I'm here with Kelly today in the office. Marvel is with Peggy today. Eric has Sawyer so I've gotten more done today than I have in weeks! Kelly is working with Peggy on getting her more support while in the wheelchair. Peggy feels nervous when she gets in the wheelchair that her head and neck will flop around. We've been trying to work on this issue for a while. The problem is that we can't have anything too rigid because it will be uncomfortable, but anything too soft won't give enough support. Kelly has ordered a few different (and very affordable) neck braces that we are going to try. She's working next on some type of head support.
Peggy now has her customized dental guard to use to help when we roll her, transfer her, or put her in the wheelchair. It protects her teeth from clenching together and prevents her from biting down on the sides of her cheeks. Be sure to use this if and when you move her.
Peggy's been doing pretty good over the past few days. She has been periodically complaining about the cuff giving her trouble and some reflux issues. When Kelly was on last night she called in the cuff complaints. HCA had her take out the air and put it back in and she got 15ccs out and put 15 back in. Remember that if Peggy complains of reflux, take her off the tube feeding and sit her up. You should check to see if she has residuals in her stomach and if there is you can remove up to 40 ccs and put in 20 ccs of Mylanta.
That's about it. Peggy's eyes look great today! Yay!
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