Yes, everything is working against this wound to heal. Everything except our private Registered Nurses, Jenny and Verlie’s determination for this wound to heal.
If we had our way the in home care client would be in hospital, on IV-antibiotics, eating nutritious, high protein with lots of vegetables type of meals and walking to improve blood circulation for faster healing.
Due to the client’s ‘non-compliance’, the ulcer started to break down, plus secondary and tertiary ulcers started underneath the main ulcer so our best in home care nurses, Verlie and Jenny decided to seek advice from the Wound Care Specialist at St Vincent’s Hospital. This allowed them to assess the wound in the private client’s home and give specialist advice on how we could hasten healing given the difficult circumstances.
A couple of months later Jenny requested a Case Management Review of the wound with the same Wound Specialist and the client’s doctor (GP). This home nursing care support enabled them to determine whether the in home private care client needed to go to hospital to receive IV-antibiotics and be in an environment where a better diet and infection control could be accomplished.
Facing the prospect of hospitalisation, the client promised to become more compliant with hygiene advice and since then the wound has started to heal, as you can see in the photo above. The wound still has some way to go… but it is finally healing.
Teaching our Caregiver to monitor blood pressure
Our Pay by the Hour private client lives happily alone and enjoys a good life including enjoyable outings with our carer companion. Her only child lives overseas.
Our private in home care Registered Nurse, Jenny popped in to teach our Hourly Carer how to take the client’s blood pressure on each service. The blood pressure machine sends the results to the private care client’s doctor electronically, each time it is taken so the doctor can monitor the client’s blood pressure too. Our private nurse, Jenny sends an email to inform the client’s daughter that our in home carer has been trained and the details of the blood pressure results for each visit.
Our private livein Care client was not feeling well, due to constipation caused by pain relief she had been taking. Constipation can make you feel really poor. It can be painful, make you sweat, shake and feel nauseous. Our private care Registered Nurse, Jenny drove to the client’s home and checked the client’s stomach to feel if she had a blocked bowel as this would require more aggressive treatment.
There was no blockage so Jenny massaged her stomach to encourage movement of the bowel and gave the private nursing care client some Movicol (a gentle bowel stimulant) which she had bought for the in home care client. Our client soon felt well again.
Removing stitches from the private care client
Our live-in Care client was due to return to the doctor to have stitches removed from his face. He was not feeling well that day (he is breathless and on oxygen so just getting to the doctor’s clinic required a big effort). To add to the difficulty, it was pouring rain so our in home care Registered Nurse, Jenny drove to his home and removed the stitches for him. This made his day, a lot easier and was very appreciative that our in home care Registered Nurse was able to treat his wound.
Assisting our private nursing carers to provide quality End of Life care
A private Pay by the Hour client who we have cared for over a number of years in Rose bay, on Sydney’s Eastern Suburbs was receiving End of Life care from Daughterly Care. To make our client more comfortable and our carer’s work safer, our private Registered Nurse, Jenny popped in to assist the client to prepare for bed, as well as to be bathed and turned. The private in home care client sleeps on the best airflow mattress to prevent pressure sores, which was recommended by our wonderful private Registered Nurse.