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by Franemtnurse Platinum Member

Mine was a woman with a severe case of cellulitis in her good leg. It was ulcerated, and wet to dry dressings were applied. The reason I say; "Her good leg," is because her bad leg was one with skin stretched over bone. I asked her how it got that way, and she said when she was an 11 yo, she was hit by a car, and her mom pulled her free before it ran over her entire body, removing the skin from the bone. The skin and the fatty tissue never grew back.

[perfectbluebuildings]

Re: What Diagnosis Did your First Patient in Clinicals Have?

Wow that is an interesting story Fran!! If I remember right, my first patient was a gentleman who had had a stroke and had some residual physical and neurological effects. (This was in a nursing home). He was very talkative and a very interesting person. I was too nervous to remember much more about nursing care except trying to do that mini-mental status exam, but he was so funny and friendly he made things a lot easier. I enjoyed taking care of him.

[CyndieRN2007]

Re: What Diagnosis Did your First Patient in Clinicals Have?

If I can remember right, her main dx was hemiparesis due to CVA.

[Marie_LPN, RN]

Re: What Diagnosis Did your First Patient in Clinicals Have?

Post-op total gastrectomy, pneumonia.

[rn-jane]

Re: What Diagnosis Did your First Patient in Clinicals Have?

Congestive heart failure

[vashtee]

Re: What Diagnosis Did your First Patient in Clinicals Have?

MRSA.. the poor woman ended up having half her vagina cut away. It was horrific.

[MzMouse]

Re: What Diagnosis Did your First Patient in Clinicals Have?

A lovely lady dying of breast CA with bone and liver mets.

[medsurgnurse]

Re: What Diagnosis Did your First Patient in Clinicals Have?

Anal Abcess. I was worried about having to the wound care. When I got to clinical I found out the abcess was healed and the patient was in for colostomy take down. Whew! What a relief.

[ebear]

Re: What Diagnosis Did your First Patient in Clinicals Have?

A man in his 40's with mets. kidney ca. He suffered terribly! I've never forgotten him.

[CT Pixie]

Re: What Diagnosis Did your First Patient in Clinicals Have?

Male, 63 y/o s/p superpubic tube, MS, CVA, HTN, CHF, DM, MRSA, stage IV on the coccyx. He was a mess. Not only those dx (and a ton more) but he was an enormous man!! 6ft7in and 350lbs!! Ok so I am 4ft11in and 95lbs! Yeah! That was fun.

He was a great guy though. Very sweet, very understanding of the time it took me to position him, move him, do head to toe assessments, etc. He was actually pretty amazed I was able to handle his AM care and treatments. *I guess having 20 yrs CNA experience under my belt helped me with the tricks of the trade to move and position him*

He sent a great letter of compliment of my skills and abilities to the Director of my nursing program and my Clinical instructor. I was over the moon. I still stop by the LTC facility he's a resident in once in a while to visit with him. Even with all his ails, he always has a smile on his face and greets each new set of students with open arms. He loves "teaching" students he says