1.11.08

Wounds (patient's case)

You know my spaghetti patient? Well, she doesn't have that tube going into her stomach anymore. We're feeding her through her veins. She got these wounds on her, making me so speechless, although they aren't the worst I've seen up until now, but they are so not healing. Two months ago, it wasn't like this.

Usually, it would take me 10 min to redress a wound. If it's a complex dressing it'd take me around 30-40 min the first time then 20 min the following shift. If it's a simple one and I'm in a hurry, it would take me 5 min. Practice people. Of course, double the time or even triple it, and that's how much I used to need to be done while I was on training. Anyways, today, it took me 2 hours dressing up 6 wounds on her body. When I was done, it was already 16h15 and I didn't even get to do my other patient's dressing nor completed any patient's chart.

Flesh. Meat. She's being eating outside in. I mean, it was like a huge pitiful steak in front of me. You can see all the muscle line and the wound is so large (~40 cm x ~30 cm). That's only the one in the back. She has necrosis on 4 of her wounds. Seriously, if they don't do anything, she'll end up losing her legs. All right, we clean them, but those parts are dead cells. It's like cleaning plastic.

One of the cause of her problem is that she's diabetic. People with this illness have a hard time healing whatever wounds they have. Small wounds would only grow bigger if they aren't taken cared of. I know, she had suffered a lot with all the surgeries and stuff. The doctors don't want to give up.

My eyes are at it again: getting dry and shedding tears when dry. And then I started to sniff. Poor her, she felt so guilty and was apologizing to me. She told me to stop looking for her wounds because they hurt so much and just to leave them like that. But I wasn't crying! Really. She thought she offended me. My nose was only running probably due to a small cold.

Between us, we wonder if she'd ever get out of this misery. No quality of life. Well, at least she's lucid now...lucid, suffering, and feeling guilty.

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