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stjoa

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  1. OOpsss.. I wasnt thinking to include lack of staffing thingy in my title, I was thinking to include it in my introduction "Introduction to your case study provides a brief background to the professional issue associated with quality and safety" Giving the above statement, would it be appropriate using lack of staffing as the professional issue associated with quality and safety? Or would you rather pick something that is relevant to falls? Thanks..
  2. Can lack of staffing be considered as a professional issue associated with quality and safety?
  3. issue associated with quality and safety??
  4. Thank you so much Daytonite, it does help a lot. I have got a couple more questions here, I couldn't get what the following questions are trying to ask, could you help me out?? Thanks in advanced. "Provide a background to the professional issue associated with with quality and safety" "Examine what you see as the key quality and safety issue" What are they trying to say? Thanks heaps..
  5. Ooopppssss. Sorry.. I thought I'd posted them at the beginning. Here are my titles: 1. A case study on how to prevent the incidence of falling in health care facilities. 2. Examining the sources of falling and providing strategies for improvement in a health care facility. Another problem with my title is, I don't have iany deas how long the title should be. Thanks..
  6. Hi everyone, I was asked to provide a title that decribes a case study and to ensure that the title relfects the content of the case study. I have come up with a couple of titles, but they all do not sound right to me. They all sound like I am summarising the case study. I was wondering what does "title" mean?? Could anyone give me a hand please.. Here is the case study: Mrs. Smith (widow) is 82 years of age and had been admitted to your ward at 8.00pm. via casualty with shortness of breath. Until her admission, Mrs. Smith had been independently living within the community. Her past medical history includes: Type II diabetes - medication controlled, ischemic heart disease and Osteoarthritis. Mrs. Smith's mobility is restricted, and she is currently on a waiting list for a right hip replacement. She has poor vision related to retinopathy and peripheral neuropathy. Despite her co-morbities, Mrs. Smith remains independently mobile with the aid of a walking frame. Because Mrs. Smith had complained of not having slept well for the past week, the doctor has prescribed her sleeping medications. These are administered by the RN on the evening shift. Mrs. Smith informed the nurses on the evening shift that she had poor bladder control and would probably need to go to the toilet during the night. The evening nurse assured Mrs. Smith that someone will assist her and that she must use the call bell. You are working on the night shift but not caring for Mrs. Smith. You are covering while your colleague is having a 4.00 am. break. While you are attending to a patient at the other end of the ward who is vomiting, you suddenly hear calls for help from the direction of Mrs. Smith's room. You rush to Mrs. Smith's room to find her lying on the floor holding her right hip and crying in pain. On examination, her hip has externally rotated suggesting that it is fractured. You note that she appears to be confused because she is telling you that the toilet is not where it should be. Apparently, she had woken up needing to go to the toilet and because no-one responded to her calls for assistance, Mrs. Smith decided that she couldn't wait any longer. Her frame was not in its usual place and because she was desperate not to have an 'accident' Mrs. Smith tried to walk unaided to the bathroom. Half way there, she lost her balance and fell to the floor. You are required to complete an 'Adverse Event' form and cannot locate any documentation to indicate that she had been assessed for her risk of falling. Any help would be really appreciated. Thanks for your time.
  7. wow.. i just found out here that cimetidine also interact with mylanta. This makes me more confuse. Here is the scenario. as a nurse, i have to provide discharge education for Mr A. He is ordered, Dilantin qid, Cimetidine qid and Mylanta prn. Can i tell Mr A to take Dilantin and Cimetidine together?? or take dilantion after meals that wait for another 1 hour before taking cimetidine?? the interaction of these drugs is inhibiting the hepatic microsomal enzyme metabolism. Is it a good or bad interaction?? On the other hand, interaction between mylanta and cimetidine decrease the pharmalogical effect from possible impaired absorption. seperate administration by at least 2 hours. This sounds like a bad interaction. So i have to tell Mr A, after taking Mylanta, he has to wait at least two hours before taking the cimetidine, is that right? but for instance, he had his lunch at 12pm and has taken dilantin and cimetidine (i am still not sure whether these drugs can be taken together), and at 1.00pm, he feels like he has to take mylanta. Can he actually take that?? but in the drug book, it says at least has to wait two hours. These drugs interact with each other, so when should i tell the patient to take the drugs?? struggling..... Thanks in advanced for the help...
  8. ya.. that is the only i can think of but then i am stuck.. how bout the interactions of drugs.. have you got any idea?? Thankie...
  9. hey guys, cimetidine interacts with diazepam. as a result, it inhibits hepatic microsomal enzyme metabolism of these drugs. I dont really get what this means.. is it a good interaction or a bad one. Mylanta and cimetidine also interact. The interaction decrease pharmacological effect from possible impaired absorption. Another thing is, what should we be alert when monitoring DIAZEPAM intravenously? I know what we should monitor during administration of intravenous route, but when it come to abit more specific, like diazepam, i have no idea.... Help needed.... Thanks so much
  10. hey guys, why do we have to monitor repirations every 5 to 15 minutes and before each repeated Diazepam IV dose?? Thanks so much...
  11. The medication was Diazepam IV
  12. hi guys, could you help me with the following question? What important nursing interventions need to be initiated prior to the administration of medications (diazepam) in grand mal seizure situation?? Thx heapssss
  13. hey guys, I am just wondering how nurses can incorporate health promotion into their practice and be involved in other health promotion strategies besides health education. Thanx....

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