diverticulosis-and-diverticulitis
Tracheostomy
Instructed patient to secure the new ties to the tracheostomy tube flanges before removing the old ones. Insert your little finger between the tie tapes and your patient's neck to check the fit and ensure his comfort.
Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your humidity, and cough hard.
Instructed patient Clean technique includes: Hand washing, Using gloves is optional. Re-using a trach tube and/or inner cannula that has been properly cleaned, Using prepared sterile water and normal saline. Re-using the same trach ties if they are properly cleaned. Re-using suction catheters if they are properly cleaned(up to 8 hrs or 3/per day)
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure the trach is getting enough humidity. Humidity will keep the mucus loose and decrease the chances of a mucus plug. If you hear a whistling sound from the trach, this might mean that the airway is dry. Always make sure the trach ties are securely fastened and are tight enough around the neck.
Instructed patient caregiver clean technique includes tracheostomy care: hand washing, using gloves is optional, re-using a trach tube and/or inner cannula that has been properly cleaned, using prepared sterile water and normal saline, re-using the same trach ties if they are properly cleaned, re-using suction catheters if they are properly cleaned ( up to 8 hrs or 3/per day )
Instructed patient caregiver that It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure. If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. when secretions become thick, if crusting occurs or mucus plugs are present. Your physician may recommend increasing.
Instructed patient when should I call my healthcare provider. Contact your healthcare provider or physician immediately if you have an irregular heart rate. If you feel increased pain or discomfort. It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure. If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. When secretions become thick, if crusting occurs or mucus plugs are present. Your physician may recommend increasing your fluids or using cool mist humidification.
Instructed patient how can I prevent infections. Wash your hands. Always wash your hands before and after you care for your trach. Clean your trach equipment as directed. Use clean or sterile trach care methods to clean your equipment. Clean the area around your trach as directed. The area around your trach is called the stoma. Use a trach cover as directed. Do not use a trach cover unless your healthcare provider says it is okay. A trach cover sits over the opening to your trach tube. It prevents dirt and other foreign bodies from getting into your airway.
Instructed patient contact your healthcare provider or physician immediately: if you have an irregular heart rate, if you feel increased pain or discomfort and if you have difficulty breathing and it is not relieved by your usual method of clearing secretions. Patient verbalized understanding.