On my own

I have been taking over a few units by myself now and screening the floors when I get there and seeing patients which I am excited about! I had an interesting experience today with a patient follow up. We had seen him two weeks ago due to being on dialysis and we educated on a renal diabetic diet. When I saw him today, he and his wife were so excited b/c the few times he was on dialysis here had miraculously "cured" his kidneys and his function had returned enough for him to stop dialysis! So they were super excited and motivated about following the renal diabetic diet! It was exciting, since two weeks ago they had been so forlorn. I feel like they see this as a second chance in life, to be healthy again.

Amanda visited me today and we worked through a really interesting patient! He had esophageal cancer a while back and had a resection with gastric pull up and a j-tube to feed him. However, recently his j-tube had become dislodged without the family really knowing much about it, he came into the hospital with a BMI of 15 with a dx of malnutrition. So turns out, the doctors discovered a large amount of enteral feedings floating around in his abdominal cavity area and it didn't go into his intestines at all! Yikes. So some new recommendations were formulated for his NG tube that will hopefully go in place tomorrow! Fingers crossed...