c.wicks

http://www.epodunk.com Even though information on this site is a little dated, I found it very informative for checking out the cost of living, housing, population, ect, before moving to Wyoming. Just type in the city, state or county of a place that you may be interested in and compare it to other areas or where you currently reside.

Sounds like a good plan to me. ____________________________________________________________ Those who don't learn from their mistakes are doomed to repeat them.

Nurses with ADHD allnurses.com/forums/f8/nurses-adult-add-40112.html?pp=10[/url] If you type in adhd under Search on Allnurses website you can access several threads that discuss this subject.

Excellent advice, Buttons! Krisssy, It probably would have taken me at least 3 hours to compose a post as perfect as the one above!

I hear you, Krisssy, and I believe we share several self-defining characteristics: perfectionist, LDs, OCD, "...have a need to be a nurse and get my NP degree". I can only share with you what has worked for me. Strive for perfection...settle for excellence. Aquire the knowlege to fulfill the course objectives...a B is acceptable. Plan at least 3 hours of uninterrupted study a week for every 3 hour course. Ask your family to support you and your decision to seek an advanced degree. Help them to understand that this is a temporary, yet neccessary sacrifice which will allow you to obtain your goal.

My last request..... To go sky-diving......Free fall.......at 10,000 feet.......over the ocean. ............................................................................................. The soul afraid of dying, never learns to live.

"The soul afraid of dying.....never learns to live."

Initial diagnosis of acute coronary syndrome is almost entirely based on history, risk factors, and, to a lesser extent, ECG. The symptoms are due to myocardial ischemia, which has an underlying cause of an imbalance between supply and demand for myocardial oxygen. History *Typically, angina is a symptom of myocardial ischemia that appears in circumstances of increased oxygen demand. It usually is described as a sensation of chest pressure or heaviness that is reproduced by activities or conditions that increase myocardial oxygen demand. *Not all patients experience chest pain. Some present with only neck, jaw, ear, arm, or epigastric discomfort. *Other symptoms, such as shortness of breath or severe weakness, may represent anginal equivalent symptoms. *A patient may present to the ED because of a change in pattern or severity of symptoms. A new case of angina is more difficult to diagnose because symptoms are often vague and similar to those caused by other conditions (eg, indigestion, anxiety). *Patients may have no pain and may only complain of episodic shortness of breath, weakness, lightheadedness. Patients may complain of the following: *Palpitations *Pain, which is usually described as pressure, squeezing, or a burning sensation across the precordium and may radiate to neck, shoulder, jaw, back, upper abdomen, or either arm *Exertional dyspnea that resolves with pain or rest *Diaphoresis from sympathetic discharge *Nausea from vagal stimulation *Decreased exercise tolerance *Patients with diabetes and elderly patients are more likely to have atypical presentations and offer only vague complaints, such as weakness, lightheadedness, and nausea.ess, diaphoresis, or nausea and vomiting Risk Factors *Male gender *Diabetes mellitus (DM) *Smoking history *Hypertension *Increased age *Hypercholesterolemia *Hyperlipidemia *Prior cerebrovascular accident (CVA) - These patients constitute 7.5% of patients with ACS and have high-risk features (Hasdai, 2003). *Inherited metabolic disorders (Wilken, 2003) *Methamphetamine use (Turnipseed, 2003) *Occupational stress (Panagiotakos, 2003) *Connective tissue disease (Soejima, 2004) ECG *Transient ST segment elevations (fixed changes suggest acute MI): In patients with elevated ST segments, consider LV aneurysm, pericarditis, Prinzmetal angina, early repolarization, and Wolff-Parkinson-White syndrome as possible diagnoses. *Dynamic T-wave changes, either inversions, normalizations, or hyperacute changes: In patients with deep T-wave inversions, consider also CNS events or drug therapy with tricyclic antidepressants or phenothiazines. *ST depressions that may be junctional, downsloping, or horizontal *Diagnostic sensitivity may be increased by performing right-sided leads (V4R), posterior leads (V8, V9), and serial recordings http://www.emedicine.com/emerg/topic31.htm

IBS has a broad range of symptoms; the most common are abdominal pain and altered bowel movements. Although symptoms may vary among patients, a pattern usually develops for each patient. The presence of characteristic symptoms in an otherwise healthy individual is sufficient to make a diagnosis of IBS in most individuals. *The characteristics of abdominal pain vary between patients and even within an individual patient. oThe pain can be dull, achy, colicky, or sharp. oPain can occur anywhere in the abdomen but is commonly located in the hypogastric or periumbilical regions. oThe pain has no specific pattern but may be aggravated by stress and food and partially relieved after defecation. *Altered bowel habits include constipation, diarrhea, or alternating constipation with diarrhea. oStools usually are of small volume and pasty. Constipation is associated with small, hard, pelletlike stools. Diarrhea characteristically occurs during waking hours and often is precipitated by meals. oMucus can be a component of the stool in as many as 50% of patients with IBS. oIn some patients, defecation is associated with a sense of incomplete evacuation that can lead to repeated trips to the bathroom and prolonged straining. *Symptoms of abdominal distension (ie, bloating, increased belching, flatulence) frequently are reported by patients with IBS. They are less common in children than adults. *Other gastrointestinal symptoms (ie, heartburn, dyspepsia, nausea, vomiting) are reported in 25-50% of adult patients with IBS. Dyspeptic symptoms are present in as many as 30% of pediatric patients with IBS. *Extraintestinal symptoms are also reported. Patients with IBS frequently report dysmenorrhea, urinary frequency, incomplete bladder emptying, back pain, and headache. These complaints are common in adults but rare in children.

I am currently working on my FNP and both suturing and casting were included as a set of core skills/procedures that are essential for primary care providers. Many skills taught in NP programs will still require exposure and development of expertise with a preceptor or on the job while working with an experienced provider.

The Prayer of Saint Francis "O Lord, make me an instrument of Thy Peace! Where there is hatred, let me sow love. Where there is injury, pardon. Where there is discord, harmony. Where there is doubt, faith. Where there is despair, hope. Where there is darkness, light. Where there is sorrow, joy. Oh Divine Master, grant that I may not so much seek to be consoled as to console; to be understood as to understand; to be loved as to love; for it is in giving that we receive; it is in pardoning that we are pardoned; and it is in dying that we are born to Eternal Life."

.....and the many benefits of having small boobs.... *No more bras.......a couple of Band-Aids will do. *You can see your feet without bending over. *You can touch your toes without falling on your face. *You can run without fear of biting your tongue off from rebounding boobs! *You can ride a horse without getting whiplash. *You can jump off a bus without dislocating your shoulders. *You can shop for tops in the boys' department. *Men will notice that you have a face. *A quick glance is all that's required for a breast exam. *And a radical mastectomy would go unnoticed. From: The Chairman of the Board.....and CEO of the Itty-Bitty-Titty-Committee, Yours truly.........ME!

Online Degrees and Programs http://ecampus.uwyo.edu/index.real?action=Degrees&subaction=RNBSN RN/BSN Completion Program About the Program The online RN/BSN completion program is designed for nurses who have graduated from diploma or associate degree nursing programs and have current, active RN licenses. Students complete 43-44 credits of prerequisite courses before they are admitted to the nursing major, and they complete 19-23 credits of general elective courses before graduation. Transfer credits may meet many of these degree requirements. Acceptance to the university does not guarantee admission to the nursing major. There is a separate application and fee for admission to the Fay W. Whitney School of Nursing. The application packet is available online at http://www.uwyo.edu/nursing. RNs may take up to seven nursing credits (NURS 3020, 3040, and 4150) in addition to NURS 3010 prior to admission to the nursing major as long as specified prerequisites have been met. The nursing major begins in the junior year and consists of 21 credits. A total of 120 credits hours are required for the degree. The RN/BSN is delivered nationwide via Online UW, with no on-campus time required. Theory courses are completely online. One clinical course is completed during the last semester of the program in a public health nursing setting. Contracts, preceptors, and malpractice insurance must be in place before the clinical can begin. Plan early for clinical courses. All programs offered by the Fay W. Whitney School of Nursing are accredited by the Commission on Collegiate Nursing Education and approved by the Wyoming State Board of Nursing. General program information Claire Hitchcock Fay W. Whitney School of Nursing University of Wyoming Dept. 3065 1000 E. University Avenue Laramie, WY 82071 307-766-4291 or 1-800-448-7801 e-mail: [email protected] Advising Susie Hager MS, RN, FNP UW Outreach Building 951 Poplar, Suite 115 Casper, WY 82601 307-472-4135 or 1-877-264-9930 e-mail: [email protected]

To err is human....................Only some of us are more human than others. I'm sure some of you can relate, and those that can't..... well..... this might explain why we are the way we are....... Recently, I was diagnosed with A. A. A. D. D. (Age Activated Attention Deficit Disorder). This is how it manifests: I decide to wash my car. As I start toward the garage, I notice that there is mail on the hall table. I decide to go through the mail before I wash the car. I lay my car keys down on the table, put the junk mail in the trash can under the table, and notice that the trash can is full, so I decide to put the bills back on the table and take out the trash first. But then I think, since I'm going to be near the mailbox when I take out the trash anyway, I may as well pay the bills first. I take my checkbook off the table, and see that there is only one check left. My extra checks are in my desk in the study, so I go to my desk where I find the can of Coke that I had been drinking. I'm going to look for my checks, but first I need to push the Coke aside so that I don't accidentally knock it over. I see that the Coke is getting warm, and I decide I should put it in the refrigerator to keep it cold. As I head toward the kitchen with the coke a vase of flowers on the counter catches my eye--they need to be watered. I set the Coke down on the counter, and I discover my reading glasses that I've been searching for all morning. I decide I better put them back on my desk, but first I'm going to water the flowers. I set the glasses back down on the counter, fill a container with water and suddenly I spot the TV remote. Someone left it on the kitchen table. I realize that tonight when we go to watch TV, I will be looking for the remote, but I won't remember that it's on the kitchen table, so I decide to put it back in the den where it belongs, but first I'll water the flowers. I splash some water on the flowers, but most of it spills on the floor. So, I set the remote back down on the table, get some towels and wipe up the spill. Then I head down the hall trying to remember what I was planning to do. At the end of the day: the car isn't washed, the bills aren't paid, there is a warm can of Coke sitting on the counter, the flowers aren't watered, there is still only one check in my checkbook, I can't find the remote, I can't find my glasses, and I don't remember what I did with the car keys. Then when I try to figure out why nothing got done today, I'm really baffled because I know I was busy all day long, and I'm really tired. I realize this is a serious problem, and I'll try to get some help for it, but first I'll check my e-mail. And that's when I came across your previous post. Now.....Where was I??????????????????????????? Don't laugh -- if this isn't you yet, your day is coming!