catheter-teaching-guide
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SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding
SN instructed patient instructed patient caregiver how to do Ostomy Care, as follow: Preparing, Applying, and Removing an Ostomy System to make the process easier and more effective, here are several easy steps you and your patients can follow when applying and removing an ostomy system: Remove Use an Adhesive Remover Wipe, Clean Clean & Dry Clean peristomal skin with non-moisturizing or non-oily soap, rinse well with clean water and pat dry, Measure Measure Stoma Place the stoma measuring guide over the stoma, measuring the stoma at the base., Protect use an Adhesive Remover Wipe, Apply New Pouching System/Skin Barrier. Make sure to have a good seal around the stoma.
SN instructed patient that bleeding is frequently associated with any non-tunneled catheter insertion. More frequent dressing changes and/or a mild pressure dressing may be required. Excessive bleeding or bleeding that persists for more than 24 hours is not normal. Excessive bleeding may be caused by coagulation disorders, vigorous physical activity, or a traumatic insertion procedure.
Instructed patient drink plenty of water. Staying hydrated helps keep clots from forming. Instructed patient call your provider right away if coughing, wheezing, or shortness of breath, a racing or irregular heartbeat, muscle stiffness or trouble moving tightness in your arm, above the catheter site.
SN assessed portacath insertion site every visit. SN instructed s/sx to report to SN / MD such as redness, pain, puffiness around port, drainage from insertion site, temperature above 100 degrees, shortness of breath and chest pain. Sn instructed on portacath care and protection of the skin over the port.
Patient was instructed about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
Patient was instructed about foot care, trying non-impact exercise such as swimming, cycling, yoga, and tai chi are increasingly popular ways to exercise - with minimal impact on the feet. Talk with the doctor before starting an exercise program. Further teaching is needed.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Patient was instructed about to tell the doctor about any changes in sensation in the toes, feet, or legs. Speak up if note pain, tingling, a pins-and-needles feeling, numbness, or any other unusual signs - even if it seems trivial to the patient. Further teaching is needed.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.