27th September
On morning rounds the doctor said Rachael’s nutrition needs
building up so she should continue with the feed through the PICC for at least
a week, whilst a long term solution is found to Rachael’s stomach problem. The doctor was unsure as to whether Rachael
would ever be able to find feed via the rig again. Unit a solution is found Rachael will remain
on a drip with additional vitamins.
Rachael is tolerating the PICC feed.
The palliative care nurse came to see how Rachael’s pain is today. She was happy that Oxycodeine was working
better than Oramorph but thought Rachael would benefit from a higher dosage via
syringe driver and stressed she is still happy for Rachael to have an extra
dose whenever needed. Rachael explained
that she is in pain after meds are given through the rig. The nurse promised to look into this to see
if there is any other way drugs can be given.
Rachael asked if she could ring Wythenshawe re cough assist
machine. Rachael said the pressure nees
readjusting. After discussing Rachael’s
bowel movements, the nurse thought Rachael may have a blockage, so she has
arranged for a rectal examination next time Rachael was hoisted. Rachael has been biting inside of her mouth. The nurse recommended bonjela.
After reading Rachael’s notes Dr E had a look at Rachael’s
drugs list to see if he could reduce the amount going through the rig. Dr E decided to stop the Riluzole, ferrous
fumerate and Domperidone for the time being.
He also asked Rachael about end of life matters. Rachael got upset and asked to speak to him
on Monday or Tuesday. Rachael needed
hoisting so Dr E volunteered to do the rectal examination whilst she was in the
air. He said he couldn’t feel anything
so he was happy that Rachael didn’t need to take suppositories/ laxatives over
the weekend.
No comments:
Post a Comment