Chabu213

Oops I meant Htcz :) this particular resident that was discussed was independent, I have not personally attended to her as I'm only caring for the frail residents. I guess the question was whether what to do in this situations. Do well call 911?call the MD and make a note to see the resident later on and order for Cxr, bnp or echo? ( my coworker who brought up the discussion never told us the end of the story) it just sparked tension bt coworkers of what to do next(what had to be done next). What do you think? I believe this situation was very tricky to conclude Chf as the signs/symptoms of chf weren't all present.

A pt has a history of HTN and was on HTCs (but d/c). Legs were already edemas but show no increase in size. No SOB, no abdominal distention, No fatigue, no wheezing/crackles, and all vital signs are stable. PT does not verbalize any pain or discomfort according to my assessment, however family is concerned it might be CHF (but pt hx indicates no CHF incidence) This was a scenario discussed at my work place and there were many opinions/experience that pointed that is CHF and many that say it wasn't. It became a heated discussion haha i would look for edema in the lower extremities and if pt has SOB to conclude that is it CHF, but without the SOB would you guys consider it to be CHF or if the pt has to be put back on HTC? What do you guys think? I would like your guys' input =)

Hey guys! I'm back for another question(s) I have in mind :) Do doctors/nurses give imovane to treat not only insomnia but headaches?? feom my research I understand that imovane is a type of sedative used to treat insomnia however I have a pt who is getting it TID AND PRN. I was told that the pt often request for PRN due to headaches... But isn't headaches on of side effects of taking imovane? currently regular imovane is d/c and is prescribed with a different type of sedative for insomnia.. Are headaches also due to withdrawl from constant use of imovane? sorry for the long post. As usual thoughts, opinions, and knowledge are WELCOME! Thanks guys :)

Thanks for your input! It is difficult to do teaching due to the fact there is a communication barrier( as the resident knows little English )and family is not involved in the care unfortunately. Also the reason we administer the insulin is due to the fact t resident is scared to do it herself (I have come to the conclusion she has a fear of needles and anything that will hurt her) -> since she does say ouch when I prick her finger with the lancet . my co-worked say that's how she is (I think it's because the resident knows I'm new?)but I don't like having to hear I'm causing pain/doing a terrible job. I guess I'm just sensitive. I appreciate all of your guys' thoughts and advice! Maybe I can just try harder with the teching =)

Thanks for the reply =) well i guess with my other diabetic residents they prefer i inject slowly rather than fast. The problem is that my residents shows me where to inject to a specific spot in the arm ( I tried a different spot in the arm for which I got yelled for) and that particular spot already has a depression from all previous injections (which i believe cause the injection to hurt) My co-worker would tell me that the resident always been like that and hates anything that would cause the slightest bit of pain. It just troubles me that I do what my residents asks of me and I'm always belittled by her. I guess somehow ive got to master this technique to deliver larger amounts of insulin fast without hurting my resident.

Thanks for the reply =) she does not let the other nurses rotate sites but i guess my coworkers mastered the technique to deliver insulin for this resident.

Hello fellow nurses =) I recently got a job at an assisted living facility and I love it! I've been working there for about 4 months now and got used to the residents, my co-workers, and my daily tasks... however I have one task that I seem to dread everytime and that is giving insulin to one of my diabetic residents.... In school you are taught to rotate injection sites, inject where there is most fatty tissue, and if in large insulin dose (inject slowly or it will cause pain and burning) With this resident however wants it in the same arm (same spot too where there is less fatty tissue) and inject FAST!!! i mean it would just take you 1 second...(according to the resident) It seems all the time i do it the resident screams (saying it hurts, you do a bad job, etc...) however when i ask my co-workers to do it the resident doesn't say anything... I tried to tell the resident we should at least change the spot but always refuses and i learned from my co-workers that the resident wants it fast and in the same area... I really don't know what else to do... ive asked my coworkers their techniques but ive always seem hurt my resident (which i dont want =( ) I've never had a problem with my other diabetic residents so im not sure if its the way I inject or just that the resident doesn't like me... This is probably more like a rant than question haha but/ what are your guys' thoughts? Do you guys any similar incidents'? perhaps suggestions?