mlimoges

mlimoges

immunization, gerentology

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All Content by mlimoges

  1. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

    mlimoges replied to mlimoges's topic in Patient Safety Issues

    She does have a partial air mattress and we've put in a request for her to be seen by OT. The doctor was in on Monday and saw the affected areas. The nurse who was here said he assessed her but all he...

  2. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

    mlimoges posted a topic in Patient Safety Issues

    Hi guys! I'd really appreciate some help with this one. A little background; my client is home care, 83y/o female with Hx of stroke, seizures, P.A.D. As well as VERY sensitive and thin skin. She has...

  3. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

    mlimoges replied to mlimoges's topic in Patient Safety Issues

    Part of the problem is the mentioned nurses communication with the team. Apparently (at the same time as the pressure diagnosis was given) the doctor also said that this is a result of prolonged...

  4. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

    mlimoges replied to mlimoges's topic in Patient Safety Issues

    She only has INR done biweekly but the last complete work up would be when she was in hospital in the

  5. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

    mlimoges replied to mlimoges's topic in Patient Safety Issues

    I don't think so, she does bruise easily due to blood thinners. It covers a very large area, almost fully covering the back of her thighs and a large portion of her back

  6. Is this a possible misdiagnosis? Disgnosed as "pressure area" but looks rash-like

    mlimoges replied to mlimoges's topic in Patient Safety Issues

    These are my thoughts exactly! I've brought up the whole change in products causing a reaction thing before and to my knowledge nothing has changed except the brand of briefs we're using on her but it...

  7. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Patient Medications

    Thank you for all the info, while some of this info is taught, other bits are not. Its a great resource and i will gladly share with my colleagues. That being said, THIS is what nursing and...

  8. Ventolin or Advair. Which comes first?

    mlimoges posted a topic in Patient Medications

    Alright, let me start with some background. I've got a homecare client on Advair BID and was just prescribed Ventolin BID to supplement. She is not asthmatic but does have a Hx of pneumonias. We have...

  9. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Patient Medications

    She is already on the HFA_ as she uses a spacer. But i agree with you about the ongoing assessment. She has been on this medication for about a week and a half now and i can honestly tell you which...

  10. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Patient Medications

    Thank you, only referred to it as such because Team 1 had been but i do appreciate the detailed explanation. Ive tried to push this point (the short acting opening the airways first) before but i'm...

  11. Anti-vax nurses? Are you serious?

    mlimoges replied to dinah77's topic in Disaster Preparation

    Sorry, i guess i wasn't very clear. I was speaking more so about the bandwagon jumpers more so than the Jenny McCarthy's of the bunch. I see these people all the time, as have many of my fellow...

  12. Things Little Old Ladies Say

    mlimoges replied to raiisfun's topic in Nursing Humor

    I worked in a small dementia facility that was separated into 3 "houses" each had x number of resident rooms, a kitchen, dining room and tv room. One night shift i was sitting in one of the houses...

  13. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Patient Medications

    Love the snark haha. I grabbed the literature from the Ventolin box and highlighted the "administer short-acting inhaler before inhaled corticosteroids" and paper-clipped it to the MAR. They can argue...

  14. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Patient Medications

    i know what you mean, its so frustrating to see nurses that dont know their stuff and have no desire to enhance their learning! I understand people forget pieces of information or weren't taught the...

  15. Anti-vax nurses? Are you serious?

    mlimoges replied to dinah77's topic in Disaster Preparation

    It just boggles my mind how someone who's more than likely had these vaccinations (without complications GASP) would consider allowing their families to go without. Yes, there's a chance of something...

  16. Ventolin or Advair. Which comes first?

    mlimoges replied to mlimoges's topic in Patient Medications

    Thank you for your input! I'm with you, to me that just makes sense. Why open the bronchioles AFTER the other medications, seems like kind of a moot point. Now the only thing i dont understand is why...

  17. I'm an LPN and I understand.

    mlimoges replied to downsouthlaff's topic in LPN, LVN Corner

    I agree with this in many ways, its definitely refreshing seeing someone happy to be where they are! I know where i'm from there is still a large stigma attached to LTC and homecare nursing, even my...

  18. Canadian LPN moving to WI, where do I start??

    mlimoges posted a topic in Nurse Registration

    Hello, I'm a Canadian LPN that will be moving to WI next year, my husband is American and is looking to relocate. I was just wondering if anyone would be able to help me as to how I get the ball...

  19. Canadian LPN moving to WI, where do I start??

    mlimoges replied to mlimoges's topic in Nurse Registration

    Thank you for your input! At least now I have a starting point :)Your help is greatly

  20. Canadian LPN moving to WI, where do I start??

    mlimoges replied to mlimoges's topic in Nurse Registration

    Awwee what a great picture. sorry for the fact that I'm a new member just looking for some guidance and info regarding my question. Nurses are supposed to be caring, helpful and team driven (as in...

  21. Day shift or night shift - Which do you prefer? Why?

    mlimoges replied to Joe V's topic in Nurses Rock

    I work mainly evenings (3-11) and nights (11-7 or 7-7 depending vehicle job) and I have to say I prefer it! I'm not a fan of days, solely because I've never been a good "night sleeper" and when I know...

  22. Canadian LPN moving to USA next year. Where to start? Need some guidance pls!

    mlimoges posted a topic in LPN, LVN Corner

    Hello, I'm a Canadian LPN that will be moving to WI next year, my husband is American and is looking to relocate. I was just wondering if anyone would be able to help me as to how I get the ball...

  23. Canadian LPN moving to USA next year. Need some guidance pls!

    mlimoges posted a topic in Nursing Career

    Hello, I'm a Canadian LPN that will be moving to WI next year, my husband is American and is looking to relocate. I was just wondering if anyone would be able to help me as to how I get the ball...