Once the platelets were in, Sharon was placed under anesthesia and the central venous catheter or Hickman was surgically implanted. This catheter has two tubes. One of which allows them to draw blood without constantly sticking her with a needle. The other is where the chemo medication is given.
Sharon and Bob had to take a bone marrow transplant education class. Here they learned the following:
- She has to stay away from anyone that is sick.
- She has to wear a mask if she is outside.
- They learned of dietary restrictions. She cannot have any fresh fruit or vegetables. These are a concern because they don't feel as though you can clean them well enough.
- Had a review of her medications
- Received her activity expectations
- Learned that hand hygeine is very important
- She cannot wear her contacts.
- She cannot wear makeup.
- Oral hygeine must be done four times a day.
- She must shower every day.
- Every seven days the central line must be cared for.
- She should expect appetite changes, some hair loss, mouth sores and fatigue.
- She has to monitor for fever or chills, diarrhea, rash, increase in pain, and bloody nose.
Most patients do better on an outpatient basis which is what Sharon will be.
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