Revisiting Nursing Histories, Medical-Surgical Emergencies and a whole lot of Nursing Notes
Friday, August 31, 2012
Nursing topnotcher got the news in the US; raring to return to PH
Source: inquirer.net
While most nursing graduates aspire to pass the professional exam, gain a little job experience and then leave to work abroad, this year’s topnotcher of the nursing boards is already in the United States, raring to gain experience and more education before returning to serve in the Philippines.
“I will definitely go back to the Philippines. I owe my country a lot and I’m really sad that I can’t serve there at the moment,” said Roxanne Trinity Dotingco Lim, who is now with her family in Auburn, California, in an online interview with the Inquirer.
“I will go back when I am an expert in my field. That way I know I can serve better,” she added.
Lim, who graduated in 2012 from the University of Santo Tomas, came out on top of more than 27,000 who passed the nursing licensure exam given in June—out of 60,895 who took the test—with a score of 86.20 percent.
As a student, she said she always strove to be the best but struggled to find her niche. Acing the board exam was affirmation that she was in the right profession, she said.
Lim said she was reluctant to take up nursing at first because she was aware of the many jobless nurses in the country. But her parents’ appreciation for the profession won her over.
“They see nursing as a very special course. It’s a profession that can be a means to serve the Lord,” she said.
Her father still runs a pharmacy in their hometown in Eastern Samar, while her mother, who used to be a medical technologist, is now a nurse in the US.
Lim, 20, was born in Taft, a fifth-class municipality in Eastern Samar named after US President Howard Taft. She studied at Taft Central Elementary School then at Philippine Science High School-Eastern Visayas campus, where she lived away from home because of its distance from the school.
“For the sake of receiving quality education, I endured my longing for my family,” she said.
She was on her third year in college in Manila when her parents and three younger brothers moved to Auburn for the same reason that many Filipinos leave the country. “My parents wanted to give us a better future, they wanted to search for new opportunities and try out a new life here,” she said.
Lim followed them shortly after taking the nursing exams administered by the Board of Nursing of the Professional Regulation Commission.
“I want to spend as much time with my family as possible and make up for lost time. I have decided to work here as a nurse for a few years,” she said.
When the test results came out on Aug. 23, Lim’s boyfriend texted her his congratulations on topping the exam. She said she couldn’t believe it and, although bursting with excitement, she waited patiently while checking the PRC website before barging into her parents’ room with the good news.
“I was so happy that I accidentally got hit by something while jumping for joy. I didn’t notice it until I saw the blood on my leg,” she said.
Burying her nose in nursing books instead of curling up with a favorite novel or going out with her cousins and friends paid off. But she did take some time off from studying once in a while.
Studied hard, prayed harder
“Our bodies are not programmed to work every day of the week. It is also good to stop, let ourselves relax and enjoy what life has to offer,” she said. “I studied hard but I prayed harder. I prayed with all my heart and I can say that it was my greatest weapon.”
Lim said she planned to pursue a master’s degree and was waiting for the result of her application to the National Council Licensure Examination, a licensing test for nurses in the US.
“I was so engrossed with aiming to be at the top that I think I may have pushed myself too hard and forgot what really mattered in life. Looking back, I think my reason is that I don’t really know what I’m good at. I don’t have any talent or special ability,” she said.
“But through nursing, I now know what I love to do. I love serving others.
Thursday, August 30, 2012
It's official! Men tell more lies than women - Hindustan Times
It's official! Men tell more lies than women - Hindustan Times
The average man tells 3 lies a day - or a whopping 1,092 a year, whereas women in comparison fib just twice a day or 728 times a year, the Daily Express reported.
But a role reversal happens when it comes to hiding new clothes from a partner, in that situation, 39 percent of women feel the need to lie about their latest wardrobe additions, compared to just 26 percent of men.
Women are also most likely to pretend to be busy to avoid a phone call, 50 per cent admit to this opposed to just over a 33.33 percent of men, the research by BMW Financial Services revealed.
But although lying causes a moral dilemma, Karen Pine, Professor of Developmental Psychology at the University of Hertfordshire, says it is an essential trait in mankind.
"We think lying is bad, but actually the ability to deceive others has helped humans survive as a species. Our primitive ancestors had to compete for resources and would have needed to be deceitful to outwit their enemies," she said.
"Everybody lies, but we have to know when it`s OK to do it and when not. It might be OK to say you like your friend`s new hairdo when you don`t really, because the fib could be good for the friendship. But telling lies to escape from life`s difficulties can cause harm and will have long-term consequences. In some people it could even lead to compulsive behaviour, as one untruth has to be kept going with more lies.
"Who lies? Everyone does it but some people are naturally better at lying than others. Socially skilled people make better liars. Extroverts also tend to lie more often than more introverted people," she added.
The average man tells 3 lies a day - or a whopping 1,092 a year, whereas women in comparison fib just twice a day or 728 times a year, the Daily Express reported.
Women are also most likely to pretend to be busy to avoid a phone call, 50 per cent admit to this opposed to just over a 33.33 percent of men, the research by BMW Financial Services revealed.
But although lying causes a moral dilemma, Karen Pine, Professor of Developmental Psychology at the University of Hertfordshire, says it is an essential trait in mankind.
"We think lying is bad, but actually the ability to deceive others has helped humans survive as a species. Our primitive ancestors had to compete for resources and would have needed to be deceitful to outwit their enemies," she said.
"Everybody lies, but we have to know when it`s OK to do it and when not. It might be OK to say you like your friend`s new hairdo when you don`t really, because the fib could be good for the friendship. But telling lies to escape from life`s difficulties can cause harm and will have long-term consequences. In some people it could even lead to compulsive behaviour, as one untruth has to be kept going with more lies.
"Who lies? Everyone does it but some people are naturally better at lying than others. Socially skilled people make better liars. Extroverts also tend to lie more often than more introverted people," she added.
Female ICU Nurses needed in KSA
Employer: ARMED FORCES HOSPITAL JAZAN
Work Location: KINGDOM OF SAUDI ARABIA
Posted on: Aug 29, 2012
Expires on: Nov 27, 2012
Gender: Female
STRICTLY FOR FEMALE ICU NURSE ONLY (Please do not apply if you are not in the area)
Candidate must possess at least a Bachelor's/College Degree , Professional License (Passed Board/Bar/Professional License Exam), Nursing or equivalent.
At least 3 year(s) of working experience in the related field is required for this position.
Applicants must be willing to work in Jizan.
Preferably 3 Yrs Experienced Employees specializing in Healthcare - Nurse/Medical Support & Assistant or equivalent.
10 Full-Time position(s) available.
Look for Ms. Jham
BISON MANAGEMENT CORPORATION Landbased Agency
GF,2F&3F(LW) BMH CTR 3963 YAGUE ST STA CRUZ MAKATI
Tel No/s : 8964667 TO 69 / 7297124
Email Address : info@bisonph.com
Website : http://www.bisonjobs.com
Website page: http://www.bisonjobs.com/jobs.php?jobid=1390
Official Representative : MARITES A. CAMILOSA
Status : Valid License
License Validity : 12/20/2010 to 12/19/2014
Registered Nurses - Canada (Canada) - Webster's - Philippines - JobsDB.com
Registered Nurses - Canada (Canada) - Webster's - Philippines - JobsDB.com
Contact
Webster’s
Penthouse Unit -2
China Bank Savings Bldg.
6772 Ayala Ave. Makati, Manila Philippines.
Tel No: (63) 891-0593
Webster
Wednesday, August 29, 2012
Tuesday, August 28, 2012
Sleep Bruxism
Bruxism is an involuntary, forceful grinding of teeth during sleep that affects 10-20% of the population. The client is usually unaware of the problem. The typical age of onset is 17-20 years, and spontaneous remission usually occurs by age 40. Sex distribution appears to be equal. In many cases, the diagnosis is made during dental examination, damage is minor, and no treatment is indicated. In more severe cases, treatment with a rubber tooth guard is necessary to prevent disfiguring tooth injury. Stress management or, in some cases, biofeedback, can be useful when bruxism is a manifestation of psychological stress. There are anecdotal reports of benefit using benzodiazepines. (Please see your local physician first for baseline assessment. :)
Monday, August 27, 2012
Sunday, August 26, 2012
Contact Dermatitis
A 27-year-old woman developed the pictured lesion 2
days after wearing a new pair of earrings. What is the most likely diagnosis?
A Atopic dermatitis
B Irritant dermatitis
C. Nummular dermatitis
D Seborrheic dermatitis
E Allergic dermatitis
Option A (Atopic
dermatitis) is incorrect. Atopic dermatitis is a subacute and chronic
dermatitis that is often called an itch that
rashes. It
has dry, scaly, pruritic patches and
plaques with excoriations located in
the flexural regions.
Option B (Irritant
contact dermatitis) is incorrect. Irritant contact dermatitis is the result of direct toxic
injury to the skin and will occur in any individual given sufficient exposure.
This is in contrast to allergic contact dermatitis, where individuals with
atopy are more likely to develop it. Irritant contact dermatitis is
differentiated from allergic contact dermatitis by the acute speed of the
reaction (less than 12 hours usually), a very sharp border without spread and
an absence of papules in the acute phase.
Option C (Nummular
dermatitis) is incorrect. Nummular dermatitis presents as pruritic, coin-shaped erythematous
plaques that are dry and scaly.
Option D
(Seborrheic dermatitis) is incorrect. Seborrheic dermatitis presents with a
greasy, yellow, erythematous, scaly
plaque primarily in the perioral area or other areas rich in sebaceous glands,
such as the scalp margin and sternum.
Option
E (Allergic contact dermatitis) is correct. This patient has
allergic contact dermatitis, most likely the result of nickel in her new
earrings. Allergic contact dermatitis should be suspected when there is
exposure to an allergen and a reaction develops at least 48 hours later. As
pictured, there in an erhythematous base
and a slightly white scale with a defined border.
CONTACT
DERMATITIS
BASIC
INFORMATION
Contact dermatitis is an acute or
chronic skin inflammation, usually eczematous dermatitis resulting from
exposure to substances in the environment. It can be subdivided into
"irritant" contact dermatitis (nonimmunologic physical and chemical alteration
of the epidermis) and "allergic" contact dermatitis (delayed
hypersensitivity reaction).
And if you wanna have your own copy of this file, click here.
Weekly 5 Questions and Answers
==============================================================================================================================================
Hello Everyone! I’m creating a Weekly 5 Questions and
Answers. All medical subjects included. As for now, my favourite topic: Cardiology
1.
A 22-year-old adult has a cholesterol blood test
done at a screening clinic sponsored by a local health club. The nurse
volunteering at the screening teaches the client that diet and exercise should
be used as measures to keep the cholesterol level below:
a.
80 mg/dl
b.
200 mg/dl
c.
250 mg/dl
d.
300 mg/dl
AR: B The
nurse should counsel the client to keep
the total cholesterol level under 200 mg/dL. This will aid in the prevention of
atherosclerosis, which can lead to a number of cardiovascular disorders later
in life. Recalling that the normal cholesterol level ranges from 140 to 199
mg/dL.
2.
A client arrives in the emergency room complaining
of chest pain that began 4 hours ago. A troponin T blood specimen is obtained,
and the results indicate a level of 0.6 ng/mL. The nurse interprets that this
result indicates a:
a.
Normal level
b.
Low value that indicates possible gastritis
c.
Level that indicates a myocardial infarction
d.
Level that indicates the presence of possible angina
AR: C Troponin is a regulatory protein found in
striated muscle. The troponins function together in the contractile apparatus
for striated muscle in skeletal muscle and in the myocardium. Increased amounts
of troponins are released into the bloodstream when an infarction causes damage
to the myocardium. A troponin T value that is higher than 0.1 to 0.2 ng/mL is
consistent with a myocardial infarction. A normal troponin I level is lower
than 0.6 ng/mL.
3.
A client is suspected of having a myocardial
infarction. The nurse assesses the elevations in which of the following
isoenzyme values reported with the creatine kinase level?
a.
MM
b.
MB
c.
BB
d.
MK
AR: B Creatine Kinase (CK) is a cellular enzyme that
can be fractionated into three isoenzymes. The MB band reflects CK from cardiac
muscle. This is the level that elevates with myocardial infarction. The MM band
reflects CK from skeletal muscle. The BB band reflects CK from the brain. There
is no MK band.
4.
A client with atrial fibrillation who is
receiving maintenance therapy of warfarin sodium (Coumadin) has a prothrombin
time of 35 seconds. Based on the prothrombin time, the nurse anticipates which
of the following orders?
a.
Adding a dose of heparin solution
b.
Increasing the next dose of warfarin
c.
Administering the next dose of warfarin
d.
Holding the next dose of warfarin
The normal prothrombin time (PT) is 9.6 to 11.8 seconds (male adult) or
9.5 to 11.3 seconds (female adult). A therapeutic PT level is 1.5 to 2.0 times
higher than the normal level. Because the value of 35 seconds is high (and
perhaps near the critical range), the nurse should anticipate that the client
would not receive further doses at this time.
5.
The nurse checks the laboratory result for a
serum digoxin level that was determined for a client earlier in the day and
notes that the result is 2.4 ng/mL. Which of the following is the most
important action on the part of the nurse?
a.
Notify the physician
b.
Check the client’s last pulse rate
c.
Record the normal value on the client’s flow
sheet
d.
Administer the next dose of the medication as
scheduled
AR: A The normal therapeutic range for digoxin is
0.5 to 2.0 ng/mL. A level of 2.4 ng/mL exceeds the therapeutic range and
indicates toxicity. The most important action is to notify the physician, who
may give further order about holding further doses of digoxin.
To download file, click here==============================================================================================================================================
Welcome Friends!
Hello
My name is Seigfredo Origenes, I'm a Registered Nurse in the tropical country of the Philippines. I've worked various positions in a medical field. Volunteer Nurse, Phlebotomist, Medical Encoder, ER Nurse, and due to financial constraints as a Call Centre Agent, Technical Support, Sykes Asia Philippines.
I'm a Healthcare Worker, working on my papers to become a Nurse here in UK next year but this doesn't stop me to continue my passion of creating a website for nurses, students and to our ever growing population.
This is me in my lovely home
I'm living with my partner and he's lovely and a good cook.
Anyway, What really inspires me to create a website? I've created a website before, earned good bucks but stopped because I'm busy with work. This has been my third website instalment and hopefully not the last.
I love sharing notes, visiting heroic nursing moves and medical breakthrough. We are in the era of what's next? So, this is next recurring hobby.
My favourite motto: Seize the Moment!
My name is Seigfredo Origenes, I'm a Registered Nurse in the tropical country of the Philippines. I've worked various positions in a medical field. Volunteer Nurse, Phlebotomist, Medical Encoder, ER Nurse, and due to financial constraints as a Call Centre Agent, Technical Support, Sykes Asia Philippines.
I'm a Healthcare Worker, working on my papers to become a Nurse here in UK next year but this doesn't stop me to continue my passion of creating a website for nurses, students and to our ever growing population.
This is me in my lovely home
I'm living with my partner and he's lovely and a good cook.
Anyway, What really inspires me to create a website? I've created a website before, earned good bucks but stopped because I'm busy with work. This has been my third website instalment and hopefully not the last.
I love sharing notes, visiting heroic nursing moves and medical breakthrough. We are in the era of what's next? So, this is next recurring hobby.
My favourite motto: Seize the Moment!
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