Third-Day of Admission/Second Day Post-Operative (16/11/11)
She woke up around 4:00 am, brushed her teeth, and had her bath unaided. She sat upright in bed and took Lipton tea as her breakfast around 7:00 am. The patient in question’s vital signs was well checked and properly recorded.
Her medications were served. Her wound was aseptically dressed. It was clean with no swollen.
During the ward rounds, the medical officer ordered the continuation of treatment, and that patient could take a liquid diet as well as mobilize out of bed. She was helped to move out of bed and ambulate around the ward and its environment.
They were kept informed about the condition, the cause, predisposing/risk factors, incidence, clinical manifestations, diagnostic measures, treatment, prognosis, and complications of her condition, and complications of the treatment were explained to her and her family, their misconceptions and misinformation were clarified. They were encouraged to express their fears and concerns and to ask questions. The questions they asked were answered in a simple, clear, and professional language. They were also assessed on their knowledge about the condition after the education.
At 11:30 am, the objective that was set on the 14th day of November 2011, to relieve the patient of pain within 48 hours was fully met as Madam A. A. reported relief of abdominal and incisional pains and ambulated without pain.
She walked around the ward environment and was able to sleep undisturbed for about 2 hours in the afternoon that was between the hours of 12:00 pm and 2:00 pm.
Nursing interventions such as those to be carried out to allay anxiety, protect the patient from infection, enable the patient to regain her normal sleep pattern, and enable patient care for her self-care needs were all carried out as stated earlier.
Madam A. A. and her relatives were reassured that the patient would soon be discharged home if her condition continues to improve.
She took porridge (“Kokoo”) in the evening, brushed her teeth, had her bath, and slept around10:30pm. The interventions that were carried out were documented.