Normally
when patients are confused, their conversations are very fragmented and
have no specific order. However this is not always the case. This
particular patient was definately not fragmented at all.
She
was an elderly lady in for a broken hip repair. (Normally when an
elderly patient gets a hip repair/replacement done, they usually end up
confused or in even worse health then when they arrived at the
hospital). She was very confused and on top of the confusion she could
not hear a peep without her hearing aids, which of course her family had
not left with us. Because she could not hear anything she just
continued on in her conversation no matter what we were saying or
doing.
She
was receiving blood because during the hip repair she had lost quite a
bit and we needed to build her volume back up. Surprise surprise as the
blood transfusion was only about half way complete, she pulled her IV
out. There was blood everywhere. It looked like there had been a
massacre in her room. I went into replace the IV not exactly sure if in
her confused state she would let me. I recruited one of the techs to
help me steady her arm and to help me clean her up and change her bed
after I was finished.
As
soon as I began prepping my supplies and cleaning her arm, she started
to pray. She continued to pray about how this was the end and it was
time. She then went on to say "Forgive them for they know not what they
do. Forgive this servant of satan (pointing at me) and forgive this
rapist. Make them see the wrong in their ways." That was the first
time I have been called a servant of Satan and was very interesting. As
I finished cleaning her up, she started a narration (complete with all
her family, her brother and dead sister in the room). She was rambling
on. She continued this for 12 straight hours and in those 12 hours she
told the longest narration I have ever heard. And it had a timeline.
Her family and her had went to church (I'm guessing this was during her
praying time), drove home, then went to a party up in the hills, then to
an after party (at this point she was going on and on about all the
alcoholic drinks she was having and how she wanted "just one more
beer"). On the way home from the after party, her brother almost ran
over a child and they ended up in the creek and almost drowning. From
there they made it home where her sister managed to break her most
precious belonging and boy did she get mad. At this time it was 0600
and I got busy and lost track of her conversation but it left me
wondering what kind of interesting life she had led.
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