Nurses' Notes
1545:
The client is preparing for discharge six weeks after an allogeneic hematopoietic stem-cell transplant. The client remains on systemic immunosuppressive medication and has no fever or chills today. During teaching, the client states breakfast shakes will include raw eggs despite using pasteurized milk. The partner plans to prepare meat on a separate cutting board and wash the board after use. The client says all leftovers will be reheated until steaming before they are eaten. The client states weeds will be pulled with bare hands followed by handwashing. A family member will postpone visits whenever fever, cough, vomiting, or diarrhea is present. The client keeps alcohol-based hand rub near the front door and plans frequent handwashing. The household cat is healthy and receives routine veterinary care. The client states the cat litter box will be cleaned personally every morning. The partner offers to clean the litter box instead and wash hands afterward. The client plans to avoid unpasteurized juice and undercooked meat. Fresh fruit will be rinsed under running water before it is cut. The nurse asks the client to teach back the food, soil, visitor, and animal-waste precautions before discharge.
護理紀錄
1545:
個案正準備在異體造血幹細胞移植後六週出院。個案仍持續使用全身性免疫抑制藥物，且今日無發燒或寒顫。在衛教過程中，個案表示早餐奶昔會加入生雞蛋，儘管使用的是經巴斯德消毒的牛奶。伴侶計畫在獨立的砧板上處理肉類，並在使用後清洗砧板。個案表示所有剩菜在食用前都會重新加熱至冒蒸氣。個案表示會徒手拔除雜草，之後再洗手。家庭成員若出現發燒、咳嗽、嘔吐或腹瀉時，將延後探訪。個案在大門附近放置酒精性乾洗手液，並計畫頻繁洗手。家中的貓是健康的，並接受常規獸醫照護。個案表示貓砂盆將每天早上親自清理。伴侶提議改由他清理貓砂盆，並在事後洗手。個案計畫避免未經巴斯德消毒的果汁及未煮熟的肉類。新鮮水果在切開前會先用流動的水沖洗。護理師要求個案在出院前，回覆示教有關食物、土壤、訪客及動物排泄物的預防措施。