20/11/2025
*Providing compassionate and skilled home-based nursing care is at the heart of what we do at Maryam Nursing Home Care Services.
*Recently, we cared for an 18-year-old patient with a complex and critical medical history, including:
•Toxic metabolic brain injury due to benzodiazepines
•Diffuse bilateral white-matter lesions
•Acute kidney injury (AKI)
•Deep venous thrombosis (DVT)
•Tracheostomy in place
•Respiratory tract infection (Pneumonia, Pseudomonas)
•Acute liver injury
•Grade-IV bedsore on the buttocks
•Bed-bound functional status
*My Nursing Interventions Included:
•Tracheostomy Care & Suctioning
Maintaining airway patency, ensuring sterile technique, and preventing respiratory complications.
•Bed-to-Chair Mobilisation (with the Physiotherapist)
Mobilisation performed together with the physiotherapist from our home care team, ensuring safe movement, proper handling, and gradual rehabilitation to improve circulation and minimise complications of immobility.
•Grade-IV Bedsore Management
Regular dressing changes, wound assessment, pressure relief strategies, strict hygiene, and nutritional guidance to support healing.
•DVT Monitoring & Respiratory Assessment
Careful evaluation of limb status, oxygen levels, respiratory effort, and early detection of any deterioration.
•Infection Control & Wound Care
Monitoring tracheostomy site, respiratory symptoms, and all wound areas with strict infection-prevention measures.
•Neurological Observation
Assessing responsiveness, reflexes, and day-to-day neurological progress.
*Current Condition:
The patient is now more stable, tolerating bed-to-chair mobilisation, showing better neurological alertness, and receiving consistent care for the Grade-IV bedsore, tracheostomy, and overall recovery needs.
Every small Improvement Matters✨❤️
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