رفض حقنة منع الجلطات بسبب الكدمات

Nurse: Hello Mrs Demir, I'm your nurse this evening. I hear you'd prefer not to have your injection tonight, and I'd like to understand why.

Patient: Hello. I don't want it tonight. I've got bruises on my tummy and they look awful.

Nurse: Can you tell me what's been worrying you? I'm happy to listen before we decide anything.

Patient: I'm worried the injections are doing harm. The bruising really frightens me.

Nurse: Tell me about the bruising. Is it sore or worrying you, or is something else putting you off the injection?

Patient: It mostly just looks bad and worries me. I wondered if something is wrong, so I'd rather not have another.

Nurse: How have the injections felt so far, and have you noticed anything else you're concerned about?

Patient: No, it's mainly the bruises. I'm worried about what might be happening inside me.

Nurse: What have you been told about why you're having them?

Patient: Something about stopping clots. But I'm walking now, so I wasn't sure I still needed it.

Nurse: How are you feeling today, and how has moving around been?

Patient: I'm managing. I've been walking to the bathroom and along the corridor with help. It's just the bruises on my mind.

Nurse: Thank you for telling me, it's good that you spoke up. Bruising at injection sites is common, and I can see why it looks worrying.

Patient: Really? I thought the bruises meant something was wrong. Yes, I'd like you to look at them with me.

Nurse: I'd like to look at the area with you. We can reduce bruising by changing sites and not rubbing. The decision is yours, and I'll support you either way.

Patient: Alright, please have a look. I'm still unsure, but I'd like to hear more.

Nurse: After surgery, blood can clot more easily, and a clot in the leg can travel to the lungs. Walking helps a lot, but the injection adds extra protection, which is why it's prescribed even though you're up and about.

Patient: I see. So walking isn't quite enough on its own. Can the bruising be stopped, though?

Nurse: To reduce bruising, we use a different spot each time and avoid rubbing. Keep walking, drink fluids, do leg exercises, and wear stockings if prescribed. Would you be willing to have tonight's injection now? What do you think?

Patient: That's reassuring. If it's a new spot and I don't rub it, I'm willing to have it now.

Nurse: Let me summarise: we'll use a fresh site and avoid rubbing, you'll keep moving, drinking fluids and doing leg exercises, and we've agreed what to do about tonight's injection. Is that right?

Patient: Yes, that's right. I feel better knowing what's going on and that it's my choice.

Nurse: Please press the call bell straight away if you notice pain, swelling or redness in a leg, chest pain, breathlessness, coughing blood, feeling faint, or bleeding that worries you.

Patient: Alright, I'll press the bell straight away if I notice any of that. Thank you for listening to me.