Helena is careful to pace her words as Bianca rouses visibly upon her entry. She notes the pulse monitor hiking upward, likely from the intrusion paired with the disorientation she had been experiencing as she came in and out of sleep. The nursing student could recall from previous documentation how this patient's disorientation was noted in close tandem with heightened impulsivity and emotional responsivity to stimuli of any kind. She makes sure to give Bianca as much time as necessary to process and respond to her questions, and she mentally notes that the short-haired woman is able to keep track of her questions and answer them sequentially.Ā
That's a good sign! Her orientation in conversation seemed to be improved, it wasn't uncommon for patients on Neurology's SICU floor to have difficulty following the flow of a conversation after waking for the first few days. Of course, it depended on the primary issues they were dealing with, but Helena mentally takes note that this is something she should add to her contact note. The brunette is also attentive to the latent anxiety radiating through Bianca's posture- her wandering eye contact, the apologetic behavior. It made sense. Trauma presented in different ways for different people, and with neurological deficits at high risk of causing moderate changes to her future behavior, the emotional presentation becoming more prominent would not be unusual.Ā
āThey're quick tests to check on the 12 nerves originating from your brain- testing your eyes, your hearing, your basic movement responses. We've been prodding and poking you with that stuff about every three hours, since we've been concerned because of the memory loss you're experiencing along with other risks that come with experiencing Whiplash and whatnot. But, if this last one goes well, we can discontinue it! Less poking and prodding, a miracle.āĀ
The nurse gives a gentle smile as she tries to ensure her tone is thoughtful and reassuring, monitoring the volume with which she speaks and measuring her tone so that it is neither distracted nor patronizing as she responds to Bianca's apologies. āDon't worry about it, alright? It's completely normal to be disoriented when you're coming in and out of sleep so often. It's about 5 PM, and I think you were sleeping when the lunch trays came around.ā
Helena circles the foot of the bed toward the rolling table positioned near the side of Bianca's medical bed. She retrieves the large handled cup with a lid and straw filled with room-temperature water. āLet me switch this out and get you something to eat, alright? We can worry about the tests once you've gotten something in that belly. I'll knock when I'm back."Ā
The nursing student makes sure that Bianca understands before taking her leave, making eye contact with her patient until she is certain that what she has explained has been understood. Only then does she take her leave. It takes her a few minutes to go back out to the main floor of the SICU, dump the water out into the main sink and use the water and ice dispenser to refill the large bottle with ice and cool water. Then, she fishes around in the quick snacks drawer the nursing staff have, stocked with saltines and graham crackers, sweetener and honey for coffee and tea, the likes. She takes out a couple packets of graham crackers, small cups of peanut butter with peel-away seals, and then makes her way back to Bianca's room.Ā
As she had promised, she knocks three times, before entering the room quietly and carefully depositing all of the items of sustenance back onto the counter. She doesn't dump anything carelessly, she sets down the bottle first, then the packets of peanut butter, and lastly the crackers. Methodical, careful, and quiet. Then, she turns the rolling table and positions it carefully in front of Bianca, hovering over the bed and further on her right side, so it is easier to see, and she fiddles with a lever on the table's supportive beam to lower it down closer to Bianca's hands. She wordlessly centers it so that Bianca does not need to turn her head much, and that she can reach the contents of the table without having to lift above elbow level due to her broken collarbone. The handle of the bottle is facing towards the short-haired woman, and Helena seems poised and ready to help her prepare the snack if she struggles- but she doesn't presume that Bianca would rather her do things for her. Even though she was only a few days fresh out of her crash, she wanted to make sure that she allowed Bianca to do as much for herself as she could or wanted without causing undue harm to herself.
āDo you need some more tissues?ā The brunette offers quietly, the cut of scarring over her nose bridge crinkling a bit as her brow furrows with thoughtful attentiveness. She doesn't outright ask after Bianca's tearfulness when she came into the room, and uses this Yes or No question as a way to test the edges of the topic.Ā