Carlos Casteneda

Carlos Casteneda

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All Content by Carlos Casteneda

  1. 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...

  2. Medication via peg

    Carlos Casteneda posted a topic in Nursing Educators, Faculty

    I have been given the dubious honour of writing a best practice statement concerning the administration of medication via peg tube. I have found a suggestion that we should administer each individual...

  3. 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...

  4. 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...

  5. 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...

  6. 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

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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,

  12. Managing fatigue in M.S.

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

    thank you ,

  13. 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

  14. 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

  15. 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...

  16. 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...

  17. Medication via peg

    Carlos Casteneda replied to Carlos Casteneda's topic in Nursing Educators, Faculty

    we now ask doctors to actually give us written permision to crush tablets or open capsules if there is no alternative. in most cases they change the order, say from ativan to diazepam before they will...

  18. Need help with policy for bedrails as restraints in ICF DD facility

    Carlos Casteneda replied to Hiskid2's topic in Developmental Disabilities

    what a big subject you chose in england we have had several deaths from bedrails so we have major policies main thrust is risk assessment can provide info if you still

  19. Medication via peg

    Carlos Casteneda posted a topic in Gastroenterology

    I have been given the dubious honour of writing a best practice statement concerning the administration of medication via peg tube. I have found a suggestion that we should administer each individual...

  20. Medication via peg

    Carlos Casteneda replied to Carlos Casteneda's topic in Gastroenterology

    New House best practice statementRE:Administration of medication via PEG Date: 20/06/2005 Patient safety is enhanced when those administering medicines understand and apply the principles of...

  21. Medication via peg

    Carlos Casteneda replied to Carlos Casteneda's topic in Nursing Educators, Faculty

    This is what i have ended up with i am posting it for criticism please feel free to comment.New House best practice statement RE:Administration of medication via PEG Date: 20/06/2005 Patient safety is...

  22. Medication via peg

    Carlos Casteneda replied to Carlos Casteneda's topic in Nursing Educators, Faculty

    It makes a lot more sense when you look at it from that perspective thank you

  23. Medication via peg

    Carlos Casteneda replied to Carlos Casteneda's topic in Gastroenterology

    Thanks for your advice which will be taken and acted

  24. Medication via peg

    Carlos Casteneda replied to Carlos Casteneda's topic in Gastroenterology

    Thanks for your reply what you suggest does make sense and is in accordance with the general concensus, after consideration i intend to incorporate this into the

  25. Critical Thinking Case Studies

    Carlos Casteneda replied to masny's topic in Nursing Educators, Faculty

    NS253 Price A (2004) Encouraging reflection and critical thinking in practice. Nursing Standard. 18, 47, 46-52. Date of acceptance: October 13