Below is a link with everything you need to know about colostomy application and care. This informative article includes helpful hints, a list of reasons to call your doctor and how to reduce odor.
http://www.upmc.com/patients-visitors/education/ostomy/pages/colostomy-care.aspx
Ulcers are very common in society. So there should be good patient education so people know how to manage ulcers and what things can make them worse or improve them. For one, NSAIDS and something as simple as stress can make ulcers worse or cause ulcers. So here is a link that has a brochure about understanding ulcers
Patient education in the medical field is very important. This article discusses pre-dialysis education and tests literacy levels of those going through pre-dialysis education. Brochures with pertinent information are given to the patients going through the education but it is important to know that the patients can understand and comprehend the contents of the brochures. The finding showed modifications needed to be made in order to ensure the brochures where comprehensible to all. I found this article very beneficial in opening the eyes of those educating patients to make sure that the written materials we give to our patients is something that is at the appropriate literacy level for the patient being educated.
http://www.biomedsearch.com/article/implementation-pathway-matching-education-material/231094614.html
Dear Students, I have just finished listening to and responding to our VT this week. Unfortunately, only 6 of you have participated. I am guessing it is because the directions this week were a little different in format. I have copied and linked to the weekly directions. It is very important for our class time on Thursday that you have read NetSMart pages 111-119 and responded to the VT prompt. Please come to class prepared to be active,
image by Tom Simpson
discuss the reading and share your ideas on participatory culture. The ideas shared on the VT so far are great examples of what can be done when every day people participate and get involved in a cause. I especially love the KickStarter campaign shared by Ryland. It is fascinating to see what happens when our government starts using the concepts of participatory culture to address world wide crisis.
I can’t wait to read your blogs this week and see how many of you were able to embed images or video to enahcne your message. I also look forward to reading the comments you are leaving on your classmates blogs.
See you all on Thursday.
Jill
Sorry for the double posting, but wanted to make sure you all see this.
Patient education is a vital role of nurses in any healthcare setting. Patients need to know various things about the medications they are prescribed, as well as other forms of treatment and follow up appointments. There are numerous ways to educate a patient, from paper to electronics to visual demonstration. A survey that I researched compared written instructions and iPads as forms of patient education. Paper instructions and pamphlets can be boring to read and may contain multiple pages, so the study showed that iPads were more effective. This is also due to the fact that the iPads directly engage the patient, therefore allowing the patient to retain more information and becoming more involved in their care.
Medication Education
This is something that happened to me recently. My friend has IBS and told me she had to go for a cortisone injection and was going to the Doctor’s office to get the injection. I noticed my friend has ben exhibiting the signs and symptoms f a cold over the last couple of says. My first question was. Has anybody educated you on cortisone? Has anybody told you about the side effects and when not to take it?. At this point my friend said what most people say. No, my Doctor told me to take it so I will take it. At this point I brought Skyscape up on my phone and showed her. Cortisone suppress the immune system and care should be taken when exhibiting sign and symptoms of colds and flu. So when she read it she called her Doctor and told him what was happening and he noted that the injection could wait a couple of days until she felt better.
My wife’s grandfather had a stroke and was put on a medication regiment of 16 medications. As a result he ended up in assisted living. When he came to visit my wife’s mother she was responsible for giving him all this medication. I asked if anybody trained her on how to give all this medication and she said. I just read the labels and give it when it is due. This was shocking to me. We trust healthcare providers and just follow the instructions. But I feel we must be educated on how to take medications correctly. Especially when it comes to a multi-medication regiment. When I looked at the medication it was overwhelming. The only thing that was listed was when to take, how to take it, and whether or not to take with food. For the side-effects and interactions I had to go online to find the information. I used pocket pharmacist an Application on my phone to check the medications and was surprised that some of the medications did have interaction warnings. Granted your Doctor has training and education in this regard but we should not just blindly follow instructions and take medications. We should always be part of the conversation and ask question, we should do research and ask more questions. I know a little knowledge can be a dangerous thing but if your healthcare provider practices Holistic medicine they would be happy to have you ask questions
This article talks about the post operative diet that needs to be followed by all people who have undergone a billroth 2 procedure, which is done to treat severe PUD.
http://www.livestrong.com/article/545768-billroth-ii-post-procedure-diet/
http://img.tfd.com/dorland/operation_Billroth.jpg
Patient education is a HUGE role for a nurse and is also, in my opinion, one of the most important roles. With the right patient education you as a nurse are giving the patient knowledge to care for themselves and to get better. Without the knowledge and resources to manage a chronic illness or care for a new life style (such as a new colostomy bag or new medication that needs to be taken a certain way everyday like insulin) the patient is not going to be able to be successful with their treatment. The patient is the primary care for themselves once they go home, most likely, so it is so important to educate them correctly. The best methods to educate your patient I believe is to talk to them about it, give them pamphlets, demonstrate, and then have the patient explain what you just taught and demonstrate as well.
Sedation vacation
I haven’t seen this yet in the hospital but I read the Cottage Hospital Policy on Sunday. Here are some points that I found to be significant and important.
At Cottage Daily Awakening trial (DAT) is performed once daily between 0500-1200.
The goal is for the patient to breath spontaneously once all the sedatives are interrupted. If the patient has met all initial screen criteria RN and RT will assess patient for 2 minutes. Sit up at least 45 degrees, Suction airway, CPAP 5 with 100% tube compression, DO NOT change FiO2. The Nurse is to document sedation level (RASS-Richmond Agitation Sedation Score) and pain score every 30 minutes. Continue for 90 minutes.
Termination Criteria-
Evidence based practice states that Daily Sedation Vacation evaluates the need to IV sedation and allows the titration of sedation to reduce the need to mechanically ventilate. This also reduces the time in ICU, ventilator pneumonia and PTSD.
The benefits of Sedation Vacation seem very important for a patient but I’m wondering how often it is truly done and what are the limitations. According to Hogue and Mamula in Nursing Critical Care 2015 nurses understand the importance to evaluate neurological function but agree that documentation of DSV are cumbersome. That’s where education comes in to teach the importance of DSV and what evidence base practice demonstrates. Through education I believe nurses can feel empowered to make a difference and get their ventilator patients put of the ICU and onto recovery.
Hogue, M., & Mamula, S. (2013). Sedation Vacation. Nursing Critical Care, 8, 35-37.
Cottage Hospital Weaning program protocol
In an article featured on Americannursetoday.com talks about patient education regarding ostomy care. Some of the topics covered include types of ostomies and stomas, finding the right ostomy pouch system, complications, nutritional considerations, and drug therapy.
The types of ostomies mentioned are the colostomy, ileostomy, and urostomy, and what is included is which organ will be affected, the location of the surgical opening, the consistency of the stool for each ostomy, and whether it is permanent or not. Regarding stomas, the type of stoma is picked based on the disease process, how much of the intestine is functioning, and the patient’s condition. The type of stomas that may be used are a double-barrel stoma, end stoma, or loop stoma.
In terms of pouch systems, there is a variety of options available nowadays. They may range from being one-piece systems or two-piece systems which consist of a barrier that may be precut or cut-to-fit and a pouch that is opaque or transparent.
Complications that should be reported involve fever, increased pain, dehydration, diarrhea, and infection of the surgical site. Also, the patient should note whether if there is no discharge coming from the stoma within 24 hours.
Nutritional considerations the patient should abide to are to start with clear liquids and to slowly introduce new foods to figure how well it may be tolerated. Also, the patient should make sure to stay hydration in order to prevent dehydration. The recommended fluid intake is 64 ounces per day for ileostomy patients.
Certain drugs should not be taken such as laxatives by ileostomy patients as dehydration may occur. It is important to contact your physician before taking any new drugs.
Through teaching patients about ostomy care and equipment, patients will hopefully be able to find the confidence and skill to gain independence and a better quality of life.
You can read the full article here.
References:
Bak, G. P. (2008). Teaching ostomy patients to regain their independence. American Nurse Today, 3(3). Retrieved from http://www.americannursetoday.com/teaching-ostomy-patients-to-regain-their-independence/
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