Port care : hygiene, dressing change, monitoring, complication management / / edited by Roland Hennes and Gisela Müller

• Record Nr.: UNINA9910578695503321
• Pubbl/distr/stampa: Berlin, Germany : , : Springer, , [2022]; ©2022
• ISBN: 3-662-64494-0
• Descrizione fisica: 1 online resource (120 pages)
• Disciplina: 016.681761
• Soggetti: Nursing; Surgery
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di contenuto: Intro -- Preface -- Contents -- 1: Interdisciplinary Cooperation in Port Care -- 1.1 The Salient Feature of a Port Catheter System -- 1.2 Use and Evaluation of Port Catheter Systems -- 1.3 Interdisciplinary Responsible Cooperation and Holistic Approach for the Port Patient -- 1.4 Conclusion -- 2: Indications for a Port Catheter System, Basics of Port Surgery and Dealing with Complications from a Nursing Perspective -- 2.1 Indications -- Indications for a Port Catheter System -- 2.2 Basics of the Port Operation -- 2.3 Dealing with Complications from the Nursing Perspective -- 2.4 Conclusion -- References -- 3: Hygiene in Port Care -- 3.1 Basic Principles of Hygiene -- 3.1.1 Hand Disinfection -- 3.1.2 Skin Disinfection -- 3.1.3 Surface Disinfection -- 3.2 Infection Routes of Port Catheters and the Importance of Hygiene -- 3.2.1 Implantation -- 3.2.2 Bloodstream Hematogenous -- 3.2.3 Handling the Port (Skin Flora) -- Pathogen -- Skin Disinfection -- Blocking the Port -- Needle Change -- Personnel Conditions -- 3.3 Recommendations of the RKI -- 3.4 Handling the Port System -- 3.4.1 Monitoring of the Port Catheter -- 3.4.2 Change of Dressing of the Port Catheter -- 3.4.3 Puncture of the Port Catheter -- 3.4.4 Material -- 3.4.5 Administering Infusions -- 3.4.6 Blood Collection/Blood Transfusion (Only after Risk Assessment) -- 3.4.7 Removal of the Port Needle -- 3.4.8 Documentation -- 3.5 Evidence/Infection Management -- 3.6 Conclusion -- References -- 4: Legal Aspects of Performing Port ; Puncture by Nurses: Delegation of Medical Activities -- 4.1 Highly Personalized Service Provision and Delegation -- 4.2 Problematic Points of the Current Legal Situation -- 4.2.1 Patient´s Consent -- 4.2.2 Billability of the Service -- 4.2.3 Efficiency -- 4.3 Specialization of Care -- 4.4 Approach to Structuring-The Health Care Transfer Directive.; 5: Expert Standard Port Care -- 5.1 Care of Non-punctured Ports -- 5.2 Care of Punctured Ports -- 5.2.1 Port Puncture Material -- 5.2.2 Material for the Dressing -- 5.2.3 Patient Preparation -- 5.3 Selection of the Port Cannula -- 5.3.1 Complications with Inadequate Cannula Length (Fig. 5.3) -- 5.4 Port Puncture -- 5.5 Blood Sampling from the Port -- 5.6 Procedure for Port Infection -- 5.7 Documentation -- 5.8 Patient and Family Education -- 5.9 Conclusion -- References -- 6: Wound Care and Dressing Changes -- 6.1 Port Needles -- 6.2 Bandage -- 6.2.1 Dressing Materials for Needles without Plaster -- 6.2.2 Dressing Materials for Needles with Plaster -- 6.3 Connections -- 6.4 Puncture and Connection -- 6.5 Handling Water -- 6.6 Handling Hair in the Puncture Area -- Further Reading -- 7: Intraoperative and Postoperative Care of Port Patients -- 7.1 General -- 7.1.1 Reasons for Port Implantation under Intubation Anesthesia -- 7.2 Intraoperative Care -- 7.2.1 Intraoperative Problems and Complications -- 7.3 Postoperative Care -- 7.3.1 Information of the Consultation -- 7.4 The First Puncture -- 7.5 Conclusion -- 8: Special Features of Port Care for Oncological Patients -- 8.1 The Right Access for Cytostatic Therapy -- 8.1.1 Position Control of the Port Needle -- 8.1.2 Fixation of the Port Needle for Cytostatic Therapy -- 8.2 Complications of Cytostatic Therapy Via a Port -- 8.3 Drip Speed and Cytostatic Therapy with Elastomer Pumps -- 8.4 Special Features of Arm Ports and Groin Ports -- 8.5 Parenteral Nutrition Via a Port -- 9: Port Supply in Outpatient Care -- 9.1 Areas of Responsibility -- 9.1.1 Doctor -- 9.1.2 Case Management/Discharge Management/Transition Management -- 9.1.3 Homecare Companies/Service Providers -- 9.1.4 Pharmacy -- 9.1.5 Health Insurances -- Practical Tip -- 9.1.6 Outpatient Care Service.; 9.1.7 Inpatient Care Facilities/Assisted Living Facilities -- 9.2 Types of Supply -- 9.2.1 Parenteral Nutrition -- Practical Tip -- 9.2.2 Pain Therapy -- Practical Tip -- 9.2.3 Administration of Medication -- Practical Tip -- 9.3 Basic Rules for Outpatient Care -- 9.3.1 Patient -- 9.3.2 Outpatient Care Service/Homecare Company -- 9.3.3 Hygiene -- Basic Rules -- 9.3.4 Complications -- Occlusion -- Infection -- Mechanical Problems -- References -- 10: Care of Special Patient Groups -- 10.1 Cachectic Patients -- 10.2 Obese Patients -- 10.3 Patients with Systemic Diseases -- 10.3.1 Hematological/Lymphatic Diseases -- The Following Principles Should Be Considered -- Practical Tip -- 10.3.2 Scleroderma -- 11: Port Care for Children -- 11.1 Indications for Port Placement in Children -- 11.2 Size of the Port Chamber -- 11.3 Port Location in Children -- 11.3.1 Localizations -- 11.3.2 Port Passport -- 11.4 Postoperative Monitoring -- 11.4.1 Monitoring on the Ward -- 11.4.2 Change of Dressing -- 11.5 Puncturing the Port -- 11.5.1 In Principle -- 11.5.2 Materials Needed -- 11.5.3 Dressing -- 11.5.4 Preparation of the Patient -- 11.5.5 Puncture of the Port Chamber -- 11.5.6 Fixation of the Port -- 11.5.7 Removal of the Port Needle -- 11.5.8 Blocking the Port -- 11.6 Supply and Control -- 11.6.1 General -- 11.6.2 With Needle Lying -- 11.6.3 With the Port Shut Down -- 11.7 Complications -- 11.7.1 General Complications -- 11.7.2 Wound Monitoring -- Further Reading -- 12: Documentation, Patient Counseling and Information -- 13: Evidence of Port Care -- 13.1 Guidelines -- 13.1.1 Recommendations of the Robert Koch Institute -- Puncture of the Port and Connection of Infusion Systems -- Dressing/Bandage Change of Port Systems -- Laying Time ; of Port Systems -- 13.1.2 DGEM Guideline -- 13.1.3 Australian Guideline (Queensland) (2015) -- Flushing and Blocking of Ports.; Flushing Ports -- Blocking Ports -- 13.2 Overviews -- 13.2.1 Flushing and Blocking of Ports -- 13.2.2 Management of Venous Port Systems in Oncology -- Access -- Infections -- Thrombosis Prophylaxis -- 13.2.3 Antibiotic Lock -- 13.2.4 Taurolidine Block -- 13.3 Studies -- 13.3.1 Heparin vs. Saline for Port Blockage -- 13.3.2 Heparin Dosage for Port Blockage and Flushing -- 13.3.3 Skin Disinfection during Port Care -- 13.3.4 Extravasation/Paravasation -- 13.3.5 Antibiotic Block -- 13.4 Conclusion -- References -- Index.