VickyRN's Nursing Blog

VickyRN (48,024 Views) Asst. Admin

Joined Mar 15, '01. Posts: 12,030 (19% Liked) Likes: 6,319

The following are articles I have written and shared with the nursing community. If you enjoy an article please leave a comment and tell me what you think.

Aesthetic/ Plastic Surgery Nurses

Aesthetic nurses (also known as cosmetic or plastic surgery nurses) provide patient care and assistance within a variety of procedural and perioperative settings to improve or enhance the patient’s appearance. They assist in smoothing away wrinkles, treating aging skin, plumping up thin small lips, filling out cheeks, and improving imperfections such as scars. These nursing professionals care for patients undergoing elective minor cosmetic procedures, cosmetic and maxillofacial surgery, major... Read More →


Medical Assistants

Medical assistants are medical support staff who perform routine administrative and clinical duties under the direct supervision of a physician or other licensed healthcare provider. Nearly three quarters work in physicians’ or other health practitioners’ offices. Medical assistants are employed in outpatient/ ambulatory care facilities, medical offices and hospital-affiliated clinics. Their duties vary according to location, specialty area, certification, and state/ local laws. For... Read More →


Nursing Educators/ Faculty

Nurse educators meld clinical expertise with a passion for teaching to shape future generations of nurses and advance the profession of nursing. They are prepared to function in a wide variety of classroom and practice settings to teach, prepare, and mentor current and future nurses, using diverse technologies and skills. They help aspiring nurses, novice nurses, and experienced nurses reach their career goals. In order to be effective in these multifaceted roles and functions, nurse... Read More →


Keeping Seniors Safe in Their Own Homes: Disaster Preparedness

Disaster can strike suddenly and without warning. It can force an elderly person to hurriedly evacuate the familiar surroundings of his neighborhood or confine an elder to his home in almost total isolation for days, if not weeks. Disasters are sudden calamitous events, causing widespread damage, loss or destruction. resources must be rapidly mobilized, above and beyond the ability of the affected community. Disasters are broadly classified as either natural or man-made. natural disasters... Read More →


Keeping Seniors Safe in Their Own Homes: Medication Safety

As people age, they typically take more medicines. Seniors who take several different medications each day are especially vulnerable to the effects of adverse drug reactions. An adverse drug reaction is defined as a harmful or unintended reaction to a drug treatment. Adverse drug events are responsible for over 177,000 geriatric emergency department visits each year. And, one third of hospitalizations among older people are related to medication-related problems. Suspect an adverse drug effect... Read More →


Keeping Seniors Safe in Their Own Homes: Stairways, Hallways, & Outdoor Areas

As the home health nurse, you are continuing the walk-through of an elderly client’s home. This article reviews home safety tips for stairways, hallways, and the outdoor area. Stairways – Stair safety is important for preventing falls and serious injury or death, since one of the most accident prone areas of the house is the stairs. Falls on stairways are especially dangerous. It is common for seniors to have difficulty safely navigating the stairs, due to conditions such as arthritis or... Read More →


Elder Abuse – A Hidden Epidemic (Part 1)

Emmalee Miller, age 82, is brought into the Emergency Department by a concerned neighbor. The patient is a widow with mild Alzheimer’s dementia, who used to live alone in her own house until about three months ago, when her unemployed son came to live with her. The frail elderly woman has a disheveled appearance with tattered soiled clothing. She acts frightened and withdrawn. A physical examination reveals that Mrs. Miller is dehydrated, malnourished, and mentally confused. The nurse notes a... Read More →


Keeping Seniors Safe in Their Own Homes: Kitchen, Living Room, & Bedroom

‘Elderizing’ a home means making the necessary modifications to safeguard the elderly occupants, particularly in reducing risk for falls. Extensive renovations may be required to accommodate physical changes or medical conditions (such as hearing loss, osteoporosis, or arthritis) often associated with age. Doorways may need to be widened for wheelchairs, bathtub walls may need to be lowered, and grab bars may need to be installed. Keeping seniors safe at home reinforces the philosophy of... Read More →


Keeping Seniors Safe in Their Own Homes: Part 1 – Bathroom Safety

Accidents are the ninth leading cause of injury-related deaths among the older population. Older women have a higher rate of injuries than any adult female age group. Seniors aged 85 years and older have the highest death rate of all from injuries and accidents. In the United States, unintentional falls are the most common cause of injury and accidental death in those over the age of 65. Falls are a major health concern for the older person, with serious implications for medical as well as... Read More →


Managing Fungating (Malignant) Wounds

A fungating (malignant) wound is a mass of cancerous tissue that is spreading under the skin and eventually infiltrates the outside layer of cells, breaking through the skin surface to create a wound. There is the potential for massive skin damage, with gross disfigurement and loss of function. As the cancerous tumor grows, it blocks the supporting blood and lymph supply, starving the area of oxygen. This causes the skin and underlying tissue to die due to lack of blood flow (necrosis).... Read More →


The Unique Needs of Elderly Patients in the Emergency Department (Part 2)

This is Part 2 of a two-part series of articles on caring for the elderly in the ED setting. Sanders (1996) developed 11 principles of geriatric emergency care that should be used when assessing older adults. These precepts are as follows: 1.) Complex presentation. Older adults, those at least 65 years of age, often present as complex patients for a number of reasons that extend beyond physical disease. It may be difficult to distinguish which symptoms are the patient’s chief complaint,... Read More →


The Unique Needs of Elderly Patients in the Emergency Department (Part 1)

It is a typical shift in the emergency department (ed). Lydia smith, a 79-year-old woman, has fallen at home, hitting her face on the concrete slab on her front porch. Her medical history includes mild parkinson's disease, congestive heart failure, and osteoarthritis. She arrives via ambulance stretcher, strapped to a spine board, her tiny face dwarfed by the cervical collar and head immobilizer. She presents with an open gash to her right forehead, another laceration between her ... Read More →


Hospice Care Versus Palliative Care

Hospice care is defined as support and care for terminally ill persons to help them achieve maximum comfort and the greatest satisfaction possible with remaining life. Its services are designed to optimize the care experience at end-of-life. The focus is on the quality of remaining life rather than life extension or the hope for a cure. Hospice neither speeds up nor slows down the dying process, as this philosophy of care accepts the fact that dying is a normal part of life. With hospice,... Read More →


Qualitative Research: Empirical and Analytical Methods

Research can be classified into two broad categories: qualitative and quantitative. The choice depends on the type of research question. Both research categories are designed to build knowledge, and can be used in a complementary fashion. Qualitative research describes methodologies that use an inductive process to explore issues, investigate phenomena, and understand peoples’ interpretations in a holistic fashion. Inductive reasoning is reasoning from small observations to general... Read More →


Skin Changes At Life’s End (SCALE)

The skin is the largest organ of the body and can become dysfunctional at life’s end, with loss of integrity, just like any other vital body system, with reduced ability to utilize nutrients and other factors necessary to sustain normal skin function. The manifestations of this dysfunctional state are called skin changes at life’s end (scale). These end-of-life skin changes stem from ineffective skin and underlying soft tissue perfusion, increased vulnerability to external insults (such as... Read More →



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