Wednesday, June 24, 2009

Trying times at Cape Fear

So this week at Cape Fear has been a little hectic for FNS. First of all, JCAHO is here all week. My clinical manager says they are on the lookout for students to talk to, so I'm a little wary of that interaction. Second, on the local news this morning there was a report about a man and his son being murdered in their apartment in Fayetteville. It turns out that the man was a cook in our kitchen at the hospital, and the shooting occurred about a 5 minute drive from where I live. A bit scary to say the least. The nutrition service workers set up a little memorial to him today in the cafeteria. So sad.

Also, I started work on my case study today. She's been at the hospital for a month and a half, so I've been looking through a ton of paperwork on her. Apparently she had a bowel resection due to severe ischemia possibly caused by a drug overdose (suspected suicide attempt), was somewhat fine for a couple days, then experienced severe abdominal pain due to a possible ischemic stricture and SBO. She's had several surgeries and has been on TPN and PPN for a while. She has been trying to drink clear liquids, but throws up immediately after she drinks anything. She almost had a PEJ placed today, but the family doesn't want it done. Complicated lady to say the least. Her poor bowels have about had it.

Anyways, I hope you guys are having a great week! Over half-way there!

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