Episteme

Education, research, neuro

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All Content by Episteme

  1. Episteme

    When All Else Fails... Assess Your Patient!

    Episteme replied to Episteme's topic in Nursing Student Assistance

    It's taken me a long time to warm up to NANDA-I. (It did not exist when I graduated.) I am seeing (after all these years) how it has elevated the profession and facilitated research. But there is...
  2. Episteme

    Please help me :(

    Episteme replied to rosemary_petals's topic in Nursing Student Assistance

    AmyRN303 is correct. You have more than one diagnosis to consider... (you're observations span a huge number of basic human needs, both physiological and higher order/emotional) and you don't have...
  3. Episteme

    When All Else Fails... Assess Your Patient!

    Episteme replied to Episteme's topic in Nursing Student Assistance

    Esme... I agree. I just keep scratching my head... what are we doing as educators that is causing this "diagnose first... and if all else fails, assess the patient" stuff. Because I gotta tell...
  4. Episteme

    Undernutrition in elderly during hospitalised

    Episteme replied to franciscaparadzayi's topic in Nursing Student Assistance

    1. I disagree with the premise. Nutrition is the most urgent physiological need following oxygen and fluid/electrolytes. On our neuroscience unit we have a lot of demented patients and/or patients...
  5. Episteme

    Good essay for readmission?

    Episteme replied to kringkring5144's topic in Nursing Student Assistance

    "Confidence", "nervousness", These are vague terms. We know that there is a happy medium when it comes to anxiety... a level at which we are very focused and effective. Any lower than that... we...
  6. Episteme

    Good essay for readmission?

    Episteme replied to kringkring5144's topic in Nursing Student Assistance

    I may need a little more information. You say you're in the 2nd semester. Do you mean your second NURSING semester? Have you had a course on medication administration and/or pharmacology yet? What...
  7. Episteme

    Nursing schools that don't require pre-reqs?

    Episteme replied to jbullardd's topic in Pre-Nursing Students

    If you're talking about getting in to a program that is all in one package (like some of the proprietary schools) then the answer is yes. But these schools make you take Sociology, Psychology,...
  8. Episteme

    Good essay for readmission?

    Episteme replied to kringkring5144's topic in Nursing Student Assistance

    I'm confused... You are currently a nursing student. (What semester?) and your clinical instructor has written an adverse evaluation of you. What are your grades in the classroom? What is your GPA?...
  9. Episteme

    NG to suction= risk for aspiration?

    Episteme replied to RNstudent5781's topic in Nursing Student Assistance

    Very nice report sheet Esme. We have a similar one that we use in Critical Care. Students must have a systematic method that prompts them to make sufficient assessments in order to complete ANY...
  10. Episteme

    216 Nursing Diagnoses and counting

    Episteme posted a topic in Nursing Student Assistance

    What we are asking students to do with their patient data and their care-planning books is to "just know" what the patient's problem is. We (nurses with advanced degrees and years at the bedside) can...
  11. Episteme

    NG to suction= risk for aspiration?

    Episteme replied to RNstudent5781's topic in Nursing Student Assistance

    The NG tube and suction per se? No, so much. Are you trying to find an appropriate nursing diagnosis? I think a lot of nursing students look at the patient and focus on the most immediately obvious...
  12. Episteme

    knowlege deficit student

    Episteme replied to slusk's topic in Nursing Student Assistance

    Self-Care Deficit... hmmmm. Hold that thought for a minute. That is his most obvious diagnosis. It is not necessarily his priority diagnosis. If this guy is a brittle diabetic, and he tanks his...
  13. Episteme

    Nursing diagnoses for a mentally challenged pt

    Episteme replied to thana147's topic in Nursing Student Assistance

    Seems to me there's terrific advice here and one recurring theme is you need more assessment. I'm curious about the clinical assignment. You have 3 patients and she (this 21 year old) is not one of...
  14. Episteme

    216 Nursing Diagnoses and counting

    Episteme replied to Episteme's topic in Nursing Student Assistance

    Thank you all... The issue is not really "NANDA-ites" vrs "NANDA-phobes" because that train has left the station. NANDA is the language we use in this profession. BUT... before the students can...
  15. Episteme

    216 Nursing Diagnoses and counting

    Episteme replied to Episteme's topic in Nursing Student Assistance

    GrnTea: Thank you so much for chiming in. I have been lurking in the shadows and reading your posts and admired the logic you bring to students on this site. I have a question first... is there a...
  16. Episteme

    help on nursing diagnosis

    Episteme replied to jxu35's topic in Nursing Student Assistance

    I'm not sure what your learning objectives for the day were. You had 4 patients and 30 minutes to assess them? I don't know what your instructor wanted to teach you in that assignment. BUT one...
  17. Episteme

    Am I on the right track?

    Episteme replied to takingcare19's topic in Nursing Student Assistance

    May I make a suggestion? When you're trying to sort through your reams and reams of assessments (and BTW: Good on you... you had a bunch of data) why don't you start at the most basic things... and...