and the beat goes on
So I am still in hell, the husband still is on his way out of my life, and naturally he has someone waiting for him to go to. Some tall beautiful blonde, which was once the description used for me but now I am just the demanding wife. That is all I am going to say about him.
Nursing talk: so I did my first 2 days in my new clinical placement. It is a critical care rehabilitation unit. A lot of stroke and accident patients all with multiple physical issues and many with social issues given that it is an inner city hospital. I had a client yesterday, she was an 89 year old who did not speak any english. She originally came into hospital in the beginning of August, she had a stroke, she was treated and sent home, she returned shortly after (Aug 14) because she fell, and had dislocated her shoulder. Her children can't deal with her and she doesn't want to go to a nursing home. Night before last she got out of bed by herself and was incontinent of urine on the bathroom floor and slipped and fell again this time she fractured her elbow of the other arm. I read her chart thinking that she might be a good case study for a reflective paper. Man, this poor woman has been so neglected! She doesn't speak the language at all, an interpreter has been called in only twice in the period that she has been there, there are chart entries such as "grimacing but reports no pain" they aren't even taking into account that perhaps this woman is in pain but can't report it because no one understands her language. Upon admission, her Morse Fall risk rating was a 40 greater than 25 is considered "at risk". She has been labeled at risk for falls but her chart shows no care plan to address that. In my opinion she is also at risk of hopelessness because no one is able to hear what she is saying. I think that some sort of picture board or word board be used so she can tell people basic needs would be helpful. It is one of many frustrating situations that I am sure that I will see in my career. We all get into nursing because we want to improve someone's condition, I suppose sometimes we have to be content just to maintain status quo. In this woman's case I don't think that either has been done.