joannemojo

I think the one about the maggots being suctioned from the lady's lungs is one of the worst on here!! That actually made me gag!!

haha, these stories are brilliant!! Gross, but brillaint!! The spunk in the eye story was the one that made me feel a bit queezy!! I don't really have a gross story like some of these. I'm a 2nd year student so I'm sure it's all to come. I have one story tho..... It was my first clinical placement and I had never been on a ward before. My friend and I was called to an elderly lady who we were quite fond of. She was getting more poorly by the day and because she was so nice we would go out of our way to help her. Anyhoo, she was diagnosed with C-Diff and on ferrous sulphate. One day she called us over for the toilet. My friend and I got the comode for her and were tansferring her from her bed. Just as we were half way to the comode she told us that she was going so we hurried up. Got her on the comode and thought that we had avoided disaster. My foot started to feel rather warm and when I moved my foot out I saw the biggest pile of BLACK SLIME on top of my shoe!! It was vile!! The smell was horrendous too. So bad with the iron tablets that we could both taste the metal!! My friend found it really funny when I saw my foot until she looked down at her trousers!! On it's way to my shoe the slime had slide ALL the way down both legs of her trousers!! She smile soon disappeared from her face!! I managed to clean the majority off my shoe and noticed that it had TAKEN THE POLISH OFF!!! We both ended up having to be dry cleaned in the sleuse!! Certainly a baptism of fire!! lol. Oh and I threw my shoes away!!

Thanx for the replies. It's a big case study and we are in a group. Each of us is addressing a different problem. Dehydration, possible diabetes (drinking loads but mouth is cracked), sleeping problems, deperession and so on. The main problem I have is that there isn't really anything about her incontinence. Nothing about how/why/when it happens. I think i will have to just say that an assessment would need to be carried out to define her incontinence before any medical may be needed. It says that she becomes dizzy on rising so maybe she isn't going to the toilet through fear of falling and subsequently wetting herself. Well, with the careplans on my clinical placements I NEVER saw a single incontinence specific one. With the SMART thing. It think I will be able to do it. My aim is for the lady to be continent. It will be specific because the aim is to stop the incontinence. Measurable because we will be keeping an eye on every incidence of incontinence and recording it Acheiveable because as far as we know there isn't a medical condition causing it (this would change if it was found that she had an untreatable medical condition which meant that she couldn't stop) Realistic - This would only be realistic if there was no medical problem. If she has a prolapse it wouldn't be realistic for me to set the goal as her being continent. Timed - Thats easy because I would record daily her episodes of incontinence. It would be a daily thing and therefore easy to spot a improvement or decline. Sorry about the rambling, I'm just all confused at the moment as I don't know exactly what they expect from the presentation. Plus we are being marked on it as one of our assignments. Thanx for the bit about the sexual dysfunction. I can now express my concerns about her emotional wellbeing but also put forward the reasons for asking the questions in regards to her health.

I have a presentation to do on wednesday on incontinence. We have a case study to use (72 yr old female). They haven't really told us what to include in the presentation but I know that we have to include care plans, SMART, potential and actual problems etc. It's the care plans that have stumped me. All thats said about the patient in terms of incontinence is that she is 'occasionally incontinent and her urine in concentrated and smelly'. Because of this there isn't much to give me an idea of the causes of it and the type she suffers from. When I have been on the ward the only incontinence care plans (if u can call them care plans) involve ensuring that the patient rings in time for the toilet and that we minimise pressure sore risk. Can anybody help me with this? What sort of care plans have u seen for incontinence and what do they involve? Also the rationale behind them. Another thing I want your opinion on is that I read in a book that 'All assessment on incontinence MUST include questioning about sexual dysfunction'. I feel that when assessing this patient it would be inappropriate. She's an elderly lady who lost her husband 5 years ago and is still grieving for him. She says she just wants to be with him and has given up. I would say to omit that line of questioning as it could be detremental to her emotional well being. What are your thoughts on this? Thanx guys, Jo P.S I hate presentations and UCE doesn't know its orifice from it's hand sometimes!!! :angryfire

HCA is basically the new name for Auxillary Nurse.

They didn't make me feel nervous at all. It was in a small room with just two interviewers and myself. The wanted to know why I wanted to be a nurse to which I replied with something along the lines of 'It's a worthwhile career......" lol I can't remember. They also wanted to know what I had done/was doing at the time. They were shocked when I said BAhons Media and Cultural studies as it's a bit different to nursing. The interview was fine (apart from my stupid shoes which cut me to ribbons) and I got an unconditional offer a few weeks later.

I'm in my 2nd year at UCE in Birmingham. In the interview they basically just chatted with me and wanted to know why I wanted to be a nurse and what experience I had (I had no experience whatsoever and was coming straight from a Media degree!) What course are you going to do? DipHe or BA? I'm on the DipHe course (no student loans! phew!)

What letters does that man have after his name? D.I.C.K?