Long-Term Care

Training tip of the week: Pacemaker precaution

LTC Nursing Assistant Trainer, August 12, 2004

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Physicians implanted the first pacemaker in 1958, and the devices have become significantly smaller and more sophisticated since then. Pacemakers are now more and more common, so you need to know how to care for residents who have recently undergone a pacemaker implant. The following are some precautions you should take following surgery:  Keep the incision clean and dry for three days.  After three days, the resident may shower. After the shower, pat--do not rub--the area dry.  Do not allow the resident to lift the elbow that is on the incision side above his or her shoulder for four weeks. This movement puts too much strain on the pacemaker wires.  Do not allow the resident to lift, push, or pull more than 10 pounds for four weeks.  Make sure the resident does not drive until the physician gives permission.  Check the resident's pulse and weight daily until the physician advises you to stop. Read next week's edition of LTC Nursing Assistant Trainer to learn about the continuing precautions you must follow for residents with pacemakers.



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