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

  1. 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!
    •  
  2. 5 Comments

  3. by   jnette
    Quote from prmenrs
    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!
    WONDERFUL !!!
  4. by   leslie :-D
    i think that's amazing, considering there were no 'plans of care'. i guess that makes you a pioneer in the forefront of ncp's. that's wonderful.

    leslie
  5. by   jgillyrn
    Quote from prmenrs
    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!
    Nice story! Who's the baby with you?
  6. by   VickyRN
    Awesome post. Thanks so much for sharing
  7. by   prmenrs
    The baby in my avatar is a "generic" hispanic premie. S/he was enjoying the sweet spot on my chest. If it was a boy, he probably was trying to get his hand in the V-neck. Honest, I have no idea who it was, probably taking care of him the day the picture was taken. All parents sign a photo consent in that unit, but if there is no identifying data visible, you're ok. I'm holding another one right now with less hair.

close