We did a joint visit to the patient’s home, who had category 3 DTIs to the spine and sacrum and burns to the upper leg. We arrived at the patient’s home. The patient had personal care attended to by two caregivers. When we get their consent, we can check the patient’s wound. We cleaned the patient’s sacrum wound with normal saline and redressed it with Aqualcel ribbon brutal adhesive, with minimal exudate and a yellowish colour.
We cleaned the previously dressed DTI spine, removed minimal exudate, cleaned it with normal saline, and redressed it with urguotol.
Also, the patient’s burn wound on the right thigh was loose and wet, and the patient did not want the nurse to touch the dressing, saying she was going back to the hospital on Wednesday and it could be redressed in the hospital. The nurse explained the risk of infection to the patient, and she allowed her right thigh dressing to change but refused to remove the left thigh dressing as there was a slight strike-through. The patient emphasized not touching the wound. The nurse told the patient she would not feel it, but the damage was documented. I support the patient with medication left by the caregivers and breakfast.
She worked with student nurse Bertha. She is very cooperative and helpful. Always ready with a helping hand and willing to learn.
Bertha has good communication skills, which include explaining procedures to the patient and gaining consent before performing any task.
She is a happy and cheerful student to work with.