water.
Instructed patient when to call the doctor the stoma is swollen and is more than a 1/2 inch (1 cm) larger than normal.
The stoma is pulling in, below the skin level. The stoma is bleeding more than normal.
Instructed patient While the stoma site heals, clean around the stoma site daily. Follow these steps: Allow skin to dry. 2-Instructed patient While the stoma site heals, clean around the stoma site daily. Follow these steps:Observe your stoma site daily for redness, pain
, swelling, or unusual drainage around the tube. If you notice any of these signs, call your doctor 3-Instructed patient If you cannot unclog your tube, call your doctor. It is important not to miss your prescribed liquid food and water.
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.
Instructed patient Keep the dressing (or bandage) clean, dry, and secured to the skin. Do not put lotions or ointments under the dressing. Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg Fever of 100.4?F (38.0?C) or higher Chills Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging)
Patient instructed Cellulitis can appear on almost any part of the body. It usually shows up on damaged skin such as inflamed wounds, dirty cuts, and areas with poor circulation. It needs to be treated by a doctor. Common symptoms include: Redness, Red streaking, Swelling, Warmth, Pain or tenderness, & Leaking of yellow, clear fluid or pus.
SN also instructed pt on the disease process of hypothyroidism. The thyroid gland controls a lot of our body functions, when it is unable to produce the amount of thyroid hormone your body needs, you will need to take this hormone orally. Take this medication everyday as ordered by your MD. Report to SN or MD if you have sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, as these can be signs your medication is not the correct dose.
Instructed patient caregiver when you should call the doctor: Injury to the stoma, bad skin irritation or deep sores (ulcers) a lot of bleeding from the stoma opening or a moderate amount in the pouch that you notice several times when emptying it. Eating beets will cause some red discoloration.
Instructed patient caregiver when you should call the doctor: continuous bleeding where the stoma meets the skin unusual change in your stoma size or color anything unusual going on with your ostomy.
Instructed patient call your provider if: Your stoma is swollen and is more than a 1/2 inch (1 cm) larger than normal.Your stoma is pulling in, below the skin level. Your stoma is bleeding more than normal.