Patient Comfort Measures
Women with hyperemesis are very miserable and deserve to be treated with great compassion. Extra measures taken to give her comfort are beneficial both physically and psychologically.
- Make sure that intravenous fluids are warmed before administration to avoid discomfort and calorie loss due to shivering.
- Offer warmed blankets and a bed (v. reclining chair).
- If multiple sticks are required for an IV, use Lidocaine and utilize most skilled personnel to avoid scarring. Remember: Most HG patients require multiple admissions for each pregnancy!
- Give antiemetics and vitamins PO, IV or PR, avoid IM injections due to muscle atrophy and discomfort.
- Minimize noise and odors, as well as interruptions to her rest.
- Order a PT consult for education on progressive exercise to minimize atrophy. Remember: This patient will soon have an infant(s) that will require a lot of lifting and care - atrophy will impair her significantly, thus requiring more assistance!
- Keep stimuli to a minimum (light, noise, odors, interruptions) and room temperature comfortable for patient.
- Daily weights are not necessary for most patients during an extended stay. Consider qod weights.
- Offer her the chance to express her feelings in an atmosphere of compassion and empathy.
- Take her complaints seriously and do all you can to help
her cope with the misery, stress, and discomfort.
Updated on: Apr. 18, 2013