June 22, 2012 Day 42
Vitals: BP: 130/80, Temperature: 38.8, o2 Sat: 92, HR: 93, RR: 29
HOMECARE ESSENTIALS 14: CRITICAL THINKING
Critical care starts with critical thinking.
Yes, comatose patients cannot think for themselves, so we have to think in her behalf, and every decision should be well thought of, should be beneficial to the patient (As a rule: first, do not harm), and should be within our capacity.
We make decisions based on four things:
- Our own observations and documents
- Expert opinions like doctors and nurses ( and we always seek second or third opinion on major matters)
- Researches and facts available online, such as case studies (like we know for example that craniectomy is still a very controversial procedure in other countries)
- Our intuitions and knowledge of Melit
We build options and scenarios, and decide together.
THIS WE LEARNED ALONG THE WAY:
Yes, there are times like today when we debated whether to bring Melit to the hospital or not. As a general rule, in the care of comatose patients, the majority does not rule but gives way to the need of the patient.