British journal of nursing (Mark Allen Publishing)
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The use of coeliac plexus block (CPB) to relieve intractable pain owing to upper abdominal malignancy is well established. Significant relief of pain is reported in 70-90% of patients, allowing a reduction in opioid use and in the occurrence of opioid-related side effects (Eisenberg et al, 1995; Prasanna, 1996). ⋯ However, severe complications, including paraplegia, have been reported. When CPB is performed, nurses should be aware of these potential complications and their management.
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Review Case Reports
Discharge planning in rehabilitation following surgery for a stoma.
Discharge planning and establishing goals for rehabilitation after stoma surgery is an ongoing process, which should be preceded by an holistic assessment, ideally carried out by a specialist practitioner with knowledge and experience in this area. The practitioner needs to have effective listening skills to ensure that both practical and psychological care are patient-centred. ⋯ The specialist practitioner may not be able to meet all the patient's needs and should refer on to other specialist staff where these services are available. Such multidisciplinary input, utilizing appropriate problem-solving approaches with the involvement of patients and their carers, can only enhance the quality of care delivered and optimize the process of rehabilitation.
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Heather was drawing up antibiotics which were to be given intravenously to a patient suffering from a severe chest infection. She had to mix the antibiotic with a saline solution and then administer it to the patient. ⋯ The patient subsequently suffered harm. Is Heather to blame?