Palace of Care – Yellow Fever

Photo by Vanessa Bucceri on Unsplash

She had told her family about my promise to paint my fingernails to match hers. She had painted her nails to match my bright yellow scrubs. When I examined her fingers the nails were of many different colours. Some were yellow, others were black, pink, and red, all of them nicely painted. She showed her nails and she made us all laugh. This included both staff and her own family. I joked about needing help with nail-painting supplies, as I didn’t usually paint my nails. If I was going to do so then I might as well do my toenails. I shared with our audience that my yellow nails would go down well at the Brazilian Jiu-Jitsu club I belong to. We all shared some more laughs before we came to the serious part of the family meeting.

I provided a recap of what had happened since our patient was admitted. She arrived with terrible pain, nausea and constipation. These symptoms were controlled with adjustments in medication doses over the first week. Well-controlled pain came at a cost. Our patient became confused at times. We had to make dose changes but we wanted to persevere and bring down the pain levels as much as possible.

Overall the pain and nausea improved but the confusion episodes worsened. We tried to prevent further episodes to no avail. I talked about the ongoing changes in her situation. Old problems became worse while new problems developed. We were trying to play catch up with a disease process that wouldn’t stay still. She had been having ups and downs due to medication effects but mostly due to worsening cancer.

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Palace of Care – Terroir

Photo by Rusty Watson on Unsplash

We celebrated International Nurses Day last Thursday with a special breakfast with lots of goodies for all. Nurses are a crucial part of any palliative care and hospice team and it was great to celebrate them with some special treats. Individual paper hats were made available each adorned with little red Superman style shields, thanking them for being heroic in the jobs that they do. Special little bags of sweets were prepared and handed out to all of our staff.

There was a buzz of mirth and fun throughout our inpatient unit and this was noticed by the patients and their families too. One couple commented on it being nice to hear raucous laughter happening outside of their room. It was nice to be staying in a healthcare institution where people were enjoying each other’s company at work. This couple had stayed in many different healthcare institutions over the past years and thus spoke from experience.

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Palace of Care – Musical Interlude

After a tough fortnight at work I decided to change things up a bit at our Multi-disciplinary team meeting this morning.

We’ve been using an iPad to take notes from the meeting for a while now, and today I tried to make it a more multi-media affair.

As well as recording the patients’ stories I also tried to match each of them to an appropriate piece of music.

The rather diverse playlist and patient list eventually became:

Tammy Wynette – Stand by your man – after discussing a man whose ex-wife had returned to look after him.

Imagine Dragons – Radioactive – the correct pronunciation of a patient’s surname.

Avril Lavigne – Complicated – a patient’s complex family dynamic.

The Black Eyed Peas – Where Is The Love – a patient’s long-term relationship with their spouse.

Alicia Keys – Falling – a patient who had repeatedly been falling…over.

Bob Dylan – Blowin’ in the Wind – a patient with malignant bowel obstruction who had started passing flatus.

Cheers,

James