athomemom56

I know there are numerous sources both written and videos on the topic of diabetes available for nurses. I learn best using visuals, but also when Reasons and Rationales are given. If I know the reason, then I understand better. A lot of times I find information that tells me diabetes can cause complications involving the kidneys....but I need to know how and why...If any of you know good sites and especially good videos please let me know. Not only for diabetes, but any condition. This is the best way for me to learn. Following is some info I got from the internet...it tells me the how and why. Here goes: How does diabetes cause kidney disease? When our bodies digest the protein we eat, the process creates waste products. In the kidneys, millions of tiny blood vessels (capillaries) with even tinier holes in them act as filters. As blood flows through the blood vessels, small molecules such as waste products squeeze through the holes. These waste products become part of the urine. Useful substances, such as protein and red blood cells, are too big to pass through the holes in the filter and stay in the blood. Diabetes can damage this system. High levels of blood sugar make the kidneys filter too much blood. All this extra work is hard on the filters. After many years, they start to leak and useful protein is lost in the urine. Having small amounts of protein in the urine is called microalbuminuria. The kidneys work hard to make up for the failing capillaries so kidney disease produces no symptoms until almost all function is gone. Also, the symptoms of kidney disease are not specific...... Here's another complication of diabetes....with the how's and whys.... Gastroparesis Gastroparesis is a type of neuropathy (nerve damage) in which food is delayed from leaving the stomach. This nerve damage can be caused by long periods of high blood sugar. Delayed digestion makes the management of diabetes more difficult. It can be treated with insulin management, drugs, diet, or in severe cases, a feeding tube. Gastroparesis is a disorder affecting people with both type 1 and type 2 diabetes in which the stomach takes too long to empty its contents (delayed gastric emptying). The vagus nerve controls the movement of food through the digestive tract. If the vagus nerve is damaged or stops working, the muscles of the stomach and intestines do not work normally, and the movement of food is slowed or stopped. Just as with other types of neuropathy, diabetes can damage the vagus nerve if blood glucose levels remain high over a long period of time. High blood glucose causes chemical changes in nerves and damages the blood vessels that carry oxygen and nutrients to the nerves. Sorry to be so long, and hope you get what I mean... Barbra Ann

I know there are numerous sources both written and videos on the topic of diabetes available for nurses. I learn best using visuals, but also when Reasons and Rationales are given. If I know the reason, then I understand better. A lot of times I find information that tells me diabetes can cause complications involving the kidneys....but I need to know how and why...If any of you know good sites and especially good videos please let me know. Not only for diabetes, but any condition. This is the best way for me to learn. Following is some info I got from the internet...it tells me the how and why. Here goes: [h=3]How does diabetes cause kidney disease?[/h] When our bodies digest the protein we eat, the process creates waste products. In the kidneys, millions of tiny blood vessels (capillaries) with even tinier holes in them act as filters. As blood flows through the blood vessels, small molecules such as waste products squeeze through the holes. These waste products become part of the urine. Useful substances, such as protein and red blood cells, are too big to pass through the holes in the filter and stay in the blood. Diabetes can damage this system. High levels of blood sugar make the kidneys filter too much blood. All this extra work is hard on the filters. After many years, they start to leak and useful protein is lost in the urine. Having small amounts of protein in the urine is called microalbuminuria. The kidneys work hard to make up for the failing capillaries so kidney disease produces no symptoms until almost all function is gone. Also, the symptoms of kidney disease are not specific...... Here's another complication of diabetes....with the how's and whys.... Gastroparesis Gastroparesis is a type of neuropathy (nerve damage) in which food is delayed from leaving the stomach. This nerve damage can be caused by long periods of high blood sugar. Delayed digestion makes the management of diabetes more difficult. It can be treated with insulin management, drugs, diet, or in severe cases, a feeding tube. Gastroparesis is a disorder affecting people with both type 1 and type 2 diabetes in which the stomach takes too long to empty its contents (delayed gastric emptying). The vagus nerve controls the movement of food through the digestive tract. If the vagus nerve is damaged or stops working, the muscles of the stomach and intestines do not work normally, and the movement of food is slowed or stopped. Just as with other types of neuropathy, diabetes can damage the vagus nerve if blood glucose levels remain high over a long period of time. High blood glucose causes chemical changes in nerves and damages the blood vessels that carry oxygen and nutrients to the nerves. Sorry to be so long, and hope you get what I mean... Barbra Ann

Do you have to have liability or any type of insurance to teach CPR if you are an independent contractor? Barbra

I just finished a CPR instructor course and am certified to teach BLS for Health Care Providers as well as Heartsaver CPR. If anyone on this board teaches CPR, can you PLEASE tell me if you had to purchase any type of liability or any type of insurance to protect yourself. This has been so hard to find out. I plan on teaching CPR independently as I don't have an agency that I work for presently. I will teach from my home, at designated locations, schools, daycare providers homes, employers offices etc. Barbra

I just finished a CPR instructor course and am certified to teach BLS for Health Care Providers as well as Heartsaver CPR. If anyone on this board teaches CPR, can you PLEASE tell me if you had to purchase any type of liability or any type of insurance to protect yourself. This has been so hard to find out. I plan on teaching CPR independently as I don't have an agency that I work for presently. I will teach from my home, at designated locations, schools, daycare providers homes, employers offices etc. Barbra

I just finished a CPR instructor course and am certified to teach BLS for Health Care Providers as well as Heartsaver CPR. If anyone on this board teaches CPR, can you PLEASE tell me if you had to purchase any type of liability or any type of insurance to protect yourself. This has been so hard to find out. I plan on teaching CPR independently as I don't have an agency that I work for presently. I will teach from my home, at designated locations, schools, daycare providers homes, employers offices etc. Barbra

I just finished a CPR instructor course and am certified to teach BLS for Health Care Providers as well as Heartsaver CPR. If anyone on this board teaches CPR, can you PLEASE tell me if you had to purchase any type of liability or any type of insurance to protect yourself. This has been so hard to find out. I plan on teaching CPR independently as I don't have an agency that I work for presently. I will teach from my home, at designated locations, schools, daycare providers homes, employers offices etc. Barbra

I just finished a CPR instructor course and am certified to teach BLS for Health Care Providers as well as Heartsaver CPR. If anyone on this board teaches CPR, can you PLEASE tell me if you had to purchase any type of liability or any type of insurance to protect yourself. This has been so hard to find out. I plan on teaching CPR independently as I don't have an agency that I work for presently. I will teach from my home, at designated locations, schools, daycare providers homes, employers offices etc. Barbra

Thanks, I wasn't aware of that fact. Barbra

Thanks.

Thanks for the info. barbra

Hi, were you able to pass these classes by only using the sources you mentioned? Thanks, Barbra

Thanks, that helps a lot....by the way, do you have any TCN study guides? Barbra

Does anyone have any ideas for purchasing prereq study guides other than The College Network...I need A&P and Microbiology, Intro to Sociology, and Intro to Psych. Barbra Ann

Does anyone have any ideas for purchasing prereq study guides other than The College Network...I need A&P and Microbiology, Intro to Sociology, and Intro to Psych. Barbra Ann

Does anyone have any ideas for purchasing prereq study guides other than The College Network...I need A&P and Microbiology, Intro to Sociology, and Intro to Psych. Barbra Ann

Does anyone have any ideas for purchasing prereq study guides other than The College Network...I need A&P and Microbiology, Intro to Sociology, and Intro to Psych. Barbra Ann

I am thinking about starting ISU. I am collecting my information. I wish it could be done in a shorter amount of time. Do you plan on keeping this thread going? Are there any other ISU LPN to BSN forums? Barbra Ann

I live in Minnesota. I'm looking for a distance learning online LPN to ADN program other than excelsior. Is Excelsior and Indiana State University, the only schools that offer LPN to ADN and LPN to BSN totally through distance learning respectively? Barbra

Does anyone know if there are any legit anatomy and physiology, microbiology etc. classes with labs that are offered online or distance learning, that your credible university's accept? Barbra

Are there any other schools besides Excelsior that offers LPN to ADN via distance learning? I'm just wondering if there are any other options out there. It is extremely expensive to spend traveling costs, testing cost, housing costs and work days missed with the possibility of not passing the test, and I know you hope for the best, but I am just looking for other options. Barbra

Do you have any tips as to reminding clients to take their pills at the correct time of day. I have tried different ideas, and just wanted to know more. The pills are setup in a container labeled "Morning, Noon, Evening, Bedtime", but what if the client is having problems remembering what the time frame is for Morning, Noon, etc. You could give her a sheet that describes the times, or you could have them to use an alarm clock, or cell alarm to remind them it's time to take the pills....what do you do? Love to hear others ideas. Let's say this person has a problem with both (A) Not remembering what "time" is "morning" etc. and (B) Forgetting to take pills due to sleeping, or just the busyness (sp) of the day. Barbra

Hi, Are you able to email me a copy of the paper communication sheet you used? If not can you give me a description. We don't use PDA's, I paper chart and need something that can be used as proof of what is done in between visits. It has to be pretty portable, because as I said, you never know where you might be when you get the calls back. And speaking of returned calls, what do you do about calls from docs and nurses etc. when you aren't at the clients home. Did you always carry your communication log with you no matter where you were so you could document? Barbra

This question is for those of you who do visits. Example: You see your Mary every Friday. You go and do your visit that day and her BP is elevated, she's asymptomatic....you call the primary to let him know, BUT, he can't come to the phone so his nurse comes to the phone. You give her the necessary info and she tells you she will relay it to the primary and will call you back. Keep in mind that you complete your Skilled visit note for this client which you will turn in today as this is how you get paid. Okay, after the phone call, it's time to move on to your next visit. The cay comes to an end, you haven't heard from Mary's PMD. The following Monday He calls and doesn't feel her meds need to be changed or increased at this time, but he wants you to call in her BPs for the next month. My question how do you document what happens in between your visits with the same client since you only see her once a week. A lot of things can happen in a week. You order refills and the pharmacy calls and tells you they need the doctors authorization etc. Plus, when you leave her home, there's no telling where you might be when the doctor calls back. I can't carry a big notebook in my purse although I know some people who do 8 hour shifts have a communication book so the next shift knows what is going on. But it doesn't work that way with visits, you are THE only nurse, but you need to document info so you can know whats going on when whoever calls you back, and to just cover yourself. Love to hear what you use. Sorry about my grammar etc. kinda sleepy!

Sorry, forgot to write the condition: Influenza