catheter-teaching-guide
Instructed patient about some common ways to keep the air you breathe moist are:putting a wet gauze or cloth over the outside of your tube. Keep it moist, ,using a humidifier in your home when the heater is on and the air is dry. A few drops of salt water (saline) will loosen a plug of thick mucus. Put a few drops in your tube and windpipe, then take a deep breath and cough to help bring up the mucus.
Instructed patient not breathe in water, food, powder, or dust. When you take a shower, cover the hole with a tracheostomy cover. You will not be able to go swimming.
Instructed patient once the hole in your neck is not sore from the surgery, clean the hole with a cotton swab or a cotton ball at least once a day to prevent infection.
Instructed patient call your doctor if you have:fever or chills, redness, swelling, or pain that is getting worse, bleeding or drainage from the hole, cough or shortness of breath, even after you suction your tube, nausea or vomiting, any new or unusual symptoms.
SN instructed patient and caregiver that a bowl of oatmeal eaten in the morning provides a good source of energy throughout the morning hours, without an increase or drop in blood sugar. Patient and caregiver verbalized understanding.
Educated on new medication trazadone. Common side-effects include dry mouth, feeling faint, vomiting, and headache. More serious side effects may include suicide, mania, irregular heart rate, and pathologically prolonged erections.It is unclear if use during pregnancy or breastfeeding is safe. It is a phenylpiperazine compound of the serotonin antagonist and reuptake inhibitor (SARI) class. Trazodone also has sedating effects.
SN instructed patient on nutrients required for wound healing. To promote wound healing with good nutrition, plan healthy, balanced meals and snacks that include the right amount of foods from 5 food groups: protein, fruits, vegetables, dairy and grains. Fats and oils should be used sparingly. Choose vegetables and fruits rich in vitamin c, such as strawberries or spinach. For adequate zinc, choose whole grains and consume protein, such as eggs, meat, dairy or seafood. Some wounds may require a higher intake of certain vitamins and minerals to support healing. Include adequate protein throughout the day. Include a source of protein at each meal or snack. Stay well-hydrated with water or other unsweetened beverages. For people with diabetes, monitor, and control blood sugar levels to help prevent new wounds from developing and to support healing and recovery. Patient verbalized understanding.
SN instructed patient and caregiver instructed on medication Amiodarone. This medication is used to stabilize the rhythm of your heart. Amiodarone is used to treat ventricular tachycardia or ventricular fibrillation. Take this medication at the same time daily as directed. May take with or without food. Avoid grapefruit, St. John's wort, & sunlight or tanning beds.
Sn educated caregiver on Hoyer Lift, when a patient is in a bed, roll them on their side toward you. Roll patient away from you onto their other side and pull sling flat and center it under patient. Position arm of hoyer lift over patient. Attach hooks and adjust links to provide proper position and flex. Before attempting to raise the patient, check to make sure that the hydraulic pressure release knob located near the pump handle is completely closed. Understanding was verbalized.
SN instructed caregiver that the medical home can schedule health maintenance visits frequently enough to be proactive about new issues, ensure that the family has access to reliable information, community services, and resources and coordinate care and interpret information or advice from specialists