FOLEY CATHETER CARE
General
Instructed patient call your health hare provider immediately if you have: pain, fever, a large amount of bright red bleeding and also if you have: warmth, redness, or swelling along the arm or PICC line insertion site. A tear or break in the PICC line catheter or tubing.
Instructed patient keep the PICC dry. The catheter and dressing must stay dry.
Instructed patient Keep the dressing (or bandage) clean, dry, and secured to the skin. Do not put lotions or ointments under the dressing. Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg Fever of 100.4?F (38.0?C) or higher Chills Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging)
SN stressed importance of daily foot care such as wearing shoes or slippers at all time to prevent foot injury.
SN instructed patient about cast care: keep the cast clean and avoid getting dirt or sand inside the cast. Do not apply powder or lotion on or near the cast. Cover the cast when eating, do not place anything inside the cast, even for itchy areas. Sticking items inside the cast can injure the skin and lead to infection. Using a hair dryer on the cool setting may help soothe itching, do not pull the padding out from inside your cast.
SN instructed about Care of teeth. Brush twice daily. After getting up from bed and before going to the bed. Rinse mouth after taking food. Once in year dental check up. Clean the tongue with tongue cleaner after brushing. Neem stick, salt or charcoal can be used for brushing.
Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet to help reduce odor.
Ostomy care Instructed patient the materials you use to wash your stoma and the skin around it should be clean, but they do not need
to be sterile.
Ostomy care Instructed patient you may shower or bathe with your pouch on or off. Remember that your stoma may function during this
time.
Skilled nurse developed patient plan of care with patient/caregiver involvement to be countersigned by physician. SN to perform complete physical assessment each visit with emphasis on disease process. SN to assess other co-morbidities including list diseases and other conditions that present themselves during this episode of care. SN to recognize and intervene to minimize complications; notify physician immediately of any potential problems that impede completion of patient recovery and desired goals.