Doctor insights on:
Risk For Fall Nursing Interventions And Rationales
If a cardiologist faxed orders to a nursing home then fp doc changed them, whose does staff follow? Concerned about fall after doubling of dose
Responsible Doctor: The answer is whoever the nursing facility has the responsible physician. As a consultant the cardiologist makes recommendations that the treating physician can follow or not, since they usually have a little more knowledge of all of the patients issues and previous responses to medications ...Read more
Lactation consultant: Insurances usually pay for lactation consultation with a lactation nurse. Often lactation nurses come to your home and teach you many great techniques. Ask your pediatrician which one he/she recommends. It can be invaluable....And covered too. Great combo. Good luck and congrats on the newborn. ...Read more
Breastfeed prep: First thing is to find a local prenatal breastfeeding class so you know what to expect and some basic positioning and latching tips. Then, about a month before due date start some gentle manipulation of the nipples, including rubbing with a terry cloth towel to start to toughen the skin. Leave nipples open to air daily. Plan where and how you'll handle nursing once you're home. ...Read more
Unanswerable: This question, asking for a "how to" manual on emergency nursing, is way out of bounds for this simple application. It would take a whole manual to respond to this broad question. This site is to ask about symptoms and specifics. Not sure what you wanted from us on this question. ...Read more
You shouldn't: Salmonella is a huge risk for infants as this is one of the infections that is very much dependent on how mature your immune system is. As much as I may be with you in enjoying cookie dough, the raw egg is way too risky for salmonella infection which may be nothing for you but could be a quite serious illness for an infant. ...Read more
Yes: This is normal. Most of this is likely true feeding and necessary but some babies will use breastfeeding s a pacifier. Essentially true feeding is vigorous and consistent. Suck, suck, breath... Pacifying feeding is 30-40 minutes later and more like suck, snooooooooze, suck, snoooooze. During this phase of feeding baby isn't eating, just pacifying. That feeding can be stopped. ...Read more
Ask others: Check this page. Http://www. Aarp. Org/relationships/caregiving-resource-center/info-10-2010/ho_assessing_housing_options2.html. Ask people who live there and their relatives. ...Read more
To the state: File a complaint either to the nh director, if you are not satisfied you can file to state health dept. They are the ones that regulate these nursing homes. ...Read more
Please ASK: The best thing you can do for you and your baby if you have nursing problems is to ask for help and support! Start with your pediatrician, obgyn, labor nurses and local lactation consultants or laleche league. Many town health departments or wic offices can direct you to resources. Enlist the emotional support of your partner and mother or support person as well. Other breast feeding moms too! ...Read more
Pump 5 times a day: After a premature delivery, the mom can pump her breasts 5 times a day to get the milk flowing. She can drink plenty of fluids, and try to stay relaxed. Being very anxious or worrying about not having enough milk may cause her to have less milk output. ...Read more
Help hold and burp: I can answer this as a father as well as a pediatrician. Sometimes, with a newborn you just don't have a lot of direct contact, because mom does most of the work. But, we can be a strong second string. We can make mom more comfortable, massage our babies during nursing, help with burping, and hold your baby right after he/she has it's belly full. ...Read more
Weaning: If you want to stop breastfeeding, start introducing other substitute activities. If your baby really enjoys nursing at bedtime, give her a bath in the evening so she gets a lot of attention and physical touch without nursing. Make your breasts less accessible to her. Offer her a cup for meals and water between meals. Redirect her when she wants to nurse, but give her positive attention. ...Read more
Dozens: As a this is a site for doctors, we are likely not the best resource for this question. However, there are dozens of nursing specialties with their own governing bodies. They range from the adminstrative (case management, informatics) to the traditional clinical (ambulatory, critical care) to the advanced care provision (CRNA, midwife). ...Read more
Rough estimate: Babies consume roughly 1/2 their pound weight as ounces at a feeding after it is well established. For a 8 lb kid that equates to ~ 4 ounces. For breast fed kids I find it better to count diapers than ounces. Too many moms get stuck on quantity & express & bottle feed to watch volume. If baby is wetting a diaper every 4-6 hours and filling out, it is doing fine. ...Read more
See below: The is moral development and in nursing as well as medicine the best way to do this is by example-for if you present the best there'd is others will follow. ...Read more
You haven't provided: Enough info for us to be of help with this. Have you discussed with your pharmacist? ...Read more
Deeply personal: No one can tell you what is the right career choice for yourself, except you. You can get good advice as to what fields are likely to be hiring when you graduate. But only you can know what will satisfy you, with the best match of your natural abilities and inclinations. I hope you have a family / country where you are free to choose your job, your partner, and your path through life. ...Read more
Good afternoon sir, am b.sc. Nursing final year student....what should I do for losing my weight?????
Eat less & exercise:
The key to losing weight is not a temporary diet but permanent changes. Sugars and simple carbs from grains esp. Cause weight gain. I like Dr. Furhman's diet: http://tinyurl. Com/ktampgg
Dr. Weil has useful info:
- see his "discuss that" link in his article.
Also see https://authoritynutrition. Com/weight-loss/ for many useful articles.
Exercise is also important. ...Read more
I am an lpn with 33 years of nursing experience. Family relocating. Want city with highest per hour pay?
Internet question: I also have an mba in addition to an md and I would suggest looking for the city with the highest ratio of pay to cost of living. You might get paid 1.5x in new york but find you cost of living 2.5x so you would actually be making a big mistake. That information should be available on the internet. ...Read more
What if you are in a skilled nursing facility and dr's orders are not being followed but makes in your chart that it was done?
Violation: If you are certain that something is supposed to be done and it's not being done, bring this up to the nurse supervisor. They will supervise whether something is supposed to be done or not. If the problem persists, bring the problem to the patient liaison for investigation. Your job is to make sure that things are being done and your health is being looked after. ...Read more
What are the factors that need to be considered in determining whether or not someone needs to go to a skilled nursing facility?
24/7 care: The key thing is not able to maintain independently - medications, self care, daily routine such as bathing, clothing, toileting, household activities, lack of availability to provide supervision, lack of financial resource available, lack of family commitment to care for and the distance between two locations. Security of health and safety are another factors ...Read more
I'm training to be a nursing assistant and sometimes when you have to clean the residents there's a horrible odor. How to best deal with this?
Vick's on lip.: It can be bad! It helps to breathe through your mouth. Homicide detectives reportedly put a little Vick's on their upper lips at times. (Although I only know this from fiction: high quality fiction, but it is still fiction. Ask your town's cops what they do and let us know! ...Read more
I'm thinking of becoming a nurse I'm taking my prerequisites right now but I don't like biology. Are my nursing classes going to mainly biology?
Core classes: For your nursing requirements you will need your course in biology. But after that you are ok. If you have trouble get a tutor to help you. Biology is really straight forward and most interesting. Just get yourself through and you will be ok. Mostly just memorizing ...Read more
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