Carlos Casteneda

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1. Strange experience yesterday, feedback please...

   Carlos Casteneda replied to LovingLearning's topic in General Students

   You did well no doubt about it you kept on fighting for your patient long after others would have given up. Your instructor seems to be very wise, nursing is strange, it does invoke uncomfortable...

2. Does patient need to know the diagnosis?

   Carlos Casteneda replied to Ms.RN's topic in Hospice, Palliative

   I fully agree with ambil, whereas we generally beleive that patients deserve the truth, we have to accept that everyone copes differently, the approach suggested comes straight from the pages of...

3. Huntington's Chorea

   Carlos Casteneda replied to saribeth's topic in Hospice, Palliative

   Dont know if its too late but a few things we use scopolamine patches + saline nebs if secretions become too thick Atropine eye drops sublingualy positional changes chairs with tilt in space used to...

4. Managing symptoms for a �good death�

   Carlos Casteneda replied to NRSKarenRN's topic in Hospice, Palliative

   try encouraing patients to be a feather on the breath of God

5. Edematous parts

   Carlos Casteneda replied to bay bay's topic in Hospice, Palliative

   We have had great success with a patient with scrotal,penile and bilateral leg oedema with the use of spirinolactone and frusimide, referral to a physiotherapist who specialises in lymphodema and the...

6. Edematous parts

   Carlos Casteneda replied to bay bay's topic in Hospice, Palliative

   This problem sounds to me like a severe form of lymphoedema. My experience has shown that fitting the patient with lycra bike pants reduces the oedema somewhat - sometimes though the oedema is just...

7. med errors

   Carlos Casteneda replied to zaleah's topic in Emergency

   dont know if this entirely fits this thread but a junior nurse has just asked if it would be acceptable to resuscitate a patient on a DNAR if the cause of their arrest was due to a nurses drug error i...

8. Looking for your input on ED med error....

   Carlos Casteneda replied to NewEDRN's topic in Emergency

   I agree with all others a valuable lesson learnt we dont blame nurses for errors, due to encouraging cover up, we look at the system instead and find safer ways for everyone to practice,most nurses...

9. Managing fatigue in M.S.

   Carlos Casteneda replied to Carlos Casteneda's topic in General Nursing

   thank you ,

10. Managing fatigue in M.S.

    Carlos Casteneda posted a topic in General Nursing

    hello everyone, Can anyone give me any pointers about the nursing management of fatigue in Multiple sclerosis, Keep up the good work,

11. Scenario:What would you do?

    Carlos Casteneda replied to Happy-ER-RN's topic in General Nursing

    we dont do any routine obs on palliative patients, because we would not act if we found deviations from the norm

12. ethics of holy water and Islam

    Carlos Casteneda replied to Carlos Casteneda's topic in Patient Safety Issues

    thank you for all the posts the situation is not quite as volatile as it was but we are involved in discussion so that we can reach a more appropriate course of

13. ethics of holy water and Islam

    Carlos Casteneda replied to Carlos Casteneda's topic in Patient Safety Issues

    thank you for all the replies, I initially thought along the same lines ie if its clean it should be ok, but needs multi disciplinary discussion . I looked at the bottle of water which had bits of...

14. ethics of holy water and Islam

    Carlos Casteneda posted a topic in Patient Safety Issues

    We are nursing a Muslim lady with a diagnosis of permanent vegetative state, Today a Nurse interupted her sister pouring a substance into a jug of water used to provide flushes down her peg. The nurse...

15. Need New Ideas, CHARTING

    Carlos Casteneda replied to rockchalk_jayhawk's topic in Hospice, Palliative

    in england in general we dont have computers for charting we are still using integrated care pathways the lcp is however quite effective for recording the terminal phase of someones illness i could...