Intensive Care Patient discharged to the Ward a Recall
Intensive Care Unit can be very remarkable my patient was looked after for two days in a row and was discharged to the ward. Handover was given to the ward Nurse and thereafter returned to the Intensive Care Unit to look after my other patient. At the end of my shift just about to go home met with discharged patient’s sister at the corridor the lady told me her brother is sick and have sent for me so l went to the ward.
I assessed him and realised he has declined medical advice to have only sips of water after major pelvic exenteration, he has been drinking and even had a small amount of soup and this has caused nausea and vomiting as the bowels are yet to function actively. The abdomen was distended and firm tapping like a drum.
Pelvic exenteration is a radical surgical treatment that removes all organs from a person’s pelvic cavity. The urinary bladder, urethra, rectum, and anus are removed. The procedure leaves the person with a permanent colostomy and urinary diversion.
I spoke with my colleagues on the ward and looked for the ward doctor to inform them of my assessment. The doctor came with me straight away and assessed the patient agreed a replacement of the Nasal Gastric Tube (Free Drainage) is needed.
I inserted the NG and aspirated over 470mls at one time and stayed with patient for another 45 minutes and aspirated the NG again and this gentleman is now feeling better and abdomen is less distended. Going to see this patient on the ward has prevented the possibility of readmission to Intensive care Unit.
Patient and family happy and smiling, bedside teaching given to patient and family not to exceed sips of water as Surgeons have advised and to wait until Surgeons approve eating and drinking.
Patient agreed to follow Surgeons directives and was much better which made me happy too. Patient said thank you Anita you’re one in a Million.
The fact that patient has been discharged from the ICU does not mean compassion should not be shown to patients wherever they are admitted or homecare going extra mile is what Saint Alexandra does best!
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