Kickflip012

SOB and elevated sugars...also heard Dr. mention small heart attack the previous night. What about impaired gas exchange related to altered pulmonary blood flow secondary to right side heart failure AEB 92% 02 sat? Also Excess fluid volume related to compromised regulatory mechanisms secondary to right side heart failure AEB edemous feet and stomach distention and tenderness? Any of these sound good?

I'm working on a care plan and I'm stuck on a nursing diagnosis. My pt has right sided heart failure and a BP of 134/66 and HR of 76. I'm thinking maybe decreased cardiac output R/T altered contractability (since right ventricle isn't pushing enough blood out) secondary to heart failure AEB peripheral edema? (can't really think of anything else that would work since blood pressure isn't too far off. 02 sat is 92...would that play a part?

Hi, my fiancé just gave birth to our daughter last night. I'm a CNA in a nursing home working full time. There's been quite a few ladies who've recently left for maternity leave there. So my daughter was due Nov 29. She came early and so now it's timed so that we get released from the hospital Thanksgiving night. I work thirds and would prefer to be there with them our first night home. This is our first child. Well I had someone cover my shifts the last two night (I personally found willing people). Well I told the scheduler today I was wanting to take off Thursday night and she says I really can't because I'm full time I need to just come in. Is there any sort of labor laws that give new fathers a few days off from work? This is a place that wants you to come in if you're throwing up or have to jam tissues up your nose to stop snot from running on residents so I didn't know if this was true.

Such as if a resident refuses to eat, get changed, use the bathroom...is it more wrong to leave them in dirty briefs than to force them to change? Assuming the person is in a clear state of mind. Curious for opinions on this.

Thanks for the reply! And yes so far it's the CNA's that I've heard were complaining. I've asked the night shift Nurses if I'm doing everything right and they all say yes. I agree we shouldn't be waking them up at 3 am. If someone doesn't want to wake up, it's their right and I leave them alone. Some people don't understand the residents' rights I guess. And I try not to complain about people...if I have a problem I talk to them. That's just the way I am. In retrospect I just expect the same from others. And yes, the nurses on my floor know how early we have to get them up. As for the admins...probably not. Maybe it's worth a try, I just don't want to turn all the CNA's against me.

So I'm a CNA at a nursing home since Aug of this year. Just started the night shift a few weeks ago. There's only one CNA on at nights. At 6 am 2 day shift CNA's + a Shower CNA come in and start getting people ready. Well I have a list of people I have to get ready. I get the people on the list ready, with the exception of one person who doesn't want to wake up so early. I get 8 ready...out of the 26 residents we have. There's 4 or 5 residents who do themselves, so really it's out of 21-22. I'm hearing from other night time CNAs that my day shift are complaining I'm not doing enough people. I already start at 3 AM to get people ready in time by 6. And taking into account there's always some unexpected task/call lights that will come up, I've thought I've been doing good. Everyone always complained about the previous night shift cause she did nothing, but now I'm wondering if they made it all up about her. They said she wouldn't stock supplies, so I make sure to do every chore they have listed for nights. The worst part is they won't tell me about any problems. They just complain to one another. They told me the other night CNA wasn't wasn't up a resident well enough the. They went and told that CNA I wasn't. I've said if there's any problems let me know so I can fix it, but they never do. The other night shift aid works faster than anyone else there and she can get up to a dozen people done at times. So naturally day shift says how they would rather her work than me. I just feel like I'm doing what the management has for me, and I shouldn't be expected to do days gifts job. Although if I have time, I try helping out any shift. It's getting to where I'm considering looking for a new job, and if all CNA jobs are like this, find a new line of work. Any advice or anyone have this problem?