bleeding
Diseases Process
Instructed patient when to call the doctor the stoma is swollen and is more than a 1/2 inch (1 cm) larger than normal.
The stoma is pulling in, below the skin level. The stoma is bleeding more than normal.
Instructed patient caregiver when you should call the doctor: Injury to the stoma, bad skin irritation or deep sores (ulcers) a lot of bleeding from the stoma opening or a moderate amount in the pouch that you notice several times when emptying it. Eating beets will cause some red discoloration.
Instructed patient caregiver when you should call the doctor: continuous bleeding where the stoma meets the skin unusual change in your stoma size or color anything unusual going on with your ostomy.
Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Patient was instructed on leg wound's use direct pressure and elevation to control bleeding and swelling. When wrapping the wound, always use a sterile dressing or bandage. Very minor wounds may heal without a bandage.
SN instructed patient that Thrombocytopenia is a condition in which you have a low blood platelet count. Platelets (thrombocytes) are colorless blood cells that help blood clot. Platelets stop bleeding by clumping and forming plugs in blood vessel injuries. Thrombocytopenia often occurs as a result of a separate disorder, such as leukemia or an immune system problem. Or it can be a side effect of taking certain medications.