When I was a senior nsg student... pt w/a large decubitus

When I was a senior nrsg student, there was a pt w/a large decubitus on a very generous sacral area. She was a diabetic, not well controlled--natch. In an era when care plans were the exception in clinical practice (but instructors liked them), I asked for a conference w/all the ancillary personnel, nobody ever did that, either. They had a lot of good ideas. We developed a written plan, which had to fit in the space behind the regular Kardex; and they all helped me carry it out. We really cleared up all the infection, prevented it from getting worse, in fact it got better. The PMD loved it, wrote orders for anything we wanted.

Unfortunately, the pt died a few months later of a stroke, but I was so excited that the aides and LPNs worked with me on the plan, and that the doc helped, too, and that the we were able to get the wound starting to heal--I'm sure it felt better to her, too!

When I was a senior nrsg student, there was a pt w/a large decubitus on a very generous sacral area. She was a diabetic, not well controlled--natch. In an era when care plans were the exception in clinical practice (but instructors liked them), I asked for a conference w/all the ancillary personnel, nobody ever did that, either. They had a lot of good ideas. We developed a written plan, which had to fit in the space behind the regular Kardex; and they all helped me carry it out. We really cleared up all the infection, prevented it from getting worse, in fact it got better. The PMD loved it, wrote orders for anything we wanted.

Unfortunately, the pt died a few months later of a stroke, but I was so excited that the aides and LPNs worked with me on the plan, and that the doc helped, too, and that the we were able to get the wound starting to heal--I'm sure it felt better to her, too!