FOLEY CATHETER CARE
Procedures
The patient was instructed in cholecystectomy specific care of the surgical incision and dressing changes. The patient was taught how to care for the T-tube and drainage bag.
Laparoscopy, the patient was encouraged to increase mobility to reduce abdominal distention.
Open Cholecystectomy, the patient was instructed avoid lifting > 10 pounds for the first 4 to 6 weeks.
The patient was instructed in electrophysiology study cardiac mapping on care of the puncture site. The patient was advised that bruising of and around the insertion site is normal. The patient was instructed in the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
SN instructed patient to perform daily meticulous foot care, to be sure to dry feet completely after a bath, checking for any sores, cuts or scrapes and to report any wounds as soon as they appear to SN or MD. Also have a podiatrist cut toenails regularly to prevent ingrown toenails and other complications.
Instructed caregiver inspect patient's feet every day—especially the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to patient's podiatrist as soon as possible; no matter how simple they may seem to you.
SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed
flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or
gauze pad in the solution and gently clean your skin.
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.
Ostomy care It is not necessary to use soap to clean around your stoma. But if you prefer to use soap, use a very mild soap. Avoid using soaps and cleansers with oils, per - fumes, or deodorants since these can sometimes cause skin problems or keep your skin barrier from sticking.
Ostomy care Rinse the soap off the skin around your stoma very well because the residue may keep your skin barrier from sticking and may also cause skin irritation.
Colostomy care Instructed patient caregiver If there are no problems, wipe around the stoma with the skin wipes. If the skin is a little wet,
sprinkle some stoma powder on the wet area. Let the area air dry for a few minutes.
Colostomy Care Instructed patient caregiver check the stoma and skin around the stoma to make sure there are no problems.