She was up and sitting in a chair once and walking the ward once yesterday (Day 2). She is doing that again today.
Catheter out.
Gut awakening - Eating and drinking allowed. Switch to oral pain meds in addition to some intermittent IV pain meds.
Had a rough night last night when her pain spike from the PT did not come down afterward. We finally got a handle on that today and she is comfortable. The nurse said they aim to keep the pain below 4 but she was above 8 all last night. They had removed the basal morphine yesterday and she was only on the button so when she slept, the pain got away from her. I didn't realize in time what was happening but I got it resolved this morning. Slow learning curve for me I guess.
She is far more mobile than the other kid and moves around A LOT. She has been doing the turning on her own from the first day. This may be contributing to her pain last night that didn't resolve after the PT but I think it's mostly the removal of the basal morphine dose.
Today she log-rolled herself up from a laying position and stood up completely by herself. The nurse and I went slack-jawed. She did it perfectly, keeping her shoulders and hips in line. You won't know she just had back surgery 3 days ago. She can't get back in bed so well, though. She wants to do it herself and ends up hurting herself. She needs help with this but doesn't want it. I think part of the reason is me helping with log-rolling is on the "RUN AWAY!" list in the briefings from her sister. But she won't let my husband or the nurse help either.
Changing of the wound dressing went far better than expected. Although on the "RUN AWAY!" list, it didn't hurt Willow.
So the lesson is, while it's good to be debriefed, every one is different, as Ti Ed so wisely pointed out earlier.
Catheter out.
Gut awakening - Eating and drinking allowed. Switch to oral pain meds in addition to some intermittent IV pain meds.
Had a rough night last night when her pain spike from the PT did not come down afterward. We finally got a handle on that today and she is comfortable. The nurse said they aim to keep the pain below 4 but she was above 8 all last night. They had removed the basal morphine yesterday and she was only on the button so when she slept, the pain got away from her. I didn't realize in time what was happening but I got it resolved this morning. Slow learning curve for me I guess.
She is far more mobile than the other kid and moves around A LOT. She has been doing the turning on her own from the first day. This may be contributing to her pain last night that didn't resolve after the PT but I think it's mostly the removal of the basal morphine dose.
Today she log-rolled herself up from a laying position and stood up completely by herself. The nurse and I went slack-jawed. She did it perfectly, keeping her shoulders and hips in line. You won't know she just had back surgery 3 days ago. She can't get back in bed so well, though. She wants to do it herself and ends up hurting herself. She needs help with this but doesn't want it. I think part of the reason is me helping with log-rolling is on the "RUN AWAY!" list in the briefings from her sister. But she won't let my husband or the nurse help either.
Changing of the wound dressing went far better than expected. Although on the "RUN AWAY!" list, it didn't hurt Willow.
So the lesson is, while it's good to be debriefed, every one is different, as Ti Ed so wisely pointed out earlier.
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