Doctor insights on:
Nursing Diagnosis Colostomy
Terminal pan can. No more treatments/ chemo. Sent home with a home care nurse. Biliary drainage tube from tumor blocking bile duct. Life expectancy?
Limited: Make sure that your oncology team has lots of experience with treating pancreatic adenocarcinoma, and that they have access to clinical trials. Across the board, the life expectancy for terminal pancreatic cancer is limited, in the months range. But for appropriate candidates, there are clinical trials that might be worth considering. Best wishes, and try to keep your chin up! ...Read more
94yo /c obstruction d/t impaction. Not a surgical candidate. Receiving oral laxatives, enemas. Now with copious copremesis. Prognosis?
High level needs: Hospice is extremely useful in skilled nursing facilities for patients who have a high symptom burden and cannot be managed at home or do not have a home or home caregivers that allow for this. Hospice clinicians are specially trained to deal with symptoms and generally add expertise to the staff at skilled nursing facilities because the patient will get extra attention. ...Read moreSee 2 more doctor answers
Hospice: Hospice is an end of life service through medicare or private insurance. It will not pay for 24/7 care unless the person is in the active dying process of the last few days. If you need care in the home you should hire an in home care agency. This is private pay and not covered by medicare. Some long term care insurance may cover it. Check with your agent. ...Read moreSee 2 more doctor answers
Advanced pan can. No more chemo, 3 months. Bile duct blocked. drainage tube. Home care nurse. High fever. IV antibiotics. Life expectancy?
Hard to say: Each patient and each cancer has its own characteristics and it is not possible to predict the life expectancy with accuracy. You may consult this site for general information on the topic. http://www.pancreatic.org/site/c.htJYJ8MPIwE/b.5050503/k.40C9/Pancreatic_Cancer_Facts.htm ...Read more
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Usually not: Some nh who have rn round the clock can administer IV medications. Most of them do not provide this service. ...Read more
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more
Hospice: Well, you may just need a palliative approach to care; comfort over cure. Hospice is palliative care in the last months of life. Discuss with your physician about working on your comfort or find a physician who is hospice and palliatively board-certified. It is unfortunate that cms has sort of defined hospice meaning palliative care for the last six months of life, but this is only an estimate. ...Read moreSee 3 more doctor answers
Mother has colon cancer (aged 57 at the time, irreversible colostomy) and I have Crohn's (aged 25, diagnosis 2010). How often should I get colonoscopy?
Probably q 3yrs: Colon cancer arises in bowel under several circumstances. Polyps found on colonoscopy contribute to 10-20% of malignancies. The others arise denovo in a field effect secondary to a virus or carcinogen. Another factor is inflammatory changes initiating malignant transformation. As such patients with Crohn's are at risk for developing colon cancer, which at present is best found by colonoscopy. ...Read more
Geriatrics md: how could daughter sign mom up for nursing home without consent and then deny medical sibling access to info?
Need a bit more info: What state are we talking about? Does daughter have durable power of attorney? What do you mean when you say "medical sibling"? The best thing may be for you to discuss this with a lawyer who deals with these issues on a regular basis. ...Read more
Dementia pt. had aspirational pneumonia D'C'd back to RCFE even tho needs higher level of care. Nursing scvs provided by hospice. Why not sent to SNF?
A different focus: Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When the end is near, we don't go to a skilled nursing facility (think of an SNF as a place to recover and get back to good mental and good physical functioning). When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
Varies: Some persons have very good tissue, and others may not. If fluid is expected, drains of closed system variety are placed and removed when volume of drainage decreases or stops. The incision(s) may be sutured, stapled or glued and have needs of management or removal at 10- 14 days based on surgeon preference and tissue appearance. ...Read more
See your doctor: Localized small infections can be rinsed with sterile saline and dressed with a topical antibiotic ointment and covered with a sterile dressing. Deeper more involved infections with extending redness past the immediate margins will likely require a more aggressive approach such as incision and drainage, debridement, and oral antibiotic. Consult with your physician. ...Read moreSee 1 more doctor answer
Many things: no body use nasal gastric feeding tube now unless it have been used for a very short period of time if it was used they use it on any patient that not capable of eating but his guts is capable of digestion the food good way of nutrition for a patient that could not feed themselves IV fluid has no nutritional values only good for hydration if feeding needed they use now PEG tube ...Read more
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