PATIENT SUFFERS FROM DENGUE HEMORRHAGIC FEVER (DHF)
One
day Vera felt
headache and then she scream had off
Vera :
achhhhuhh my head throbbed painfully
, any body help me ………
After
Vera said something like that, her younger sister drew near to Vera and asked her what’s her problem
Rahayu : What happened Vera ?
Vera : achhhhuhh my head throbbed painfully …….. ouch !!! that
so pain . Rahayu help me please , I don’t want to die . Rahayu do you know where is Mom?
Rahayu : calm down Vera …..
just know Mom went to the market for buying the vegetable,
by the way have you been having a
launch or are you having problem that make you stress then it makes you feel headache ?
Vera : no, I don’t have problem that makes me stress
until I have headache and I have had a lunch,
Then, Rahayu touched Vera’s
forehead for ensuring that Vera
have a fever or not , Suddenly Rahayu saw red
spots on Vera’s the skin
Rahayu :
Oh My Good Vera
you have a fever …. What happen to your Skin ? Why on
your skin is a lot of red spots?
Vera :
I don’t know Rahayu
help me don’t want to die
Rahayu :
actually I don’t know what I have to do ,
I think it’s better we call Mom
by phone
Vera : let’s call mom by
phone quickly, because it’s really pain and it’s so inconveniently
Then Rahayu Called her Mother for
informing that Vera felt
her head throbbed painfully (kring…… Kring……..)
Mother :
hi honey what happen ? do you want me to buy something?
Rahayu :
no Mom, I don’t want you to buy
something, but I’d like to inform you
that Vera feel her
head throbbed painfully, she has
a fever and on her skin look a lot of
red spots. I don’t know what I
have to do …..
Mother :
what ? felt throbbed painfully, she have a fever and on her skin look a lot
of red spot how it’s happen ?
Rahayu :
I don’t know Mom ,
Mother :
Honey you have to bring Vera to the hospital immediately, because I am afraid she
has serious disease , and I am going to go to hospital letter , because the way on the market is
really traffic jam.
Rahayu :
Yes Mom
After her Mother said that, Rahayu immediately
brought Vera to the hospital by Taxi . because
of Vera
felt her head throbbed painfully, it makes she unable to walk properly. So when Rahayu Arrived
at Polyclinic of family Husada Hospital
Rahayu asked to the nurse for helping Vera walked to the examination room
Rahayu
: Nurse…… help me!!!!
to bring my younger sister to
examination room
Nurse 1 :
Ohhh , What happen ???
Rahayu : she feel
her head throbbed painfully
Nurse
1 : let’s bring her to
examination room
After
arriving at examination room, nurse asked to the patien and her sister to sit,
then the nurse assessed the
identity of the patient by assess the
information from Rahayu, because at the moment Vera felt lassitude.
Nurse 1 :have
a sit please ,
Well my name is Nurse Ayu and I’d like to fill this form by assess the identity of older sister. What is your name ? and What is your
younger sister name ? ( nurse
talk to Rahayu )
Rahayu :
My name Rahayu , my Younger Sister name is Kadek Versilia Suci Rahayu
Nurse 1 :
how old is she ? and where do you live ?
Rahayu :
she 16 years old and we live at Tukad Balian stree No 56
Nurse 1 :
Well Miss Vera , Would you mind if I ask you some
question ?
Vera : no I wouldn’t mind
Nurse 1 :Miss
Vera what seem to be bothering you ?
Vera :my head throbbed painfully, I have a fever and on my skin look a lot of red spot
Nurse 1 since
when have you felt that symptoms?
Vera :
I think I have felt headache since 2 hours ago , I have felt fever since 5 days ago , and the red spot have appeared
since yesterday.
Nurse 1 :
So your Complain are you have
felt headache since 2 hours ago may I your pain scale if on
a scale of 0 to 5 , with 5 being
the worst , how would you rate what you feel right now ? in addition , you also
said , you have felt fever since 5 days ago , and the red spot have appeared
since yesterday
Vera :
yes nurse , those are my complain , I think my pain
scale is 3
Nurse 1 :
Well Miss Vera and Miss Rahayu please wait a moment
because I’d like to inform the doctor
what Miss Vera’s Complain .. and for a few moment the doctor will come here for
checking Miss Vera’s condition
Vera and Rahayu :
yes Nurse …
In doctor room Nurse informed
Doctor , that was the patient that waited at examination
room , and then The Nurse also talked to the doctor the complain of the patient
Nurse 1 : excuse me Doctor
Doctor :
What happen Nurse ?
Nurse 1 :
Doctor there is the patient that has waited at examination room , her name of
the patient is Miss Vera , her complain
are she has felt headache since 2 hours
ago, she has felt fever since 5 days ago , and on her skin look a lot of red spot
that appeared since yesterday
Doctor :
Other symptom ?
Nurse 1 :
she also looks so lassitude
Doctor : Well let’s go to examination room ,
Doctor arrived at Examination room then she
checked
Cintia’s Condition
Doctor :
your name is written here as Miss Vera , is
that right ?
Vera : yes that right doctor
Doctor : Miss Vera just now the nurse said that your complain
are you have felt headache since 2 hours ago, you have felt fever since 5 days ago , and the red spot on your skin have appeared since yesterday.
Did you take any medication for it ?
Vera : No I didn’t
Doctor : Well Miss Vera now I’d like to check the condition of
your mouth so please open your mouth with tongue far forward ( Vera opened her mouth with tongue far forward)
then I’d like to check your abdoment .
After doctor finished checking Miss Vera’s condition , the doctor conveyed the result to Miss
Cintya after that doctor talked to the nurse, in order to nurse checked patient’s vital sign and also ordered to the nurse for taking blood
sample of Miss Vera
Doctor : Miss Vera the results of the examination that I do for
you is in your
gums looked there
was a little bleeding and tongue looks a bit
dirty. And base on plapation that I do on your abdomen show your liver can be palpable
and it prove that organ have an infection And now the
nurse is going to check your blood pressure , pulse, respiration , and your
temperature . trhe nurse also is going to take your blood for laboratory
examination , would you mind if the nurse take your blood sample foe laboratory
exemination?
Vera :
No , I wouldn’t mind
Doctor : Nurse , please check patient’s vital sign and please take the blood sample
of Miss Vera for Laboratory
Examination , because I’d to check the other patient please
tell me the result , when you
finished doing examination to Miss Vera
Nurse 1 :
yes Doctor
The Doctor leaved the examination room then the nurse check
vital sign of Miss Vera
Nurse 1 : excuse me Miss Vera , now I am going to check your blood
pressure, respiration, pulse, and your temperature,
I think it’s spend 5 minute and also I am going to take your blood sample
. before I am going to check your blood
pressure I’d like to ask a question for you
, did you have hypertension before ?
Vera :
no I didn’t have hypertension before. Nurse help me my
head still throbbed painfully. Please tell me how to reduce this pain ?
Nurse 1 :
Well for reducing your pain you can relax your
self as able as possible and we can use distraction and relaxation
technique by take a deep breath and breathing out ( a few moment latter) Miss Vera What’s your feeling now?
Vera : although it did not significantly reduce the
pain that I felt, but it was effective
enough to make me relax and much better than before.
When The Nurse was
going to check Vera’s vital sign suddenly Vera’s Mother arrived at Hospital and she looked so
panic then she asked to Nurse about her
daughter condition.
Mother : Nurse, how is the condition of my
daughter ?
Nurse 1 : she is still having headache,
fever, and on her skin visible
red spots. Excuse me Madam May I
have your name ?
Mother :
my name is Chintya
(
Rahayu and Chintia made noisy in examination room)
Nurse 1 :
Miss Rahyu and Mrs. Chintya do you want to wait here or do you want to
wait outside ? if you want to wait here please be quite .
Mother : I think it’s
better if we wait outside
Mother
and younger sister of Vera leaved
examination room and decided to wait
outside
. otherwise in examination room Nurse
is checking Vera’s Vital sign
(nurse was checking Vera’s Vital sign)
A
few minute letter when nurse have
finished checking Vera’s vital
sign then nurse tell Verat he result of
that examination
Nurse 1 : Miss Vera the result of this examination is your
blood pressure is 90/60 mmHg, it’s
bellow from the normal rate and I
think this is causes you feel your
head throbbed painfully
, your temperature is 38.9 o
C , your pulse is
88 times/ minute, and your respiration rate is 18 times / minute and doctor this the result of Miss Vera’s
Laboratory
After
nurse finished checking vital sign, then nurse take Vera’s
the blood sample for laboratory
examination when nurse have finished
taking Vera’s
blood sample and then nurse called Vera’s family
for enter to the examination room.
Nurse 1 :
excuse me Mrs. Vera the examination of
your daughter have
finished and you can enter to
examination room
Mother :
yes nurse
A few
minute letter nurse gave the result of Vera’s examination to Doctor at Doctor room, after that doctor went to examination room for informing the
disease that is suffered for by Vera
Nurse 1 :
Doctor this is the result of Miss Vera’s examination, that is consist of
vital sign examination, and laboratory examination on vital sign examination of
result is her blood pressure is
90/60mmHg, her
temperature is 38.9 o C , her pulse is
88 times/ minute, and her respiration rate is 18 times / minute . and
doctor this the result of Miss Vera’s Laboratory
( doctor
read the result of Miss Vera’s examination )
Doctor :
ok let’s go to examination room
At
examination room
Doctor : Well I’d like to inform the disease that is
suffered from miss Vera , before that
may I know which one is the parent of
Miss Vera ?
Mother :
I am parent of Vera
Doctor :
Madam your daughter suffer from dengue hemorrhagic fever this disease caused by
virus that enter to Aedes aegypti.,
to
prevent something undesirable, your daughter should be hospitalized, would you mind if your daughter should be
hospitalized?
Mother :
No doctor I wouldn’t mind
Doctor :
Well if you agree about it please sigh the informed consent document which means that you agree
with the actions that we do on your daughter.
Mother :
Ok doctor I am going to sigh it
After
Vera’s mother sigh informed consent
document then doctor told to nurse for calling
admission Department of Rose ward to register
Vera for hospitalization then
Doctor :
Nurse please call the rose ward to register Miss Vera
for hospitalization there
Nurse 1 :
yes doctor
(kring-kring
)
Nurse 2 :
Admission Department of Rose Ward , I’m
nurse Ayu Dwimatari Can I help you ?
Nurse 1 :
is there any room on Rose ward available ?
Nurse 2 :
yes here there are some room that
available, I’m sorry may I have your name?
Nurse 1 :
I’m nurse ayu from polyclinic I ’d like to register patient suffers from dengue hemorrhagic fever for hospitalization in Rose
ward .
Nurse 2 :
Ok nurse ayu , may I have the patient’s name ?
Nurse 1 :
her name is Vera
Nurse 2 :
Well nurse Ayu , now Miss Vera have been
register here , and you can take along
your patient to Rose Ward in ten minute
because we are going to prepare all the thing for the patient
Nurse 1 :
ok thanks you nurse .
After nurse registered Vera to rose ward doctor give prescription
that have to change in Pharmacy by Vera’s
family
Doctor :
excuse me madam I want you to change this prescription in pharmacy. by the
way did you daughter have any allergic with certain medicine ?
Mother : No doctor she didn’t has any allergic
with certain medicine ( Vera’s
Mother took the prescription) and I
am going to change this prescription
When
Vera’s Mother wanted to change the
prescription to the pharmacy , suddenly Vera’s
younger sister talked to her mother
that she can’t stay at hospital anymore
because she have to prepare all the
thing for doing study tour tomorrow
Rahyu :
Mom I can’t wait in hospital anymore
because I want to prepare all the thing for
doing study tour tomorrow
Mother :
Ok honey you can leaved this hospital, take care honey and I’m sorry I can’t
help you prepare all the thing for doing study tour
A few minutes
later Vera’s Mother arrived at pharmacy and then she change
the prescription
Mother :
excuse me I’d to change this prescription
Pharmacist :
Ok madam please wait a moment (pharmacist
took the prescription )
For
a moment later
Pharmacist :
Madam this is the medicines , the medicine consist of RL, paracetamol,
Imbos Forces, and Lemeson . and
please bring this medicine to the nurse
that take care of patient at Rose Ward today. And this is the
receipt do you have any question Madam ?
Mother :
Ok I’m going to bring it to the nurse that take care of the patient in Rose
Ward to , and I think I don’t have any question
. and thanks for information
Pharmacist :
you’re welcome
After Vera’s mother changed the
prescription in pharmacy then she come back to polyclinic . for take along her daughter to rose ward
At
Rose Ward
Nurse 1 :
excuse me I’m nurse Ayu from polyclinic
, I’d to take along the patient for hospitalization here
Nurse 2 :
may I have the name of patient ?
Nurse 1 :
her name is Miss Vera
Nurse 2 :
ooooo, Miss Vera , your room have been served , your room’s number is 34 , Well nurse
Ayu did the patient take any medicine in
policlinic ?
Nurse 1 Not
yet , Nurse this is the therapy that is given for the patient , and you have to
continue give the therapy to the patient
Nurse 2 : yes nurse Ayu
Nurse 1 :
so that all about the instruction that is given by doctor, so I have to go to
polyclinic now … see you…
After
Nurse 1 leaved the Rose ward Nurse 2 take along Vera to her room .
Nurse 2 :
Miss Vera this is your room and you
can take a rest here, I’m nurse Ayu Dwimantari , Well Miss Vera now
I have to visit the other patient if need helping please press the call button
and the nurse will help you . See you
and get Well soon
Vera :
thanks Nurse
After 9 days
Vera have been hospitalization her condition become better than before ,
she no longer felt
headache, her body temperature began to decline and the red spots on her skin
began to disappear because of that doctor allowed Vera for return to home . and Nurse inform to Vera
that she could go back to home
(
At Vera’s Room, )
Nurse 2 :
Good morning Miss Vera how are you to day ?
Vera :
I’m fine nurse , my condition is better than before , I no longer
felt headache, her fever and the red
spots on my skin began to disappear
Nurse 2 :
Well Miss Vera I have good news for you
, Doctor allow you to return to home today but you have to control your condition
here for once a week and you should plenty of rest, drink much
water and take your medicine that will be given by Doctor regularly
Vera : really ? if that’s right
I will do your suggestion
Mother : Nurse are you sure ?
Nurse 2 :
yes , and for you Madam please change
this prescription at pharmacy and you can pay
the bill of hospitalization at the
cashier
Mother : yes nurse
Nurse 2 :
well that all the information and and
now I have to visit the other patient
After Nurse
said that Vera could leave hospital today she and her mother were so
happy when the nurse leave Vera’s room then Vera’s mother directly
went to cashier for paying the
bill of hospitalization and changing the prescription at pharmacy
At pharmacy
Mother :
excuse me I’d to change this prescription (
gave the prescription to pharmacist )
Pharmacist : please wait for a moment madam
For a moment latter
Pharmacist :
madam this is the medicine , the
medicine consist of paracetamol, Imbos
Forces, and Lemeson . paracetamol is used for Lowering
a high temperature (fever). And Please take one tablet 3 times a day . For
Imbos Forces it’s used for increasing antibodies
, because DHF is caused by virus so that our body need good antibodies system
please take one tablet per day
and the last one is lemeson it’s used for coping with inflammation in
liver please take one tablet twice a day
. do you have any question Madam ?
Mother : no , I don’t
any have question
Pharmacist :
may I know how is sick madam?
Mother :
my daughter
Pharmacist :
please remember to your daughter that
she have to drink a lot water , and
please take this medicine until use up
and the this is the receipt
Mother :
ok thanks for your information
Pharmacist :
you’re welcome
Finally After
Vera’s Mother changed the prescription then Vera and her Mother is return back
to home and this is mean the end of our drama
posted by ayu ristianti
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