Doctor insights on:
Sample Nursing Care Plan Pneumonia
This site is MedCare: This site is about medical question and answers about medical problems and not nursing care. The only nurses who come in contacts with patients with tonsilopharyngitis, are either Dictors office nurse or in ER. It involved taking vital signs like temp and pulse and history of any allergies. And at the direction of the doctor to do throat swab for quick strep test or culture& give Tylenol (acetaminophen) for fever ...Read more
Here are some. ..: There should be no difference in caring patients with or without urosepsis with timely mental and physical supportive measures besides administrating drugs and implementing constant healthy lifestyle without overindulgence. More? Ask Doc timely. ...Read more
Psychotherapy: Treatment for dysthymia is similar to treatment for depression. It should include psychotherapy and may also be appropriate to treat with antidepressants. Start with your primary care physician and a good therapist. Cognitive behavioral therapies and interpersonal therapies can be effective. Exercise, good sleep, good nutrition, and overall self-care help improve mood naturally as well. ...Read more
Consult your texts: This site is not a substitute for doing your own homework. Your nursing instructors expect your work to be done in the jargon of the teaching references they provide you for study. As you enter the profession you will be better prepared and more respected if you avoid shortcuts to complete your assignments. ...Read more
Unable to get any health info or nursing care plan on mom due to hipaa. She signed both of us as poa in tx but in this state can be only 1. What to do?
Need to know: What state you are in to be able to research this. Best thing to do is to consult a lawyer in your mother's state who has dealt with this type of issue before. ...Read more
Diabetes: Chronic kidney disease is a long term complication of dm. I am afraid there is no nursing care involved, but appropriate medications, can postpone the need for dialysis depending on the severity of illness. ...Read more
Is there any insurance coverage for 24 hour nursing care? Any recommendations? This is all new and scary.
You may find the best information by contacting your local department on aging. They can be very helpful. Most home care agencies know how to access whatever payment might be available to you and will also help you find this info if it will benefit them.
The options are different for someone who needs short term care such as following surgery vs long term care or hospice. ...Read more
Patient received bad news about his condition. What nursing care would you implement to help a patient who has received a sudden traumatic diagnosis?
What diagnosis?: It depends on the diagnosis, and what supports the patient already has in his life. Is the patient in the hospital, and trying to sort through treatment options? For cancer diagnoses, there are often oncology nurses who help patients review what they've been told about their illness, help get more info as needed, and discuss. Social services and Consult-Liaison Psychiatry can help also. ...Read more
Preterm labor: To evaluate a patient for premature labor, it is essential to monitor uterine contractions and fetal heart beat. An early cervical examination and a follow up cervical examination will tell if there has been cervical change. Cervical change is a hallmark of premature labor. If there is cervical change, then treatment can be started. ...Read more
Freedom of speech: This is a free country & you can complain about anything you want. Be aware that should you require any form of health care that it can and will often involve members of both sexes. Your care may involve access to you privates. There will be situations where your care may be given by someone of the opposite sex. You can always stay home and refuse them. ...Read more
Stop Transfusion: If a transfusion reaction is suspected, first stop the transfusion, open a normal saline line, support patient, call physician and report to blood bank for clerical check and compatibility confirmation. A post-transfusion blood sample along with the partially transfused unit should be sent to the blood bank for inspection. Follow you facility's policy and forms to report these events. ...Read more
Resuscitation: The most critical part of nursing after a AAA repair is the immediate post-operative period- especially if the repair is done in an open fashion. There are dramatic fluid shifts that occur and close monitoring of acid-base status, blood pressure, blood counts, and breathing are critical. Once the breathing tube is out and the patients starts to eat, the focus becomes pain control and slow rehab. ...Read more
Hospice: Hospice is an end of life service through medicare or private insurance. It will not pay for 24/7 care unless the person is in the active dying process of the last few days. If you need care in the home you should hire an in home care agency. This is private pay and not covered by medicare. Some long term care insurance may cover it. Check with your agent. ...Read more
When looking for skilled nursing care center, what are red flags? What if admin gets defensive if asked about staff turnover and staff credentials?
SKILLED NURSING CARE: Your md knows the good nursing facility and recommends it. The hospital he is connected know the credentials of each center. He is also aware of any complaint or reputation that certer have. So follow his suggestion. ...Read more
Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?
Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www. Medicare. Gov/quality-care-finder/#nursing-home-compare
also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read more
Why would someone with high potassium/kidney failure need 24 hr nursing care after potassium is normalized? Mom in ICU.
Hard to say: There are a tremendous number of variables that go into the determination of patient needs. A blanket statement about a problem that may or may not resolve with treatment is mere speculation. Some with acute kidney failure improve well enough to go back to work, some require frequent dialysis. The proper assess can only be made knowing all the variables in the specific case. ...Read more
Pneumonia: Depends on type (bacterial or viral) & body's immune system & other factors such as medications & cognitive state & mobility, etc. ...Read more
Easy: Fatal pneumonia in the elderly is often triggered by common germs in the upper airway of anyone. They are easily passed by touching the face or mouth followed by touching objects in the environment. The next person to touch that door handle, chair, etc. Will contaminate their fingers & eventually pass it to their face/airway. Weakened defenses often allow this to progress to pneumonia when elderly ...Read more
Different issues: A dnr order refers to resuscitation during cardiac arrest and has nothing to do with whether to treat pneumonia. It's reasonable to treat pneumonia despite a dnr order. But in some cases, patients or their families may choose not treat pneumonia if it's felt that it would not improve quality of life. Pneumonia used to be called "the old man's friend" because it was a fairly benign way to die. ...Read more
Dementia pt. Had aspirational pneumonia D'C'd back to RCFE even tho needs higher level of care. Nursing scvs provided by hospice. Why not sent to SNF?
A different focus: Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When the end is near, we don't go to a skilled nursing facility (think of an SNF as a place to recover and get back to good mental and good physical functioning). When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
If pt. Is D/C'd back to a RCFE but now receives nursing services from a hospice, does this mean end of life care? Pt. had aspirational pneumonia.
If true hospice care: Yes, if it is true hospice care. However, some hospice services also provide "bridge care" for patients whose end is not quite in sight yet (it's like palliative care). Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
I live in a nursing home they diagnosed me pneumonia they are giving 6000 ml of vancomysin a day 750 ml of levaquin, (levofloxacin) and 100 ml of zosyn a day its ok?
Doses not right: In specific circumstances Levaquin (levofloxacin) is added to Zosyn and Vancomycin, which would be a typical combination for a healthcare associated pneumonia. The dose listed for Levaquin (levofloxacin) seems to be right, providing no kidney issues. The doses for Vancomycin and Zosyn do not seem to be right. ...Read more
Hello, I'm a nursing student from Holland. I'm searching for articles about the care plan for down syndrome. Do you know where I can find those?
Try this website: Www. Care. Com/special-needs-caring-for-a-child-with-down-synGet a more detailed answer ›
Living will.: For many of theses individuals, it is important to understand their prognosis and advance directives. ...Read more
I took Plan B and I am nursing. Will my baby technically get this pill as well since I'm nursing her?
No harm: Plan B contains a medication called levonorgestrel. Evidence indicates that levonorgestrel does not adversely affect the composition of milk, the growth and development of the infant or the milk supply. Expert opinion holds that the risks of progestin-only contraceptive products are acceptable for nursing mothers at any time postpartum. If you want a non hormonal contraceptive choice, use condoms ...Read more
I plan on nursing my baby when she is born, however I am still nursing my first baby. Should I not let my 1st nurse while the colustrum is present?
Ok: There is no reason that I am aware of that colostrum is better than breast milk to a new born or vice versa. In fact if you are continuing to nurse your 1st, I am not sure there will be colostrum. ...Read more
Maybe maybe not: Plan b will change up the menstrual cycle since it works by preventing ovulation. Bleeding is common but not manditory. You should always take a pregnancy test after using Plan B to make sure that it worked. Please see your doctor to start a more reliable birth control method too. ...Read more
I'm in nursing school, but I've always wanted to become a doctor. I wanted to have a back up plan. Could I still pursue med school after?
Nurse to doctor: Perhaps in the past, but these days med schools like a wide variety of backgrounds—biology, music, teaching, pharmacy, sports, etc—as long as the candidate has successfully completed required science & math courses. Having been a nurse gives you an edge in practical, clinical knowledge over your classmates in the first year or two. ...Read more
Hi had a baby 3 wk ago and I smoked some pot yesterday, and I don't plan to continue. When is it safe to continue nursing? I have been pumping and dump
Consider formula: Sometimes it is better for the baby to avoid being around smokers because they get many ear infections and respiratory issues. It is also more important for your baby to get what she needs as opposed to worrying about what drugs are in your system and the length of time it would take to clean it out. Formula works and is a very healthy alternative. ...Read more
I stopped smoking meth 7 weeks ago. The board of nursing is requesting a hair sample at this time. What are my chances of passing?
Help is on the web: Go to www. Stroke-site. Org.Get a more detailed answer ›
Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.
HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read more