Learn how to listen to a comatose patient


May 23, 2012 Wednesday
Day 12

Vitals:  taken at 8:00 am  140/80. 97 115-120 38.8
O2 SAT – 97
Heart Rate: 120
Temperature: 38.8
Blood Pressure: 140/80 
Respiratory Rate: 24

“Melit uses several ways of communicating her needs to us.”

Our attitude: 

Because Melit is part of our family, we can actually intuit her needs. It is very possible that her spirit is dictating messages to our minds.

Our Observation:

Comatose patients may actually enter into a non-verbal communication with their caregivers, especially about their needs. They occur as urgings or spontaneous acts but they happen too often that we see it as a mode of communicating with Melit.

Our Action:

Early this morning, out of the blue, we had to urge to turn her to her right side. We avoided doing this for days because the right part of the head is still swelling but we did it gently. Then, we found out that her nape had developed very bad rashes that must be painful and itchy for Melit. This could have been because of the sweat and the saliva that went unnoticed because she was always in two positions: flat or lying on her left side. We treated that area immediately with Calmoseptine, and by the next day, the skin was dry and healing.

The open-to-drain status of the NGT was still on today. She was in a stage called NPO – nil per oram, nothing by mouth. She did not receive any feeding nor oral medications. Her only source of fluids were the dextrose, the Mannitol, and the IV antibiotics.

Our Doctors said

Dr. Casino confirmed what we knew all along, Melit had internal bleeding in her stomach due to what is called stress ulcers.

She was feverish, but cannot be given meds. We had to use ice in her cold-compress to bring down her temperature, doing it round the clock until the temperature reached to an acceptable level of 37.5 by the end of the day.

 
God’s Blessings: 

:  The skin rashes are starting to heal and Melit is starting to move her hands and legs spontaneously.

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