![Meet mah girls! :] Mukha kaming good girls dito ah! >XD HAHAHHAAHA! Oh ano tara? Timog na tayo. HAHAHAH](http://25.media.tumblr.com/tumblr_lwdsgoDiKZ1qabeuko1_1280.jpg)
Meet mah girls! :] Mukha kaming good girls dito ah! >XD HAHAHHAAHA! Oh ano tara? Timog na tayo. HAHAHAH
sa san lazaro hospital…
ANDAME KO KAYANG NATUTUNAN! :] Ang saya pa kasama nung CI hindi ka mabobore. :] Nagkaroon pa kami ng instant na christmas party. :”> Hindi ko malilimutan yung CI na yun. HAHAHAHA Lakas nyang mambara. parang teenager. ang saya!
STROKE: Remember The 1st Three Letters… S.T..R …
My friend sent this to me and encouraged me to post it and spread the word. I agree. If everyone can remember something this simple, we could save some folks.
STROKE IDENTIFICATION:
During a party, a friend stumbled and took a little fall - she assured everyone that she was fine and just tripped over a brick because of her new shoes. (they offered to call ambulance)
They got her cleaned up and got her a new plate of food - while she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening. Ingrid’s husband called later telling everyone that his wife had been taken to the hospital - (at 6:00pm , Ingrid passed away.)
She had suffered a stroke at the party . Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today.
Some don’t die. They end up in a helpless, hopeless condition instead. It only takes a minute to read this…
STROKE IDENTIFICATION:
A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke…totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough.
RECOGNIZING A STROKE
Remember the ‘3’ steps, STR . Read and Learn!
Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster.
The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.
Now doctors say a bystander can recognize a stroke by asking three simple questions :
S * Ask the individual to SMILE ..
T * = TALK. Ask the person to SPEAK A SIMPLE SENTENCE (Coherently) (eg ‘It is sunny out today’).
R * Ask him or her to RAISE BOTH ARMS .
If he or she has trouble with ANY ONE of these tasks, call the ambulance and describe the symptoms to the dispatcher.
NOTE : Another ‘sign’ of a stroke is
1. Ask the person to ‘stick’ out their tongue.
2. If the tongue is ‘crooked’, if it goes to one side or the other that is also an indication of a stroke.
A prominent cardiologist says if everyone who gets this e-mail sends it to 10 people; you can bet that at least one life will be saved.
And it could be your own.
A sleep disorder (somnipathy) is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental and emotional functioning. A test commonly ordered for some sleep disorders is the polysomnography. Disruptions in sleep can be caused by a variety of issues, from teeth grinding (bruxism) to night terrors. When a person suffers from difficulty in sleeping with no obvious cause, it is referred to as insomnia.[1] In addition, sleep disorders may also cause sufferers to sleep excessively, a condition known as hypersomnia. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions. The most common sleep disorders include: Dyssomnias - A broad category of sleep disorders characterized by either hypersomnolence or insomnia. The three major subcategories include intrinsic (i.e., arising from within the body), extrinsic (secondary to environmental conditions or various pathologic conditions), and disturbances of circadian rhythm. MeSH Insomnia Narcolepsy Sleep Disordered Breathing (SDB), including (non exhaustive): Several types of Sleep apnea Snoring Upper airway resistance syndrome Restless leg syndrome Periodic limb movement disorder Hypersomnia Recurrent hypersomnia - including Kleine-Levin syndrome Posttraumatic hypersomnia “Healthy” hypersomnia Circadian rhythm sleep disorders Delayed sleep phase syndrome Advanced sleep phase syndrome Non-24-hour sleep-wake syndrome Parasomnias - A category of sleep disorders that involve abnormal and unnatural movements, behaviors, emotions, perceptions, and dreams in connection with sleep. REM sleep behaviour disorder Sleep terror Sleepwalking (or somnambulism)Bruxism (Tooth-grinding) Bedwetting or sleep enuresis. Sleep talking (or somniloquy) Sleep sex (or sexsomnia) Exploding head syndrome - Waking up in the night hearing loud noises. Medical or Psychiatric Conditions that may produce sleep disorders Psychosis (such as Schizophrenia) Mood disordersDepression Anxiety Panic Alcoholism Sleeping sickness - a parasitic disease which can be transmitted by the Tsetse fly. General principles of treatment reatments for sleep disorders generally can be grouped into four categories: None of these general approaches is sufficient for all patients with sleep disorders. Rather, the choice of a specific treatment depends on the patient’s diagnosis, medical and psychiatric history, and preferences, as well as the expertise of the treating clinician. Often, behavioral/psychotherapeutic and pharmacological approaches are not incompatible and can effectively be combined to maximize therapeutic benefits. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions. Medications and somatic treatments may provide the most rapid symptomatic relief from some sleep disturbances. Some disorders, such as narcolepsy, are best treated pharmacologically. Others, such as chronic and primary insomnia, may be more amenable to behavioral interventions, with more durable results. Chronic sleep disorders in childhood, which affect some 70% of children with developmental or psychological disorders, are under-reported and under-treated. Sleep-phase disruption is also common among adolescents, whose school schedules are often incompatible with their natural circadian rhythm. Effective treatment begins with careful diagnosis using sleep diaries and perhaps sleep studies. Modifications in sleep hygiene may resolve the problem, but medical treatment is often warranted.[3] Special equipment may be required for treatment of several disorders such as obstructive apnea, the circadian rhythm disorders and bruxism. In these cases, when severe, an acceptance of living with the disorder, however well managed, is often necessary. Some sleep disorders have been found to compromise glucose metabolism.[4]
Types
-source wikipedia. :)
Main Category: Nursing / Midwifery The Association of periOperative Registered Nurses (AORN), the largest membership organization of operating room nurses in the United States, is drawing on its ability to influence patient safety practices in the OR with the national launch of a “Time Out Commitment” campaign. The new, year-round campaign begins on National Time Out Day, June 16, and is designed to increase awareness of and compliance to taking a time for every patient, every time before the start of a surgical procedure. Time out allows the entire surgical team to verify the correct person, procedure, and site. Due to the size of its membership, AORN expects the Time Out Commitment campaign to reduce the risk of surgical errors in thousands of hospitals and ambulatory surgical centers across the United States. References: APA
Article Date: 10 Jun 2010 - 8:00 PDT
Despite efforts to address errors such as wrong site surgery, The Joint Commission’s latest update to its sentinel event statistics indicates that wrong site surgery is still the most common sentinel event reported. Between January and March of 2010, 18 wrong site surgeries were reported to The Joint Commission. These numbers illustrate the important role perioperative nurses can play in speaking up for the patient and promoting safety checks to catch errors before they happen.
AORN, with more than 40,000 OR nurse members, believes a campaign that emphasizes commitment will inspire awareness, collaboration and compliance throughout the operating room.
“Every member of the surgical team has unique responsibilities as they prepare patients for surgery,” said Linda Groah, RN, MSN, CNOR, NEA-BC, FAAN, the Association’s executive director and CEO. “We believe that by starting an ongoing time out campaign with our members, and by providing them with education and awareness tools for the entire team, pre-op practices and surgical outcomes will improve.”
With the support of the World Health Organization and The Joint Commission, AORN has assembled several tools and provided new online resources to support their members as time out champions. In addition to a downloadable poster that proclaims, “I Commit to Time Out for Every Patient, Every Time,” the Association has created an online sign-up where OR professionals can publicly support the campaign by adding their names and the names of their facilities. The WHO’s surgical checklist, The Joint Commission’s Universal Protocol and the AORN Comprehensive Surgical Checklist are also available free online as well as videos that demonstrate the time out procedure.
In addition to providing online time out education resources, AORN has initiated an OR professionals’ discussion group on OR Nurse Link , the Association’s online community. The discussion, led by AORN president Charlotte Guglielmi, RN, BSN, MA, CNOR, perioperative nurse specialist at the Beth Israel Deaconess Medical Center in Boston, will help facilitate time out conversations in ORs across the country, and open up new communications channels to share best practices. “Some of the participants will be there to learn while others will be sharing their experience and stories of successful practices,” said Guglielmi. “This forum will inform surgical teams about exactly what needs to be done to achieve time out for every patient, every time.”
Source
AORN, Inc.
AORN, Inc.. (2010, June 10). “Operating Room Nurses Ask For Time Out.” Medical News Today. Retrieved from
http://www.medicalnewstoday.com/releases/191469.php.
Introduction The appendix is a small fingerlike appendage about 10 cm (4 in) long, attached to the cecum just below the ileocecal valve. No definite functions can be assigned to it in humans. The appendix fills with food and empties as regularly as does the cecum, of which it is small, so that it is prone to become obstructed and is particularly vulnerable to infection (appendicitis). Appendicitis is the most common cause of acute inflammation in the right lower quadrant of the abdominal cavity. About 7% of the population will have appendicitis at some time in their lives, males are affected more than females, and teenagers more than adults. It occurs most frequently between the age of 10 and 30. The disease is more prevalent in countries in which people consume a diet low in fiber and high in refined carbohydrates. The lower quadrant pain is usually accompanied by a low-grade fever, nausea, and often vomiting. Loss of appetite is common. In up to 50% of presenting cases, local tenderness is elicited at Mc Burney’s point applied located at halfway between the umbilicus and the anterior spine of the Ilium. Rebound tenderness (ex. Production or intensification of pain when pressure is released) may be present. The extent of tenderness and muscle spasm and the existence of the constipation or diarrhea depend not so much on the severity of the appendiceal infection as on the location of the appendix. If the appendix curls around behind the cecum, pain and tenderness may be felt in the lumbar region. Rovsing’s sign maybe elicited by palpating the left lower quadrant. If the appendix has ruptured, the pain become more diffuse, abdominal distention develops as a result of paralytic ileus, and the patient condition become worsens. Constipation can also occur with an acute process such as appendicitis. Laxative administered in the instance may result in perforation of the in flared appendix. In general a laxative should never be given when a person’s has fever, nausea or pain. Anatomy and Physiology of Digestive System The mouth, or oral cavity, is the first part of the digestive tract. It is adapted to receive food by ingestion, break it into small particles by mastication, and mix it with saliva. The lips, cheeks, and palate form the boundaries. The oral cavity contains the teeth and tongue and receives the secretions from the salivary glands. Lips and Cheeks Palate Tongue Teeth Pharynx Esophagus Stomach Small Intestine Large Intestine Rectum and Anus Clinical Manifestations Diagnostic Evaluation Medications Treatment Appendectomy is the effective treatment if peritonitis develops treatment involves. Surgery is indicated if appendicitis is diagnosed. Antibiotics and IV fluids are administered until surgery is performed analgesics can be administered after the diagnosed is made. An appendectomy (surgical removal of the appendix) is performed as soon as possible to decrease the risk of perforation. T he appendectomy may be performed under a (general or spinal anesthetics) with a low abdominal incisions or by (laparoscopy) which is recently highly effective method. Complications The major complication of appendicitis is perforation of the appendix, which can lead to peritonitis, abscess formation (collection of purulent material), or portal pylephlebitis, which is septic thrombosis of the portal vein caused by vegetative emboli that arise from septic intestines. Perforation generally occurs 24 hours after the onset of pain symptoms include a fever of 37.7 degree Celsius or 100 degree Fahrenheit or greater, a toxic appearance and continued abdominal pain or tenderness. Nursing Interventions Discharge Planning M Antibiotics for infection E Within 12 hrs of surgery you may get up and move around. T Pretreatment of foods with lactase preparations (e.g. lactacid drops) before ingestion can reduce symptoms. H To care wound perform dressing changes and irrigations as prescribe avoid taking laxative or applying heat to abdomen when abdominal pain of unknown cause is experienced. O Document bowel sounds and the passing of flatus or bowel movements (these are signs of the return of peristalsis) D Liquid or soft diet until the infection subsides References: Medical and Surgical Nursing by Brunner and Suddarth’s
The lips and cheeks help hold food in the mouth and keep it in place for chewing. They are also used in the formation of words for speech. The lips contain numerous sensory receptors that are useful for judging the temperature and texture of foods.
The palate is the roof of the oral cavity. It separates the oral cavity from the nasal cavity. The anterior portion, the hard palate, is supported by bone. The posterior portion, the soft palate, is skeletal muscle and connective tissue. Posteriorly, the soft palate ends in a projection called the uvula. During swallowing, the soft palate and uvula move upward to direct food away from the nasal cavity and into the oropharynx.
The tongue manipulates food in the mouth and is used in speech. The surface is covered with papillae that provide friction and contain the taste buds.
A complete set of deciduous (primary) teeth contains 20 teeth. There are 32 teeth in a complete permanent (secondary) set. The shape of each tooth type corresponds to the way it handles food.
The pharynx is a fibromuscular passageway that connects the nasal and oral cavities to the larynx and esophagus. It serves both the respiratory and digestive systems as a channel for air and food. The upper region, the nasopharynx, is posterior to the nasal cavity. It contains the pharyngeal tonsils, or adenoids, functions as a passageway for air, and has no function in the digestive system. The middle region posterior to the oral cavity is the oropharynx. This is the first region food enters when it is swallowed. The opening from the oral cavity into the oropharynx is called the fauces. Masses of lymphoid tissue, the palatine tonsils, are near the fauces. The lower region, posterior to the larynx, is the laryngopharynx, or hypopharynx. The laryngopharynx opens into both the esophagus and the larynx.
The esophagus is a collapsible muscular tube that serves as a passageway between the pharynx and stomach. As it descends, it is posterior to the trachea and anterior to the vertebral column. It passes through an opening in the diaphragm, called the esophageal hiatus, and then empties into the stomach. The mucosa has glands that secrete mucus to keep the lining moist and well lubricated to ease the passage of food. Upper and lower esophageal sphincters control the movement of food into and out of the esophagus. The lower esophageal sphincter is sometimes called the cardiac sphincter and resides at the esophagogastric junction
the stomach, which receives food from the esophagus, is located in the upper left quadrant of the abdomen. The stomach is divided into the fundic, cardiac, body, and pyloric regions. The lesser and greater curvatures are on the right and left sides, respectively, of the stomach.
The small intestine extends from the pyloric sphincter to the ileocecal valve, where it empties into the large intestine. The small intestine finishes the process of digestion, absorbs the nutrients, and passes the residue on to the large intestine. The liver, gallbladder, and pancreas are accessory organs of the digestive system that are closely associated with the small intestine. The small intestine is divided into the duodenum, jejunum, and ileum. The small intestine follows the general structure of the digestive tract in that the wall has a mucosa with simple columnar epithelium, submucosa, smooth muscle with inner circular and outer longitudinal layers, and serosa. The absorptive surface area of the small intestine is increased by plicae circulares, villi, and microvilli. Exocrine cells in the mucosa of the small intestine secrete mucus, peptidase, sucrase, maltase, lactase, lipase, and enterokinase. Endocrine cells secrete cholecystokinin and secretin. The most important factor for regulating secretions in the small intestine is the presence of chyme. This is largely a local reflex action in response to chemical and mechanical irritation from the chyme and in response to distention of the intestinal wall. This is a direct reflex action, thus the greater the amount of chyme, the greater the secretion.
The large intestine is larger in diameter than the small intestine. It begins at the ileocecal junction, where the ileum enters the large intestine, and ends at the anus. The large intestine consists of the colon, rectum, and anal canal. The wall of the large intestine has the same types of tissue that are found in other parts of the digestive tract but there are some distinguishing characteristics. The mucosa has a large number of goblet cells but does not have any villi. The longitudinal muscle layer, although present, is incomplete. The longitudinal muscle is limited to three distinct bands, called teniae coli, that run the entire length of the colon. Contraction of the teniae coli exerts pressure on the wall and creates a series of pouches, called haustra, along the colon. Epiploic appendages, pieces of fat-filled connective tissue, are attached to the outer surface of the colon. Unlike the small intestine, the large intestine produces no digestive enzymes. Chemical digestion is completed in the small intestine before the chyme reaches the large intestine. Functions of the large intestine include the absorption of water and electrolytes and the elimination of feces.
The rectum continues from the signoid colon to the anal canal and has a thick muscular layer. It follows the curvature of the sacrum and is firmly attached to it by connective tissue. The rectum and ends about 5 cm below the tip of the coccyx, at the beginning of the anal canal. The last 2 to 3 cm of the digestive tract is the anal canal, which continues from the rectum and opens to the outside at the anus. The mucosa of the rectum is folded to form longitudinal anal columns. The smooth muscle layer is thick and forms the internal anal sphincter at the superior end of the anal canal. This sphincter is under involuntary control. There is an external anal sphincter at the inferior end of the anal canal. This sphincter is composed of skeletal muscle and is under voluntary control.
Analgesic agent (morphine) can be given for pain after the surgery
You can usually return to normal activities in 2-3 weeks after laparoscopic surgery.
Ingestion of lactase enzyme tablets with the first bite of food can reduce symptoms.
Reinforce need for follow-up appointment with the surgeon
Call your physician for increased pain at the incision site
Watch for surgical complications such as continuing pain or fever, which indicate an abscess or wound dehiscence
Stitches removed between fifth and seventh day (usually in physicians office)
Soft diet is low in fiber and easily breaks down in the gastrointestinal tract
Medical Surgical Nursing by Josie Quiambao Udan
Manuals of Nursing Practice by Lippincott
Mosby’s Medical Surgical Nursing
So umm. Honestly! This is never my choice. I should’ve taken Fine arts. But I never thought studying Nursing would be fun. There’s many suggestions to me. Like, “Why don’t you take up Interior Designing? Or Fine arts? You’re good at those.” And I’m like. “Umm. Our big family is lined up with nurses and doctors. So everyone is pushing me to get into it.” OKAY. So that’s weird! HAHAHAHA >XD
BUT…
I learned to jive with the nursing music. :] There are things I love ‘bout nursing :)
Actually marami pang iba pero ibibigay ko na ang last.
Siguro nga, I’m not mistaken with the course I’m in. I LOVE NURSING. :”>
-Super Ericaaaat
I love life! Everyday is a new experience! I love to help others and enjoy laughing and watching others have a good time! I am a very honest person who will bust his butt to to achieve goals in life! I am very into nature and will pull over on the side of the road to move a turtle so it doesn't get run over. I like all kinds of weather (except when it is over 80 degrees) I don't like watching people get hurt and I will defend people that can't defend themselves! I don't like people who lie or are high and mighty! People who purposely hurt others are scum and should be put away forever! But for the most part I am a content person who believes that we should all stop and enjoy life when ever we can because we are only here a short time and letting life slip by without enjoying it is a waste! I could go on and on but you get the idea of how I am!
Personality wise- a jumble of every emotion, I'm a goofball, I'm serious, I have my downs..I get excited over stupid things..like taking a myspace quiz over my friends..or painting...and with that being said, I cry over stupid things too..like sad movies or whaever, it upsets me, i cried in aquamarine (don't ask :p)
most people don't see my real personality.
I would like to describe myself as a very straightforward person who likes to take things in his stride in a very level headed manner.Life is quite exciting to me as it has galores of opportunities and experiences to offer and i feel one should always make the right use of it. I am adventurous by nature for I like to take up new challenges. It gives me the zeal and impetus to work towards excellence.One thing I firmly believe in is that one should always strive towards individual betterment, in whichever form it may be.Therefore I'm never tired of beginning where others end.
I LIVE IN REALITY AND MAKE IT JUST LIKE A DREAM.
fate? destiny? happy endings?
DAAAMN THAT'S DOPE.
![chillin’ :]](http://24.media.tumblr.com/tumblr_lwg2t6nm9U1qabeuko1_1280.jpg)
