Tuesday, 3 February 2015

Teaching staff nurses-the unconscious patient and preventing and assessing pressure ulcers

started to morning as we do every week day with morning prayers. Yesterday we were asked to pray for a difficult situation. The farm is an income to compensate for cost of treatment to patients who can't afford to pay. They have recently lost cows and some who are in calf through disease. This is a big loss and may lead to the business collapsing. Then I went to female ward to teach staff before the ward round began. An amazing hour with very enthusiastic staff.
Then I moved onto the HIV clinic to help Tina in the dispensary. Hundreds of patient come to get medication for themselves or friends and relatives. Many others come for assessment, have their CD4 count checked or advice in prevention of spread of disease.
In the afternoon i repeated my teaching with the staff of the male ward. They thoroughly enjoyed the scenarios working out the braden score of patients and very accurately deciding who was at risk and who wasn't..they don't have the same equipment and staff tht we have so I said it was up to the sister to decide the care for each category of patient and ensure their staff carry it out and accurately document. They also had great fun positioning and re positioning their colleagues who were pretending to be unconscious. Just when I thought the day was over feeling tired and hot with the temperature having been 34degrees in the shade the team decided it was time for a walk around another part of the village
Local residents preparing matoke 
Two of my colleagues were out with the community workers today and Roisin almost had a nasty accident when a jack fruit fell off the tree, just about missing her.these fruits are very heavy about three times the size of the pineapples we get at home. One of the locals stated on occasions they have fell from trees and killed people. Despite needing the shade they moved the clinic from under the tree- just not worth the risk as other over ripe fruit were at risk of falling.

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