Swaraj Hospital & Research Institute, Bolangir

 

 

 

  Effective prevention is a holistic approach that involves the entire care team (nurses, doctors, family, and the patient themselves). It rests on four main pillars. Pillar 1: Frequent Repositioning and Turning This is the single most important step. The goal is to relieve pressure on vulnerable areas and redistribute it. The 2-Hour Rule: Bedridden Patients should be repositioned at least every 2 hours . This includes turning from back to side, and side to back. Scheduled Turns: Use a turning clock or schedule posted in the room to keep track and ensure turns are not missed. Chair-Bound Patients: If a patient spends time in a wheelchair, they should shift their weight every 15 minutes . If they cannot do this independently, a caregiver should reposition them every hour. Proper Positioning: Use pillows or foam wedges to keep bony prominences (like ankles and knees) from pressing against each other. For side-lying positions, place a ...

 

Goal for Pain Management The patient's pain will be kept as low as possible, to a level they find acceptable. Expected Results for the Patient The patient will have good pain relief. Their reports of pain will be believed, checked, and acted upon. Nurse's Actions The nurse will do the following: Check sickle cell patients for pain every 4 hours or as needed, using the correct pain scale, and write down the results. Understand that pain in sickle cell patients has unique causes, feels different, and needs specific treatments. Get help from other teams when needed, like Child Life, Rehab Services, or Social Work. For a new, severe pain episode, check pain levels again 30 minutes after the first pain medicine is given. Tell the doctor or nurse practitioner 30 minutes after that check and expect an order for more pain medicine. Give pain medicine as ordered and prepare for the patient to use a Patient-Controlled Analgesia (PCA) pump. Use non-medicine treatments like heat packs, war...