Human development
Long-term living options for elderly with dementia?
Home with assistance
Assisted living
Nursing home
Hospitalization
Granulation
Red moist tissue composed of blood vessel indicating healing.
Nursing vs. Medical diagnosis
Medical: Identification of a disease condition based on specific evaluation of signs and symptoms
Nursing: Clinical judgment about the patient in response or vulnerability to health conditions or live events that a nurse is licensed to treat.
Mixing insulin
clear (regular) before cloudy (NPH)
qd
Daily
Accident risk for adolescents?
MVA
Accidental (alcohol poisoning)
Homicide and violence
Suicide
Substance abuse
What to do first in a dressing change?
Gather all supplies to not break aseptic technique and to maintain integrity of drain.
Objective and Subjective data
Objective: Observations or measurements of patients health status
Subjective: Patient's verbal descriptions of their health problems
How to instill ear drops in an adult vs. child
Adult: Pull pinna upward and back
Child: Pull pinna downward and back
Order: Propranolol 40 mg tablets qd
Stock: Propranolol 20 mg tablets
How much would you give?
2 tablets
Developmental goals for a school age child?
Become more graceful, strength doubles
Proficient in handwriting, drawing, and playing
Less ego-centric and understands others have different thoughts
Develops groups and personal attachments
Stages of wound healing?
1.) Non-blanchable/surface
2.) Partial skin- possible serum-filled blister
3.) Fat is visible
4.) Fascia is visible
5.) Injury looks purple-eschar
6.) Full thickness skin and tissue loss
Etiology
What is causing the problem
Pt teaching for oral medication self-administration
Assess functional status (ability to grasp, swallow). Keep instructions clear and simple, provide memory aids (calendars) Ensure written information about medication is able to be read and understood. Review medication interactions and adverse effects.
Before meals
ac
Ways to communicate with hard of hearing?
Move to a quiet area
Face the pt and speak directly and clearly
Use low pitched tones
Slough
soft yellow or white tissue; stringy substance attached to wound bed.
SBAR and when do you use it?
S: Situation
B: Background
A: Assessment
R: Recommendation
When consulting a provider.
Why do we use spacers
A spacer contains fine spray and allows pt to inhale more medication.
Order: Digoxin 0.50 mcg qd
Stock: Digoxin 0.125 mcg tablets
4 tablets
Accident risk for infant
Choking
MVA
Suffocation
Falls
Poisoning
Child abuse
Neglect
Dehisced wound
Is open and separated. Vac closure or vac drain is placed for closure and drainage of exudate.
Etiology example
Disruption of tissue integrity
How to instill eye drops
Evert lower lid and drop into conjunctival sac
Do not drop directly onto the eye
Apply pressure to inner canthus (prevents meds from entering systemic circulation)
Corner of 1-7% of med is absorbed (tears dilute drops)
Wait 30 sec. between drops that are the same Wait 5 minutes between drops that are different
Increased magnesium
Hypermagnesemia