08 Post Transplant Flashcards
(59 cards)
Post-transplant education should include the following information about the recipient’s care:
- The transplant drug regimen and effects
- Applicable self-monitoring data
- Signs and symptoms of infection and rejection
- Short and long-term complications
- Recipient and graft survival
Post-transplant education should include the following information about the transplant team’s support services:
- Transplant team personnel and roles
- Available support services: psychosocial, mental and emotional well-being
Post-transplant education should include the following information about Long-term care:
- Long-term health screenings: cancer, bone health, behavior modification
- Adherence to follow-up care and labs
- When and how to report abnormalities
The Coordinator’s role in Post-transplant education includes:
- Identifying appropriate teaching strategies and content for patient and family Identify any barriers to long term follow-up care
- Coordinate routine diagnostic tests
- Help patient return to Primary Care Physician
Effective evaluation of the patient’s ability to receive post-transplant education includes:
- Considering language/culture
- Consider education level
- Consider learning style
- Consider any barriers to learning
Lack of family or friends to support the patient is a predictor of…
non-adherence
Written educational materials provided to patients should not exceed a grade level of…
6-8th grade reading level.
Effective post-transplant education should include education by…
the entire disciplinary team.
CMS requires documentation of education by the following team members:
- Psychosocial
- Pharmacy
- Dietary
- Transplant Coordinator
CMS requires documentation in medical record within ________ hours of discharge.
48-72 hours
General Discharge information should include instructions pertaining to infection control, including…
hand washing and hand sanitizing.
General Discharge information pertaining to water should recommend…
bottled water as preferred.
General Discharge information pertaining to sun exposure should recommend…
sunscreen protection and the dangers of skin cancer.
General Discharge information should warn against medication contraindications for…
pregnancy.
General Discharge information should recommend flu shots…
annually (inactivated flu vaccines).
General Discharge information should recommend __________ prior to dental work.
antibiotic prophylaxis
General Discharge information pertaining to smoking should
recommend against smoking.
General Discharge information should warn against the risks associated with some pets, especially…
Cat litter, and birds.
General Discharge information should include warnings about potential exposure to ______________ when gardening.
toxins in the soil
Education about medications should include the following information about dosages:
- Purpose, frequency, and rationale
- Frequent changes in dosages
- Trough levels of medications
Education about medications should include the following information about possible interactions:
- with over the counter medications
- with herbal supplements
- with drug to drug interactions
- with food to drug interactions
The purpose of Immunosuppression medications include:
- Preventing rejection
- Avoiding vasculopathy
- Avoiding infection
General side effects of immunosuppression medications include:
- Hyperlipidemia
- Diabetes
- Osteoporosis
- Obesity
- Renal insufficiency
- GI disorders
- Reduced exercise tolerance
- Gingival hyperplasia
- Malignancy
The transplant coordinator will instruct the patient in the following self- monitoring responsibilities:
- Weight
- Blood pressure
- Heart rate
- Temperature
- Blood sugar monitoring
