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Embolism Stockings
Nursing Assistants - What Exactly Do They Do?
Nurses, due to their busy schedules, often have nursing assistants who help the nurses with basic information related to the patient's condition, while the patient is in the health care setting. About 95% nurses believe that the proficiency of their assistants help them do their roles effectively (As per an independent survey).
Apart from a lot of regular activities, which an assistant to the nurse is supposed to do, she is also expected to know emergency procedures. Knowing the emergency procedures helps in delivery of prompt health care aid to the patient, even in the absence of the nurse.
Here are 5 important activities for an assistant to the nurse, in their day-day work.
- Assistance to move - These nurses should help the patients to move around. At most times, the patient may require assistance, which should be provided by the use of gait belt or transfer belt.
- Apply stockings for patients who have circulation problems - By applying anti-embolic stockings, nurses can ensure prevention of blood clots in patients under observation for circulatory system problems.
- Cleansing and maintenance of the bedpan - The bedpan is kept for patients who can't get up and go to the restroom. The assistant nurses should remove the bedpans frequently to ensure good sanitation of the patient's bed. This will ensure that the patients don't rest on urine and feces that have accumulated in the bedpan.
- Feeding - This is a very delicate task and needs to be handled with care by the nurse attending to the patient. Assistant nurses should ensure that they feed the patients or help them with feeding, if they really need it otherwise patients may become too dependent on nurses.
- Making the bed - Assistant nurses should ensure that the bed clothing is sent for laundry frequently, to ensure that the patient sleeps in hygienic conditions. In some cases, the bed clothing may have to be cleaned almost daily.
A nursing assistant's role is probably very critical because they look after the basic aspects of hygiene and sanitation of the patient. The doctors and the nurses would take care of the medical aspect of the treatment, and with the assistants playing a good support role, the patient's stay in the healthcare setting would be very satisfactory.
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Can anyone advise me about best practice treatment options for a post operative pulmonary embolism?
My husband is 48. He is a healthy, normal weight range, very fit non smoker .
He had an arthroscopy with some unexpected other repair work done to his femur and knee cap on 22nd Dec.It was done under general anaesthetic which lasted less than four hours. It was a day stay procedure.
He was given no asprin, no compression stockings and had no follow up appointment scheduled until 15th January. There was no referral letter to his GP.
He was given codeine 60 mg every 6 hours as a pain reliever.
He began coughing blood at 9 am 29th Dec and had spent a night with severe pain in his left side...which he didn't tell me about at the time!!
He is being treated with Clexane and Warfarin subcutaneously. His oxygen saturation is being monitored. He will be in hospital for a minimum of 3 days.
Is this the best course of action?
Yes, I agree it is the standard treatment.
If he was hemodynamically unstable then fibrinolytic therapy (clot busters) would've been almost essential provided there were no specific contraindications. However this decision is made by the emergency dept physician at the time of admission in ER and I cannot judge from here.
(Since he was not offered fibrinolytic therapy I assume he was stable)
Clexane will probably be given for a week but will continue with warfarin.
Warfarin therapy will be required for a considerable time to prevent progression and recurrence of the embolism. This anticoagulation is very important. The duration best decided by his physician.
He would probably already be wearing the compression stockings now. Supporting treatments include oxygen and fluids which he is receiving.
Overall I think he should be ok.
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