Sunday, October 6, 2013

Nursing Care Plan for Hypertension : Assessment, Diagnosis and Interventions

Hypertension The definition of hypertension, many raised by health experts. WHO suggests that hypertension occurs when blood pressure above 160/95 mmHg, meanwhile, Smelttzer & Bare (2002:896) suggests that hypertension is a persistent blood pressure or continuous thus exceeding the normal limit in which the systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg.There are differences about the limits of hypertension as proposed by Kaplan (1990:205), namely men, aged less than 45 years, said hypertension when blood pressure when...

Thursday, September 19, 2013

My baby fusses or cries during nursing – what’s the problem?

My baby fusses or cries during nursing – what’s the problem? Some babies will fuss, cry or pull off the breast during nursing. There are a number of reasons why this might be happening. It’s pretty common to see this type of behavior at around 6-8 weeks, though it can occur at any time. If your baby is generally fussy (not just when nursing) see My baby is fussy! Is something wrong?Determining the problemHere are some of the problem-solving steps I go through when my baby is fussy at the breast or a mother asks me why her baby is fussing during...

Tuesday, September 17, 2013

Nursing Care Plan for HNP Herniated Nucleus Pulposus

Nursing Care Plan for HNP Herniated Nucleus Pulposus Herniated Nucleus PulposusIntervertebral Discs are the cartilage plates that form a cushion between the vertebral bodies. Hard and fibrous material is combined in one capsule. Such as ball bearings in the middle of the disc called the nucleus pulposus. Herniated nucleus pulposus is a rupture of the nucleus pulposus.Herniated nucleus pulposus into the vertebral bodies can be above or below it, can also directly into the vertebral canal.Pain can occur in any part such as cervical spine, thoracic...

Nursing Care Plan for Hypospadias with Assessment and Diagnosis

Nursing Care Plan for Hypospadias with Assessment and DiagnosisHypospadiasA. Definition of Hypospadias   Hypospadias is a congenital abnormality, the location of the external urethral meatus is located more towards the proximal ventral surface of the penis. In normal circumstances the external urethral meatus is located on the tip of the glans penis (the most distal).B. Etiology of Hypospadias   Is one of the bases of congenital anomalies, most often in male genitalia, occurring in one in 350 male births, can be associated with...

What is Nursing Diagnosis

What is Nursing Diagnosis - And Why Should I Care?One of the most frequent questions we get goes something like this….”My patient has Congestive Heart Failure. What is the highest priority/most likely nursing diagnosis?”There is no right answer, because it’s the wrong question! Assigning a nursing diagnosis based on a medical diagnosis skips several steps essential to optimal and safe patient care. A medical diagnosis is only one piece of the puzzle; it does not by itself, provide the depth of information necessary to make an accurate nursing...

Tuesday, May 28, 2013

Nursing Care Plan For Myocardial Infarction (MI)

Myocardial infarction (MI or AMI for acute myocardial infarction) is the rapid development of myocardial necrosis (die of heart cells) caused by a critical imbalance between oxygen supply and demand of the myocardium. This is serious medical condition that sometimes called as a heart attack or a coronary thrombosis. The medical team should be take quickly action to give treatment and Nursing Care to prevent complication or die.With myocardial infarction, reduce blood flow in one of the coronary arteries leads to myocardial ischemia, injury and...

Sunday, May 19, 2013

Nursing Care Plan For Discharge Patient

When the doctor decided that the patient already in the good condition, The nurses have to prepare what they must do or see what is the patient needs after discharge from hospital. Nursing care pan for the discharge patient do not important for the patient only, but to the family also the nurses should explain what they can do related to patient's needs. Plan and Outcome data : The patient or family's discharge planning will begin on day of admission including preparation for the education and...

Tuesday, May 14, 2013

10 Worst Medical Treatment Dangers 2013

   Advances in health technology are often a double-edged sword. They provide new ways to improve patient care but also create new opportunities for harm if design flaws aren't identified and fixed, equipment isn't properly maintained, or safety and usage protocols aren't followed. To help minimize the chance of adverse events, ECRI Institute of Plymouth Meeting, Pennsylvania, an independent nonprofit organization that studies improvement to patient care, has named...

End-of-Life Care Guidelines Updated

   The Hastings Center has updated and expanded its landmark 1987 consensus guidelines for ethical care of terminally ill patients. Oxford University Press published this second edition of The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life.    "As the population ages, more people are living with chronic diseases," Hastings Center President and guidelines working group member Mildred Z. Solomon, EdD, said in a news release. "Advances in medicine have created both benefits and...

Wednesday, April 17, 2013

End-of-Life Wishes: Lack of Communication Persists

Steven For Medscape    Although many elderly patients and their families discuss advance care planning (ACP) with their physicians, those wishes often fail to be added to patients' medical records, according to findings from a study carried out in Canada and published online April 1 in JAMA Internal Medicine.    "To our knowledge, there has been no rigorous audit or evaluation of ACP from the patient or family perspective using validated questionnaires that assess the frequency of engagement in key ACP activities," write Daren...

Tuesday, April 16, 2013

ADHD: Why Do the Numbers Keep Growing?

Thomas J. Power, PhD from Medscape    A recent New York Times analysis of data from the most recent National Survey of Children's Health concluded that almost 1 in 5 teenage boys and 11% of all school-aged children have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Medscape asked Dr. Thomas Power, from the Children's Hospital of Philadelphia (CHOP), to discuss some theories to explain this increase.    My name is Tom Power. I'm a psychologist and Director of the Center for Management of ADHD at CHOP....

Best Practices of Paracentesis

http://reference.medscape.com/      Ascites (shown) is the accumulation of fluid within the abdominal cavity. For patients with ascites, peritoneal paracentesis is performed to aspirate and analyze the ascitic fluid. It is one of the oldest medical procedures, dating back to approximately 20 BC. The collected fluid can be used to help determine the etiology of ascites, as well as to evaluate for infection or the presence of cancer. Causes of ascites include hepatic cirrhosis,...

Monday, April 15, 2013

ACLS and BLS Recommendations You Must Know

http://reference.medscape.com/     The 2010 American Heart Association (AHA) guidelines for basic life support (BLS) and advanced cardiac life support (ACLS) represent a departure from how most clinicians were trained. Image courtesy of Wikimedia Commons.    Do you follow current, best practice for BLS and ACLS? Some of the significant recommendations include: • Chest compressions as the first step in BLS -- a "C-A-B" (circulation, airway, breathing) approach, instead...

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