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NS NURS SARITHA CHINNAN 0:02 Good morning Sheba How you feeling to doIS INTERLOCUTOR SHEBA KURIAN 0:06 sister I'm just bit worried that I'm having too severe pain and I think it isn't normalNS NURS SARITHA CHINNAN 0:16 sorry she bye can't hear that because you are severe pain may know that in the spring pain scale how do you read the pain zero to 10 zero is no pain 10 is severe painIS INTERLOCUTOR SHEBA KURIAN 0:37 I could say it sevenNS NURS SARITHA CHINNAN 0:40 yo I'm sorry to hear that you have severe but but ongoing the morphine is ongoing why you want to withdraw from MorpheIS INTERLOCUTOR SHEBA KURIAN 0:54 I don't want to withdraw from morphine sister I just want to continue this IV morphineNS NURS SARITHA CHINNAN 1:04 but is she by understandable concern because you have more pain? That's the reason you were asking IV morphine yet. You see, you may continuous IV morphine may cause a lot of problems like may you have some dependence in the morphine risk of drug dependence and then increased risk of constipation and nausea and drowsiness there's a reason we are trying to change IV morphine to oral morphineIS INTERLOCUTOR SHEBA KURIAN 1:42 use sistered you're telling that this IV The morphine will be saved but we'll be shifted from IV to oral dried I'm happy that the morphine tablet would be continuing but I don't think that the tablet form would be effective as as like IVNS NURS SARITHA CHINNAN 2:05 is Shiva I acknowledged your concern the oral morphine it's it's slow release of slow release action mainly but but the action is same that's the reason and then in instead of that in addition to that with paracetamol also will will give youIS INTERLOCUTOR SHEBA KURIAN 2:32 Okay sister let me see and I'm just I'm glad that the tablet morphin will be there but when the doctor come then I will have discussed with the doctor about my pain reliefNS NURS SARITHA CHINNAN 2:49 okay Sheba doctor only advice like that. Yeah, but I will be honest with your doctor and then let meIS INTERLOCUTOR SHEBA KURIAN 2:57 know Yeah, let him come for the downs and I just want to clarify directlyNS NURS SARITHA CHINNAN 3:05 Okay, okay Shiva. And then in addition to that, are you doing any physical activity?IS INTERLOCUTOR SHEBA KURIAN 3:12 No sister I haven't been doing any physical activity because I haven't really go get out of from the bird because I think it may cause my pain personNS NURS SARITHA CHINNAN 3:26 is a you have pain but Bathsheba it's important to do that physical activity it will elevate the pain and then it will improve the healing process. Then it will reduce the risk of blood clots also in the legs.IS INTERLOCUTOR SHEBA KURIAN 3:44 He NS NURS SARITHA CHINNAN 3:46 should walk only Walker you you should not do any strenuous activities very simple. Walking only a yearIS INTERLOCUTOR SHEBA KURIAN 3:54 sister I do understand that but I would be happy if I continue with the IV morphine then I'm ready to perform some physical exercises.NS NURS SARITHA CHINNAN 4:07 Yes, I understood your concern. But you say Shaybah up work continuing IV morphine, it may cause many problems that's the reason I advise to switch to morphine tablets. And then in addition to that will provide you paracetamol also if you are not tolerating pain and then we will provide you injection morphineIS INTERLOCUTOR SHEBA KURIAN 4:36 Okay sister then I will have a try on that.NS NURS SARITHA CHINNAN 4:43 Is the water morphine nights long lasting and then slow release eight will take more time. It will relieve your pain for longer time also. It will speak to you our doctor about Pain relief on the next time around.IS INTERLOCUTOR SHEBA KURIAN 5:02 Okay, sisterNS NURS SARITHA CHINNAN 5:05 do you have any concernIS INTERLOCUTOR SHEBA KURIAN 5:07 and no more concern sister?NS NURS SARITHA CHINNAN 5:11 Okay, Sheba. I hope I have cleared all your doubts. If you have any doubt you can contact me immediately for listening. Thanks. IS INTERLOCUTOR SHEBA KURIAN 5:19 Thank you so much.


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