Home Intravenous Therapy HOPT (Home / Outpatient Parenteral Therapy)
|
|
- Irma Peters
- 7 years ago
- Views:
Transcription
1 Home Intravenous Therapy HOPT (Home / Outpatient Parenteral Therapy) Brooke Building Intermediate Care All Rights Reserved Document for issue as handout.
2 This booklet has been given to you because your doctor has started you on intravenous (IV) treatment in hospital or you have seen a doctor who feels you need IV treatment. The terms intravenous, IV or parenteral are used when medication is given into a vein. Contents Page Introduction 1 Frequently asked 4 questions How will I know if 12 something is wrong? Introduction If you do not need to be in hospital for any other reason it may be possible for you to have your IV therapy at home or in the community. There are many conditions that can be treated with IV therapy out of hospital, including some types of infection and some inflammatory conditions. Depending on circumstances, some patients do not need to be admitted to hospital before starting their IV therapy at home. Home / Outpatient Parenteral Therapy (HOPT) is the official name given to the Home IV Therapy service. The HOPT Team consists of doctors, nurses and a pharmacist. The advantages and disadvantages of both hospital and home IV therapy are detailed next. In hospital Advantages l It allows you to be constantly assessed l The effects of your treatment can be easily monitored Disadvantages l You will have to stay in hospital for the time you need treatment l Possible loss of independence l Unable to attend work l Separation from family and friends l Travelling expenses for visitors At home / in the community Nurse administration This involves a nurse visiting your accomodation to give the IV medication you require. The nurse will try to visit you at a time that is suitable to you both. However, it is difficult to guarantee times so please bear this in mind. Written and verbal information will be given to you and 24 hour help is always available (contact numbers are on page 15). Advantages l You will not have to stay in hospital l Independence is maintained and you may be able to return to work l 24 hour help is available l A nurse will review you at the time of treatment l You only need to be reviewed at clinic every 2-4 weeks depending on your condition and progress Disadvantages l You will have to learn about your IV line l You will have to learn about your medication and its possible side effects l The time the nurse visits may vary slightly on a daily basis so a degree of flexibility is required on both sides l Weekends and bank holidays may be less easy to arrange treatment times l Compared to being in hospital you will see medical staff less often 1 2
3 Self administration Occasionally a patient may be able to give their own medication at home. This is usually only suitable when more than two weeks of treatment is required, and involves you or your carer being taught how to look after your IV line, prepare and administer your treatment. You must always have another person with you when having your medicine, in case of side effects. If this is the best way for you to get your medication, you will be taught either in hospital or at home and supervised until both you and the HOPT Nurse are happy for you to continue on your own. Once you are trained a nurse will visit weekly to change the dressing over your line and take blood samples from you. Advantages l You will not have to stay in hospital after you are trained l Independence is maintained and you may be able to return to work l 24 hour help is available l There is no waiting for a nurse to administer the medication l You only need to be reviewed at clinic every 2-4 weeks depending on your condition and progress l You will be visited by a nurse weekly Disdvantages l You will have to learn about your IV line l You will have to learn about your medication and its possible side effects l Training you can be time consuming and may result in a delay in your going home l Compared to being in hospital you will see medical staff less often What happens now? You should have time to look at the information you have been given before you decide whether you would like to have your IV medication at home. The HOPT Nurses (who arrange IV therapy in the community) will visit you to complete your assessment. The HOPT nurses will discuss your health needs, support available and home circumstances with you and your doctors to decide if home IV therapy is suitable for you. The HOPT Team will discuss available options with you to develop a plan that fits your needs. You will be able to ask the HOPT Team any questions about the service. You may wish to make notes of questions as you think of them. Frequently asked questions Do I have to go home? No. It is up to you to decide if you would like to have your treatment at home. If at any time you change your mind or become unwell, you can discuss with the HOPT nurse whether it is appropriate to return to hospital to complete the course of treatment. If you decide not to go home with your IV therapy you will stay in hospital and finish your treatment. Not every patient will be able to have IV therapy at home and the team will discuss options with you to find the most suitable and convenient way of giving your treatment. continued page 5 3 4
4 When can I go home? You will have to be assessed by the HOPT Team before you can go home and will also require a special line to be put into your arm (see page 6). Your discharge date also depends on your medical condition being stable and needs to be agreed with the hospital team involved in your care e.g. doctors, physiotherapists, dieticians. The HOPT Nurses will discuss this with you. Do I have to tell my GP? No. Your GP (General Practitioner) will be made aware that you are having your IV therapy at home. How will I get my medication? All IV medication will be prescribed from the hospital and either: l Delivered directly to your home l Given to you on discharge or l Given to you at the hospital clinic l Brought to your home by the nurses attending you. Are there any risks of having IV therapy at home? To have IV therapy at home you will need to have a special line put into your arm (see page 6). This is because we need to guarantee we can give your medication each time it is required. The line will either be put in while you are in hospital or put in when you are at home. There are some risks associated with having an IV line but they are minimal after the line has been put in (these are detailed on page 7). An allergy (reaction to a drug) can sometimes happen when new drugs are given. You will also be given written advice about reactions and what to do if one occurs. When will a doctor see me? Most people who are having home IV therapy are seen at the hospital clinic every 2-4 weeks. This is usually with a member of the medical or surgical team who has been caring for you throughout your current illness along with a member of the HOPT Team. Before you leave hospital you will be given a set of notes that everyone involved in your home IV therapy will update. You will be asked to keep these notes and bring them to the clinic. If you cannot come to the clinic please contact the clinic to arrange a new time. If you require hospital transport to the clinic please try to arrange this at least 48 hours before your appointment. The Receptionist at your GP s surgery can arrange this. How does the medication get into my vein? There are various types of IV lines that are suitable for use at home, but the two main types are called midlines and PICC s. The type of line you have will depend on the treatment you need and the estimated length of time it is required for. The HOPT Nurse will discuss your treatment with you. Before the line is put in, the procedure will be explained and you can see one first if you want. Having a line in means you do not have to have lots of needles put in to give the medication. Consent After you have read this booklet, discussed options with the HOPT team and have had time to ask questions, the HOPT team will ask you if you have understood the information given and are in agreement to have a line inserted. You will be informed how the medication will get to you 5 6
5 What is a midline? A midline is a short fine hollow tube that is inserted into the small veins in your arm with the tip lying in your upper arm. It can stay there for a few months. What is a PICC? A PICC (Peripherally Inserted Central Catheter) is a long fine hollow tube similar to a midline but longer. It is inserted into the small veins in your arm with the tip lying in the large vein in your chest (superior vena cava), which leads to your heart. Because the tip lies in a large central vein a PICC is a type of central line. A PICC can stay in place for up to a year. Patients who have a different type of line (tunnelled line or port) will have separate information given about how it will be put in. Are there any likely side effects of having an IV line? Midline The main risks with a midline are: 7 l Infections - but by following basic training given and ensuring prompt action is taken if a problem occurs, most lines are complication free. The nurses will always wear gloves when caring for your line l Thrombosis (a clot) - insertion of any needle into the vein causes damage to the vein wall. The trauma can occasionally cause a clot that can block a vein l Mechanical phlebitis - is redness or a slight swelling in the arm which may occur within seven days of the line being inserted. It is caused by the vein being sensitive to the movement of the line. The line is slightly smaller than the size of the vein, so the vein can take a little time to get used to it. This usually settles down and gives no further problems. To try to prevent this happening, apply a warm compress to the upper arm at least 4 times a day for 20 minutes for the first three days to help the line settle in. This helps the vein dilate and lets the blood flow around the line and can help ease any discomfort PICCs (Peripherally Inserted Central Catheters) Everyone having a PICC inserted will have a chest x-ray to check that none of the following have happened: l Malposition (line is not in the correct place). If the line is in the correct position you will only need one chest x-ray. If it needs to be re-positioned, you will require another x-ray. There are a few symptoms of malposition, which is why you will have a chest x-ray. If you notice discomfort in your neck or chest when having your drugs, unusual breathing difficulties or your heart beating irregularly you should report them to the HOPT Nurse or the hospital nurse as these may be signs that the line is not in the correct place l Palpitations can result if the tip of the PICC lies beyond the superior vena cava (the large vein where the tip should be). This can cause the heart to beat faster or irregularly. A chest x-ray will show if the position of the line is correct and prevent this from happening Although a PICC is a central line going into your arm and the tip ends in the veins near the heart, the risks associated with the insertion for a PICC are less than those for central lines going into a vein in your chest or neck. How is a midline or PICC put in? You will be given a local anaesthetic (a small injection under the skin on your arm) and positioned on your bed or chair with your arm out to the side. A nurse (or sometimes a doctor) will put your line in by inserting a needle into your arm just above where it bends. An ultrasound machine will be used to take a picture of your vein. You may feel some pressure when the needle goes in. If it is painful, let the nurse or doctor know. The midline or PICC will be passed into your vein. The whole procedure takes approximately minutes. Can I eat or drink before my line is inserted? Yes. 8
6 How is the IV line kept in place? It is kept in place with a Statlock (a special securing device which sticks to your arm) and a clear dressing where it comes out of your arm. The dressing helps prevent infection getting into the vein where the line enters. To help prevent infection entering the line, there is a plastic cap attached to the end of the line. The cap, the clear dressing and usually the Statlock are changed weekly by the nurse. Will I be able to move my arm? You will be aware that the line is in your arm, but it should not stop you carrying out basic activities. Excessive exercise should always be avoided as there is a risk your line may become dislodged. Who will care for my IV line? While in hospital your line will be looked after by the hospital IV team or the nursing staff. This includes: l Cleaning the exit site (where the line comes out) on your arm 24 hours after it is put in l Cleaning the exit site and applying new dressings weekly until your treatment ends l Giving your IV medication through the line l Flushing the line before and after giving your medication l Observation of your line and exit site to detect problems When at home a nurse will take over this care, unless you are giving your own medication as mentioned earlier. Can I help care for my IV line? To help prevent infection you should keep your line clean and dry at the exit site on your arm and also at the end where the plastic cap is attached. Strict hygiene is important. Do not touch your line or the exit site unnecessarily. Do not allow anyone else to touch your line apart from the nurse who is trained to care for and manage your line. A clear dressing will cover the exit site. If the area appears clean and dry your nurse will change this dressing each week. If you notice any redness or pus around the exit site that is new to you, then you should contact the helpline number (on page 15) and arrangements will be made for you to be reviewed. You will be given tubegauze to cover your arm, which will minimise contact with dirt and prevent pulling of the line. You should avoid heavy lifting and excessive movement of your arm. Some people may return to work with a midline or PICC, but it must be light duties. Will I need to stay in hospital after my IV line has been inserted? No. To ensure that there are no problems following insertion of your line, it will need to be checked the day after it is put in. Often patients are in hospital so during this time we will discuss and arrange your medications for discharge. Some patients will have their line inserted at home. The HOPT Team will arrange for the nurse to check the line and change the dressing the following day. How is the IV line removed when it is no longer needed? A nurse removes the midline or PICC. No anaesthetic is required and the line should come out easily. Can I have a bath or shower? Yes. You can still bath or shower as long as the line is kept clean and dry. You will be supplied with a long plastic arm glove to protect the line and exit site while you bath / shower. Do not immerse your arm in the water. If the dressing does become wet underneath, contact the helpline as the dressing will need to be changed promptly. It is useful to bath or shower before the nurse visits you so if your dressing does become wet it can be changed during your visit. Can I lead a normal social life? Having a midline or PICC in place should not interfere with your social life unless you require your medication frequently each day. 9 10
7 Can I play sports? Sports which involve vigorous exercise are discouraged if you have a midline or PICC in your arm. Can I go swimming? Swimming is not advised with midline or PICC line as there is a high risk of infection and excessive movement may make the line come out. How is the equipment and medication stored and disposed of? Medication Sometimes medication is sent to you in ready-made syringes and sometimes it is not. When it is not ready-made, it should be left in the box it is supplied in. Keep the box at room temperature and not beside a radiator. If your medication is already made up you will be supplied with a small fridge to store it in. The medication will be delivered in a separate box with an ice pack. If you have a fridge delivered you will need to plug it in and look in the supplies box for the fridge thermometer. Place the thermometer in the fridge and when and when it is at the correct temperature (between 2 C and 8 C) you can take the medication out of the ice pack and place them both in the fridge. These will be collected at the end of your treatment. The nurse will check the fridge temperature daily and document this (if you are self administering you will need to do this yourself). Sharps boxes Sharps boxes are for the disposal of used sharp equipment including needles, glass etc. They should be kept out of the reach of children and animals. DO NOT put your hand into a sharps box for any reason as this may cause serious injury. The company who deliver the boxes will collect them during and at the end of your treatment with any left over medication and equipment. Waste and rubbish Apart from sharps boxes, all other waste generated can go with your normal rubbish. How will I know if something is wrong? There are many symptoms that can indicate something is wrong. If in any doubt, do not hesitate to contact the helpline (see page 15). If a problem occurs, we will aim for you to remain at home, but if it cannot be resolved, you may have to go back into hospital until the problem is sorted. Some common problems: If someone is pricked by a needle l Encourage the area to bleed by squeezing it and running it under cold water for at least five minutes Pain, inflammation, redness or heat at the exit site. Chills, sweats, rasied temperature or feeling generally unwell l These can all be signs of infection If your IV line seems longer l This could mean the IV line has moved and needs examining l If the line is a PICC you may need an x-ray to check the position IV line fallen out completely If your line comes out completely: l Elevate your arm l Apply pressure on the entry site for 5 minutes using a clean swab or tissue l When the bleeding has stopped, apply a plaster or similar dressing as soon as possible as the line will most likely need to be replaced 11 12
8 Inflammation of the upper arm l Elevate your arm on a pillow l Apply a warm compress at least 4 times daily for 20 minutes Leakage from connectors l Put on a pair of gloves l Tighten the connections Cracks in the IV line or in the plastic ends of the IV line l Apply gloves and wrap a piece of gauze around the crack to prevent infection. If possible cover with the clear dressing the nurses use on your exit site immediately Wet or loose dressing l Do not attempt to remove the waterproof dressing - it may pull the IV line and make it fall out Hard to flush or blocked IV line (for patients who selfadminister) l If it becomes difficult or impossible to push the contents of the syringe into the IV line do not force the plunger of the syringe Pain or swelling in the arm or neck or shortness of breath immediately l Your line may have moved and may need to be repositioned or l You may have a clot l The line should not be used until it has been reviewed in the hospital Reaction to medication Reactions to medication are rare and are usually related to the first few doses given. Reactions can be classed into three main groups: A) Mild reactions l May include: headaches, chills, fevers, nausea, vomiting, joint or back pain and light headedness or dizziness l Stop giving the medication (see page 15) B) Moderate reactions l May include: wheezing, itching or a rash. Other mild symptoms (as above) rapidly getting worse or recurring l Stop giving the medication and call your GP or contact the helpline (see page 15) C) Severe reactions l May include: tightness of the throat, severe headaches or shaking, severe dizziness or fainting, severe breathlessness or wheezing, collapse, any kind of chest pain or other moderate symptoms persisting or rapidly getting worse l Stop giving the medication l Call 999 and wait until an ambulance arrives l Lie down l If you have collapsed your nurse or carer should place you on your side in the recovery position and check your airway and breathing 13 14
9 Helpline If you have an issue specifically linked to your intravenous therapy, please contact one of the numbers below: Notes 9am to 5pm After 5pm Monday to Friday Weekends & Bank Holidays Pager: Telephone: When you page the helpline you will be asked to; enter your numeric message followed by the hash key Please enter the phone number you are calling from into your keypad. This can be your home or mobile phone. The paging service will then tell you your message has been accepted Replace your handset. A nurse will call you back on the number you typed into the phone. You will speak to a trained person who will ask for your details. These will be passed onto a nurse who will call you back. HOPT Team Intermediate Care Division of Salford Healthcare Old Switch, Level 1, Orange Area, Maternity Corridor Stott Lane Salford, M6 8HD
10 Notes 17 18
11 G W. Design Services Salford Royal NHS Foundation Trust All Rights Reserved 2015 This document MUST NOT be photocopied Information Leaflet Control Policy: Unique Identifier: MED03(15) Review Date: February 2017 For further information on this leaflet, it s references and sources used, please contact Copies of this information are available in other languages and formats upon request. If you need this interpreting please telephone In accordance with the Equality Act we will make reasonable adjustments to enable individuals with disabilities, to access this treatment / service. Salford Royal operates a smoke-free policy. For advice on stopping smoking contact the Hospital Specialist Stop Smoking Service on Salford Royal NHS Foundation Trust Stott Lane, Salford, Manchester, M6 8HD Telephone If you would like to become a Foundation Trust Member please visit: for-members If you have any suggestions as to how this document could be improved in the future then please visit: for-patients
Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information
Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information The Purpose of this Information Sheet This information sheet has been written by patients, members of the public and
More informationInsertion of a Peripherally Inserted Central Catheter (PICC Line)
Insertion of a Peripherally Inserted Central Catheter (PICC Line) Patient Information Introduction This booklet has been written to provide information to patients about to have a peripherally inserted
More informationGuy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter
Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter This information leaflet aims to help answer some of the questions
More informationPeripherally Inserted Central Catheter (PICC)
Peripherally Inserted Central Catheter (PICC) Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified healthcare provider. Please
More informationPeripherally Inserted Central Catheter (PICC) for Outpatient
Peripherally Inserted Central Catheter (PICC) for Outpatient Introduction A Peripherally Inserted Central Catheter, or PICC line, is a thin, long, soft plastic tube inserted into a vein of the arm. It
More informationPeripherally Inserted Central Catheter (PICC)
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Peripherally Inserted Central Catheter (PICC) Intravenous Therapy What is a PICC? A PICC is a very fine flexible tube measuring
More informationAll About Your Peripherally Inserted Central Catheter (PICC)
All About Your Peripherally Inserted Central Catheter (PICC) General Information Intravenous (IV) therapy is the delivery of fluid directly into a vein. An intravenous catheter is a hollow tube that is
More informationPICC & Midline Catheters Patient Information Guide
PICC & Midline Catheters Patient Information Guide medcompnet.com 1 table of contents Introduction 4 What is a PICC or Midline Catheter? 4 How is the PICC or Midline Catheter Inserted? 6 Catheter Care
More informationPICCs and Midline Catheters
Patient Education PICCs and Midline Catheters Patient s guide to PICC (peripherally inserted central catheter) and midline catheters What are PICCs and midline catheters used for? Any medicine given over
More informationX-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary
X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary Introduction A Subclavian Inserted Central Catheter, or subclavian line, is a long thin hollow tube inserted in a vein under the
More informationCare of your peripherally inserted central catheter
Care of your peripherally inserted central catheter A guide for patients and their carers We care, we discover, we teach Contents What is a PICC?.... 1 How is it put in?.... 1 What are the benefits of
More informationPeripherally Inserted Central Venous Catheter (PICC) Invasive Devices Clinical Nurse Specialist Chief Nurse
Peripherally Inserted Central Venous Catheter (PICC) Invasive Devices Clinical Nurse Specialist Chief Nurse This leaflet has been designed to give you important information about your condition / procedure,
More informationInsertion of a Central Catheter (Hickman/Groshong Catheter)
Insertion of a Central Catheter (Hickman/Groshong Catheter) Patient Information Introduction This booklet has been written to provide information to patients about to have a central catheter inserted in
More informationHaving a circumcision information for men
Having a circumcision information for men This leaflet aims to answer your questions about having a circumcision. It explains the benefits, risks and alternatives, as well as what you can expect when you
More informationTunnelled haemodialysis catheter
Liver, Renal & Surgery Tunnelled haemodialysis catheter Information for patients and carers This leaflet explains what a tunnelled haemodialysis catheter is and how it is put in. It also covers the risks
More informationPATIENT GUIDE. Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL
PATIENT GUIDE Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL Introduction The following information is presented as a guideline for your reference. The best
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as
More informationHaving denervation of the renal arteries for treatment of high blood pressure
Having denervation of the renal arteries for treatment of high blood pressure The aim of this information sheet is to help answer some of the questions you may have about having denervation of the renal
More informationHaving a kidney biopsy
Having a kidney biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction
More informationInferior Vena Cava filter and removal
Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)
More informationThe temporary haemodialysis catheter
The temporary haemodialysis catheter Department of Renal Medicine Patient Information Leaflet Introduction The information in this booklet is for: People have renal failure and who require urgent haemodialysis.
More informationRenal Vascular Access Having a Fistula For Haemodialysis
Renal Vascular Access Having a Fistula For Haemodialysis Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationPeripherally Inserted Central Catheter
Peripherally Inserted Central Catheter (PICC) by Patricia Griffin Kellicker, BSN En Español (Spanish Version) Definition A peripherally inserted central catheter is a long, thin tube that is inserted through
More informationCardiac Catheter Lab Information for patients having a Coronary Angiogram
Cardiac Catheter Lab Information for patients having a Coronary Angiogram Page 1 of 5 What is a Coronary Angiogram? This is a test that uses dye and special x-rays to show the inside of your coronary arteries.
More informationManagement of an anaphylactic reaction to Omalizumab (Xolair) drug therapy
Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy Turnberg Building Respiratory Medicine 0161 206 3158 All Rights Reserved 2014. Document for issue as handout. What is an allergic
More informationPERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) Fong So Kwan APN, Haematology unit Medical Department, QMH
PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) Fong So Kwan APN, Haematology unit Medical Department, QMH 1 What is a PICC catheter? Primary vascular access device since their introduction in the mid-1970s,
More informationPICC Catheter for IV Therapy
PICC Catheter for IV Therapy A Patient Guide for: PATIENT PICC A PICC is defined as a Peripherally Inserted Central Catheter. A PICC is a special IV Catheter. It is put in an arm vein and ends in a large
More informationFlushing and Dressing a Peripherally Inserted Central Catheter (PICC Line): a Guide for Nurses
Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line): a Guide for Nurses Information for Nurses Introduction This information is for community nursing staffs who have been asked to
More informationHow to care for a Midline Catheter
How to care for a Midline Catheter Developed by the health care professionals of the IV Program with assistance from the Department of Learning and Development. All rights reserved. No part of this book
More informationTibial Intramedullary Nailing
Tibial Intramedullary Nailing Turnberg Building Orthopaedics 0161 206 4898 All Rights Reserved 2015. Document for issue as handout. Procedure The tibia is the long shin bone in the lower leg. It is a weight
More informationFemoral artery bypass graft (Including femoral crossover graft)
Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to
More informationPeripherally Inserted Central Catheter (PICC Line)
Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service
More informationBiliary Drain. What is a biliary drain?
Biliary Drain What is a biliary drain? A biliary drain is a tube to drain bile from your liver. It is put in by a doctor called an Interventional Radiologist. The tube or catheter is placed through your
More informationVaxcel PICCs Valved and Non-Valved. A Patient s Guide
Vaxcel PICCs Valved and Non-Valved A Patient s Guide Information about your Vaxcel PICC is available by calling the Navilyst Medical Vascular Access Information Line 800.513.6876 Vaxcel Peripherally Inserted
More informationOxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients
Oxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients This leaflet tells you about the bronchial-artery embolisation procedure. It explains what is involved and
More informationTunneled Central Venous Catheter (CVC) Placement
PATIENT EDUCATION patienteducation.osumc.edu Tunneled Central Venous Catheter (CVC) Placement A tunneled Central Venous Catheter (CVC) is a special type of intravenous (IV) line that is placed into a large
More informationPeripherally Inserted Central Catheter (PICC) Patient Instructions
Patient Care Services 300 Pasteur Drive Stanford, CA 94305 Peripherally Inserted Central Catheter (PICC) Patient Instructions A Peripherally Inserted Central Catheter (PICC) is a soft flexible tube inserted
More informationPOSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION
www.southerarizonaspine.com POSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION This handout will review the care you need to follow once you are home. If you have any questions or concerns,
More informationPICC/Midclavicular/Midline Catheter
47 PICC/Midclavicular/Midline Catheter Introduction- PICC/ MCV/ Midline You have a PICC/Midclavicular/Midline (peripherally inserted) catheter. This catheter should make receiving I.V. medicines or solutions
More informationHemodialysis Access: What You Need to Know
Hemodialysis Access: What You Need to Know Hemodialysis Access: What You Need To Know Whether you already get hemodialysis treatment, or you will need to start dialysis soon, this booklet will help you
More informationIntraperitoneal Chemotherapy
Intraperitoneal Chemotherapy What is Intraperitoneal (IP) Chemotherapy? Intraperitoneal (IP) chemotherapy is a way to put some of your chemotherapy into your abdomen (also called the peritoneal cavity)
More informationCT Virtual Colonoscopy
CT Virtual Colonoscopy Ladywell Building Radiology 2 0161 206 1233 All Rights Reserved 2015. Document for issue as handout. This information booklet tells you about virtual colonoscopy, which is a test
More informationCentral Venous Catheter Care For Haemodialysis
Central Venous Catheter Care For Haemodialysis Information For Parents and Carers Haemodialysis Unit 01 878 4757 Main Hospital Number 01 878 4200 Central Venous Catheters We hope this booklet will help
More informationPercutaneous Nephrostomy. Care of your Nephrostomy. Department of Urology
Percutaneous Nephrostomy Care of your Nephrostomy Department of Urology You may encounter some problems at home but these are usually easily overcome. Listed below are some questions patients commonly
More informationThe Radiotherapy Department Radiotherapy to the chest wall and lymph nodes
Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes Information for patients Introduction This leaflet is for people who have had surgery for
More informationEnhanced recovery programme (ERP) for patients undergoing bowel surgery
Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare
More informationCare of Your Hickman Catheter
Care of Your Hickman Catheter Johns Hopkins Kimmel Cancer Center, Revised 7/11 Contents What is a Hickman Catheter? Page 3 Does the Catheter Limit My Activities? Page 4 How Do I Care for My Catheter? Page
More informationMesenteric Angiography
Information for patients Mesenteric Angiography Sheffield Vascular Institute Northern General Hospital You have been given this leaflet because you need a procedure known as a Mesenteric Angiogram. This
More informationHeadache after an epidural or spinal injection What you need to know. Patient information Leaflet
Headache after an epidural or spinal injection What you need to know Patient information Leaflet April 2015 We have produced this leaflet to give you general information about the headache that may develop
More informationPreventing Blood Clots in Adult Patients. Information For Patients
Preventing Blood Clots in Adult Patients Information For Patients 1 This leaflet will give you information on how to reduce the risk of developing blood clots during and after your stay in hospital. If
More informationLaparoscopic Nephrectomy
Laparoscopic Nephrectomy Information for Patients This leaflet explains: What is a Nephrectomy?... 2 Why do I need a nephrectomy?... 3 What are the risks and side effects of laparoscopic nephrectomy?...
More informationExercise and advice after breast cancer surgery
Exercise and advice after breast cancer surgery Irving Building Physiotherapy All Rights Reserved 2015. Document for issue as handout. Role of the physiotherapist Exercises for the first week following
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationForefoot deformity correction
Contact us Pharmacy Medicines Helpline If you have any questions or concerns about your medicines, please speak to the staff caring for you or call our helpline. t: 020 7188 8748 9am to 5pm, Monday to
More informationElective Laparoscopic Cholecystectomy
General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationCaring for a Tenckhoff Catheter
Caring for a Tenckhoff Catheter UHN A Patient s Guide What is a Pleural Effusion? There is a small space between the outside of your lung and the chest wall (ribs). This space is called the pleural space.
More informationMeatoplasty/Canalplasty
Meatoplasty/Canalplasty What is a meatoplasty/canalplasty and why do I need this operation? This operation is performed to widen your ear canals so that they do not get blocked with wax and debris. It
More informationArthroscopic subacromial decompression and rotator cuff repair
Further sources of information http://www.patient.co.uk/showdoc/553/ http://www.shoulderdoc.co.uk/article.asp?section=11 http://www.medic8.com/healthguide/articles/painfulshoulder.html http://www.cks.nhs.uk/patientinformationleaflet/shoulderpainarc/st
More informationGuidance for home CPAP
Guidance for home CPAP Turnberg Building Respiratory Medicine 0161 206 3158 All Rights Reserved 2013. Document for issue as handout. Unique Identifier: MED52(13). Review date: September 2015 Name: Hospital
More informationCare for your child s Central Venous Catheter (CVC)
Care for your child s Central Venous Catheter (CVC) This booklet is intended for general informational purposes only. You should consult your doctor for medical advice. Please call the clinic or your home
More informationLevel 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865
Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Total Knee Replacement Further Information and Feedback: Tell us how useful
More informationHaving a Gastric Band
Having a Gastric Band Hope Building Upper G.I. / Bariatrics 0161 206 5062 All Rights Reserved 2014. Document for issue as handout. This booklet aims to describe: l What is a gastric band page 2 l How is
More informationYou have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy.
Gastroscopy (OGD) The Procedure Explained You have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy. This procedure requires your formal consent. If you are unable
More informationLASER TREATMENT FOR VARICOSE VEINS
LASER TREATMENT FOR VARICOSE VEINS How can varicose veins be treated by laser? Laser treatment of varicose veins, Endovascular Laser Ablation (known as EVLA), is a minimally invasive procedure for treating
More informationStapedectomy / Stapedotomy / Surgery for Otosclerosis
Patient information Stapedectomy / Stapedotomy / Surgery for Otosclerosis Ear, Nose and Throat Directorate PIF 230 V6 Your Consultant / Doctor has advised you to have a Stapedectomy / Stapedotomy / Surgery
More information24 Hour Blood Pressure Monitoring A guide to the test
Page 1 of 5 24 Hour Blood Pressure Monitoring A guide to the test Introduction Your doctor has advised you to have this test to monitor your blood pressure over 24 hours. This involves taking multiple
More informationOGD (Gastroscopy) Information for patients. Liver, Renal & Surgery. Confirming your identity
Liver, Renal & Surgery OGD (Gastroscopy) Information for patients This leaflet answers some of the questions you may have about having an OGD. It explains the risks and the benefits of the test and what
More informationLumbar Puncture Procedure and Intrathecal Chemotherapy Explained
Lumbar Puncture Procedure and Intrathecal Chemotherapy Explained Patient Information Introduction This leaflet tells you about the procedures known as lumbar puncture and intrathecal chemotherapy. We hope
More informationPneumonia. Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid.
Pneumonia Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. People with mild (not so bad) pneumonia can usually be treated at
More informationPage 1 of 10 MC1482 Peripherally-Inserted Central Catheter. Peripherally-Inserted Central Catheter (PICC)
Page 1 of 10 MC1482 Peripherally-Inserted Central Catheter Peripherally-Inserted Central Catheter (PICC) Page 2 of 10 MC1482 Peripherally-Inserted Central Catheter Introduction A peripherally-inserted
More informationEnhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2
This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery
More informationSection 4: Your Vascular Access. What is vascular access?
Section 4: Your Vascular Access What is vascular access? What is a fistula? Taking care of a new fistula What is a graft? Taking care of a new graft What is a hemodialysis catheter? Taking care of a hemodialysis
More informationCATHETER for Hemodialysis
CATHETER for Hemodialysis What You Need to Know to Stay Healthy with a Catheter One treatment choice for kidney failure is hemodialysis (HD). HD removes wastes and excess fluid from your blood. Your lifeline
More informationCheekbone (zygoma) and/or eye socket (orbit) fracture surgery
Ambulatory Care & Local Networks Cheekbone (zygoma) and/or eye socket (orbit) fracture surgery Information for patients You have been treated in the Emergency Department for a broken (fractured) cheekbone
More informationGastrostomy Feeding CARE GUIDELINES FOR PATIENTS & CARERS. Accessory items. Freka UK Funnel Adapter. Fixation Plate CH9. Male Luer Lock Adapter
Accessory items Freka UK Funnel Adapter Fixation Plate CH9 Code: 7755681 Code: 7903002 Male Luer Lock Adapter CH9 Fixation Plate CH15 Code: 7981311 Code: 7904002 Male Luer Lock Adapter CH15 Code: 798137Y
More informationWhat is a mastoidectomy and why do I need this operation? What is the benefit of having a mastoidectomy?
Mastoidectomy What is a mastoidectomy and why do I need this operation? A mastoidectomy is performed to remove infected mastoid air cells situated behind the middle ear and the removal of infected structures
More informationThe science of medicine. The compassion to heal.
A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.
More informationExcision or Open Biopsy of a Breast Lump Your Operation Explained
Excision or Open Biopsy of a Breast Lump Your Operation Explained Patient Information Introduction This leaflet tells you about the procedure known as excision or open biopsy of a breast lump. It explains
More informationAtrioventricular (AV) node ablation
Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationProcedure Information Guide
Procedure Information Guide Total hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that the
More informationYou will be having surgery to remove a tumour(s) from your liver.
Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be
More informationPICC- Peripherally Inserted Central Catheter PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Procedure. C. Risks of the procedure
DO NOT WRITE IN THIS BINDING MARGIN v3.00-03/2011 SW9266 Facility: PICC- Peripherally Inserted Central Catheter A. Interpreter / cultural needs An Interpreter Service is required? Yes No If Yes, is a qualified
More informationHand & Plastics Physiotherapy Department Cubital Tunnel Syndrome Information for patients
Oxford University Hospitals NHS Trust Hand & Plastics Physiotherapy Department Cubital Tunnel Syndrome Information for patients This leaflet has been developed to answer any questions you may have regarding
More informationGOING HOME AFTER YOUR TAVR PROCEDURE
GOING HOME AFTER YOUR TAVR PROCEDURE HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE GOING HOME After your TAVR procedure, you will need help when you go home. It is hard to predict how much help
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationRADIATION THERAPY AUCKLAND CITY HOSPITAL
RADIATION THERAPY AUCKLAND CITY HOSPITAL What is Radiation Therapy? Radiation Therapy is the use of radiation to treat cancer and some non-malignant growths. A machine, called a linear accelerator, is
More informationYour Guide to Outpatient Surgery
Your Guide to Outpatient Surgery An entire team of professionals will be involved in preparing you for your surgery. Welcome Memorial s mission is to provide you, the patient, with the highest quality
More informationProcedure Information Guide
Procedure Information Guide Resurfacing hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that
More informationUltrasound-guided steroid injections in joints and soft tissues. Rheumatology Patient Information Leaflet
Ultrasound-guided steroid injections in joints and soft tissues Rheumatology Patient Information Leaflet Welcome to The Dudley Group Rheumatology department. This leaflet will provide you with information
More informationTransobturator tape sling Female sling system
Transobturator tape sling Female sling system Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationLiving With Your Pacemaker
2012 Living With Your Pacemaker Living With Your Pacemaker The pamphlet will help you learn what your new pacemaker can do for you. The heart s natural pacemaker Your heart s natural pacemaker controls
More informationWhat should I expect before the procedure?
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationEARLY PREGNANCY LOSS A Patient Guide to Treatment
EARLY PREGNANCY LOSS A Patient Guide to Treatment You have a pregnancy that has stopped growing, or you have started to miscarry and the process has not completed. If so, there are four ways to manage
More informationTransurethral Resection of Bladder Tumour (T.U.R.B.T)
Transurethral Resection of Bladder Tumour (T.U.R.B.T) Patient Information Introduction This booklet has been written to help you understand the surgery you are about to undergo. It will give you information
More informationEpidurals for pain relief after surgery
Epidurals for pain relief after surgery This information leaflet is for anyone who may benefit from an epidural for pain relief after surgery. We hope it will help you to ask questions and direct you to
More informationDischarge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure
Discharge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure FORM # W-00500 June 2014 Discharge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure
More informationVaricose Veins Operation. Patient information Leaflet
Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the
More informationHaving a tension-free vaginal tape (TVT) operation for stress urinary incontinence
Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and
More informationTHERAPEUTIC USE OF HEAT AND COLD
THERAPEUTIC USE OF HEAT AND COLD INTRODUCTION Heat and cold are simple and very effective therapeutic tools. They can be used locally or over the whole body, and the proper application of heat and cold
More information