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  1. Replies
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    Medicare does not pay for any expensive for...

    Medicare does not pay for any expensive for health care outside of the USA. Hope you are planning to move someplace where there is universal health care and you can buy into their system. This is the...
  2. Thread: Cystoscopy

    by SCI-Nurse
    Replies
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    219

    I don't know of many places that still use...

    I don't know of many places that still use nitrous oxide or "laughing gas" for anesthesia except for dental procedures; it has been replaced by many other better anesthetics. AD will only be...
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    Can you be on your side with the HOB elevated?...

    Can you be on your side with the HOB elevated? Otherwise, this is really a position to be avoided for long periods of time.

    (KLD)
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    Sitting up in bed with your head higher than 30...

    Sitting up in bed with your head higher than 30 degrees significantly increases both sacral pressure and shear.

    (KLD)
  5. Thread: Cystoscopy

    by SCI-Nurse
    Replies
    11
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    219

    yes No (KLD)

    yes
    No

    (KLD)
  6. Thread: Cystoscopy

    by SCI-Nurse
    Replies
    11
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    219

    If that is the case, definitely take one of...

    If that is the case, definitely take one of yours. Most unlikely that they will have these in stock.

    (KLD)
  7. Thread: Cystoscopy

    by SCI-Nurse
    Replies
    11
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    219

    The urologist would not reuse the old catheter....

    The urologist would not reuse the old catheter. They will replace it from one in their office supplies.

    (KLD)
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    1,013

    One of my favorites is 3M Cavilon No-Sting...

    One of my favorites is 3M Cavilon No-Sting Protective Barrier.

    (KLD)
  9. Thread: Cystoscopy

    by SCI-Nurse
    Replies
    11
    Views
    219

    What is the purpose of your cystoscopy? Do you...

    What is the purpose of your cystoscopy? Do you know if they are planning to do it through your stoma or through your urethra? Both are options for most people. Cystoscopy can be used to look for...
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    We often used NPWT (negative pressure wound...

    We often used NPWT (negative pressure wound therapy) for ischial pressure injuries of stage III or IV. Properly applied, it should stay in place for 2-3 days. V.A.C. is a brand name for just one NPWT...
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    "Heal the heel!" This does not look like a...

    "Heal the heel!"

    This does not look like a burn. It is a common blister seen from friction (shoe rubbing, foot dragging on bed with spasms, etc.). As above, keep all pressure off it, don't pop it,...
  12. Replies
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    Do you mean pink drainage or pink lumpy tissue...

    Do you mean pink drainage or pink lumpy tissue around the stoma? The former is common with a new SP, and usually decreases with time. The latter is properly called hypergranulation tissue (slang is...
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    Maintaining a closed system has been shown in...

    Maintaining a closed system has been shown in numerous studies to reduce the risks of UTI in those with both indwelling and SP catheters. The same goes for securement, which reduces "pistoning" of...
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    Zinc oxide ointment such as Baza is an old skin...

    Zinc oxide ointment such as Baza is an old skin barrier which helps to prevent moisture, not pressure, injury to the skin. We stopped using it years ago because it is messy, requires removal to...
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    Creams and ointments can sooth the pain of...

    Creams and ointments can sooth the pain of hemorrhoids (and decrease AD problems due to them), but they cannot cure hemorrhoids. If you are unable to get bleeding or AD controlled with such products,...
  16. Irrigation is rarely used any more, but if it is,...

    Irrigation is rarely used any more, but if it is, it is really only used for those with distal (sigmoid or descending colon) colostomies, where the stool if well formed. It is rarely used for those...
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    I have also seen these fistulas or tracts develop...

    I have also seen these fistulas or tracts develop in the perineum (the name for the area between the scrotum and anus in men). They can easily tract into the urethra, so if they are discovered, it is...
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    Triumph, as I said above if there is no automatic...

    Triumph, as I said above if there is no automatic tie-down system (like the EZ-lock) installed, then the only option for the wheelchair driver is manual tie-downs such as pictured above, which would...
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    This is not a SCI care issue. Moving it to the...

    This is not a SCI care issue. Moving it to the Health News forum.

    Here is CDC information about this outbreak:
    https://www.cdc.gov/coronavirus/2019-ncov/index.html


    (KLD)
  20. Replies
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    I have not been impressed by studies using...

    I have not been impressed by studies using barriers or pads like this to prevent sacral or coccyx pressure ulcers. All the studies I know of are done in AB people in the ICU, and their blood flow is...
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    I agree. We rarely gave as little as 200 mg. of...

    I agree. We rarely gave as little as 200 mg. of DSS daily, and often went up to 1000 mg. daily. We only used the 250 mg. capsules. It doesn't soften stool that is already hard, but it does prevent...
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    Unless you are VERY flexible, and have very long...

    Unless you are VERY flexible, and have very long arms, I don't see how you could apply manual wheelchair tie-downs yourself. They're not even very easy for an AB companion to apply!

    (KLD)
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    You could have internal hemorrhoids or you could...

    You could have internal hemorrhoids or you could have bleeding from trauma. Does she use a lot of lubricant? You could try the suppositories for hemorrhoids- anusol - several times and see if that...
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    Call the dermatologist office back and tell them...

    Call the dermatologist office back and tell them you want them treated if there is a treatment- that you just saw them.. You could try the triple antibiotic ointment but the dermatologist is the...
  25. They are called council tips. Most often...

    They are called council tips. Most often indwelling, nit straight caths, or I haven't seen them. Urology use them when there is an obstruction and they put a wire to dilate. The catheters with the...
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