The Nursing Profession

Why You Need to Love Yourself

2019-02-03T03:29:00.001-08:00

Love yourself because:

- You have a wonderful smile and generous laugh that no one ever has like yours.

- Wishing to be someone is equivalent of being not contented and envy. No one will love the way you can love yourself. Regardless of where you may go or what you do, you will be who you are for the rest of your life. No expectations to meet or standard to maintain.

- You've been blessed with the skin you're in, so wear it comfortably. You've been blessed with the hair… You've been blessed with the eyes… You were created special in the eyes of God. We are the children of God.

- When you are loving toward yourself, you attract people who love you too.

- When everybody is gone, you will have left with yourself.

Steps in Applying NCLEX in Northern Mariana Islands (NMI)/Saipan

2019-01-22T19:35:00.000-08:00

Sharing with you nurses on how to apply NCLEX in NMI

1. Check this link https://www.nmicbne.com
-Keep yourself updated, there could be updates kaya important na nagbabasa from time to time

2. Click menu, then click licensure documents

3. Under licensure documents, download/print the following: doc 20 and 21, doc 22 and 23, doc 47

4. Accomplish the following documents listed under doc 20 and 21:
a. NSO/PSA birth certificate
-make sure your name is legible, if not you need to secure an affidavit clearing your name - may iba kc na sulat kamay lang at hnd maintindihan yung mismong pangalan
b. NSO marriage certificate (if applicable)
c. 2 pcs of 2x2 photos taken within the last 6 months
-signature needed at the bottom front of the photo, literal na pipirmahan ung picture sa bandang baba
-gandahan yung picture kc yan ung lalabas sa license mo 🤣
d. request for highschool TOR
-kelangan nkalagay sa envelope at nkadry seal or may pirma ung flap ng envelope)
e. bank draft $150 at nkaaddress sa "NMI Board of Nursing"
-ung acct na pgkukuhanan ng money pede nman na hnd nkapangalan sayo, as long as nkaaddress kay NMI at tama ung amount at nkaattach of course sa application papersn mo
-hindi ako nahirapan kumuha kay BPI, easy lang bsta may account sa knla na pgdedebitan ng pera
-kay BDO need pa daw nila ng dollar acct para mkagawa ng bank draft na may dollar amount
-don't forget to bring doc 21 and 22 kc minsan hinahanap ng banko yun like proof kung san gagamitin yung bank draft

5. Request your college transcript of records (BSN) PLUS ipafill up mo sa college ung doc 47 (certification of RLE)
-alam na nila kung pano fifill upan ung doc 47, bsta sbhin na isama yon sa irerequest na TOR
-ibabalik nila dapat yon na nasa isang envelope, may dry seal and/or may signature ung flap ng envelope

6. Fill in doc 22 and 23. Don't forget to tick the box for REGISTERED NURSE. Sa SSN, put NA kung wala nman tlga SSN. Don't forget na ilagay or ipaste ung isang 2x2 pic sa first page ng form (yung 2x2 na tinutukoy ko yung nasa step 4 letter c, na may pirma sa bandang bottom part). Then, panotarized mo na!

7. So ganito mangyayare, in the end, magkakaron ka ng 3 envelopes:
a. Highschool TOR - sealed
b. College TOR with doc 47 - sealed
c. Short envelope at sa loob yung ibang reqts (NSO birth cert/marriage cert, notarized doc 22 and 23 na may nkadikit na 2x2, yung natitirang 2x2 mo, bank draft)

8. Ilagay lahat ng 3 envelope sa isang long envelope then ipadala thru courier:
NMI Board of Nursing,
CDA Building 2nd Floor,
San Jose, Beach Road, Saipan, MP 96950 Phone number: (670) 233 2263

9. Magpray na sana nagawa mo ng tama yung pgaaccomplish ng papers para may eligibility ka na agad. It took me a month bago ko nareceive si eligibility thru email

10. Next step si pearsonvue. Register lang then prepare $200 for ATT and $150 for scheduling of exam

11. PASS the NCLEX! 🙂
-review materials: Rachell Allen notes from my 25 days review program PLUS I borrowed NCLEX mastery/UWorld from friends

Reference:
https://www.nmicbne.com/
https://www.ncsbn.org/index.htm

BREASTFEEDING POSITIONS

2018-12-18T01:13:00.001-08:00

Breastfeeding positions:

Cradle Hold - Hold your baby with his head on your forearm while his/her whole body is facing yours.

Cross Cradle Hold - Hold your baby along the opposite arm from the breast you are using. Support baby's head with the palm of your hand at the base of his/her head. This is good for premature babies and those with problems "latching on"

Side-lying Position - This allows mommies/mothers to rest or sleep while baby nurses. It is also good for mothers who have had cesarean births. Lie on your side with baby facing you. Pull your baby close and guide his/her mouth to your nipple.

Clutch Hold - It is good for mothers with large breasts or inverted nipples. Hold your baby at your side, lying on his/her back, with his/her head at the level of your nipple. Support baby's head with the palm of your hand at the base of his/her head.

COMMON PROBLEMS IN BREASTFEEDING

2018-12-17T17:56:00.001-08:00

SORE / CRACKED NIPPLES

Check position and latch of the baby
Continue breastfeeding baby as much as can be tolerated
If breastfeeding baby is intolerable, rest for 1-3 feedings but make sure to express milk manually or through a pump during feeding times to ensure continuous production of your breastmilk
Apply/ smear your breastmilk over affected areas and air dry for 10 to 15 ins at least twice a day.
Wash nipples only with water.
Do not use soap as this will dry the nipples further.

ENGORGEMENT - is caused by the build-up of milk that makes your breast big and hard. To relieve discomfort, you must do the following:

Breastfeed baby more often and on demand.
Make sure the mother is relaxed. Stress and tension can make the situation worsens.
You may express your milk manually to ease engorgement.
Warm compress and gentle massage may also help.

MASTITIS - is an inflammation of the breast commonly caused by bacteria. This mat sometimes be accompanied by fever, headache and body aches. Here are some tips to help you:

Do not massage the breast to avoid spreading the infection.
Seek professional help. See the doctor immediately for medication treatment.
You may still breastfeed on the other breast that is not infected during treatment.

BENEFITS OF BREASTFEEDING FOR BABIES

2018-12-17T17:40:00.003-08:00

Breast milk is a unique combination of nutrients that is essential for the development of a child. It strengthens the immune system because breast milk contains colostrum which is full of antibodies that prevent diseases. Babies are less prone to suffer from diarrhea, infections, pneumonia and other disease.

It is easier to digest than formula milk. Some studies show that breast fed children develop fewer psychological, behavioral and cognitive problems. It rather increases the cognitive development of a child.

To check for common problems in breastfeeding, you may check this link.

How to Deal With Depression

2018-12-05T05:30:00.000-08:00

Nowadays, many people suffer from depression. Living with depression is one of the hardest journey a person may encounter. Male or female, known personalities or rich and poor may suffer from depression. It is an internal battle that is a tragic experience. It is considered a mental health crisis.

Depression is feeling of emptiness, feeling of loss... loss of motivation, drive and energy. It is a mentally breakdown. It most of the time associate with hopelessness and helplessness. All are just darkness and no light at all. And there's a voice saying that you are not good enough.

There's of feeling of suicidal.... thinking to end their miserable lives and escaping from this suffering. There's a thoughts that you like to step out of this awful journey and you feel that it is better off dead.

Believe it or not, we are the one who creates our own negative feelings. The reason why we get depressed is because the consistent thoughts we think and we beliefs we hold and it is because there is an external factor involves that didn't materialize in their lives. There is a thought that you are not good enough and not worthy at all. Everything is out of control or you can't control. You have a stable job but can't have a sense of happiness.

Having this mental health condition is not something to ignore. Here are some ways to overcome depression:

Accept and love yourself. With depression, remember that you are not alone and depression is real. It is hard yes definitely. Remember, in life there is up and down, winning and failures, and those trials, obstacles and problems will crash you but don't let yourself be defeated by this battle of life. DO NOT LET THEM.
Establish a support system. Need to take a break. Staying connected with people and social activities specially those that you are interested and having fun with will help you to change your mood and thoughts. Share your thoughts to someone you know that care for you.
Maximizing rational thinking and minimizing irrational thinking. Know why you feel depress and think the right thing. It is not easy to do it specially the person is down however; having self awareness will definitely help.
Watch motivational videos and listen to success stories. Fill up your mind with positive thoughts. Be knowledgeable and aware of what depression is. In this way, it will help to identify the situation and can stop to go into a deeper stage of depression.
Speak up. A depressed person might think that he will not understood by many people and are not connecting to what you may say, but communicating with people helps a lot not only yourself but to other people to make mental health awareness. Let your pain and suffering release.
Consult and seek help to professional provider. Some psychotherapy and some medications might needed to help treat depression.
Face your problems. Don't let them to bring you down. In every storms, there is a rainbow coming out after. Have positive mindset and faith that everything will go on its proper places. Let this trials mold you to become a better version of yourself. Let those challenges make you stronger and the pain leads you to your greatest growth and use it to build your character.
If you can do exercise or do physical activities like travelling, mountain hiking, biking, swimming or any activities you love are great help. It will help your brain to function properly to think positively. Even a simple walk or going outside to buy things will do. Stay busy and do the things that work for you and avoid being alone for a long time.

Depression just like other diseases is curable. It will go away and crisis in life will teach you the lesson to move to the next chapter of your greatest life. Life is not perfect but if your mind is strong and at peace, your reaction will be how can I work this out instead of why it is happening to me and the people will look to you and giving them strength and hope by reacting positively. Ensure you are in positive position next time, whatever pain you are suffering from, and ensure that it won't show again. So you can inspire others, people will say "he did it and if you did, I can do it too!" You deserve to experience how great life can be. Don't give up, YOU ARE WORTHY.

Geriatric Nursing

2018-10-25T20:24:00.000-07:00

Geriatric Nursing is also known as Geronlogical nursing is the specialty of nursing pertaining in older adults.

HOSPITAL WASTE

2018-07-07T19:54:00.002-07:00

HOSPITAL WASTE:

It refers to all waste, biological or non-biological, discarded and not intended for further use. These are the waste generated by the health care establishments, research facilities and laboratories. Hospital waste is the second most hazardous waste after radioactive waste.

Of the total amount of waste generated by health-care activities, about 85% is general, non-hazardous waste. The remaining 15% is considered hazardous material that may be infectious, toxic or radioactive.
An estimated 16 billion injections per year are administered worldwide, but not all of the needles and syringes are properly disposed afterwards.
Measures to ensure the safe and environmentally sound management of health care wastes can prevent adverse health and environmental impacts from such waste including the unintended release of chemical or biological hazards, including drug-resistant microorganisms, into the environment thus protecting the health of patients, health workers, and the general public.

RISKS OF INFECTION TRANSMISSION

2018-07-07T19:45:00.002-07:00

RISKS OF INFECTION TRANSMISSION IN A HEALTH CARE SETTING

Patient to health care workers transmission:

- Parenteral exposure – example: needle stick injury

- Mucous membrane contact – contact of blood through person’s mouth or eyes

- Nasal non-intact skin contact – enter of blood into open wounds or broken skin due to wound, acne, chapped skin, dermatitis or other skin infection

Patient to patient transmission

- Blood contaminated needles, syringes, equipment which has not been properly sterilized or disinfected before use

- Blood transmission with contaminated blood or blood products

SCOPE OF INFECTION CONTROL PROGRAM

2018-07-07T19:37:00.003-07:00

SCOPE OF INFECTION CONTROL PROGRAM

1. Staff Education

2. Isolation Precautions and treatment of infection diseases

3. Antibiotic control

4. Surveillance

5. Employee Health Program

The Disease Transmission Cycle

2018-07-07T19:34:00.002-07:00

INFECTION CONTROL

The Disease Transmission Cycle

AGENT – Disease-producing microorganisms

RESERVOIR – Place where the agent lives such as in or humans, animals, plants, the soil, air or water

PLACE OF EXIT – Where the agent leaves the host

METHOD OF TRANSMISSION – How the agent travels from place to place or person to person

PLACE OF ENTRY – where the agent enters the next host

SUSCEPTIBLE HOST – person who can become infected

Improving Yourself

2018-06-09T17:38:00.002-07:00

This is one way of improving yourself.... A better self....

7 Habits of Highly Effective People

This is a self-improvement book written by Stephen R. Covey believing that the way we see the world is entirely based on our own perceptions. I recommend starting that path reading this best selling book.

7 Habits of Highly Effective People:

Be Proactive
Begin with the End in Mind
Put First Things First
Think Win-Win
Seek First to Understand, Then to Be Understood
Synergize
Sharpen the Saw

23 Traits or Qualities of an Effective Nurse

2017-09-03T07:29:00.003-07:00

1. A Caring nature. Nurses possess a good heart. Being able to comfort and support people who are ill, vulnerable, or scared, is the key to being a successful nurse. Gregarious people who enjoy comforting and helping, however, can thrive in chaotic environments like ERs, but it’s helpful when working in any medical environment since nurses are patient-facing.

2. Empathy. Great nurses have empathy for the pain and suffering of patients. For most patients, being in the hospital is a traumatic and emotional experience. They are able to feel compassion and provide comfort. To understand how patients are feeling, you have to put ourselves in their shoes and give them the emotional support they need.

3. Compassionate. Having a deep awareness of and sympathy for someone else’s suffering without judgment is the root of compassion.

4. High Standards of Professionalism

5. Respect. View each patient as an individual who deserves to be treated with respect and dignity.

6. Nurses can establish rapport and build trust.

7. Honest and True. This requires honest and straightforward communication.

8. A great nurse has excellent interpersonal skills and works well in a variety of situations with different people. They establish good interpersonal relationship.

9. Therapeutic Communication Skills. A good listener and a good speaker as well. Can read, not just the verbal cues, even the non-verbal cues. Effective communication skills in nursing create a high level of patient satisfaction while preventing medical mishaps.

10. Can handle pressure. Nursing is a stressful job where traumatic situations are common. There may be times when you may have to deal with difficult patients. The ability to accept suffering and death without letting it get personal is crucial.

11. Responsible.

12. Systematic and organized. Being organized is an absolute must as a nurse! Nurses play a lot of different roles throughout a shift. With a lot of work to do by the nurses, being systematic will definitely finish the task in timely manner and effectively.

13. With good decision making, critical thinking and problem solving skills. A great nurse can think quickly and address problems as — or before — they arise.

14. Detailed-oriented. The best nurses are meticulous, paying attention to the smallest details because they know just how important they are. Nurses know how to perform all of their responsibilities with the utmost accuracy and detail.

15. Confidence grows through knowledge.

16. Knowledgeable. People who make great nurses are naturally level-headed, but your education plays a big role here too. Nurses need to do all of his/her duties and responsibilities the most skilled and ethical manner. There is no substitute for experience, but knowledge is the key to being able to make good decisions. Nurses need to understand topics like chemistry, anatomy, psychology, and nutrition to do their jobs well. It takes a strong will to memorize all of the information and apply it in hectic environments.

17. Nurses need to develop some multi-tasking and organizational habits.

18. Positive thinkers or optimistic. Nurses who have optimistic dispositions can set the proper mood for healing. Nurses should motivate patients and help to see beautiful things even in the midst of suffering. Can bring hope and happiness. Attract good vibes.

19. Assertive. An effective nurse is one who can not only fulfill, but also anticipate patients’ needs.

20. With Sense of Humor. MAke your patients happy and smile or even laugh.

21. Be emotionally stable. Nurses are humans too. They have feelings and experience personal struggles. A good nurse knows how to handle personal and professional aspect of life. Nurses who get frustrated easily will end their shifts with plenty of tension headaches.

22. Adaptability and Flexibility. As a nurse, every day is different. Nurses must be prepared for all eventualities, and be able to act quickly when needed.

23. Have physical and emotional endurance. Invest in comfortable footwear. Be physically fit.

100 Ways to Become a Better Version of Yourself

2017-09-03T06:22:00.002-07:00

100 ways to become a better version of yourself

"Make the most of yourself… for that is all there is of you." --Ralph Waldo Emerson

There are so many ways to improve your personality…. We’re our own worst enemies when it comes to achieving success, chasing our dreams, and living a life with passion and purpose. Everyone deserves to live out his or her dreams and have a positive impact on the world

1. Start from the beginning. Do not make shortcuts. There is no miraculous shortcut to the better version of yourself

2. Be humble. Humility is the birthplace of all success.

3. Embrace changes as well as failures. Be Open to Change. Change is the only way to grow and progress into the person you want to become.

4. Acceptance. Accept that your goals and values may change over time.

5. Be willing to change.

6. Do not be afraid of failures and rejections. Boldly pursue your dreams.

7. Believe in yourself. Own it. Own who you are. When becoming our best, we first have to believe that becoming better is in our full control.

8. Dream and set goal. Have target in a timely manner.

9. Go outside of your comfort zone. Stretch yourself. Go a step or two farther than you think you can. Push yourself a bit into the discomfort zone. Do this regularly, and you'll be amazed at your capacity for greatness. Breath into the stretch and enjoy it.

10. Practice positive thinking.

11. Determine your values. These will be the core beliefs that shape who you are as a person, and how you live your life.

12. Exercise in the morning. It will help you to have a good day. It makes a person more focused and relaxed throughout the day. Give your body the proper fuel to feel your best so you can enjoy every moment to the fullest.

13. Enjoy every moment

14. Put pictures of your dreams or the things you want to achieve in the place you will always be reminded like in your bedrooms or even in your comfort room/toilet.

15. Don’t hold back

16. Be Coachable. Find a mentor and be open to learn.

17. Do not afraid success

18. Have a good heart. Nice people finish first in life and achieve more than those who are selfish and bitter with the world. Practice self-compassion.

19. Be responsible

20. Stop Being an angry person. Many people let anger and rage alter their decision-making skills.

21. Be beautiful and clean. Do not end your day without taking a bath.

22. Forgive yourself. Whatever it is, put it in a red balloon and release it. There’s peace and freedom in forgiving.

23. Examine your routines. Monotonous routines can keep us stuck in reactive or avoidant patterns of behavior. Finding ways to break out of your habits can also bring you into contact with diverse people who can change your perspective on life.

24. Forgive others. Take time to meditate, and give thanks for the wisdom and knowledge gained from your suffering. Practice the mantra, 'I forgive you and I release you.'"

25. Give your 100% commitment

26. Be true to others. Be Honest and Direct. Learn to articulate your thoughts, feelings, and ideas in an open and honest manner.

27. Be true to yourself

28. Examine your behavior thoroughly and honestly. Think of how you react to stress, how you cope with loss, how you manage your anger and how you treat people. You have to understand how you are now before you can understand how to grow.

29. Count your blessings. Spend a few minutes in gratitude every day. Remind yourself of even the smallest blessings in your life. Gratitude is more than a feeling; it’s an active practice. Cultivating an “attitude of gratitude” can make you a more positive, happier, healthier person.

30. Focus. Savor it. Roll around in it. Love it. Even if it's pain. There is beauty even in pain. Don't struggle against or wish for something more.

31. Do not put yourself into debt

32. Never give up.

33. Heal. When you are wounded, where you are hurt, where you are frightened — seek healing. Restore yourself. Get well again. Do what must be done to heal. You can't be the best version of yourself when you are emotionally, mentally, or physically unwell.

34. Find your passion. Look what is your heart desires. Do what you love. Doing things that are meaningful to you will help you feel happier and fulfilled.

35. Cultivate empathy. It’s about imagining what it is like to experience life as they do, to think what they think, to feel what they feel. Then, you will able to understand a person.

36.Read books

37. Experiment with life.

38. Enjoy life and experiences. Experiences stay in your memory and create residual happy feelings. Put your efforts and income more on experiences than on things. Give yourself a mental and physical recess, a time for play and creative introspection.

39. Create network. Get in touch with influential and powerful people.

40. Be fit and healthy. Your body is beautiful and miraculous. Support your body as it serves you by staying fit and healthy.

41. Limit stress and don’t create stress at all. Remove yourself from stresses and demands to clear your mind for new ideas, inspiration, and recharging.

42. Accept you won’t please everyone. Stop people pleasing

43. Live your life to please yourself and to heck with everyone else

44. Be comfortable in every decision you make but make sure to be responsible the price you have pay with your decisions.

45. Do not jealous nor selfish. It will eat you up. Work on controlling your intentions and jealousy. It will make someone having difficult time finding happiness.

46. Learn to prioritize. Choose what is most important right now and gently release all else for another time or for good.

47. Stop criticizing and judging others

48. Eliminate all negative energy. Stop throwing buckets of negative energy out into the universe yourself

49. Strengthen your faith. Pray

50. Celebrate the small wins. Every step along the path, every stage of life, every small action should be savored and celebrated

51. Stop procrastination.

52. Mindfulness meditation can be a good place to start.

53. Be consistent. Each action step along the way to your vision is a microcosm of the outcome.

54. Be friendly at all times. Practice random acts of kindness every day.

55. Simplify your life, your thoughts, your relationships. Give yourself the space and energy to focus and love the moment.

56. Stop the negative self-talks and thoughts with irrational ideas that are merely negative. Like “I cannot do that.” Or “I don’t deserve it.”

57. Set motto in life.

58. Take notice of how your behavior impacts others.

59. Learn to shift. There are times that someone will experience tedious, boring, or even painful moments. Rather than resisting or struggling against these times, breathe into them. Shift your thinking so that you become aware of even the smallest value these moments add to your experience of life.

60. Enhance attitude. Admit if you have mistaken and make sure to learn from it.

61. Explore your talents.

62. Show up and be exposed.

63. Have a planner. When you have a vision for yourself, you need a plan for materializing this vision. You need action steps. Prioritize your vision and create a strategy for action. Break it down into small steps that are manageable. Make you actions precise and smart.

64. Do not stop learning. Keep on learning new knowledge and skills. Stop pretending to know things you don’t know. Educate Yourself. Life is a constant exercise in self-improvement.

65. Recognize the opportunity at hand

66. Write on Medium. Translating your thoughts into written narratives pushes you to think about the ideas in your head at a much deeper level. It needs to be an active, reflective activity.

67. There is no set model or map of life for human beings. We always have a choice. We have options and, in most instances, the freedom to craft ourselves based on individual interests, skills and motivations

68. Don’t count the hours. Counting hours just slows you down from reaching your goal.

69. Accept help from other people. Don’t let your pride get in the way. Most successful people needed help along the way, too.

70. Have time for yourself alone to think and reflect. Nothing makes a goal fail faster than not keeping yourself accountable. It’s all well and good to say you’ll wake up half an hour earlier every day, but if you’re not checking in on yourself, you’ll probably start hitting the snooze button again before you know it.

71. Let Go of Anger.

72. Break the norm. Start trying different things. Make a list of productivity tips you’ve read about or friends’ behaviors you’ve been wanting to try, and challenge yourself to do things differently.

73. Trust yourself…you know more than you think you do

74. Don't Show Up Empty-handed.

75. Every human being is completely unique. We, as human beings, are unique individuals and we must remain mindful of that fact as we live our lives. Your life is yours; my life is mine; and so on for each individual.

76. Stay open to all possibilities with eager expectation.

77. Don't Make Excuses. Own your mistakes and learn from them

78. Listen to Others. As Jeet Banerjee notes on Lifehack, "listening to people and giving everyone a voice is one of the greatest things you can do.

79. Make a difference.

80. Help people. Helping others not only benefits them, it benefits you.

81. Make our world a better place to live in. Plant trees. Follow rules. Be a good citizen and a role model to others.

82. Be Respectful. Be respectful of others' time, thoughts, ideas, lifestyles, feelings, work, and everything else. Always Be Polite.

83. Become a Better Communicator. Study English language as the standard international language used. Learn to speak clearly and concisely.

84. Acknowledge people. Give others genuine praise.

85. Surprise People and love ones. One of the most rewarding feelings in the world are knowing that you made someone smile. Surprise the special someone in your life by doing something out of the ordinary for them!

86. Start a Business. It will give you a lot of learning opportunities. It will teach a person about marketing skills, problem solving and sense of responsibility.

87. Find a role model. Role models are a great source of inspiration, and their stories can make us feel strong when times get tough. Having a role model gives us a concrete image of who we want to become. Practice good etiquette.

88. Focus on people, not things.

89. Be Curious.

90. Pick Yourself. Whatever it is that you want to accomplish or achieve, stop waiting for somebody else to pick you.

91. Travel the World. When you travel you gain new experiences, you learn about different cultures, and you get to sample different lifestyles. Life is an adventure.

92. Do not change your nature even if someone does harm you. Do not lose your essence. Only take precautions.

93. Be artistic. Making art is a form of self-expression, and it can even be healing.

94. Be Accepting of differences — be it of people, mindsets, lifestyles, or cultures. For they add variety and color into our lives.

95. Yoga can help. Try this thing.

96. Be Assertive.

97. Master a Game or a Sports. Mastering a game–such as chess or Go–teaches you strategy, it teaches you to compete, and it teaches you flexibility and adaptability while mastering a sports develops physical durability.

98. Work on your negative traits.

99. Respect and Honor parents. Be a better child to your parents. Make them happy.

100. And lastly, Aim for Excellence.

Being A Nurse

2017-01-28T05:35:00.001-08:00

Nurse is indeed an exciting, challenging and an extraordinary profession. As a nurse, you have to develop yourself first to become a better person with a big heart. It is because yourself is your best weapon to be successful nurse.
The work of a nurse is so difficult and enormous because it needs your patience, love and hardship in every task that you need to accomplish in everyday of a nurse's duty. The approach must be holistic, involving the spiritual, physical, mental, social and emotional of an individual. A nurse must be fulfill ed with so much love to nurture his or her patients.
Being a nurse must equipped with knowledge, skill and attitude. Nursing is a 4-year course with a huge hours of on-the-job training and 2 summer during tertiary education. It is time to study and learn nursing courses. It is the preparation and the foundation of being a nurse, formal education, since it is a profession and it has a board examination to be licensed which is so-called Nurses Licensure Examination that must be register in Professional Regulatory Commission (PRC).
After college and passing the board exam and be licensed, then a person became a registered nurse and ready to apply for a job.
Working in a hospital required a certain qualifications. Hospitals need nurses who are responsible, can handle pressures, compassionate, with good decision making, or in other word an asset for their institution. While working, it needs a series of training for a nurse to develop their skills. And with that, nurses' attitude will change eventually. One may develop leadership skills as his or her position in the institution is going up or promoted.
Remember, in every day serving patients, nurses should reflect and gain lessons which will teach or can bring difference. It must be a continuous process and learnings...
Nurses' work is all about human lives and making a peaceful and happy moments despite of pain and suffering from illnesses... Love your patients.... love your work....Godbless nurses!

Stevens-Johnson Dyndrome

2016-10-30T10:01:00.001-07:00

Stevens-Johnson Syndrome is a rare and serious disorder of the skin and mucous membrane which is usually cause by an reaction to a medication or an infection. It is a emergency case and needs treatment that requires hospitalization. Treatment regimen focuses on controlling symptoms and minimizing complications.

Symptoms:

Hives
Facial swelling
Tongue swelling
Red or purple skin rash
Shedding of the skin
Blisters on the skin or mucous membrane of the nose, mouth, eyes and genitals
Fever
Body weakness
Sore mouth or throat

Causes:

Medications such as: anti-gout medications (allopurinol); Acetaminophen, ibuprofen and naproxen sodium; Antibiotics like penicillin; Antipsychotics and anticonvulsants; Radition theraphy
Infections such as Pneumonia; HIV; Herpes or Hepatitis

Complications:

Permanent skin damage
Eye problems and internal organs
cellulitis
Blood infection or sepsis

Therapeutic Communication

2016-10-30T08:47:00.000-07:00

Importance:

It establish rapport to the client or patient.
Exchange of communication is fair and encourage mutual agreement.
It uplift the self-esteem of your client and encourages confidence to play an active role in the treatment regimen.
It promotes active participation from the client by making the patient understand the situation and treatment regimen.
The goal is positive and patient-centered.
Understanding the non verbal and verbal cues of each other.
Through therapeutic communication, trust develops.

Psychoeducation

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Frances Colom (2011), referring to psychoeducation as “psychological interventions for mood disorders”, states that these can be divided into “skilled” and “simple”. Psychoeducation belongs to the latter group: “a simple and illness-focused therapy with prophylactic efficacy in all major mood disorders” (Colom, 2011). Other writers argue that psychoeducation is not a treatment in itself, but – in clinical settings at least – the first step of the overall treatment plan (Reyes, 2010).

Education towards better understanding and awareness of their condition and their selves has a role in behavioral and emotional aspect of every client for their recovery, treatment or rehabilitation that will bring about change. Thus, Psychoeducation results to a broaden client’s perception and interpretation of life events or problem, improving their insights that leads to enhanced self-efficacy.

Goals of Psychoeducation:

1. Information transfer (as when clients/patients and their families and careers learn about symptoms, causes, and treatment concepts)

2. Emotional discharge (a goal served as the patient/client or family ventilates frustrations during the sessions or exchanges with similar others their experiences concerning the problem)

3. Support of a medication or other treatment, as cooperation grows between professional and client/patient and adherence and compliance issues diminish

4. Assistance toward self-help (that is, training in aspects such as prompt recognition of crisis situations and knowledge of what steps should be taken) (Wikipedia, 2014).

Individual Psychoeducation:

Criteria:

· client wish to maximize information transference in a manner that is uniquely suited to his or her circumstance

· threatened by group session or feeling anxious

· person is an extremely private individual and wishes to retain privacy and confidentiality

Group Psychoeducation:

Criteria:

· Client has sense of shame and needs supportive environment to face his or her condition.

· The sense of not being alone and having group support are key elements in making the group a positive experience, which reduces stress and stigma, increases motivation to manage the illness/disorder, and enhances self-efficacy.

Facts about the Nursing Cap

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The nurse cap is patterned after a nun’s habit to keep the hair neatly in place. Although this clothing item has long been phased out as it is known to carry pathogens, some countries still use this as part of the female nurses’ outfit.

Nurse's Prayer

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Dear Lord,
Please give me strength
to face the day ahead.

Dear Lord,
Please give me courage,
as I approach each hurting bed

Dear Lord,
Please give me wisdom,
with every word I speak

Dear Lord,
Please give me patience,
as I comfort the sick and weak.

Dear Lord,
Please give me assurance,
as the day slips into the night.
That I have done the best I can,
that I have done what is right.

Amen.

Range Of Motion

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Terminology:
Range of Motion - is the measurement of movement around a specific joint or body part.
Flexibility - is the range of motion around a joint, and can refer to ligaments, tendons, muscles, bones and joints. Factors that can determine one's flexibility are joint structure, muscles, tendons, ligaments, fat tissue, body temperature, activity level, gender, age, and genetics.

Importance of Range of Motion Exercises:

Help prevent the stiffness from occurring.
are designed to assist you in recovering or increasing a full range of motion in bending joints such as shoulders, knees, and elbows.
to develop full and normal function of your joints
ROM exercises are really good for client with arthritis - should aid you in improving your health and day-to-day experience without putting undue stress and strain on your joints. The purposes of ROM exercises for those living with arthritis include maintaining bone strength, strengthening the muscles around the joints, increased energy, better and more restful sleep, weight control, and improved mood.

Importance Of Flexibility

In order for a joint to have full range of motion, it must have good flexibility. Each joint has its own level of flexibility, which is expressed in degrees. If a joint has good range of motion then it would be able to move in all planes and directions permitted to that joint. For example, the elbow, which is a hinged joint, only permits movement in one direction, but it should provide full range of motion from extension to flexion.

Types of Range of Motion:

Passive range of motion - The goal of these exercises is to gently increase range of motion while decreasing pain, swelling, and stiffness. There are three types of range of motion exercises:Passive range of motion (or PROM) - Therapist or equipment moves the joint through the range of motion with no effort from the patient. It is usually indicated in the joints that are inactive like client who is paralyze or with physical immobility.
Active-assistive range of motion - exercises are more progressive, intended for the client to perform movement around the joint, with some manual assistance from the physical therapist or from a strap or band. These exercises can often feel painful, and the muscles can feel weak. Increasing range of motion with these exercises should be a gradual advancement.
Active range of motion - Patient performs the exercise to move the joint without any assistance to the muscles surrounding the joint. It is highly independent and the role of the physical therapist may be simpy to provide verbal cues or instructions.

Factors Affecting ROM

There are many factors that can affect both active and passive ROM. Your lifestyle is a major contributing factor. If you are sedentary, or perform repetitive tasks throughout the day, you may have limited ROM. Injury or a chronic condition, such as arthritis, could also affect both active and passive ROM. Your body size can also limit ROM. If you are overweight, excess skin and fat could impede your movement. As you lose weight, however, you will notice that both active and passive ROM improve.

Milieu Therapy

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Milieu means environment or surroundings. Milieu therapy is the treatment of mental disorder or maladjustment by making substantial changes in a patient's immediate life circumstances and environment in a way that will enhance the effectiveness of other forms of therapy. The objective or goal of milieu therapy is to use the environment or manipulate the surroundings to make client's hospital experience be therapeutic. Having a therapeutic community setting, client is expected to learn about adaptive coping skills, interaction and relationship skills and to develop autonomy.
Milieu therapy is a scientific planning by structuring an environment in order to effect behavioral changes and to improve the psychological health and bring individual to its maximum functioning.

Bettleheim coined the word milieu therapy in 1948 that used in children during that time but as time goes by, milieu therapy evolved to better hospital integration and community psychiatry with different structure therapeutic activities that are effective and efficient for the treatment or rehabilitation regimen.

Basic assumptions:
Skinner created seven basic assumptions on which a therapeutic community is based:

The health in each individual is to be realized and encouraged to grow.
Every interaction is an opportunity for therapeutic intervention
The client owns his or her environment
Peer pressure is a useful and a powerful tool
Inappropriate behaviors are dealt with as they occur
Restrictions and punishment are to be avoided.

Principles of Milieu Therapy:

To promote a fundamental respect for individuals
To use opportunities for communication between client and staff for maximum therapeutic benefit.
To encourage clients to act at a level equal to their ability and to enhance their self-esteem
To develop social skills and improve relationships.
To provide opportunities for clients to be part of unit management.
To be responsible to their own actions.
Peer pressure is utilized to reinforce rules and regulations.
Team approach is emphasized.
Group discussions and temporary seclusions are favoured approaches for acting out behavior.
The nurses function is to be therapeutic as well to achieve these goals.

Emotional Response to Illness

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1. Fear
2. Anxiety
3. Over-dependence
4. Anger
5. Hostility
6. Self-pity

Stages of Illness Behavior

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Stage 1 : Symptom Experience
Stage 2 : Assumption of the sick role
Stage 3 : Medical Care Contact
Stage 4 : Dependent client role
Stage 5 : Recovery and Rehabilitation

Factors Causing Illness

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1. Predisposing factors - a condition that is characterized by a previous tendency or susceptability of a disease. Example will be the family history of hypertension, diabetes meliitus etc.
2. Contributing factors - a condition that helps bring about a result of a disease such as smoking, obesity, unhealthy eating, etc
3. Precipitating factors - a condition that hasten or brings in a result hurriedly like stress.