SPEAKERS NURSE (75%), INTERLOCUTOR (25%)
NH NURSE HARIPRIYA KOMPALA 0:03 Hi Shiva. My name is Priya. Good morning. And you are attending nurse today.IS INTERLOCUTOR SHEBA KURIAN 0:08 Good morning sister.NH NURSE HARIPRIYA KOMPALA 0:12 I have I have seen your case notes you have undergone readiness and operation was successful. And how are you feeling right now?IS INTERLOCUTOR SHEBA KURIAN 0:24 Sister I'm not feeling good because my wound is still really painful. And I'm a bit worried that isn't normal.NH NURSE HARIPRIYA KOMPALA 0:35 Well, this is very common postoperatively pain is we can expect and in the pain will get rid of day by day. And we have started already IV morphine for you and we are planning to taper down the medication. I hope tell me where you're feeling exactly the pain.IS INTERLOCUTOR SHEBA KURIAN 0:57 Oh, do I have IV morphine Sr? I have a severe pain on my wound site.NH NURSE HARIPRIYA KOMPALA 1:05 Okay, is it when you're doing any activity? The pain is aggravating or when you're sleeping? You have the same pain,IS INTERLOCUTOR SHEBA KURIAN 1:13 sister,I haven't been doing any physical activity and I haven't get out from my bed because I am afraid that it will make my pain worse.NH NURSE HARIPRIYA KOMPALA 1:27 Okay, please could you rate me from zero to 10? Zero is nil pain and 10 is the worst pain. What's your pain score right now?IS INTERLOCUTOR SHEBA KURIAN 1:35 I could say seven Sr.NH NURSE HARIPRIYA KOMPALA 1:39 It's terrible. Okay, though, you know already that you're already having this IV morphine.IS INTERLOCUTOR SHEBA KURIAN 1:46 Yes system NH NURSE HARIPRIYA KOMPALA 1:47 bu still your experience experiencing pain? Seven over 10 IS INTERLOCUTOR SHEBA KURIAN 1:53 years. NH NURSE HARIPRIYA KOMPALA 1:55 So really, look? What's the underlying cause for your pain?IS INTERLOCUTOR SHEBA KURIAN 2:01 Okay. NH NURSE HARIPRIYA KOMPALA 2:05 This is your second day of your first operator, you have to do some physical activity, you have to move out from the bed. This really will help you to promote the healing and increase the blood circulation to the part. What do you think about it?IS INTERLOCUTOR SHEBA KURIAN 2:22 system actually, if I stay on the IV morphine, I will try to do some daily exercises in order to have a control on my pain.NH NURSE HARIPRIYA KOMPALA 2:35 Well, I can understand that because you're stressed about your pain could maybe increase this the reason you want to continue but it's not the good it took to be continued the IV morphine, it may cause risk dependency. You may feel constipation, nausea, vomiting, drowsiness and some times when you're sleeping you'll have the shallow respiration these are the potential complications you have if you will become dependency on morphine.IS INTERLOCUTOR SHEBA KURIAN 3:12 Yours is still I am I can able to follow you and you are explaining me very well. But what would I do if I have more painNH NURSE HARIPRIYA KOMPALA 3:23 do not worry about it and we will not remove totally the most. First of all, we will taper down that dose and we will assess your level of pain and we will read in doctor will replace this morphine as paracetamol or change to oral morphine. These medications if you do some physical activity, it works for the long it started to release the long lasting slowly slower ladies and it stay for longer the action could be stupid if it really helped you a lot.IS INTERLOCUTOR SHEBA KURIAN 4:00 I'm still glad yours is still I'm still glad that I can be on morphine, but I don't see any differences between this IV morphine and tablet form.NH NURSE HARIPRIYA KOMPALA 4:15 There is some difference this IV morphine will give you immediate relief but the tablet or morphine which will be long lasting and slower release while you're doing all these physical activities as some exercises this moment you might feel some pain this is absolutely normal. If you delay these things, mobilization you may have letter to own you may have letter have developed so many complications like deep vein thrombosis and risk of infection. So better try to move and take this medication replace this with the IV morphine to the tablet or with the paracetamol If it is not improving at all we will escalate to another medication.IS INTERLOCUTOR SHEBA KURIAN 5:07 Okay sister let me have a discussion with the doctor when he come for the next rounds and I will let you know sister.NH NURSE HARIPRIYA KOMPALA 5:16 I respect your decision. We will wait you just wait for the doctor rounds he will explain and he will get the better option from him. IS INTERLOCUTOR SHEBA KURIAN 5:26 Okay, sister,NH NURSE HARIPRIYA KOMPALA 5:28 thank you so much. If you have any other concerns,IS INTERLOCUTOR SHEBA KURIAN 5:32 and no more consensusNH NURSE HARIPRIYA KOMPALA 5:36 okay then thank you, Shiva.IS INTERLOCUTOR SHEBA KURIAN 5:37 Thank you. Thank you so much.