Sunday, August 30, 2009
What I've Learned So Far...
Saturday, August 29, 2009
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8/27 Nurse Practitioner Jobs ARNP Jobs
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Nursing Care Plan for CHF | Nursing Lectures
Friday, August 28, 2009
Seriously?
Learning from research on the information behaviour of healthcare professionals: a review of the literature ...with a focus on emotion
Just came across this fascinating article ( at least to me): Learning from research on the information behaviour of healthcare professionals: a review of the literature 2004- 2008 with a focus on emotion. Fourie, Ina. Health Information & Libraries JournalVolume 2009 26(3):171 - 186. This study is a very detailed analysis of the scant literature on the role that "emotion" plays in health provider's information seeking behavior. Emotion goes way beyond what we might initially think and extends to include nine identified themes. Just a few of these 9 identified themes include: "difficulty in identifying and expressing information needs and information behavior", "uncertainty and anxiety", the role that personality and coping skills play and the role that self confidance and attitude play. The author even offers a detailed table with a large number of suggestions as to how Library and Information Science(LIS) professionals might impact or ameliorate the information seeking barriers of "emotional issues". One quote that really resonated with me from MacIntosh-Murrray and Choo in their article "Information behavior in the context of improving patient safety" Journal of the American Society for Information Science and technology 2005 56:1332-1345 "...front line staff are task driven, coping with heavy workloads that limit their attention to and recognition of potential information needs and knowledge gaps" However, a surrogate in an information-related role, an "information/change agent"-may intervene successfully with staff ..." What do you all think? any innovative ways in which librarians can better play this role as an information surrogate?
Thursday, August 27, 2009
A Few Updates
First Day as a Real (Fake) Doctor
Radiology Rocks
How Pregnant Women and New Moms Should Prepare for H1N1 Flu
Wednesday, August 26, 2009
Don't Miss our Annual EBP Conference, October 2
Topics will include: Influenza, HealthCare Associated Infections, Current Legislation, Biofilm, Community Trends in TB and others.
This annual conference has been one of our best attended classes of the year and will prove to be another interesting and educational event. Learn the latest and improve your clinical practice!
Registration is NOW available for St. Joseph Hospital Employees through our new on-line registration through CareNet.
For those interested from outside St. Joseph Hospital, please call the Clinical Education Department for further information about registration at (714) 771-8000, extension 17345. Cost for the entire day is $75.00. Space is limited and early registration is recommended.
RIP Bear
My big black beast Bear is sick and had to be put down. I love him so much and can't believe I am losing another cat so soon. He found us and it took a good 18 months before he came to live in the house for good. I had him for just over 6 years, the vet says he was close to 14 years old. I am glad that I was able to give him a good 6 years of love and cuddles and happiness. He was my little shadow and would cry when I left the house. RIP Bear, I love you! xox
Tuesday, August 25, 2009
ACOG Encourages Laboring Women to Quench Their Thirst
Monday, August 24, 2009
Aug 21st Nurse Practitioner Jobs ARNP Jobs
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H1N1 Virus (Swine Flu): What you need to know
Time: 4:00 PM
Location: Connelly Center Cinema
Dr. Hans Liu, MD, FACP
Bryn Mawr Medical Specialists Association, Bryn Mawr, PA, Professor of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia
Well-known speaker and consultant Hans Liu, MD, FACP, is an infectious disease specialist whose professional endeavors have included researching antibiotic resistance and treatment of infections, as well as investigating issues in global health. He is former Chief of Infectious Diseases at Penn Presbyterian Medical Center in Philadelphia and a longstanding medical educator. Dr. Liu lectures nationally and internationally.
Sunday, August 23, 2009
Needless to Say
20 Things Happening in My Brain... and None of them Good
Saturday, August 22, 2009
Thyroidectomy Nursing Lectures
Friday, August 21, 2009
Midwifery News Roundup
Thursday, August 20, 2009
Glad that's Over
8/20 Nurse Practitioner Jobs
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Wednesday, August 19, 2009
Help! I Have to Write a Nursing Care Plan and I Have No Idea How!
Regardless of the particular college or university, all nursing students will need to write several nursing care plans during their time in school. Put simply, a nursing care plan is just that: a plan of action, tailored to a specific individual, that addresses specific needs. Such needs are usually medical in nature, such as how the patient can manage her diabetes on a fixed income, but they can also encompass other aspects of the patient's life, such as mental health and spirituality.
Different institutions have different formats for such plans, but they generally include the following sections: The problem to be addressed; the goals for the patient; a step-by-step approach to solving the problem and achieving the goals; and a space that allows for notes to be made as the patient progresses through the steps of the plan. Some plans also include a case history of the patient as it relates to the particular problem.
It's critical for students to learn how to write such plans in college, because they will have to create them when they become nurses in the so-called real world. Yet they can be incredibly intimidating. Often the student is simply presented with a fictional case history and a template and told to go from there. How can the student adequately create a step-by-step plan to assist this patient?
That is where academic writing companies can come in handy. Students can greatly benefit from a model paper which demonstrates what a typical nursing care plan should look like, custom-written to suit their school's needs. Using this model, they can create their own plans, both for that given assignment and also into the future.
If you are a nursing student, don't blow off this particular assignment. It's too important. Get help if you need it, but be sure you learn how to write a solid nursing care plan. You will appreciate it in the future.
About the Author
Jon Ginsburg is a partner with PowerPapers.com, an innovative academic writing company which specializes in providing custom-written, original model papers of all kinds. PowerPapers firmly believes that a quality model paper can be a key learning tool for almost any student. Check them out at http://www.powerpapers.com.(ArticlesBase SC #1134823)
Article Source: http://www.articlesbase.com/ - Help! I Have to Write a Nursing Care Plan and I Have No Idea How!Tuesday, August 18, 2009
Thoughts on Things
Nurse Practitioner Jobs Aug 18th
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Monday, August 17, 2009
Journal of Nursing Administration devotes current supplement to "Magnet"topics
Magnet® Status". Articles that look especially interesting include: "Workplace Empowerment and Magnet Hospital Characteristics as Predictors of Patient Safety Climate" and "Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes". Employees of St. Joseph Hospital, Orange and CHOC may access the full text of the articles via the library's website. Others should contact the medical library at your institution.
How Many Unbelievable Things Can You See During 1 Practice Exam?
Saturday, August 15, 2009
The Unexpected Little Things Which Can Really Freak You Out
Friday, August 14, 2009
Things that happened this week
Uninsured Women Lose Access to Midwives in South Carolina
Wednesday, August 12, 2009
New review regarding the benefits of Fish Oil!
Save the date! Improving Quality of Life for Orphans and Vulnerable Children in Haiti
Date: Monday, September 21, 2009
Time: 7:30 PM
Location: Driscoll Hall Auditorium
Leonardo Shamamba, MD
HIV and AIDS Reach Out CoordinatorCatholic Relief Services, Port -Au-Prince, Haiti
Dr. Leonardo Shamamba, a gynecologist/obstetrician, has been working in the HIV/AIDS field throughout his career. Before becoming the HIV and AIDS Reach Out Coordinator in Haiti for Catholic Relief Services (CRS) he successfully developed similar programs in Uganda, Somalia and his native Democratic Republic of Congo. While progress has been made for clinical care and treatment of HIV in Haiti, disparities between institutional and community services limit the effectiveness of care. CRS addresses these challenges with a Community Support and Care Program by reinforcing community personnel capacity to address psychosocial, educational, economical, professional, and basic physical needs of people living with HIV/AIDS and orphans and vulnerable children.
In collaboration with Catholic Relief Services
For more information about the lectures, directions, or to be added to the mailing list, call the College of Nursing at (610) 519-4900.
All lectures are held at Villanova University and are free and open to the community.
More info at: http://www.villanova.edu/nursing/newsevents/events/lecture.htm
Contact Information: Louisa Zullo 610.519.4930 loiusa.zullo@villanova.edu
Research Abstract and Commentary: Topical Opioids
The discovery of peripheral opioid receptors has become the scientific basis for topical use of opioids in malignant and nonmalignant ulcers and oropharyngeal mucositis. This systematic review aimed to assess the quality of published literature and to examine whether topical opioids are effective in controlling pain in palliative care settings. After a systematic literature review, 19 studies (six randomized controlled trials [RCTs] and 13 case reports) met the inclusion criteria for the review. Eighteen studies favored topical opioids in pain relief, as evidenced by reductions in post-treatment pain scores, but time to onset and duration of analgesia varied widely. Because of the heterogeneity of the studies, meta-analysis was not possible. Despite clear clinical benefits described in small RCTs, there is a deficiency of higher-quality evidence on the role of topical opioids, and more robust primary studies are required to inform practice recommendations. N-of-1 trials should be encouraged for specific clinical circumstances.
LeBon, B., Zeppetella, G., & Higginson, I. J. (2009). Effectiveness of topical administration of opioids in palliative care: a systematic review. Journal of Pain & Symptom Management, 37, 913-7.
Commentary by Dana Rutledge
The clinical problem of painful skin and mucosal lesions is a challenge in all settings, but particularly in palliative care where systemic opioids may not be sufficient for pain relief or where patients may resist systemic opioids due to unfavorable side effects. This systematic review used the Centre for Evidence-Based Medicine methods, and was done appropriately, although the last search for primary studies was done in August 2006 and the publication date is May 2009 (a long window of time for newer studies to have been published).
Findings showed that topical opioids were used for both malignant and nonmalignant wounds as well as oropharyngeal mucositis. Applications for skin wounds were 1-6 times daily and every 2-3 hours for mouthwashes. Opioids were administered in a variety of carriers (e.g.., hydrogel). The primary finding was pain relief following use of topical opioids. Secondary findings indicated that 0.1% diamorphine (heroin) led to pain relief in one hour with duration between 24 and 48 hours, while topical morphine relieved pain immediately to 60 minutes after administration and lasted 2 to 45 hours in ulcers and one to four hours in mucositis.
Scarce reports were found related to adverse effects. Primarily reported were local effects such as itching, burning, and discomfort. Possible administration problems existed with exudates and possible tolerance with prolonged usage.
Due to the intrinsic difficulties with studies in palliative care patients (heterogeneity, low recruitment, high drop out rates), the authors recommended N of 1 trials. In N of 1 trials, a single subject receives a treatment or placebo in a randomly assigned order; data are collected on outcomes to determine effect in this one patient. For example, a palliative care patient with a wound might be set up to receive 6 days of treatment (3 days of a topical opioid/3 days of placebo; order determined in a random manner) with pain monitored carefully for severity, onset of pain relief, adverse effects etc.
Nurse Practitioner Jobs ARNP Jobs 8/12
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Tuesday, August 11, 2009
Fellow Fossils
A Big Decision
Hmmm... maybe I'm not the idiot
Washington State Stacks Financial Incentives in Favor of Vaginal Birth
Nurse Practitioner Jobs August 11th
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Monday, August 10, 2009
Age of Tankmates 21, 21, 22, 23, 23, and me
Saturday, August 8, 2009
Anatomy. They don't call it gross for nothin'
August 8th Nurse Practitioner Jobs
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Friday, August 7, 2009
Wilmington (NC)Women Ask, “Where’s My Midwife?”
Thursday, August 6, 2009
Panic, Anxiety, Stress, Nausea, Holy crap... what did I get myself into??
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Tuesday, August 4, 2009
The Real Risk of Late Prematurity
Monday, August 3, 2009
A Wonderful, Wonderful Day!
So today was the day! My White Coat Ceremony. My family came into town and we made a weekend out of it. Yesterday I took a bus tour around the city to see six different community health clinics and centers that we will be working at... then I met my family (and everyone else's family) at the city park for a beautiful summer BBQ. The food was great, and I got to introduce my family to the Deans as well as to southern pulled pork sandwiches.
ECG Nursing Lecture
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What does TM feel like?
I got this off another blog, it is not my own writing but I felt that it is accurate and worth sharing.
Another favorite of mine is the Spoon Theory, it can be found on this website:
http://www.butyoudontlooksick.com/the_spoon_theory/
Please read it too!
MS Symptoms - What It Feels Like
When we say we can't do something because we don't feel well, put yourself in our shoes by using the examples of our symptoms below---
What You Can do To Understand Painful Heavy Legs... Apply tightly 20 lb ankle weights and 15 lb thigh weights then take a 1 mile walk, clean the house, go shopping and then sit down - how ya' feeling now?
Painful Feet... Put equal or unequal amounts of small pebbles in each shoe then take a walk.
Loss of Feeling in Hands and/or Arms... Put on extra thick gloves and a heavy coat then try and pick up a pencil, if successful, stab yourself in the arm.
Loss of Feeling in Feet and/or Legs... Ask a doc for a shot of novocaine in both of your legs and then try and stand up and walk.
TN (Trigeminal Neuralgia). ..Take an ice pick and jam it into your ear or cheek whenever the wind blows on it, or a stray hair touches it. If you want something easier to do, get someone to punch you in the jaw, preferably daily.
Uncontrollable Itching... Glue or sew small steel wool pads to the inside of your shirt, pants and undergarments wear them for an entire day.
Tingling... Stick your finger in an electrical socket - preferably wet.
Tight Banded Feeling... Put 12 inch wide belt around you and make is as tight as you can and leave it there for the entire day.
Shots... Fill one of our spare needles with saline solution and give yourself a shot every time we do our shot.
Side Effects From the Shot... Bang your head against a wall, wrap yourself in a heating pad, wrap your entire body with an ace bandage tightly then finally treat yourself to some spoiled food or drink.
Trouble Lifting Arms... Apply 20 LB wrist weights and try and reach for something on the highest shelf in your house.
Spasticity... Hook bungee cords to your rear belt loops and rear pant leg cuffs then for your arms hook bungee cords to your shirt collar and cuffs on shirt sleeves then go dancing.
Poor Hearing/Buzzing in Ears...Put a bee in each ear and then put a plug in each one...bzzzzzzzzzzzzzzzzzz
Balance and Walking Problems... Drink 100 proof grain alcohol and then sit and spin in an office chair for 30 minutes, now try and walk.
Urgently Needing to Pee... We put a .5 liter remote controlled water bag and drip tube in your pants, we point out 2 restrooms in a crowded mall, then we tell you that you have 30 seconds before we activate the water bag (by remote control) to get to a restroom. Just for spite we may make that 20 seconds without telling you.
Bizarre and Inexplicable Sensations... Place tiny spiders on your legs or arms and allow them to periodically crawl around throughout the day.
Pins and Needles... Stab yourself repeatedly with needles all over your body or better yet....Get a large tattoo.
Dizziness (Vertigo)... Get on a gently rocking boat all day and all night and take several walks around the deck.
Fatigue... Stay awake for two full days to induce incredible fatigue and then cook dinner, clean the house, walk the dog and see how you feel.
Bowel Problems... Take a 4 day dose of an anti-diarrhea medicine followed directly by a 3 day dose of stool softeners for a minimum of 3 weeks, at the end of 3 weeks sit down on a hard uncushioned chair and stay there till tears appeared.
Burning Feeling... Make a full pot of boiling water and then have someone fill a squirt gun with the boiling water and shoot it at yourself all day long. However, you can give us the pleasure of shooting you instead...optional of course.
Intention Tremor... Hook your body to some type of vibrating machine try and move your legs and arms.....hmmm are you feeling a little shaky?
Buzzing Feeling When Bending Our Heads to Our Chest (L'Hermitte's)... Place an electrical wire on your back and run it all the way down to your feet, then pour water on it and plug it in.
Vision Problems (Optic Neuritis)... Smear vaseline on glasses and then wear them to read the newspaper.
Memory Issues... Have someone make a list of items to shop for and when you come back that person adds two things to the list and then they ask why you didn't get them. When you come back from shopping again they take the list and erase three things and ask why you bought those things.
Foot Drop... Wear one swim fin and take about a 1/2 mile walk.
Depression... Take a trip to the animal shelter everyday and see all the lonely animals with no home. You get attached to one of the animals and when you come back the next day you come in while they are putting her/him asleep.
Fear... Dream that you have lost complete feeling in your feet and when you wake up wiggle your feet, just so happens they don't move. Think about this every night wondering whether something on your body won't work the next day.
Swallowing... Try swallowing the hottest chili pepper you can find.
Heat Intolerance or Feeling Hot When it's Really Not... You are on a nice vacation to Alaska. It's 35° outside and 65° inside. Light a fire for the fireplace and then get into it. Once you have reached about 110° tell me how you feel, even a person without MS would feel bad, now add all of the above symptoms - welcome to our world.
And Finally... After subjecting yourself to the items above, let everyone tell you that you are just under a lot of stress, it's all in your head and that some exercise and counseling is the answer.