DivaMomto3

By george, I think I may be well on my way to understanding this finally! LOL Thank you so much for all your guidance!

I actually got to looking at that and realized I was heading in the wrong direction. I changed it to Acute pain R/T infection. His WBC count was 14.6. I am also going to do a teaching care plan on diet for him. I do have this question: If I am doing Acute pain R/T Infection, since the infection is what is causing his pain, can by outcome/goal be for him to be infection free by discharge or do i have to directly relate it to the pain?

Well, I was going to do Acute pain R/T constipation and maybe Constipation R/T disease process but not sure how strong they are. It's hard because I didn't have to do much for him. He was primarily there to be monitored for his white cell count. I guess I am not sure what direction to take with this.

My mother's best friend came up with a method called, "Who's the baby's daddy?". It is great!!! Let me know if you're interested and I'll explain!

Yes, she was a very real patient. I, however, never got to see her as she was discharged by the time I got to clinical yesterday. I was really looking forward to working with her though. So, I ended up with a 73 y/o white male admitted with an infection from his Diverticulitis. He's been living with it for 20 years and has remained, for the most part, infection free. Heck, he was teaching me about his condition, lol. He admitted to having had a slice of pecan pie over the holidays and that is probably what caused his infection. So, now I have to come up with 2 more care plans by tomorrow morning. I know I am doing one on his pain he came in with but not sure about a second. I will have to play with this one. Thank you, Daytonite, for your guidance! I love reading your responses to care plan questions. You should write a care plan book! :)

My patient is a 42 y/o white female recently diagnosed (10/07) with invasive ductal carcinoma. She was admitted for "unrelenting pelvic/leg pain uncontrolled by Lortab at home". She has had a PET scan, lumbar, thoracic, and cervical MRI, chest and pelvic xray with no abnormal findings. A bone scan is pending. She is on the following medications: Dilaudid PCA pump Percocet Ativan Phenergan Compazine Lexapro Benadryl Lovenox Neurontin Narcan I have to provide two plans of care. I have already done one assessing her pain. My second nursing diagnosis is: Risk for Injury R/T polydrug effect and altered mobility I can come up with interventions in regards to the altered mobility but, for the life of me, I am blanking on the polydrug effect. Any advice??? Thanks so much!

I'm taking statistics online this semester, as well! Our book comes with the My Math Lab software. Is anyone familiar with it?

Well, I got an 86. I'm not happy about it, but what can ya do?

Well, my test was this morning. I have no clue how I did. I was about halfway through it when I started thinking that it seemed abnormally easy to me. So, either I bombed it or did really well, lol. He words things way differently on his tests than he does on our notes, so it can be tricky sometimes. Anyhow, he said our grades should be posted online tonight, so we'll see!!!!

Good luck hon!!!! I'm sure you'll do fine!!!

Well, repetition has worked best for me. I do study guides. I take my notes, book, or whatever we've covered and using Word, I type up a fill in the blank style study guide. Sometimes I ask for definitions, lists, explanations or drawings. For example................... 1. B-cells, when sensitized, differentiate into ______________ and _______________ cells. 2. List some causes of inflammation. 3. Define chemotaxis. 4. Draw an example of what happens in antibidy-mediated immunity. Those are just some examples of the types of questions I ask. Then I print out 2 copies. Keep in mind, that in order to cover the material thoroughly, the study guide can be really long. I had one that was 16 pages using 12-pt Times New Roman font. Anyhow, I print 2 copies. On the first copy, I go through and answer everything using my notes. On the second one, I put my notes away and answer as much as I can on my own in blue ink. Then, what I can't answer, I get my notes and answer in red ink. I had an instructor tell me that the best way to judge how well you know your material is if you can teach it to someone. SOOO, (lol) the stuff I wrote in red ink, I write out on blank paper in a format as if I were teaching it. All that typing/writing makes it stick. It sounds like alot, but it really isn't anymore time consuming than making flashcards or plain 'ol rewriting your notes. Anyhow, that's my method. :)

Without Internet?!?!? I would have just died! LOL Thank you!! I was excited! Now for the real killer, micro on Thursday!!! Let me know how those study tips work for you!!!

See, instructors that are tricky irritate me, lol. Are you trying to test on how well we know the info or how well you can trick us??? I'm getting ready to leave for most of the day but I'll post some things for you tonight that might help!!!

Thank you guys!!! What about the cardiac cycle is giving you problems? We've already covered that, maybe I can help!

Grades are posted! I made a 98.3!!! YAY! My next test is on the respiratory system!

Good job! I have no idea what I made yet! He won't post grades until tonight or tomorrow morning. UGH! Now I have a micro test to start studying for! It never ends!!!!

Yes ma'am! I am loving this group! Thank you! I popped some tylenol sinus, so hopefully I'll feel better shortly!!

I am a firm believer in the "You can do anything you put your mind to" idea. That being said, I understand that not everyone processes information the same way. Everyone told me I was nuts for taking 5 classes when it was my first time in school in 12 years and I have 3 children. But, I am now in my 3rd semester of taking 5 classes, have maintained my 4.0 and even got a Tutoring scholarship this semester. So, you have to know your limitations. But, don't think that it can't be done. Good luck to you hon!!!

You're welcome hon! I can't sleep either! My sinuses are going nuts and I am reviewing a few more things. Our study group went well, though. I hope you get some sleep!!!

Personally, I am a HUGE fan of online classes. I have never had an instructor spring surprises on me. I've taken about 8 online classes so far and knew all my assignments, test dates, quiz dates, etc. from day 1. To me, 4 isn't too much. I take 5 classes each semester between online and campus. But, everyone is different. It requires pretty good time management skills and only you can make the determination as to whether it's too much or not. I wish you tons of luck in whatever you choose to do!!!

See, my instructor admitted that he was not 100% familiar with this particular subject (lymphatics and immunity) because everything he reads tells a different story. So, he was pretty basic with us about the whole thing.

Ok, complement aids antibodies in 4 actions.... ~Neutralizing microbes by covering active sites, immobilizing, and agglutination ~Opsonize ~Lyse microbes with complement. Lyse parasites with eosinophils. ~Cause Inflammation Complement is made in the liver. I hope that helps!!!

Thank you so much for clarifying that!!!! I was hoping you would see this before my test because I remember reading that your instructor went into great detail on this and ours really didn't. Again, you rock!!!! LOL

YAY! LOL Well, good luck to you tomorrow. I am meeting with a group of girls from class tonight at Barnes and Nobles. I better get to filling in the rest of this study guide, lol. Let me know how they work for you!!!

Ok, from what I can gather (without all the scientific jargon, lol)... Because of an existing concentration gradient, chemical agents can draw leukocytes to the site of the damage to fight infections and clean up afterwards. Does that make sense? LOL