Fifth Day of Admission/Fourth Day Post-Operative (18/11/11)
Madam A. A. had already observed her personal hygiene and looked very happy and very active. She told me she had a very sound sleep and woke up around 5:00 am. The incisional site was clean and was healing well with the first intention. Her wound was aseptically dressed for her as usual. She was very active that day and we gave glory to God for her strength and health and her vital signs were checked at 9:00 am and recorded as shown in the appendix.
During the ward rounds, she was discharged and was asked to come for review on Friday the 25th of November, 2011, at the Out-Patient’s Department of the Holy Family Hospital, Berekum. She was asked to continue taking the rest of the drugs including Tab Amosiklav 625mg bd × 5 days at home.
At 11:00 am, the objective set on 14th November 2011, the objective set to relieve patient/family of anxiety within the period of hospitalization was due for evaluation. The goal set was fully met as the patient/family had a relaxed facial expression and participated in inpatient care.
The objective that was set also on 14th November 2011, to protect the patient’s wound from infection within the period of hospitalization was due for evaluation at 11:45 am. The set goal was fully met as the patient’s wound was healing by the first intention and there was no sign or symptom of wound infection observed or reported.
She was among others advised not to lift heavy objects. The patient/family was once again encouraged to ask questions on uterine fibroid and any other issue concerning her health. They were told not to forget to come for the review but in case she has any problem before the review date, she should not hesitate to come to the hospital for prompt treatment. Patient and family were also educated on the adverse effects of alcoholism on the individual, family, and society at large. They have educated on personal hygienic practices particularly the need to brush their teeth at least twice daily. They were also educated on the adverse effects of over-the-counter drugs (OTCDs). She was also educated on the need for her room widows to be netted, the need for both her and her children to sleep under ITNs, and to clear the clothes off the crossbar as it harbors mosquitoes. She was also advised to adhere to all the health education given to her during her hospitalization. Her bill was fully settled because she was an insured client. The interventions undertaken were documented for continuity of care and for reference.
After the patient had been discharged, the bedside locker and the bed were disinfected. All dirty articles were removed. This was done to ensure the cleanliness of the ward and to prevent cross-infection.