MissDilini

Thankyou everyone for your help. All your input is very much appreciated:)

Hi there I am just wondering which members of the multidisplianry team would be involved in caring for a patient with dilated cardiomyopathy and what their contributions may be/why needed. I need nursing diagnoses for dilated cardiomyopathy . Is decreased cardiac output one? Thankyou in advance for all help, greatly appreciated

As a home care nurse what are the ways you could go about a hospital admission for an islamic patient with TB. Would there be many obstacles in terms of family/community beliefs, religious and cultural considerations. This woman now resides In Australia. How would i go about her addmission:s I have researched endlessly but feel like im going around in circles:( Any help would be euphoric at this time! Thankyou

Does anyone know any nursing considerations and care of an islamic patient with TB( tubercolosis). Any help would be great!

Haha thanks mike R. Was not expecting any answers just help and guidance::)

hi there it is a case study and my post was in realation to one part of the case study. myocardial infarction (heart attack) - the patient feels a long lasting and persistent pain that is often described as a squeezing, burning feeling and a feeling of tight pressure in the middle chest region the pain can also travel and be felt at the neck, jaw, arm and shoulder which may proceed into the back. - severe pain - sudden weakness, dizziness, fainting, - diaphoreis (sweating), nausea or shortness of breath. - general malaise (vague feeling of illness) - feeling of great pressure in chest region - in some cases sufferers describe a sensation that feels very much like a severe case of indigestion: burning, aching feeling high in the central area of your upper abdomen. it may become so severe that the sufferer feels as if they will faint. hypoglycaemic attack • pallor ( abnormally pale complexion) - increased heart rate( tachycardia) - shakiness, lack of coordination (e.g. • irritability, hostility, and poor behaviour • a staggering gait • lethargy and fatigue • increased appetite/ excessive hunger • headache • blurred vision and dizziness • nausea and possible abdominal pain and distension • fainting and unconsciousness fall or injury - swelling - redness and inflammation - bruising - tender and painful at location may extend to entire limb - possible infection in affected are with symptoms of pain, exudate, swelling and pain. - possible blood clotting may be visible and detected externally. - sweating and pyrexia( high temperature) hypoglycaemic attack the immediate treatment for a hypo is to have some food or drink containing sugar (such as chocolate, sugar cubes or fruit juice) straight away to end the attack. after having something sugary, it may be necessary for you to have a longer-acting food with carbohydrates such as a few biscuits or a sandwich, depending on which insulin you are using. if hypoglycaemia is not treated, it may lead to unconsciousness, because there is not enough glucose for normal brain function. at this stage, an injection of the hormone glucagon can be given to quickly raise blood glucose levels and restore consciousness. if you are unable to treat your hypo because it is more severe, someone else can help you by applying glucogel (or honey, treacle or jam) to the inside of your cheeks and gently massaging the outside of your cheeks.

Nursing interventions In relation to hypoglycaemic attack, stroke, heart attack, and possible fall. How can these be prevented. Any idea or suggestions would be appreciated

Hey guys what is meant by KARDEX? And is it used in hospitals, on placement, in what situations I am a div2 nursing student of 3 months. Just began the constant learning process:P Can you please help me with this. Thanks:)

i honestly dont know... That is why i need some help! I want to learn this. Im just 3 months into my course on tues. I've read about what it is(oximetry in the level of oxygen in the blood) but that is all. Haha really maybe i should visit this board more often then:P ( joking..:)) Thanks

*If a patients oximetry is low do u increase or decrease ventilation vice versa. *And if someone has imapired breathing eg. bronchitis, cough, fast resps eg do u elavate the patient. eg elevate head or leave them flat or on side. If a pt has a prominent accent but can speak limited english would u request an interpreter. Thanks

Sorry for the spelling mistakes. Hope to see something soon:)

Hi everyone i have an assignment due on monday. Im an a div2 nursing student 3 months into my course. I have my first placement early july:):s:/ On finding abnormal substances in urine such as(ketones,proteins) what should be ordered within a div2 nursing students scope?? I am doing a plan of care for a shift of work in a ward for a specific patient. He was hit and dragged by a car.He is also homeless, has no contactable people. How would i prioritise his care? He has an idwelling catheter insitu(not sure what insitu is) he didnt void prior to surgery.He is in pain(states pain in his chest a 7 out of 10) has had surgery for a compound fracture of his left tibia(in plaster cast). He has not eaten for two days, last drink was alcohol prior to accident. He has lacerations and abrasions on his body and some lacerations hv been sutured. Has a temp of 38, heartrate 80 but ireegular bp 150/90(High, hypertensive, resps 28, blood glucose level 11. Doctor has noted he has an enlarged liver and he has chronic bronchitits. english is 2nd language. Is a smoker Non weight bearing! On observation:He is brusied, poorly groomed, old scabbed lesions.yellowish complexion with pale lips and uses accessory muscles to breathe. He vomits 230 mls blood is presesnt. On observation of his charts, history and info i hv been given. I would Monitor Fluids, suggest a fluid balance chart, pain relief, walkers,bedbath( because he is immobile and would have an impaired skin integrity)? further testing, montior respirations and pattern of breathing. Further blood testing( proteins and keytones were found)?interpreter, encourage him not to smoke within his stay? What would as i a nursing student do. If what i hv written above is correct who would i talk to, superior nurses who then contact doctors? Im a bit lost here To all of you that rae further into their course,newly graduated nurses and those with years of experience. please help me out:) Thankyou!

rntutor- thankyou! you helped me alot! i am just 3 months into my course so this is all very new to me. we have just been asked for assessment and nursing interventions.(communication,breathing and circulation,medications,wounds,spiritual and cultural lifestyle). it is also asking for documentation that is likely to be used in during the patients stay in the acute care hospital and a statement as to why. it is a health task for analyse health information and is worth 100% of the subject mark:s i have completed most of it but i am unsure about thse parts and what is expected of me. the patient needs anti hypertensive medication but he will not be able to afford them as he is homeless, he will not take them either, he needed assistance mobilising, eating and drinking, grooming.as a nursing student in a hospital who would i speak to about these issues? it is out of my scope of practice. to whose attention should i bring these issues to? it also asks for the significance of his blood test results(levels of haemoglobin,serum billirubin and thrombocyte count(80*10^9/l) how do i work this out? thankyou for your help!:) it means alot.

haha coffee:) No we have not really gone into this much at all, and we are not in our clinicals. I am just 3 months into my course so this is all new to me. I have spent so much time on this and it is due in 4 days:( We have just been asked for assessment and nursing interventions on pt(communication,breathing and circulation,medications,wounds,elimination,spiritual and cultural lifestyle). It is also asking for ducumentation that is likely to be used in during the patients stay in the acute care hospital and a statemnt as to why. Fluid balance chart to monitor his fluid intake? It is a health task for analyse health information and is worth 100% of the subject mark:s i have completed most of it but i am unsure about thse parts and what is expected of me. The patient needs anti hypertensive medication but he will not be able to afford them as he is homeless, he will not take them either, he needed assistance mobilising, eating and drinking, grooming.As a nursing student in a hospital who would i speak to about these issues? It is out of my scope of practice. To whose attention should i bring these issues to? It also asks for the significance of his blood test results(Levels of haemoglobin,serum billirubin and thrombocyte count(80*10^9/l) how do i work this out? Thankyou for your help!:) it means alot.

Hi i am a div2 nursing student. 3 months in. How would a div2 nurse Go about a discharge planning assessment for a homeless patient. For example service referrals, ADLS assistance,accomodation needs, service referrals. Do talk to someone in a more superior position and if so, who usually? In a plan of care would i write what i observe and what information is given on the patients observation charts, blood/urine test results and then what should be done? For example: Further testing to investigate abnormal findings. Increase fluids as patient intake is inadequate? Pain relief for his pain( he has undergone surgery for a compound fracture of the left tibia) has chronic bronchitits and significant chest pain. Suspected liver problems on my behalf related to signs and symptoms displayed in patient(enlarged liver,jaundice,alcohol abuse) Any help is greatly appreciated! Thankyou!

Thanks alot for all you help! @RNTutor - You were alot help. I am still a little confused about the actual/potential roblems. The patient has hypertension(he stopped taking his anti-hepertensive medication) And his current blodd pressure is 150/90. So is hypertension an actual problem? He as an enlarged liver(stated in the case study. So i i can list enlarged liver as an actual problem? Hepatitis- I looked the form up and all sighns symptoms are pretty much the same. I am unable to find the differences. I think hepatitis C as it tends to be common in the homeless and those who are dehydated and hv poor living conditions. Thank you woman king :)

Have been given a case study. Need to list actual and potential problems and a rationale/statement for each. Am i doing this correctly. Is this right? Potenial problems i have so far..... * Liver cancer- Patient has underlying problems with the liver, has a fever and has become jaundiced. He is also experiencing chest pain. *Pulmunary embolism- Patient displays chest pain, blood in emesis, brathing difficulties(using accessory muscles) Coughing. ............. ADLS'? the patient is a homeless man.... Any help would be appreciated!

No we were given nothing else. It is all supposed to be based on communication. Thankyou for all the replies

Hi there everyone I have to write a 2000 word essay on how i would communicate effectively with a 5 yr old patient in a hospital. How do i set this out and in which way would i write. I would first introduce myself in a warm manner so as to make the child feel safe and comfortable. I would use pictures etc etc. I will make the child feel as comfortable as possible and i will do my personal best to ensure he best possible relationship between us, so he or she will trust me. This is just a rushed example but am i going the write way? Any ideas on what i can write, and in which way? Any help is greatly appreciated. Thankyou!

Thankyou:) @ its me juli- We have not learnt much about assessment data and nursing interventions at all. And we have not gone into care planning. We are expected to refer to our textbooks, but it all seems like a second language to be. How we are expected to complete this task i cannot really comprehend

Thankyou:) Just wondering what assessment and nursing intervention are.

I have been given an assessment task(case study) which is 100% of the subject mark. I am one month into my course. I have been given information on the patients observations Respirations, oximetry(95% in room air), blood glucose level(11mmo1/1) Neurovascular observations) I have also been given laboratory results Haemoglobin, INR(1.5), leukocyte count(18.8 multiplied by 109/1) thrombocyte count 100 multilpied by 109/1 serum bilirubin(23umo1/L) urinalysis/catheter specimen(SG 1020) I am a little overwhelmed and any help as to what this information means and is telling me, the normal readings and abnormal readings, how to assess the information and any additional information would be greatly appreciated!!!

Hi I am a new nursing student. I have been given an assesmment task(case study) which is 100% of the entire subject mark. I have been given information on his injuries(wounds, fractures), mobility, eating and drinking patterns, rest and sleep, elimination, catheter specimens, iv therapy, laboratory results etc and have been aksed to write: Assessment data and nursing intervention. What do these mean? Any help is greatly aprreciated:)