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niaaasimmm niaaasimmm
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5 years ago
You are caring for a patient who has a history of Crohn's disease. She gets severe abdominal cramps and uses a heating pad at home for the pain. She is very fair with freckles and red hair; she is also 11 weeks pregnant. Your facility often uses a heating pack that is self-contained and temperature regulated to avoid burns. There is no order for this, nor is it in her care plan. You tell her you will speak to the nurse. The patient tells you the facility system is not good enough; it does not get hot enough anyway. She will have her husband bring in her own. Is this acceptable?
 
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amcdonald1amcdonald1
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This is not acceptable. Application of heat is contraindicated in pregnancy; it can affect fetal growth. Even if this were not the case facilities use their own heat packs to prevent burns. The patient with fair skin and red hair is at even higher risk for burns. Some facilities limit or restrict patients from bringing in electrical items as they cannot assure they will be in proper working condition, with undamaged, grounded plugs to meet fire safety standards.
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Anonymous
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3 months ago
Great answer!
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