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Nursing care and management of patients with a ... - EMAP

Copyright EMAP Publishing 2019 This article is not for distributionexcept for journal club use40 Nursing Times [online] November 2019 / Vol 115 Issue 11 and management of patients with a nephrostomy is a funda-mental aspect of Nursing , but information for nurses is poor and there is a lack of evidence and guid-ance. This article addresses this gap and outlines what nurses need to know about a nephrostomy and its management . What is a nephrostomy?A nephrostomy tube is a narrow-gauge pig-tail drain inserted into the renal pelvis for the purpose of draining urine (Fig 1).

Good wound-site care is essential to avoid exit-site infection, and should include keeping the drain site clean and dry. Dressings need to support the nephrostomy tube to prevent accidental tugging, and secure it to the patient’s skin. Several recommended drain-specific Clinical Practice Review Box 2. Nursing interventions in nephrostomy care

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(NHS Improvement, 2017; Holmes et al, 2012), both to support their learning (Dis-mukes et al, 2006) and improve their understanding of patients’ perspective (Ilkiw-Lavalle and Grenyer, 2003). There still appears to be little in litera-ture, policy or guidance, on the benefits of involving carers in debrief or post-inci-dent support processes.

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