Nursing Care of Adults With a Peripherally Inserted Central Catheter (PICC) or Midline Catheter in the Home: Clinical Management and Health Consumer Support.

Abstract

Peripherally inserted central catheters (PICCs) and midline catheters are widely utilized for intravenous treatment in home care settings. Despite their similar appearance, these devices differ significantly due to the tip location, which influences the types of infusions that can be safely administered. It is important for home care nurses to have a comprehensive understanding of these differences to ensure safety. The role of home care nurses extends beyond clinical management to encompass education and support for health consumers and their families. Health consumers living with a PICC have reported a wide range of unmet needs, including the requirement for further clinical and practical information as well as support to comprehend the education provided. Health consumers have also reported unmet practical needs, with challenges in adapting daily life such as showering and sleeping. Individuals living with the device and their family may also have unmet emotional needs with support required to ensure well-being. It is important that home care nurses and other clinicians appreciate the supportive care needs of individuals living with a vascular access device and their families. Addressing these needs is paramount to ensure the delivery of safe, high-quality care in the home.