Carlos Casteneda

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1. Strange experience yesterday, feedback please...

   Carlos Casteneda replied to LovingLearning's topic in General Students

   You did well no doubt about it you kept on fighting for your patient long after others would have given up. Your instructor seems to be very wise, nursing is strange, it does invoke uncomfortable feelings, it does sometimes feel as though nurses will...

2. Does patient need to know the diagnosis?

   Carlos Casteneda replied to Ms.RN's topic in Hospice

   I fully agree with ambil, whereas we generally beleive that patients deserve the truth, we have to accept that everyone copes differently, the approach suggested comes straight from the pages of validation therapy, it also works with disorientated el...

3. Huntington's Chorea

   Carlos Casteneda replied to saribeth's topic in Hospice

   Dont know if its too late but a few things we use scopolamine patches + saline nebs if secretions become too thick Atropine eye drops sublingualy positional changes chairs with tilt in space used to obtain very upright position (obviously depends of...

4. Managing symptoms for a �good death�

   Carlos Casteneda replied to NRSKarenRN's topic in Hospice

   try encouraing patients to be a feather on the breath of God http://palliativedrugs.org/download/CARE%20OF%20PERSON%20AT%20DEATH%2019%20JUN%202002.pdf

5. careplan...nutrition imbalance on peg tube??

   Carlos Casteneda replied to MyEBee's topic in General Students

   it occurs to me that most interventions need time, weekly weighing will inform of the trend which will indicate what the balance is, the potential risk remains but the regime can be adjusted . Also there may always be a potential risk, as tubes can ...

6. Edematous parts

   Carlos Casteneda replied to bay bay's topic in Hospice

   We have had great success with a patient with scrotal,penile and bilateral leg oedema with the use of spirinolactone and frusimide, referral to a physiotherapist who specialises in lymphodema and the use of special "bike" pants and stockings. This pa...

7. Edematous parts

   Carlos Casteneda replied to bay bay's topic in Hospice

   This problem sounds to me like a severe form of lymphoedema. My experience has shown that fitting the patient with lycra bike pants reduces the oedema somewhat - sometimes though the oedema is just shunted up into the abdomen. Having massage by a qua...

8. med errors

   Carlos Casteneda replied to zaleah's topic in Emergency

   dont know if this entirely fits this thread but a junior nurse has just asked if it would be acceptable to resuscitate a patient on a DNAR if the cause of their arrest was due to a nurses drug error i cant think through the consequences at present wh...

9. Looking for your input on ED med error....

   Carlos Casteneda replied to NewEDRN's topic in Emergency

   I agree with all others a valuable lesson learnt we dont blame nurses for errors, due to encouraging cover up, we look at the system instead and find safer ways for everyone to practice,most nurses make a drug error at some point and we never forget ...

10. Managing fatigue in M.S.

    Carlos Casteneda replied to Carlos Casteneda's topic in General Nursing

    thank you , julian

11. Managing fatigue in M.S.

    Carlos Casteneda posted a topic in General Nursing

    hello everyone, Can anyone give me any pointers about the nursing management of fatigue in Multiple sclerosis, Keep up the good work, Julian

12. Scenario:What would you do?

    Carlos Casteneda replied to Happy-ER-RN's topic in General Nursing

    we dont do any routine obs on palliative patients, because we would not act if we found deviations from the norm anyway

13. ethics of holy water and Islam

    Carlos Casteneda replied to Carlos Casteneda's topic in Safety

    thank you for all the posts the situation is not quite as volatile as it was but we are involved in discussion so that we can reach a more appropriate course of action.

14. ethics of holy water and Islam

    Carlos Casteneda replied to Carlos Casteneda's topic in Safety

    thank you for all the replies, I initially thought along the same lines ie if its clean it should be ok, but needs multi disciplinary discussion . I looked at the bottle of water which had bits of paper floating around in it the sister said that it w...

15. ethics of holy water and Islam

    Carlos Casteneda posted a topic in Safety

    We are nursing a Muslim lady with a diagnosis of permanent vegetative state, Today a Nurse interupted her sister pouring a substance into a jug of water used to provide flushes down her peg. The nurse asked her to stop a debate ensued, the sister sa...