[Narrational Nursing] Grandpa Hou who does not want to be discharged from the hospital ●Nursing narrative nursing is a part of narrative medicine. It is a new psychological nursing model and method produced by combining narrative treatment concepts and methods in postmodern psych

[Narrational Nursing] Grandpa Hou who did not want to be discharged from the hospital

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333d33d3 who did not want to be discharged from the hospital

d3d3d3d3d3d3d has been hospitalized in the surveillance room of the respiratory and critical care medicine department of the city central hospital for inhalation pneumonia for more than three months. The beds around him have changed batch after batch, but Grandpa Hou has no plans to discharge.

Mrs Hou had undergone cerebral hemorrhage due to cerebral hemorrhage . Although he had actively treated it, it left behind poor physical activity and lost the ability to take care of himself. This hospitalization was caused by inhalation pneumonia caused by choking and coughing. After admission, the gastric tube and nasal feeding nutrient solution were placed. After active anti-infection, cough and expectoration treatment, Grandpa Hou's condition improved significantly compared with the previous one. He should have been discharged from the hospital and reunite with his family to share the joy of family life, but what is heartbreaking is that his family has been refusing to go through the discharge procedures. The doctor tried to persuade him, but the communication was fruitless.

Grandpa Hou has always been a wife who came to deliver daily necessities during his hospitalization. Because of the epidemic, his wife often calls to ask about Grandpa Hou’s condition. On that day, Grandpa Hou’s wife brought toilet paper, diapers and other daily necessities as usual.

I walked up and said hello to her, "Grandma, you are here, miss grandpa."

She replied, "Yes, the old man who cares most about at home all day is the old man."

At this time, the rounds doctor came over and said, "Grandpa Hou's condition has improved, the infection has been well controlled, and he can be discharged from the hospital and go home. Look, let's go through the discharge procedures in the past two days."

As usual, she refused repeatedly, "No, doctor, we You can't be discharged from the hospital. "

Seeing my grandmother's anxious look, I continued to ask, "It's a good thing that Grandpa Hou can be discharged. What is the reason why you don't want Grandpa Hou to be discharged from the hospital?"

She replied, "I'm scared. I'm particularly scared when I think of picking up my wife home."

I continued, and asked, "What's the reason that makes you scared?

She said, "There is no doctor, no nurse, no guardian at home, and the safest hospital.

I asked: "Grandpa Hou's heart function is very good. What needs to be closely observed is the blood oxygen saturation. You can prepare a finger pulse oxygen monitor with your fingers clipped."

She said: "No, there is a tube on his nose. How to change this when he goes home?"

She said: "No, he has a tube on his nose. How to change it when he goes home?" html l4

I told her: "Now our hospital has a Jiuzhou Youhu platform. Just make an appointment on it and we will have a qualified nurse from Zibo Central Hospital to serve you."

heard this, she paused, and then shook her head, "No, I don't know how to make an appointment with the APP. Also, my bed is not good..." The old lady's series of refusals made the head nurse think that it might not only be the current difficulties that make her feel scared, but there should be other reasons that bother her, so the head nurse asked: " You just said that I was still scared. When did you feel this way?

She thought for a while and said, "I felt unprecedentedly scared when my wife had a cerebral hemorrhage last time. When I first found something was wrong with him, I was frightened silly. The doctor said that if I had been sent to the hospital earlier, I might not be as bad as it is now..." When she recalled that bad past, she couldn't help but shed tears.

head nurse said, "What impact did that bad experience have on you?"

She said, "It has a great impact on me. I am now particularly afraid of taking care of my wife at home, for fear that if I am not careful, I will delay his condition. Even when I hear the sound of an ambulance, I will become very nervous."

Hearing the head nurse talk about the children, the old lady's eyes turned red again, and nodded and said, "Yes, the children are also looking forward to seeing the old man. Every time I go home, I ask me when I will be discharged from the hospital and go home."

The head nurse took the old lady's hand Consolation: "No one would have expected what will happen tomorrow, but we will accompany you when we can. Isn't this the best explanation for cherishing the people in front of you? Don't worry, take the old man and go back with confidence. Our department will also do follow-up visits. If you encounter problems, you can contact us at any time. Come on, I'll teach you how to use the Jiuzhou Youhu platform to make an appointment..."

said, and the head nurse picked up his mobile phone and taught the old lady how to use Jiuzhou Youhu step by step. The old man had a poor memory when he was old, so the head nurse kept saying it over and over again, and finally wrote the operation process on paper and handed it over to the old lady. Finally, the old lady shook her head in the first place and slowly turned into a nod of affirmation.

After confirming that I could take Grandpa Hou home, I found that there was light in the old lady's eyes, which must have ignited new hope for life, and her eyes became more firmer than before. On a sunny afternoon, Grandpa Hou's family finally came to pick Grandpa Hou home. The discharge process was handled smoothly. The successive health education of everyone in the early stage also gave the family the confidence to take good care of Grandpa Hou at home.

Seeing their smiling faces coming home happily, I suddenly realized that this is the charm of narrative care. It allows us to listen to the stories behind patients from a different perspective, understand and help patients as much as possible, and bring us closer to patients. With our humanistic care, intensive care unit is no longer just the coldness of the instrument. Warm ripples spread and become a warm corner of the patient's heart.

Contributed by: Department of Respiratory and Critical Care Medicine Liu Na

Editor: Chen Yuan

Review: Publicity Department

Review: Publicity Department