Admitted a 93 y/o male with hip fracture, been sitting on the BSC for the last hour trying so hard to have a BM, when asked when was the last time he had a  BM, he replied I always have bm 3x a day, and I havent had one since yesterday morning. After that I don't know if I want to live this old..
Enters the wife with early stage of alzheimers...she looks really upset, "we've been waiting for 2 HOURS!!" yelling at the poor guy... :(

G1-P0-A1

Come to find out  that young mother that had a stroke, lost her baby over the weekend. She continued to have spotting throughout the night and eventually had a spontaneous abortion. Yesterday when i visited her she is still the same, clear in mind but unable to verbalize anything, still emotions labile. I saw her husband in the hallway lst night and briefly said hi and asked how everything is doing, he said she might be having another stroke coz of some functional decline and changes, she was on her way to MRI. Aww, I say a prayer for her.
 Our census is up to 33 , wow I havent seen that for a long time. I  am officially able to stay and get my hours again. I keep my fingers crossed, I have 3 d/c today. Finally published the mini book  Patient's Guide to our unit, helps me big time on multiple admissions. Time to revise my video orientation too.
Im working on staffings again for a late day next week, hoping to catch up with some procedures.

Opposites

Admitted a 34 y/o female with Dx of CVA. Aside for being a young CVA patient, what really makes this case sad is that she is 5 weeks pregnant. She and her husband had been trying for years to conceive to no avail. Just 5 days ago, they adopted a 6 year old boy, because they had given up hope of having their own child. 4 days ago she found out she is pregnant, the next day she had a massive stroke. It is a major stroke that left her right side of the body flaccid, she is aphasic and unable to take anything per mouth, thus the NGT. It is a very sad case, that kind that leaves an imprint in your heart and soul. all you can do is give them hope, draw inspiration by telling them our past success stories.
Incidentally, just 3 days ago we received a visit from one of our former patients. She is a very young mother of a 3 y/o very cute boy, I think she is 28 or 29 y/o. She also had a massive stroke. She had an undiagnosed hole in her heartwall that threw a clot, thus the stroke. She came up in our unit, with one side of the body totally flaccid and aphasic too. When she visited 3 days ago, she is walking onher own w/o any assistive device, and talking straight. Smiles and hugs were exchanged.
I hope this current patient will have a good recovery. As I was leaving for the night, she started having some spotting and moderate hematuria...she is only 5 weeks pregnant, her BP upon admission was high, 207/114mmhg. She received xray radiation bcoz her NGT had to be checked for placement, considering her current condition and their struggles to conceive, I dont know how I feel about her pregnancy. I have an ambivalent feelings about this.
Ironically, today I had another admission, young female, 26 y/o. Respiratory failure & GI bleed d/t possible OD. She had elective abortion 4 months ago...that really stopped me on my tracks and think about these 2 young females predicament...one who will do anything to get better because she is finally having her own baby, and one who chose to let go of the baby,, for whatever reason..