My Peculiar Aristocratic Title is:
Empress Miriam the Malleable of Hopton Goosnargh
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Tuesday, January 31, 2006

No gore...............now that's boring!


Mingalicious but scabalicious too! As you can see we have closure, well not totally but nearly. There are still little bits along the scar which collect fluid underneath and then pop to drain the fluid out! Kinda like a blister really but a bit more sinister........

I have started my care of the acutely ill adult course which should be very interesting and useful, well apart from the 7000 word essay I have to do to pass it :(

We have started first choice on the ward which is a system we use to encourage better discharge planning and have pts leave the ward before 11am on day of disharge therefore improving efficiency, saving money lost on poor bed usage and in theory it will mean we can have elective pts in earlier and not have a rush of admissions at the end of the day. It should work and I was in charge the 1st day we did it and when the head of nursing came round I was able to say we had discharged 3 pts before 11am, cha ching that was nice!

I am talking on friday about missionaries in India..........an extra talk to blend with the honourable Mr Carey series.

Laters dudes x

Monday, January 23, 2006

Finally we have some skin...........and I really do look nutty!


For some random reason my phone isn't appearing in my nokia pc suite so I can't upload the most recent picture of healing. I can hear you breathe a sigh of relief, especially Mrs B! I have just inserted a random picture instead to keep you amused, and yes it's Tetley the famous rat along with my nutty molars!

Mr nn's wound is finally healing up nicely. Minimal dressing required so soon I won't have to do it anymore, yay! He's gonna have a butt ugly scar but hey at least he still has his head!

Time to have a dip and relax the muscles before tomorrow's shift. I am in charge again................................hee hee hee!

nn xx

Tuesday, January 17, 2006

Two steps forward one step backwards.....



Well as you can see the original wound on the right has granulated upto the surface. All that is now required is a bit of skin please!
Unfortunately as you can see we have a new contestant for annoying wound of the year award on the left hand side. If you look back as previous posts you will see a blob to the left of the wound. This was a collection under the scar and has now opened into a new wound. Fingers crossed it will heal up soon but Mr Nuttynurse is finding his general unwellness and wounds very frustrating to say the least. I remind him that he could have to go and see a practice nurse everyday to get it dressed but then again he has to put up with me so that wasn't the best reasoning in the world! I mean who would put up with a nuttynurse anyway! Yessireee!
Anyhoo people keep it real and pray for the gathering of the elderly people for food and fellowship on thursday.

nn x (click on the small icon top right for a scary pop up) copyright nn 2006

Friday, January 13, 2006

Look at the granulation!


Granulation is the posh term given to the growth of new tissue. If you look at the pic you can see pink blobs which are new tissue which has grown. From futher scrutiny you can still see the stubborn slough in the right side which is preventing me from taking steps to stop it smiling so widely. Anyhoo I'm pleased with the speedy growth as it means we are finally getting somewhere but not at the naughty little blob to the left of the wound which is threatening to spoil the party.

I coordinated at work this week which meant I was in charge of the ward. This means dealing with all enquiries passed my way, sorting out people's discharge plans i.e sorting out the involvement of social services, answering the annoying phone, making sure medications for discharge are done, going through every patient with the bed manager who is like a vulture waiting to swoop on available beds, doing the multi disciplinary meeting and on and on. Plus normal nursy stuff. It was good and I enjoyed it..............I've got the power!

Newsflash. The honourable Wendy Riedel has an ear infection so is not a the commencement of friday meeting which is a shame but hopefully she will be right for next week.

Peace out dudes. xx

Tuesday, January 10, 2006

It's a smiling wound my friends!


Well as you can see when I get home from work I still have more to do! I have been dressing David's wound everyday for the last 2-3 weeks. Following some antibiotics the cellulitis around the wound cleared up but it remains problematic. The yellow you see in the right side of the wound is slough which is dead skin. After this has come out I will encourage the wound to close by using steri-strips to hold the edges of the wound together. Unfortunately this is not going to be a beautiful scar like Moomins but we can't have it all can we!

Ever since the wound opened up I have been taking pictures of it on my phone and grossing people out! That is why the pic doesn't have great resolution but its only 1.3 megapixels.

Please pray that in the coming days the wound will heal quickly and that David will be restored to full functioning capacity as he is still very tired despite the Christmas break. X

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