This specialty practice discussion group is intended for discussion of outpatient staff clinic issues.... View more
This specialty practice discussion group is intended for discussion of outpatient staff clinic issues. Remember that anything published in this community can be seen by any member of the community. Please be considerate of the HIPAA Privacy Rule when posting to the community.
I agree with Michelle’s post. She mentioned all of the suggestions I would give. I will add that we have a patient with a similar issue and we apply scented chapstick to his face mask prior to all cleanings and port access. With this same patient we encourage them to take sips of a beverage or suck on candy during flushes.
We also use a special dressing on our sensitive skin patients. I believe it is called IV 3000.
—————————— Jeston Gurkins, BSN,RN Registered Nurse Winterville, NC United States —————————— ——————————————- Original Message: Sent: 07-09-2021 04:07 PM From: Michelle Oakley Subject: Smell intolerance
We had a patient with a similar experience. He would gag the minute I started peeling off his tegaderm and it got worse as I started to clean.
We started him on Lorazepam and his mom would give it to him prior to coming and it made a huge difference. After a few months of this, he actually doesn’t need it anymore. Not sure the safety in a 3year old though.
We also offered this patient some peppermint/orange essential oils from Elequil and his mom seemed to think that helped as well. We would put the essential oil sticker on his pillow or t shirt before accessing him.
Hi I am hoping someone can help or confirm what I am doing is the best for a patient that has B-cell ALL age 3, and an extreme intolerance to smells. He has a angiodynamic port and currently cannot be cleaned with chlorohexidine or any cleaner with strong smell, flushed with NS, heparin, and sweats off his Tegaderm dressing. He has a recent Tegaderm skin tear from mom using Tegaderm over EMLA. He will scream and violently vomit when these smells are near him. I am currently using betadine to clean port area, D5 for flushes and 30 units of Heparin. Antiemetics are no benefit. I use a silicone dressing to help with his skin breakdown. When he is sedated for LP’s I flush him with NS and full 50 units of Heparin to reduce any fibrin sheaths and stickiness from D5. Any suggestions?