SPEAKERS
NURSE (79%), INTERLOCUTER (21%)
NR NURSE RENITA D ALMEIDA 0:01 Okay, good morning. IM INTERLOCUTER MANJU 0:03 Good morning NR NURSE RENITA D ALMEIDA 0:06 how are you feeling Mr. John?IM INTERLOCUTER MANJU 0:08 I'm fineNR NURSE RENITA D ALMEIDA 0:11 you know I'm My name is ready to Dr. Mater. I'm one of the registered nurse of this hospital and I'll be taking care of you today. So how do I have come to discuss you regarding post operative pain relief yesterday you underwent surgery right? How are you feeling?IM INTERLOCUTER MANJU 0:30 Yes, Nurse operations went well, but still experiencing pain. The wound is painful and I'm a bit worried about this. Isn't it normal?NR NURSE RENITA D ALMEIDA 0:44 Mr. John central you underwent surgery yesterday. So it is quite normal. So is there any changes in the pain compared to yesterday? Do you have more pain? Or is it coming down slowly? No, no,IM INTERLOCUTER MANJU 1:04 I can tell that the pain relief medication is not working, the pain is going on getting worse. Okay, I'mNR NURSE RENITA D ALMEIDA 1:12 so sorry to hear about all this. But I want to reassure you regarding the pain Mr. Johnson because it is a part of healing you know, it will gradually it will vary and you will find much relief later on. Because we are giving you IV morphine right at this time, may I ask you regarding certain physical activities? No.IM INTERLOCUTER MANJU 1:44 Oh yes. Please proceed.NR NURSE RENITA D ALMEIDA 1:46 Yes, thank you for the cooperation. How are you doing regarding your walking your physical activity Mr. JohnIM INTERLOCUTER MANJU 1:54 Actually, I haven't been doing any physical activity really afraid that it will make the pain worse I did not even get out of the bedNR NURSE RENITA D ALMEIDA 2:07 surely understand that you are having a bit more pain that is the reason you must have not come out of your bed but do not worry but it's very important because since you're underwent surgery, it's very important to work to have physical activity you know to reduce your pain it helps in the healing of the wound and blood flow will increase and it will reduce any blood clots which is you know which which which will cause you problems later on. So, I would strongly suggest you to you know have some physical activity so, you can what you can do well you can have you know small walk around the bed also will do you start to gradually and you can you will feel much better following Mr. Jones,IM INTERLOCUTER MANJU 2:55 yes, I will try to do some physical activities but only if I can see on IV morphine to make sure that the pain is under controlNR NURSE RENITA D ALMEIDA 3:07 with I can surely understand that because you have been having pain but what I want to you know advise you is it's very important to you know, slowly remove you from the IV morphine then we can put it on oral morphine so because you have to get rid of this IV morphine because there is a lot of risk for dependency then you will may have constipation nausea, then you feel vomiting type and if you continuously keep taking this idea more in then you might have experience drowsiness and so you don't feel like getting up out of bed and it will affect your own healing and you have to stay in the hospital for a longer duration. I hope this is not okay with you.IM INTERLOCUTER MANJU 3:54 Okay, now, I agree with you. I don't want to stay longer in hospital, I will try to do physical activities without my whim often.NR NURSE RENITA D ALMEIDA 4:04 Thank you so much for understanding my advice and accepting it. What we have we will do is doctor will come and review your dosage, then he will put you on oral morphine because it's an IV injection, right? He will it will pay new also. So we'll put you on oral morphine, then slowly slowly will remove the morphine and put you on paracetamol. Will that be okay?IM INTERLOCUTER MANJU 4:29 Okay, now, I'm really glad that I can stay on IV more. Today really don't understand what is the difference between IV and oral medicine?NR NURSE RENITA D ALMEIDA 4:40 Surely I'm here to help you and clarify all your doubts. I'm glad that you asked this question. It's a really sensible question. IV morphine is x faster and effect also will reduce faster, whereas oral morphine will give it orally okay through your mouth. and it is long lasting means it will start working slowly and release effects slowly. So, you will have the effect the pain reduction for the longer duration. So, what we can do is oral morphine is better for you. So, when the doctor comes next time, you can discuss and you also can discuss regarding the pain relief. So, when he comes for the round you can discuss with him and he will put you on oral medication. Oral morphine will lead you okay.IM INTERLOCUTER MANJU 5:33 Okay nurse may agree with you.NR NURSE RENITA D ALMEIDA 5:37 Thank you so much for your cooperation, Mr. Jr. and I wish you safe recovery. Okay, if anything is there, please press the buzzer and I'll be sure to clarify your doubts. I hope I have clarified all your doubts.IM INTERLOCUTER MANJU 5:52 Yes. Thank you so much.NR NURSE RENITA D ALMEIDA 5:55 Thank you, Mr. John pick.
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