SPEAKERS
NURSE (85%), INTERLOCUTER (15%)
NJ NURSE JESMY ANTONY 0:01 My name misson just made up with stroke nurses working in this hospital ward and I will take care of featuring for my baton confirmation with your case not May I know your name?IA INTERLOCUTER ANUSHA KYATHAM 0:13 My name is JohnNJ NURSE JESMY ANTONY 0:15 okay Mr. John and you are 33 year old stat rightIA INTERLOCUTER ANUSHA KYATHAM 0:20 yes nurseNJ NURSE JESMY ANTONY 0:22 okay and you have been recently admitted to the hospital with a diagnosis of acute pyelonephritis right?IA INTERLOCUTER ANUSHA KYATHAM 0:29 Yes nurseNJ NURSE JESMY ANTONY 0:31 How are you feeling today? Are you happy noIA INTERLOCUTER ANUSHA KYATHAM 0:35 not not I want to be discharged I do not want to stay here anymore. I am feeling better I can take medication regularly I can take care of myself hadNJ NURSE JESMY ANTONY 0:48 form solid bathrooms for any reasons for me from our hospital settings which upset youIA INTERLOCUTER ANUSHA KYATHAM 0:54 yes, no nurse I am not interested to stay in the hospital please nurse do something I can continue the treatment at home.NJ NURSE JESMY ANTONY 1:05 Okay, I respect your decisions what you are said but as their assigned staff nurse it is my responsibility to explain you regarding the discharge which means left against medical advices because at your current stage your doctor won't be give you the normal discharge pattern because you are not eligible for the discharge at this time. Okay. And it is my responsibility to explain your regarding the complications even after you get against from the medical advice Am I clear to you Mr. Jones,IA INTERLOCUTER ANUSHA KYATHAM 1:46 but not if I'm not convinced, but if help can be provided for my family I can stay here until I recover Try to understand my family means a lot to me.NJ NURSE JESMY ANTONY 2:00 Okay certainly understand your concerns being a owning member of the Enter family it is very difficult to handle this kind of situation. But please try to understand your current health status it is very difficult to handle the normal home settings because you may have the chance of getting potential kidney damages and failure risk of blood poisoning and I think this is a very emergency condition which you can't manage the winner home settings at any point of view that's why I strongly recommend you to please complete the treatment course at the hospital itself and after a complete recovery you can leave the hospital with the support of the supporting groups okay IA INTERLOCUTER ANUSHA KYATHAM 2:46 okay. NJ NURSE JESMY ANTONY 2:49 Because as he was aware, he wrote that currently any oral medicines or any other food or fluids are not tolerating your body all those are rejected from the body itself. So, currently you are in completely depends on intravenous therapy and total parenteral nutrition is giving you for maintaining the normal chemo dynamicity okay which need to be continued in the hospital setting itself otherwise I can respect your decisions. Anyway the final decision is up to you. We will continue with your same decision we want to choose some alternative measures to support you even after you get discharged from the hospital. Which soundsIA INTERLOCUTER ANUSHA KYATHAM 3:42 Yes Now that sounds better.NJ NURSE JESMY ANTONY 3:47 I think if you want the discharge as a strict decision from your side, we can appoint you some organized hospital workers by informing it to your nearby social worker and key they can arrange an alternative person for your home settings except for take care of you. Is that okay for you. I think it may be a better way to you to stay in your home settings itself and you can manage your condition but please make sure to complete with your medicines and follow the instructions given by the doctor at the right time.IA INTERLOCUTER ANUSHA KYATHAM 4:26 OkayNJ NURSE JESMY ANTONY 4:28 and if you have any further complications like anything like any allergic reactions, any bleeding nausea, anything like that please immediately contact the emergency department as soon as possible.IA INTERLOCUTER ANUSHA KYATHAM 4:41 Okay nurseNJ NURSE JESMY ANTONY 4:43 okay. Do you have any questionsIA INTERLOCUTER ANUSHA KYATHAM 4:45 no nurse and clear all doubts.NJ NURSE JESMY ANTONY 4:49 Okay. So let me inform your decision to the doctor and let he will decide decide the further things and based on his findings, I will inform you and If discharge is possible I will proceed with the further processesIA INTERLOCUTER ANUSHA KYATHAM 5:05 okay okay now NJ NURSE JESMY ANTONY 5:09 if you have any further queries and concerns please press this buzzer I will be avoided resonances stationIA INTERLOCUTER ANUSHA KYATHAM 5:15 okay nice thank you.
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