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    Key points about Therapeutic Communication: Avoid asking

    Therapeutic Communication Key Points

    by Cathy Parkes November 25, 2020

    Key points about Therapeutic Communication: Avoid asking "Why...?" Ask OPEN ended questions. Don't offer opinion, give false reassurance, or change subject.
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    Key nursing interventions for patients with Eating Disorders: Supervise patients before and after meals; Set limits on exercise; Restrict caffeine; Provide rewards for calories consumed.

    Eating Disorders Key Interventions

    by Cathy Parkes November 23, 2020

    Key nursing interventions for patients with Eating Disorders: Supervise before/after meals; Set limits on exercise; Restrict caffeine; Provide rewards for calories consumed.
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    Key nursing interventions for patients with Alzheimer's Disease: Provide frequent reorientation; Provide consistency with caretakers; Keep communication short, simple, and clear.

    Alzheimer's Disease Key Interventions

    by Cathy Parkes November 20, 2020

    Key nursing interventions for Alzheimer's Disease: Provide frequent reorientation, consistency with caretakers; Keep communication short, simple, and clear.
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    Injectible medroxyprogesterone (i.e. Depo-Provera) can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

    Injectible Medroxyprogesterone

    by Cathy Parkes November 18, 2020

    Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.
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    Important patient teaching about diaphragms: Should remain in place for 6 hrs after intercourse; Spermicide needs to be reapplied after each act of intercourse. Women need to be refitted: every 2 years, after a 20% weight change, or after a pregnancy.

    Diaphragm Patient Teaching

    by Cathy Parkes November 16, 2020

    Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.
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    Patient with mild anxiety, can assist patient with problem-solving/relaxation techniques. Patient with severe anxiety, problem-solving NOT realistic. Provide minimal stimulation, remain with the patient, use simple directions, administer PRN medications.

    Mild and Severe Anxiety

    by Cathy Parkes November 13, 2020

    For mild anxiety, you can assist the patient with problem-solving and relaxation techniques. For severe anxiety, problem-solving is NOT realistic.
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    Hydatiform mole (molar pregnancy) is a type of Gestational Trophoblastic Disease. Key signs/symptoms of a molar pregnancy include:

    Hydatiform Mole

    by Cathy Parkes November 11, 2020

    Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels
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    For abdominal wound dehiscence with evisceration (protruding internal organs): Place saline-soaked gauze over wound and protruding organs; Do NOT try and reinsert organs!; Notify provider and prepare the patient for possible surgery (NPO).

    Abdominal Wound Dehiscence

    by Cathy Parkes November 09, 2020

    For abdominal wound dehiscence with evisceration: Place saline-soaked gauze over wound; Don't try to reinsert organs!; Prepare patient for possible surgery.
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    For a patient with Obsessive Compulsive Disorder (OCD): Set time limits for compulsive behavior. The nurse should also help the patient identify the source of anxiety (which prompts the compulsive behavior) and provide medications (ex: SSRIs) as ordered.

    Obsessive Compulsive Disorder

    by Cathy Parkes November 06, 2020

    For Obsessive Compulsive Disorder (OCD): Set time limits. Help the patient identify source of anxiety and provide medications as ordered.
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    Diabetic foot care teaching: Inspect feet daily using a mirror. Check shoes for objects; Apply moisturizer to feet, but not between toes; Wear cotton socks; Cut nails straight across; Do not use OTC products; Do not use heating pads on feet.

    Diabetic Foot Care

    by Cathy Parkes November 02, 2020

    Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.
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    With a Urinary Tract Infection (UTI), the urinanalysis will be positive for leukocyte esterase and nitrites.

    Urinary Tract Infection

    by Cathy Parkes October 30, 2020

    With a Urinary Tract Infection (UTI), the urinanalysis may be positive for leukocyte esterase and nitrites.
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    When performing tracheostomy care, be sure to: Use split gauze dressing under tracheostomy plate (DO NOT cut gauze). Secure new tracheostomy ties before removing old ones.

    Tracheostomy Care

    by Cathy Parkes October 28, 2020

    When performing tracheostomy care, be sure to: Usesplit gauze dressing under tracheostomy plate (DO NOT cut gauze). Secure new tracheostomy ties before removing old ones.
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    With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

    Diabetes Insipidus

    by Cathy Parkes October 26, 2020

    With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

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    Who can give informed consent? An unimpaired adult (i.e. not under the influence of drugs/alcohol, not experiencing command hallucinations). Emancipated minor. Parent or legal guardian of a minor.

    Giving Informed Consent

    by Cathy Parkes October 23, 2020

    Who can giveinformed consent? An unimpaired adult (i.e. not under the influence of drugs/alcohol, not experiencing command hallucinations). Emancipated minor. Parent or legal guardian of a minor.
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    Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

    Glomerulonephritis Labs

    by Cathy Parkes October 21, 2020

    Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus
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    NEGATIVE symptoms in schizophrenia include the absence of things that normally present. Symptoms (5As): Anhedonia (inability to experience pleasure), Anergia (lack of energy), blunt Affect, Alogia (↓ speech), and Avolition (↓ motivation).

    Negative Schizophrenia Symptoms

    by Cathy Parkes October 19, 2020

    NEGATIVE symptoms in schizophrenia include the absence of things that normally present. Symptoms (5As): Anhedonia (inability to experience pleasure), Anergia (lack of energy), blunt Affect, Alogia (↓ speech), and Avolition (↓ motivation).
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    Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

    Chlamydia & Gonorrhea

    by Cathy Parkes October 16, 2020

    Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.
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    Wound Irrigation

    Wound Irrigation

    by Cathy Parkes October 13, 2020

    Wound irrigation points to remember
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    How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities: A swan is going to the prom (with a boutonniere on) to dance - exercise helps his RA!

    Rheumatoid Arthritis Symptoms

    by Cathy Parkes October 11, 2020

    How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities
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    Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

    Key Information: Beta Blockers

    by Cathy Parkes October 08, 2020

    Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.
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    During pregnancy, an ultrasound is typically performed at 18-20 weeks gestation to assess growth, development, and age of the fetus.Full bladder allows better visualization. Instruct mom to drink approximately 1 quart of water before the procedure.

    Ulstrasounds in Pregnancy

    by Cathy Parkes October 06, 2020

    During pregnancies, an ultrasound is typically performed ~ 18-20 weeks gestation to assess for growth, development, and age of the fetus.
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    Please Listen Carefully - these beta blockers are NON-selective: Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

    Non-selective Beta Blockers

    by Cathy Parkes October 04, 2020

    Please Listen Carefully - these beta blockers are NON-selective: Propranolol, Labetalol, Carvedilol. They will impact the lungs too!
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    Chorionic Villus Sampling (CVS) is a procedure used to identify chromosomal abnormalities in the fetus. A small sample of placenta tissue is removed from the uterus. Key Advantage: CVS is done earlier, so it provides an EARLIER diagnosis.

    Chorionic Villus Sampling

    by Cathy Parkes October 01, 2020

    Chorionic Villus Sampling (CVS) is a procedure used to identify chromosomal abnormalities in the fetus.
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    During a patient's seizure: Lower patient to the bed or floor if standing/sitting. Turn the patient to his/her side. Loosen restrictive clothing. Do NOT put anything in the patient’s mouth. Do NOT restrain patient. Note onset/duration of seizure.

    Seizures

    by Cathy Parkes September 29, 2020

    During a seizure, take these important nursing actions
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