A very long day with definite successes. This morning we were introduced to a lady not opening her eyes and distressed with pain, after discussions with her team, we made a plan to address the pain, we followed the patient journey throughout the day advising on the prescribing, dispensing and practical administration (crushing tablets) of morphine together with frequent review. The outcome was the photo that you see above plus drs witnessing affectionate care and nurses learning new techniques.
Following on from this we have also developed a 5 point plan of action for the next three days (a bit ambitious?).
On a lighter note before leaving Kigali yesterday we met with Jean Claude (pharmacist overseeing morphine production for Rwanda) as there had been some issues with the last batch of liquid morphine due to the preservative used. However we were told we couldn't call it a preservative in Rwanda as this actually means condoms! We were told we should use the term conservative - jean claude said Rwanda is having problems with the conservatives and we joked so is the UK!! (Ha Ha).
7am start again tomorrow for a hospital meeting - such fun!
You are doing great work :-)
ReplyDeleteThis sounds like a really good day. Hopefully people will take on board some of our Uk style care and this will improve patients lives. We're all proud of what you're doing!
ReplyDeleteReally interesting to read what you are doing; keep up the good work. Don't forget where I am if you ever need a bag carrier! Gerry
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