Nenek's care

Day 1, Nenek wakes up to a good start. A fresh colour on her face and great alertness.

We have 2 priorities 1.Dietician Team & 2.Wound Team She will be on long term anti-biotics.

Her bed sore is a gaping wound, now on both sides of her pelvis. She also have a hip fracture. Blood test is still ongoing. Her XRay shows no infection on her affected bones however the Wound team is doubting this. An MRI scan would help determine. May Allah lessen her burden.

From Hafiz

Dr Vernon medical team met on (25 oct 17, 1100 hrs)

Dr Celeste on call doc (met 24 oct 17, 200hrs)

Prof Ragu ( head of medical team)

Release form

Currently nenek on

Anti biotics- augmentin

Blood bacteria - E. coli ( confirmed present)

Dr tan deshawn 26 oct 17 1054am

Ct scan done. Good 

but have 1.5 cm gall stone in gall bladder  

Not affecting route

Blood culture test proves blood infection is positive. Unable to determine source of bacteria. 

The E. coli  bacteria is diff and usually comes from the stomach but Ct scan shows low possibility

Blood infection possible to come from open wound ( not confirmed )

MRI to be done 26 oct 17 today to confirm if there's bone infection.

X ray shows signs of infection.

If confirm, docs will know which type of anti biotics to use and the duration to be under anti-biotics

Discussed possibility of plastic surgery and skin grafting but the prof ragu (head of the med team says it's not a good idea cause of the invasive anesthetics

She is classed as a 4. The highest rate of 1-4 among the patients severity.

5-10% she may not survive the infection. 

It could be anytime, maybe next month,maybe next week if she suddenly has high fever, the bacteria may have spread and overcome her. But so far her signs are ok. No fever at the moment just low blood pressure .

From the dietician/nutritionist , she lost a lot of weight cause during all these years, she hasn't had enough calorie to meet her baseline ( just to meet her req calorie intake for a person her weight) 

For now she will take a vanilla susu ( enrich 2.0) which is twice as dense in calorie than  her ensure milk . 

We aim to get her to have 1500 calorie from now onwards daily ( her baseline needed is 1250 cal )