catheter-teaching-guide
Procedures
Instructed patient / caregiver strenuous work, with hand cannulated, lifting objects greater than ten pounds, or repetitive motion should all be avoided.
Instructed patient about vacuum assisted closure ( VAC ) therapy as it promotes wound healing through negative pressure wound therapy.
Instructed patient about vacuum assisted closure ( VAC ) therapy helps draw wound edges together, remove infectious materials and actively promote granulation.
SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation
SN instructed patient and caregiver on how to change the colostomy bag. SN instructed how to properly closes the bag and explains that there are different types; do not expect to see the same bag always. SN instructed that patient and caregiver have to wash their hands and always use gloves before working on the colostomy area.
Instructed caregiver although the formula has water in it, patient may need extra water to keep from getting dehydrated. Patient may need more water when sweating, such as during hot weather or if you have a fever. Patient may also need more water if you have diarrhea or if you are vomiting.
Skilled nurse teach caregiver A bolus feeding is an amount of formula given over a short period of time. Feeding syringe: Connect the feeding syringe to the end of the PEG tube. Pour the correct amount of formula into the syringe. Hold the syringe up high. Formula will flow into the PEG tube. The syringe plunger may be used to gently push the last of the formula through the PEG tube. Caregiver always need to flush your PEG tube before and after each use with 100 ML H2OD
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.
Caregiver instructed about feeding and tube care to prevent a clogged feeding tube, flush your tube with water each time after giving a feeding or medication. If your feeding tube becomes clogged, you can use these methods: Place the syringe into your feeding tube, and pull back on the plunger. Flush your tube with warm tap water.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.