Situation: I had to see a pt in the ward. This pt was depressed and confused and did not really want to get out of bed. I had seen her earlier with the PT and we had managed to get her to walk about 5m before she vomitted.
Task: I had to get a lady out of bed to ambulate and do some UL exercises. After seeing her in the morning I returned by myself in the arvo to attempt getting her up. I was planning to go for a short walk down the corridor then getting her to do some UL exercises with dumbells.
Action: I re-introduced myself as the pt did not remember me from the morning. I explained to her how important it was to get out of bed. The pt agreed to go for a walk. I helped her to sit on the edge of the bed and got her ZF for her. She then c/o of feeling sick. I grabbed a vomit bag for her. When she finished vommitting I asked a nurse for help and we got the pt back into bed.
Result: Once lying down again the pt felt a bit better but was confused and a little distressed. The doctor is going to run further tests on the pt to see why she is vomitting. This was the first day for it to happen.
Evaluation: Unfortunately the pt did not walk far today or perform any exercises. While it is necessary to get them up and out of bed we probably left the pt feeling worse.
Strategies: After discussing this with the PT she explained that even though they may be sick we have to try and get them out of bed and walking. When the pt vomitted in the morning my strategy was to go back in to arvo to try again. After the same thing happened in the arvo we notified the doctor.
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