October 2020
Leigh
Nelson
,
RN
General Family Medicine
The University of Vermont Medical Center
Burlington
,
VT
United States
Leigh advocated for the patient stating he should be given the chance to progress on his own and not held in restraints with a limited ability to communicate.
Leigh is a nurse on Baird 4 who took it upon herself to advocate for a patient of ours who advocated for a 48 year old patient who came to us from the ICU. He had suffered from a "chief complaint of thoracoabdominal aorta dissection. He is POD#31 s/p dissection repair with interoperative complications resulting in multi-organ failure, including anoxic brain injury and acute kidney injury among others. Ongoing problems include delirium vs encephalopathy vs anoxic brain injury, resolving hypernatremia, acute hypoxic respiratory failure." The patient was on our floor with a 1:1, in four point restraints, was angry seen through his gritting of his teeth and noises made from frustration. He was in and out of his restraints because he kept trying to pull out his IV and PEG tube. Additionally, the patient was only able to communicate minimally with one word answers, this made it difficult to know what he really wanted. He could not move on his own and was incontinent. After weeks in and out of restraints and the patient showing no clear progression to getting better, Leigh Nelson wrote an email to managers, MDs, and others involved in the patient's plan of care. Leigh advocated for the patient stating he should be given the chance to progress on his own and not held in restraints with a limited ability to communicate. Within a few days after the correspondence, the patient was out of restraints and 1:1 sitter was removed. Incredibly and to everyone's delight, within a number of days, the patient started his progression towards success and better health. Since then, he has since made a full 360. He is now talking in full sentences, laughing with staff, working with PT walking in the halls (15 feet today!), Zoom conferencing with family, and eating food on his own. None of this would have happened if someone like Leigh had not advocated for him when he did not have a voice. Leigh made an incredible difference in this patient's life and gave him the opportunity to shine on his own. Thank you, Leigh, for taking the time to voice what she felt was right and for the best for the patient, it made all the difference.