diverticulosis-and-diverticulitis
Procedures
The patient was instructed in steroid therapy corticosteroid therapy in the need to fill-up medicines prescriptions 1 to 2 weeks before the supply runs out and to store medicine in a cool place. The patient was instructed to take oral steroids with milk or antiacids to reduction gastric irritation. The patient was taught that the oral method of the medicine comes in various dosages.
The patient was instructed in percutaneous transluminal coronary angioplasty (PTCA), intracoronaru stenting that a band-aid over the wound site may be changed and may not be needed after a day or two. The patient was taught that if bleeding does occur at the groin site compression should be applied immediately.
Instructed patient maintaining a clean and dry dressing is paramount to a continued well functioning PICC line.
Instructed patient / caregiver keep the insertion site and dressing dry, do not go swimming as swimming pools not only harbor bacteria but a wet dressing is an ideal medium for bacterial growth, do not allow pets or young children to play with the PICC line.
Instructed patient caregiver knowledge of maintenance and care of PICC lines insures long term use. Problems, detected early, greatly decrease any complications that might be associated with this line.
Instructed patient about vacuum assisted closure ( VAC ) therapy helps draw wound edges together, remove infectious materials and actively promote granulation.
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
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.
SN instructed patient on the importance of daily monitoring of the blood pressure; along with reporting an elevated BP of 160/90 and above to MD/SN stat.
Patient was instructed about showering and bathing. The pouches are waterproof therefore you can wear it in the shower. Your pouch will remain intact when underwater, bathing bathing or swimming.