Instructed patient if you have fever, chills, tenderness, redness, or pus at the catheter site or swollen arm,check your child’s temperature, and all the doctor right away.
SN instructed that the Cystocele surgery or bladder prolapse surgery is a reconstructive surgery of the pelvic floor with the goal of restoring the organs to their original position. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. Recovery time varies depending on the type of surgery. Fixation or suspension using your own tissues ( uterosacral ligament suspension and sacrospinous fixation ). These procedures are performed through the vagina and may involve less recovery time than those performed through the abdomen. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting and straining. You also should avoid sexual intercourse for several weeks after surgery.
Instructed patient if you has a problem trouble flushing the PICC, unable to give medicines or fluid into catheter Unclamp it (if clamp is present). Remove the kink, if the catheter is not kinked or clamped, do not force the solution into the tube. Call the home care nurse to report the problem
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your health care provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care team right away.
Instructed patient The arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it: 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 health care team may suggest light arm exercises.
Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.
Instructed patient how prevent infections: To wash your hands with soap and water: Wet your hands with warm water, avoid hot water, which can cause skin irritation when you wash your hands often. Apply enough soap to cover the entire surface of your hands, including your fingers.
Instructed patient how prevent infections: rub your hands together vigorously for at least 15 seconds. Make sure to rub the front and back of each hand up to the wrist, your fingers and fingernails, between the fingers, and each thumb. Rinse your hands with warm water. Dry your hands completely with a new, unused paper towel. Don’t use a cloth towel or other reusable towel. These can harbor germs.
Instructed patient When to seek medical care: 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), Coughing, wheezing, or shortness of breath.
SN instructed patient / parent to ensure the drain is below the site of insertion but not pulling on the patient. Instructed the patient / parent that there is a risk of dislodgment, requiring increased care when moving. Patient should be aware that moving whilst drain is in situ will cause some pain, but this can be minimised with regular analgesia and the patient should be encouraged to mobilise with supervision when appropriate.
