CLINICAL CASE NUMBER 2



 

 

 

CLINICAL CASE NUMBER 2

 



 M.D(Med),D.O.I.H,F.I.A.E,D.H.A,F.A.I.M.P(Cardiology)

Senior Cardio-Metabolic Physician

Senior Echocardiography Trainer

Cont.: 8605657755

 

Today I saw a 70 years old patient. She was generally healthy and well controlled with diabetes and Hypertension which she had for many years. She was under my care for the last few years For all assumptions she would live a few more years very healthily. Her children were all involved in taking care keeping her healthy and happy. The family was very loving to the elderly mother.

She slipped in her house and fell down and developed a fracture of the neck of femur. This warranted a surgery. The children agreed to surgery. They selected a very good surgeon in their area and got her admitted to a very good hospital.

 

The surgery went on very well. There were no complications or post-operative anxiety. The patient was admitted to the hospital for 10 days and everyone was happy. The relatives were happy and thanked the hospital and went home. They followed all the necessary instructions from the surgeon and were in touch with the surgeon.

 

As she was following with me they brought her to me. After checking her I was shocked to see three big bedsores on her body that were smelling and full of pus and slough.

When I went to dress them they were already bone deep. I knew for sure that this lady will not be able to heal such massive bedsores and would eventually lose her life, not because of fracture but because of bedsores.

 

Bedsores need to be prevented in all patients who undergo surgery and stay in the bed for longer than 2-3 days. It is very difficult to heal them later on. As the bedsores grow the patients have a very pathetic bedridden stage and would eventually succumb to septicaemia.

 

What do we learn from this?

1...The falls in elderly are common and all care must be taken by the builders and relatives to see that this should be avoided. You can download such precautions from the Google.

2...It is a routine practise for the hospital to take all such precautions to avoid the bedsores. This proper nursing care is the basic norm for a hospital. Patient getting bedsore in the hospital can go as medical negligence from the hospital. Bedsores are preventable and necessary care should be taken to see that they don’t happen. Every physician and surgeon must look at their patients and remind the nurses to see that this negligence does not happen to any of their patients.

A good nursing care is required for any of the hospitalised patient to go home without carrying a hospital created new problem like bedsores, nosocomial infections etc.

It is a responsibility of the hospital to see that they do not add to such woes to the patient who comes there with all hopes to get alright

Comments

Post a Comment

Popular posts from this blog

When you have a negative thought in your mind....Do this exercise.

When you have a negative thought in your mind....Do this exercise. 1) Sit down in a cool relaxed location. 2) Breathe in deeply.  3) Focus your attention on your heart,all the time thinking on the love in your heart. 4) Slowly breathe out,holding your total focus on your heart full of love. 5) Keep on repeating this 10 times with your eyes closed. Keep on doing this twice a day.When you master this,you can create peace,tranquility,calmness,love and happiness instantly.  Do this regularly you will master your positive life.
Read more

Learn to Ask and learn to Thank

 Universe has and gifts us everything in abundance for all of us.We only need to accept it,thank the universe and enjoy it.   The oxygen that we take in hospital costs us Rs 5000 a day. You can take in any amount of oxygen from the nature without paying a penny.But we do not hesitate to destroy the whole supply of oxygen from the place we live even after knowing that the absense or lack of this oxygen is making us unsurvivable.We only have to understand this and be careful and thankful to the universe.      Develop the attitude to ask and thank.Even a newborn child has to ask his mother I want milk.When its stomach is full,just observe the child goes to sleep or plays with the mother saying thank you.Every need and luxury that we need is at our disposable. Learn to ask and learn to thank.We do not have the abundance of universe only because we have not earned to ASK and we haven't learned to THANK.       Embrace this science and art of Ask and Thank,universe will make you abundant
Read more

Which Pathy is better.

People worldwide have this constant debate going on.The allopaths say Ayurveda and homeopathy are placebos.While the others say allopathy is a wrong science.        I have seen the Ayurveda practitioners treating themselves with allopathic drugs and vice versa.       I have seen myself treating and curing patients with whatever drugs that have come to my hands on a number of occasions. Health and pathy or drugs may not matter at all on a number of occasions.       Healing is an internal matter. It is for the physician or the Vaidya to understand the patient and alter his mind to cure himself.Many of the medicines may only be the vehicles to reach that destination. Better the vehicle better and safer is the journey.
Read more