hapyguy

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1. Patient is falling while standing up while sleeping

   hapyguy replied to hapyguy's topic in General Nursing

   Pt is on Provigil during the day to combat the lethargic effect of the duralgesic patches. He is unaware when he doses off. ...and yes I was wound tighter than an eight day clock (I love that). Seeing it in print has helped me to let go and relax. Th...

2. Patient is falling while standing up while sleeping

   hapyguy replied to hapyguy's topic in General Nursing

   The motorized wheelchair placed next to his smoking stand seems to have done the trick. The chair has been modified with pillows sewn into the head piece for comfort and a tilt and swing mechanism and that behaves like a lazy boy recliner. It also ha...

3. Patient is falling while standing up while sleeping

   hapyguy replied to hapyguy's topic in General Nursing

   Yes- Pt is on 300 mg Neurontin every eight hours. Pt unually takes this med once a day because of side effects.

4. Patient is falling while standing up while sleeping

   hapyguy replied to hapyguy's topic in General Nursing

   The neurostimulator was not an option due to the location of the injury (the base of the coccyx). Pt is just sleep depived, not going in and out of conciousness.The Medline Synchromed II programmable pump, an interthecal drug delivery system, was ins...

5. Patient is falling while standing up while sleeping

   hapyguy replied to hapyguy's topic in General Nursing

   He has a motorized wheelchair but cannot sit in it for long periods of time. Patient will not quit smoking. patient is under pain managemnet- has been for several years- he just had the pump put in and is in the process of titration. He will be adjus...

6. Patient is falling while standing up while sleeping

   hapyguy replied to hapyguy's topic in General Nursing

   It's like a stand up bar. I'm thinking a service bar rail might due the trick.

7. Patient is falling while standing up while sleeping

   hapyguy posted a topic in General Nursing

   The patient is 53 years old, 272 pounds, and 6 feet 4 inches tall. What can you do for a patient that keeps falling while sleeping on his feet? He has a spinal cord injury and just had a morphine pump intalled in his abdomen to control pain. He canno...