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Author Question: You are caring for a patient with an ileal conduit. You notice there is tape around the drain pouch. ... (Read 805 times)

schs14

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on: Jul 16, 2018
You are caring for a patient with an ileal conduit. You notice there is tape around the drain pouch. When you ask the patient about it, he tells you it was leaking and the previous PCT taped the area that was leaking. What actions should you take?
 
  What will be an ideal response?

Question 2

As you approach a person who suffers from memory loss, the person becomes more anxious around 4 pm. The person appears to be extremely tired and afraid. What behavior is the person displaying? What will you do to help the person?
 
  What will be an ideal response?


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bitingbit

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Reply #1 on: Jul 16, 2018
Answer to Question 1

Notify the nurse. The pouch needs to be changed. Pouches are never taped when leaking; a new pouch is applied. The nurse will also need to address proper ileal conduit teaching with the PCT that taped the leaking pouch.

Answer to Question 2

This behavior is known as sundowning. Validation therapy, one-on-one care, reassurance, distraction, and recollection of past memories from a memory box are several helpful strategies.


schs14

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Reply 2 on: Jul 16, 2018
Great answer, keep it coming :)

matt95

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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