一星期後早上 骨科病房護士站89Please respect copyright.PENANAqvX3oKOVDm
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部門運作經理王志剛正與病房員工開會宣佈事項...89Please respect copyright.PENANA8XCOeTLSzr
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「相信大家有留意到醫院大堂嘅通告,都知道最近內科病房病床收爆咁滯,情況去到好惡劣嘅階段,果便阿DOM於是向高層要求協助,希望其他部門都可以幫手舒緩一下,而我衡量過現時骨科病房,無論人手同埋資源安排上都可以應付,決定開闢獨立病房接收4個老人內科新症,會交由內科DR.嚴去主診,Y SIR同莫姑娘負責INCHARGE,日常護理則由亮發,阿占同卿姐負責,莫姑娘跟住會重新再編更,一人睇一更,卿姐呢方面固然經驗豐富,而其他兩位同事,喺經歷過考核之後,呢個係你地表現既好機會,要好好咁把握..」89Please respect copyright.PENANAtRNgKgW4eU
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「係!!知道!!」兩人連忙點頭回應...89Please respect copyright.PENANAfVf9yPY7kb
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「如果冇其他問題,今日就係咁多,各位同事加油!!」89Please respect copyright.PENANA8UwIfdilse
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王志剛出言勉勵後,離開病房.......89Please respect copyright.PENANApId0WfFkj0
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同日下午 骨科病房護士長辨公室89Please respect copyright.PENANA7IV9G1lWEa
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「亮發,唔經唔覺,你已經黎左呢個WARD半年嘞,,整體上嘅表現都唔錯,我地都好欣賞,今日叫你黎,主要係你份評估報告出左,跟住落嚟,Y SIR會同你講解份報告嘅內容...」莫姑娘先打開引子,並同時向Y SIR示意...89Please respect copyright.PENANAM7JBWGXLoP
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「係,你既評估大致上分為呢幾方面.......」Y SIR隨即展示報告向亮發講解,直到最後指了指報告左下方橫線上....「如果你同意嘅,就呢度簽個名....」89Please respect copyright.PENANAReRkfyFoMV
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「你好大機會晉升做中級助理,只要睇埋你今次嘅表現,問題都應該唔大.....」亮發簽署時,莫姑娘再加以補充....89Please respect copyright.PENANAaRcRVl43Bl
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「知道...都要多謝你地肯俾機會我.....」亮發表現謙虛,連忙致謝..89Please respect copyright.PENANAIqvYdUE3hZ
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「先唔好咁開心住...CARE內科PATIENT比骨科要更加細心咁去觀察,呢4個CASE都係長期臥床長者,其中一個仲係嚴重AD,已經去到表達唔到自己嘅階段,雖然家屬已經簽左DNR,不過都絕對唔可以馬虎,要密切留意佢有咩變化.....」莫姑娘特意說明...89Please respect copyright.PENANAilkolxSt0l
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「總之,發覺有咩問題嘅,就要即時報告,知唔知....」Y SIR善意補充....89Please respect copyright.PENANA0mFUoyUsUS
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「係!!明白!!」亮發點頭回應..89Please respect copyright.PENANASzYeF1XrYY
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「咁唔阻你放工,你可以走喇...」莫姑娘以手勢示意亮發離開...89Please respect copyright.PENANAiD5lp7E0rG
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「係,咁莫姑娘,Y SIR,我收工喇!!」89Please respect copyright.PENANAxPxEzUEZVq
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「唔!!」89Please respect copyright.PENANAt1pMtiSmxz
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「拜拜...」 Y SIR回以一句89Please respect copyright.PENANABVmjm0lbCp
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「希望佢可以順順利利咁升職啦...」望著亮發背影,莫姑娘似感到有隱憂.....89Please respect copyright.PENANAo6A53xYhDR
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阿茲海默氏症(拉丁語:Morbus Alzheimer,德語:Alzheimer-Krankheit,縮寫:AK,英語:Alzheimer's disease,縮寫:AD)或稱腦退化症。舊稱為英語:Senile Dementia of the Alzheimer Type,縮寫:SDAT 、阿爾茨海默病、老人失智症;俗稱老年失智症(但醫學界不建議使用此名稱)。阿茲海默氏症佔了失智症中六到七成的成因,是一種發病進程緩慢、隨著時間不斷惡化的持續性神經功能障礙。最常見的早期症狀,是難以記住最近發生的事情。隨著疾病的發展,症狀可能會包含:譫妄、易怒、具攻擊性、無法正常言語、容易迷路、情緒不穩定、喪失生存動力、喪失長期記憶、難以自理和行為異常等。當患者的狀況變差時,往往會因此脫離家庭和社會關係,並逐漸喪失身體機能,最終導致死亡89Please respect copyright.PENANA5ZGTt61anQ
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拒絕心肺復甦術(英語:Do not resuscitate,縮寫為DNR),又譯為放棄心肺復甦術、放棄急救同意書,也稱為拒絕緊急救治(No Code)或No CPR,是一種法律文書,病患在平時或在醫院時預先簽署,表明當他們面臨心跳停止或呼吸停止的狀況時,不願意接受心肺復甦術(Cardiopulmonary resuscitation, CPR)或高級心臟救命術(Advanced cardiac life support, ACLS)來延長生命。患者通常為老年人,或者長期多病住院,或患有預後不良的晚期癌症。DNR不影響除了氣管插管與心肺復甦術以外的其他搶救手段,患者仍可接受化療、抗生素治療、透析等。
三天後晚上89Please respect copyright.PENANAMBcZ0i1yP7
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浸浴中的ANNIE,回憶起日間....89Please respect copyright.PENANArLWWpTZBNL
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「ANNIE,希望我同阿DOM可以幫到妳...」89Please respect copyright.PENANAmPvzzRHBZM
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莫姑娘將一個內有推薦信的信封交予ANNIE..89Please respect copyright.PENANAgufJsMs4am
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「唔該哂妳,莫姑娘...」ANNIE欣然接過後...89Please respect copyright.PENANAUm8LOc5ICL
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「先排咁忙,而家先至得閒問妳,妳真係.....唔需要再認真咁考慮?」89Please respect copyright.PENANAtRqKZq6CMP
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「莫姑娘,我已經考慮得好清楚㗎嘞,妳係怕我能力上應付唔到?」ANNIE說時面帶一絲疑惑89Please respect copyright.PENANAPGbnyWQwug
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「我唔係驚妳技能上應付唔到,妳一直都表現咁出色同細心,絕對係難得嘅護理人材,我係擔心妳身體上支唔支撐到咁密集嘅訓練同埋工作,妳應該明白,過度操勞對妳身體絕對有害無益,甚至容易引發再次中風...」89Please respect copyright.PENANAZtyLvkOn4Z
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「多謝莫姑娘關心,我就係知道自己時間有限,所以更加要把握每一分每一秒,盡力咁做好佢,不過,我唔會太勉強自己,一定會分配時間休息,應承妳,我畢左業之後,如果妳需要我嘅,我第一時間返黎歸隊」ANNIE目光一貫堅定...89Please respect copyright.PENANAzTElAQFhpV
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「既然係咁,我唯有尊重同支持妳嘅決定,希望妳成功......」莫姑娘少有的語重心長.......89Please respect copyright.PENANAfW5EPuFaPb
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「ANNIE,有D野想問下妳....」剛進PANTRY的MIKE見ANNIE在內休息,連忙呼喚...89Please respect copyright.PENANAjRRDBexVzD
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「唔,咩事呀? MIKE..」正坐著舉杯的ANNIE,停下來望了望MIKE...89Please respect copyright.PENANAKKRJK2K0y6
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「我想去紋身,妳幫下眼俾D意見吖..」 MIKE說時,連隨遞了數張印上了圖案的紙讓ANNIE過目...89Please respect copyright.PENANAfgBeniztgs
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「啊...呢D圖案...都幾靚喎...」 ANNIE看見圖案中,包括自己胸口上的"鳳凰再生圖",先是一愕,再裝作若無其事..89Please respect copyright.PENANAzeVx0RcHRb
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「我發夢見過一個圖案,覺得好靚喎,於是憑記憶上網搵左幾幅類似既...」MIKE於桌上分開排列圖案...89Please respect copyright.PENANAExG8RQilOl
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「咁你係想紋落隻手度?」 ANNIE扮作細心檢視其他圖案....89Please respect copyright.PENANAk2mq7KGpHo
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「我發夢見果個圖案位置係喺心口,所以我都會紋番落心口度..」89Please respect copyright.PENANAdHOiq0mLJj
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「好.....痛果噃,你唔怕咩?」知道MIKE對那晚自己的裸體仍有所印象,ANNIE不禁一怔....89Please respect copyright.PENANA43v5eLCd6Q
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「唔怕!!咁妳覺得邊張好睇呀?」MIKE天真的拍了拍胸口...89Please respect copyright.PENANAxq8A5Nn3by
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「咁...就呢張啦...夠鐘喇,我返出去先,你慢慢...」ANNIE隨手選了一張不是"鳳凰再生圖"的給MIKE後,藉故離去......89Please respect copyright.PENANAhkmxlBzj6z
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「佢始終忘記唔到果晚.....點算好....」89Please respect copyright.PENANApdVveSiBqk
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未知如何面對的ANNIE,此刻抱膝浸於浴缸中,一臉苦惱.....89Please respect copyright.PENANACDEEnpn4uT
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然而,她沒有為意,從PANTRY返回護士站途中,經過獨立病房時,內裡所發生的,正是即將令整個骨科病房出現危機的源頭..........89Please respect copyright.PENANAGKrwTE7IQv
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「臨收工都要換片,仲要一個人做,真係.....」阿占正於嚴重AD長者床邊抱怨,此時一人步進.....89Please respect copyright.PENANAVPomN8N7wq
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「卿姐,唔該妳幫幫手...佢雙腳硬哂駄咁,擘極都擘唔開...」阿占見來人正是卿姐,心中暗喜有人可出手相助....89Please respect copyright.PENANAWPqis1I8Hd
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「睇過....真係梗哂喎,唯有咁啦....唏!!」卿姐重施故技,猛力將長者雙腳抬高,就在此時.....89Please respect copyright.PENANAMCetS8cVy8
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阿占窺見長者的面容扭曲了一下,但未有作聲,登時呆住..89Please respect copyright.PENANAvVo9LKiMYa
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「阿占,夠哂鐘喇你,冇特別野交低就走啦..D手尾我跟得喇....」卿姐邊替長者蓋被,邊催促阿占離開....89Please respect copyright.PENANA1ZJax9ymj4
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「哦.....咁走喇卿姐...拜拜...」阿占還以為是自己錯覺,故沒向卿姐明言....89Please respect copyright.PENANAPyOIr94TLT
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「拜拜.....」卿姐邊忙邊回以一句...89Please respect copyright.PENANAB7fCy7xyxm
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一直到晚上,除吃飯時可稍作休息外,卿姐都忙過不停...89Please respect copyright.PENANAEX6SaFEwFn
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「血壓同脈搏都低左...要通知姑娘先...」於常規量度病人生命表徵過程中,卿姐正要將量度嚴重AD長者所得出的異常數據記錄於病人牌板內的MEWS CHART時...89Please respect copyright.PENANAre4h2xnq8c
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「~~~~~嘟嘟~~~~~~~~~~~~~~嘟嘟~~~~~~」護士站傳來電話響聲...........89Please respect copyright.PENANAYKCF38Wioi
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「骨科....」卿姐拿著牌板趕往護士站拿起話筒..89Please respect copyright.PENANArgJZzz6yp0
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「唔該卿姐....」89Please respect copyright.PENANApQl8U1GijN
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「我係,咩事呀阿占?」卿姐認出來電者是阿占...89Please respect copyright.PENANABeBCysW9t1
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「有D野我越諗越唔妥要通知妳呀...」阿占語氣變得慌張..89Please respect copyright.PENANAj3uGXAphVD
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「咩事呀?講啦!!我忙到踢哂腳呀...」卿姐開始不耐煩....89Please respect copyright.PENANA7wIh6AlHnT
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「今日妳幫我同阿伯換片果陣,我睇到佢表情好似好痛咁,怕妳會唔會整親佢唔知....」89Please respect copyright.PENANAChcLYi5NCC
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「你睇錯啫....佢冇事喎....我大把野未搞掂,唔講喇!!...」卿姐自知大禍臨頭,藉故掛線,放回話筒急謀對策,忽然,計上心頭,立即返回長者床邊,關掉顯示長者異常血壓脈搏數據的血壓計,圍上床簾,掀開長者被舖,先拉下其褲子,再解開剛更換不久尿片...89Please respect copyright.PENANAOC42J1cf1T
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「對唔住喇亮發,唔好怪我.......」卿姐拿著開水壺,將水倒往長者下體,露出陰險笑容後,連隨貼好尿片拉上褲子蓋好被舖,拉開床簾,將一切整理如常.............89Please respect copyright.PENANAfwYqAddRxf
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再望向MEWS CHART上剛才以紅筆輕輕圈上的一點,卿姐更惡向膽邊生.......89Please respect copyright.PENANAb776PdvDMT
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卿姐下班後,輪到亮發接手,直至夜深時分,即將完成晚間恆常工作.....89Please respect copyright.PENANAkVA5to3yHM
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「亮發,你睇睇獨立房果幾個條片有冇濕,冇就一齊去PANTRY消夜,我整左D曲奇餅....」DAISY邀亮發一同消夜.....89Please respect copyright.PENANAnEboHEJaBB
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「係!!」亮發如常到獨立病房進行檢視,發現嚴重AD長者需要更換尿片,便告知DAISY......89Please respect copyright.PENANAVQfxRk81U4
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「有一個條片好濕,妳行先啦,我一陣過黎...」89Please respect copyright.PENANAFHyTWYbwFs
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「駛唔駛我幫手呀?」89Please respect copyright.PENANAJk7MPYzTpq
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「唔使喇,我一個攪得掂...」亮發受過正統扶抱訓練,懂得運用技巧避重就輕,不令自己受傷時,亦不會傷及病人,只是,長者肢體實在太硬,過程中,少不免要出了一點力....89Please respect copyright.PENANAzOkicZqBgM
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「終於換好喇....希望冇整痛你啦伯伯..」見長者似在沉睡般沒有知覺,再乍看其胸口尚有起伏,亮發不以為然,心想乃嚴重AD患者正常情況,然後離開.....89Please respect copyright.PENANA9pgtmQ0Utq
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清晨時份,亮發替獨立病房長者進行常規量度生命表徵期間......89Please respect copyright.PENANABvEfLRwJx9
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「伯伯..同你量血壓喇.伯伯...咦?!..」亮發輕拍長者臉頰沒反應,且感覺其皮膚冰冷,再看長者胸口,已無起伏,心感不妙...89Please respect copyright.PENANArliB0p8OkP
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「DAISY姑娘....獨立房1號床伯伯,好似冇左知覺....」亮發急步往護士站通知正在整理文件的DAISY89Please respect copyright.PENANADZQDqmPWlf
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「吓!?...我去睇睇....你跟番其他床先....」DAISY來到長者床前替長者檢查,確是脈搏血壓呼吸全無,即回到護士站傳呼當值醫生到病房,經醫生確認長者已離世後,亮發與DAISY隨即進行最後護理,一切看似告一段落,.然而.....89Please respect copyright.PENANAPes5mOSOp7
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一星期後89Please respect copyright.PENANA5AusNKb4Ul
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【即時新聞】愛善醫院發生懷疑醫療事故,上星期,一名內科男病人留院兩天後離世,經剖屍後,發現乃髖部骨折導致休克失救致死,院方現正調查事件成因,並已向最高管理機構通報事件。89Please respect copyright.PENANA7k5eEwpGIW
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生命表徵( Vital Signs)即是心跳,血壓,體溫,血氧量,呼吸等表面看到的維生指數. 醫護人員會每天量度病人的生命表徵,以評估病人的病情及觀察病情的轉變.89Please respect copyright.PENANAVoZwbRLj3E
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MEWS(Modified Early Warning Scores)CHART 專門用作記錄生命表徵數據,方便醫護人員檢視,有系統地對病情進行評估,觀察及制定治療方案89Please respect copyright.PENANAzAurlY77KC
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髖部骨折(hip fracture)導致休克失救致死 : 若骨折後搶救不及時,就會容易發生休克這種現象。由於骨折後會造成體內大量出血,導致血液循環減緩、身體各項機能衰退、身體細胞缺血/缺氧/酸鹼度不平衡,引發缺血性休克。患者主要表現癥狀為意識模糊、說話不清、短暫昏迷、血壓降低、脈搏微弱、四肢冰冷,需要特別留意的是,四肢冰冷是休克最重要的特癥。可以從四肢是否冰冷、脈搏是否微弱、意識是否模糊等方面判斷患者有沒有出現休克情況。
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