Instructions
You are an intern on the orthopaedic ward. Ross Delamere, 64, had a right total hip replacement yesterday and has refused tonight's enoxaparin injection. The nurse asks you to talk with him.
Explore why Mr Delamere declined his injection
Counsel him about enoxaparin
Agree a management plan with Mr Delamere
- You do not need to examine the patient
Chart
Enoxaparin 40 mg subcut daily. Platelets 230, eGFR over 90. Wound dry. Walked with physio today.