Step1
The first step is to be ready for an episode of vomiting. Two small pails at the bedside specifically for the purpose of depositing vomit can save the care giver a lot of time in clean up and help the patient feel more secure.
1. Position the small pail before the patient when signs of vomiting begins.
2. Immerse a small wash cloth in cool water and pat the patient's forehead and neck. Periodically re-immerse the wash cloth in cool water to keep cool and clean.
3. Use another wash cloth to wipe patient's mouth during the episode.
4. If time permits substitute another pail quickly and empty the first pail. This will help prevent the patient from having to look at previous vomit which may trigger more vomiting.
5. Provide tissue for the patient to blow nose as needed.
6. Once the episode is over, freshen up the patient with a change of clothing, if needed, washing of the face and hands, and providing mouth care.
7. Offer ice chips to help settle the stomach.
Step2
1. Provide only comforting words such as: Yes, I know, poor baby, it's
alright, etc.
2. Remove any foods or other items that may present an odor or smell of any type. Scents can cause more pronounced nausea once nausea begins.
4. Immediately remove all signs of the episode, clean up the area, and containers. Dispose of the vomit appropriately, removing all traces from the patient’s presence, sense of vision and smell.
Step3
1. Be ready for other episodes.
2. Alert the patient to communicate when he or she feels the urge to vomit.
Step4
Diminish triggers to vomiting episodes.
1. Remove any scents or sights that may cause the patient to become nauseated.
2. Seek input from the patient as to what may help during vomiting episodes.
3. Ask the physician to intervene in the patient’s care in this regard by obtaining a prescription to help prevent nausea and reoccurring episodes of vomiting. A technique used during chemotherapy by some doctors is to administer medications to prevent nausea prior or during the administration of the chemotherapy.