mlimoges

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 an ever growing amount of red blotches on her thora...

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 said was he would consult her file and get back t...

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 Coumadin use. I've never seen such a thing, have any of...

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

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 now.

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 wouldn't surprise me if that were exactly the cas...

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 healthcare in general needs to get to. TEAMWORK! Where some...

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 a debate going between our nursing team as to whi...

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 nights she received the Ventolin first, she sleeps b...

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 not sure if the one who is causing the most resistan...

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 immunization nurses. It does happen, and i'm actually g...

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 doing some paperwork when one of the LOL hobbled down...

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 with me and the other nurse until their faces are...

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 same but when nurses dont know basic stuff i worry ...

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 happening but that is the same with ANYTHING!!! Yo...

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 Ventolin is still considered a rescue inhaler if u...

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 own family members have made comments that i'm JUST...

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 rolling! I've tried to do some research but with little...

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

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 helping anyone in need)

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 I have to be awake early my body wakes me up ever...

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 rolling! I've tried to do some research but with little...

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 rolling! I've tried to do some research but with little...