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Nursing Care from the Heart of a Champ Second of a 3 Part Series

We break through how special a dedicated nursing professional have their days and night inside the medical facilities and their inner minds.. What could’ve been a simple routine could turn everything into  something more serious that demands more of their efforts and expertise as their main goal from their job is to ensure that patients will have the most convenient care any nurse could provide during those excruciating pain of their life…. read on..,,  

Second part of three series

For weeks, we noticed something different with the patient, behavioral changes, from a noisy yet snobbish little child he became an introvert, no more interactions, he chose to be silent most of the time, agitated, irritated, also…  chemically speaking, the patient’s counts were dropping and was on a down-slide, tachycardic, vitals were unstable sometimes on the highside sometimes on the low, and we, as  nurses have this gut feeling about things, we can somehow perceive what’s gonna happen next, and this is it, he’s walking down this path and it went on for weeks. We felt that the mother was preparing herself onto this, she asked to have a room with a bed just to be beside with her child most of the time, including a crib where she can put the baby aside when she’s away or doing something, she thought of that by herself, and as caregivers, one of the nurses took this concern with the head-nurse and appealed the mother’s request, and was granted,

One morning, we were having our regular endorsement, routine rounds for vitals and assessment, we were not expecting what was about to happen, it was around 10 o’clock, the primary nurse went inside the patient’s room to check the pump because it was beeping, a sign that the antibiotics were done infusing, and to start another medication as scheduled and needed for the patient. The patient was noisy, we can hear it from the hall, it’s like he’s back to his usual self, then the mom suddenly woke up and ask the nurse to check the oxygen level, the oxygen saturation of the patient, the primary nurse silently rushed to me, she said ” It’s his time, the child”, I was in shock, frozen on my seat for the longest time I’ve ever had in my life , we told the physician, and we decided to go inside the room and have a look, there he was, laying on his side, gasping for air with his nasal canula on, looking straight at you with his eyes, struggling, although silent and calm as if he is saving his energy to fight!

I kept asking myself what can I do, no code patient, then it happened, no more physical movement, then we took the ECG machine to confirm, as we were putting the electrodes the mother kept saying, “kalas”, “mut”, it’s already done, he’s already dead… teary eyed, weary, and you can see the agony on her eyes. But the mom was a fighter, the mom is really a strong person, no bursting out of emotions, as she closed her son’s eyes, as she fixed her son’s lying position, and we told her “keep talking, he can still hear you”, then she broke out in tears as she whisper to the child’s ear, saying I-love-you and everything. Then the mom prepared to have his angel cleaned, they gave a bath, and did postmortem care and prepared for transport to the main hospital’s morgue, As they were passing through the halls of the hospital, the twin sister is in sight inside a trolley, she had a look on her brother, wrapped with white cloth, she gasp for air, trying to reach out then broke out in tears, we can feel the connection between the two and it was really a heartbreaking moment.

Can’t help but cried for we are just an instrument with limited participation. . – Paquito

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Nursing Care from the Heart of a Champ

It’s Labor Day and as  some major roads are turned into an impromptu stage for strikes and massive congregation of union leaders and supporters who’ve always seeking fair treatment and wage increase relative to rising cost of daily living both in urban and rural areas of the country….  on the contrary, this is the day where employees, workers and those involved in any other type of work lay down their tools, data sheets, halt to conduct meetings to simultaneously observe the official holiday. Like any other normal profession that we normally dealt with, we just took notice of them whenever we visit a medical facility for a check up, laboratory and confinement including visits to our dear brothers and sisters who are in need of medical, natal, critical and ancillary care no other professionals could best provide but Nurses. A young man from the Southeast Asia went to the Middle East to practice the profession amid the threat, language barrier and cultural difference that initially posed hindrance to perfectly perform the duties tied to the contract… just for only a little while, as we enjoy every passing day of our stay. We’ve learn to embrace these same hindrances with one solid reason in mind which is, to care with passion and love.

First part of  the three series

I stand before you as a professional who represents my unit, my hospital in the Middle East, and most importantly the nurse’s community, I’m here to take you on a journey in the footsteps of every nurses, in dealing with patients in pediatric oncology and BMT sections every seconds, minute and hours of each passing day.
Currently in our care is a child, of 3 years of age diagnosed with HLH including his twin sister….  Hemophagocytic lymphohistiocytosis, a hematologic disease, characterized with pancytopenia, hepatospleenomegaly, fever and jaundice. CBT (cord blood transplant) was done for the patients, it was successful for his the twin sister but unfortunately twice failed for the little patient, carefully thought of and decided to be a no code patient. But the medical team didn’t stop there,  the lead medical team search and proceeded for a better plan, and for the third time to have another transplant, waiting for the patient’s count to be up and reeling towards the patients fitting compliance for the needed procedure, as it will be an excruciating time for the patient and his family.
I’ve known the patient since I was working in the Out Patient Department, an almost fixed patron of the blood bank, whenever he’s visiting, there’s opt to be a transfusion whether it’s platelets, packed RBC or even both. the disease progresses as time passed, until admitted.

Few months back I was transferred to the inpatient duties  and as far as i can remember there … they were, in one of the rooms. Physical manifestation of slow deterioration can be seen, sudden bleeding, jaundice, abdominal enlargement. Months passed, same routine everyday, patient spiking fever, boluses ordered, transfusions every now and then, antibiotics lined up like a pile of people waiting for a blockbuster movie, honestly, I this has been one of the most difficult and to our colleagues term, the most toxic we ever handle for a child patient , with multiple tasks to be carried out within the day, his mother is nagging about things, about medications, even the tiniest or minute detailed little thing in relation to her child, that gotten the most out of us for that day. Like a tired juggler we all finally felt the pressure from the highest expectations any other mother’s patient have had and to hear her say the sincerest thank you somehow put out all our hardship and pain that took toll on us for the day… it made us stronger and inspired for the gratitude expressed. Pride and enthusiasm lit fire in my heart as we continue to provide the utmost care for this child. …

—– expect the second part of the three series after 24-48 hours period.

Sunshine brings hope every after stormy skies. – Paquito