patient-unable
Instructed patient check for redness, swelling, any drainage or excess skin growing around the tube. A small amount of clear tan drainage can be normal. Call your care team with any concerns. Instructed patient remove old dressing (if dressing is being used). Look at the area where the tube enters the skin
Instructed patient you may need to check your weight daily or weekly, Your healthcare provider may need to change your feeding if your weight changes too quickly. Instructed patient watched closely for any complications, such as an infection or bleeding.
Instructed patient do not take a bath in a bathtub. Cover the insertion site with clear, plastic wrap and tape to keep it dry before showering. Instructed patient avoid a lot of arm movement and coughing. Avoid lifting weight.
Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.
Instructed patient / caregiver about cadd pump Practical advantages: Easily titrated, Facilitates patient control Reliable records of PRN dosing, may reduce nursing burden, Reduce risk of drug diversion.
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 educated patient on Bupropion. This medication is used to treat major depression. This medication works by helping to restore the balance of natural chemicals in the brain. Take this medication by mouth, usually once daily with or without food. If nausea occurs, you may take this drug with food. Do not crush, chew or break the tablets. Swallow tablets whole. Since this drug may cause sleeplessness at first, it is best not to take near bedtime. The dosage is based on your medical condition and response to therapy. Do not take more or less medication than prescribed. Taking more than the recommended dose of bupropion will increase your risk of having a seizure. side effects may include dry mouth, nausea, vomiting, stomach/abdominal pain, flushing, headache/migraine, loss of appetite, trouble sleeping, increased sweating, strange taste in mouth, weakness, drowsiness, or blurred vision may occur. If any of these effects persist or worsen, notify your doctor promptly. Patient voiced understanding.
SN instructed the patient about care of incision site. Patient was instructed to check the incision daily for signs and symptoms of infection like increased drainage or bleeding from the incision site, redness in or around it, foul odor or pus coming from the incision, increased swelling around the area and fever above 101.0°F or shaking chills.
SN instructed patient to increase fluid intake after discharge for constipation due to anesthesia and pain medication. Patient may also try warm prune juice, stool softener (Senokot) or magnesium citrate.
Tracheostomy care Instructed patient patients with a tracheostomy have altered upper airway function and may have increased oral care requirements. Mouth care should assessed by the nurse caring for the patient.