Thursday, December 21, 2006
Tuesday, December 19, 2006
Monday, December 18, 2006
Thank You
Lessons learned
Nursing school can make you blind
Studying is overrated
Friends are priceless
My husband Dave is a darned good nurse
Carols for the not so mentally healthy
.......which applies to most nursing students! This made me laugh......hope it will you too ;)
Schizophrenia --- Do You Hear What I Hear?
Multiple Personality Disorder --- We Three Queens Disoriented Are
Dementia --- I Think I'll be Home for Christmas
Narcissistic --- Hark the Herald Angles Sing About Me
Manic --- Deck the Halls and Walls and House and Lawn and Streets and Stores and Office and Town and Cars and Busses and Trucks and trees and Fire Hydrants and......
Paranoid --- Santa Claus is Coming to Get me
Borderline Personality Disorder --- Thoughts of Roasting on an Open Fire
Personality Disorder --- You Better Watch Out, I'm Gonna Cry, I'm Gonna Pout, Maybe I'll tell You Why
Obsessive Compulsive Disorder ---Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells
posted by Robyn at 5:46 PM | 0 comments"
Sunday, December 17, 2006
Saturday, December 16, 2006
Help
Thursday, December 14, 2006
Sunday, December 10, 2006
Test 3 grades
Mrs. Ippolito has posted the last test grades. She did her item analysis and we got points. Also the powerpoint for tommorow is on docushare for those of you who are interested.
Teresa S
Tuesday, December 05, 2006
Bonnie
Monday, December 04, 2006
Final Study Guide
Mrs. Ippilito put the study guide for our final test and todays power point presentation on docushare if you are interested.
Sunday, December 03, 2006
I have a question!!!
Thank for the study guide Austin and Jennifer!!
Friday, December 01, 2006
test5 study guide n4
SystemChapter 60
1. Effects of aging on the MS system
2. Serologic and radiologic studies of the MS
Chapter 61
1. Assessment findings and interventions for acute soft tissue injury
2. Stages of fracture healing
3. Nursing care of a patient in skin and skeletal traction, and a patient in a cast
4. Types of fracture reduction and nursing care
5. Postoperative care of the patient with hip replacement
6. Complications of fractures
7. Postoperative care of the patient with an amputation
Chapter 62
1. Pathophysiology, clinical manifestations and nursing care of the patient with osteomyelitis
2. Nursing care of the patient after spinal surgery
3. Clinical manifestations of osteoporosis
Chapter 63
1. Pathophysiology, clinical manifestations, collaborative care of the patient with osteoarthritis
2. Pathophysiology, clinical manifestations, collaborative care of the patient with rheumatoid arthritis
3. Pathophysiology, clinical manifestations, collaborative care of the patient with gout
4. Pathophysiology, clinical manifestations, collaborative care of the patient with SLE
5. Pathophysiology of the patient with systemic sclerosis and the CREST syndrome
TEST QUESTIONS ARE NOT LIMITED TO THESE AREAS. THE STUDENT IS STILL RESPONSIBLE FOR CONTENT ON THE SCHEDULED READING ASSIGNMENTS.
Thursday, November 30, 2006
Open Letter from Fern Sison
danO
Repost from: Futurenurses2007: Tuesday, November 28, 2006
Test Questions
There is a rumor out there that I am copying test bank questions and handing them out to students. To be more specific a student wrote that I took test bank questions for the Endocrine test and gave them to students. I'd like to set the records straight. I go over different types of questions so that students can learn the concepts and how to answer and read questions. I have many test banks available to me. If you look on this blog for N4 subjects you will find all of those questions with the same concepts that I went over during study groups. I have NEVER COPIED TEST bank questions and handed them to students and I do not give special priviledges to any rotation.
I have always made myself available to any student that asks for my help. There are no special advantages given to any specific rotations. I go over questions to teach concepts and subjects that students may need to study about and I give page numbers for subjects (so the student can read the subject matter) that could help students but I do not give test bank questions to any students. There are more subject test questions on this blog than I even have. Ms. Romena gets her test questions from many different sources and she even writes her own. Some may even come out of NCLEX study books with practice questions. If a student passes, it is because they studied and deserve to pass. And for the student spreading the rumor, the grades didn't get any higher on this test than any other test!
If anyone needs help my office is L214 and my office number is 954-5492.
Anyone who studies hard and goes over the subject matter or even studies the questions on this blog listed under N4 subjects could benefit and pass their classes.
Sincerely,
Fernisa Sison
Nursing Instructor"
Wednesday, November 29, 2006
N5 study guide 3
New directions for Family ties and Recovery House
Go West on Matthews Rd. approx 1/2 mile
Turn right on Delivery Rd.
Go approx 1/2 block
RH will be on the right
Further down Family Ties will be on the left.
***Do NOT park at 500 W. Hospital Rd. (the main building) or you will be walking quite a long distance!
Monday, November 27, 2006
Chemical Dependency Directions
They both start from Delta. If anyone gets directions for the other places, you can post those too. I didn't get a chance to. Also, there is a FT in Stockton but the adress the teacher showed us in clinical was for French Camp. So you if you're using the French Camp directions you might want to make sure that's the facility she wants us to go to.
FAMILY TIES:
1.Head south on Pacific Ave toward W March Ln - go 0.3 mi
2.Turn right onto W March Ln - go 1.8 mi
3.Turn left onto the ramp to merge onto I-5 S - go 8.2 mi
4.Take the Mathews Rd exit 467B - go 0.2 mi
5.Turn right onto W Mathews Rd - go 243 ft
6.Turn right onto S Manthey Rd - go 0.3 mi
7.Turn left onto W County Hospital Rd - go 0.1 mi
8.Continue on W Hospital Rd - go 30 ft
9.Arrive at 500 W Hospital Rd
French Camp, CA 95231
KAISER (KCD)
1.Head south on Pacific Ave toward W March Ln - go 0.3 mi
2.Turn left onto W March Ln - go 1.5 mi
3.Turn left onto West Ln - go 1.2 mi
4.Turn left onto Tommydon St - go 0.1 mi
5.Arrive at 1305 Tommydon St
Stockton, CA 95210
Hope this helps...
-Lindsay
Saturday, November 25, 2006
n4 study guide
Chapter 13
1. Explain the inheritance patterns
2. Types of Immunity
3. Differentiate between cell-mediated immunity from humoral immunity.
4. Effects of aging on the immune system
5. Explain and differentiate between the different types of hypersensitivity reactions. Give examples of conditions under each type.
6. Explain the assessment, diagnosis and collaborative care of allergic disorders.
7. List and explain the cardinal principles in the therapeutic management of anaphylaxis.
8. List and describe the different mediators of the allergic response.
9. Briefly explain autoimmunity and the different treatment method
10. Differentiate primary from secondary immunodeficiency disorders, graft-versus- host disease.
11. Briefly explain immunosuppressive therapy.
12. Know WBC values.
Chapter 14
1. Explain the pathophysiology of HIV/AIDS
2. Explain the clinical manifestations and complications of HIV/AIDS.
3. Explain the diagnostic studies, criteria and collaborative care for patients with AIDS.
4. Explain the different opportunistic diseases associated with AIDS and their clinical manifestations.
5. Explain the indications for the initiation of antiretroviral therapy in the chronically HIV-infected patient.
6. Explain the different drug categories of antiretroviral agents used in HIV infection.
Pages 747- 751.
Wednesday, November 22, 2006
Tuesday, November 21, 2006
Liana.............................
Thursday, November 16, 2006
Study Guide 2 part 2
Austin
Study Guide 2
Thursday, November 09, 2006
Monday, November 06, 2006
Open, Closed, Random type families
"Closed" families have a tight boundary around them that separates them from the outside world. You don't just drop in on a closed family. These families exercise power in a top-down way, with the father customarily the "boss." They value preparation, unity, sincerity, and clarity. Open families, by contrast, have a less formidable barrier around them and tend to value tolerance, authenticity, latitude, and responsiveness. Random families are dramatically different from closed and open families. Their use of time and space are likely to be dispersed, irregular, and fluctuating. They value ambiguity and whimsicality; above all, they want to protect the originality and creativity of their children
Sunday, November 05, 2006
Exam Grades for N4
Friday, November 03, 2006
N4 Study Groups
Congratulations to everyone who made it through N4 and for those who are now starting N4. If anyone needs a study group, please e-mail me at fsison@deltacollege.edu. Otherwise I will not schedule study groups until after November 14th when my EKG course ends....unless you want to meet on Thursdays.
I would love to meet with students and help in anyway I can. If you have trouble with your Care Studies and/or just want someone to review them before you turn them in, please feel free to drop by my office (L214) on Mondays, Tuesdays, or Thursdays and I will be happy to read then and critique them.
Good luck everyone!
Fernisa Sison
L214
954-5492 office
Thursday, November 02, 2006
N4 study guides
Wednesday, November 01, 2006
Thursday, October 26, 2006
N4 study guide
Chapter 57: #1. pgs. 1555-1557, #2. p. 1563, #3. p. 1569-1570, #4. 1575-1576
Chapter 58: #1. p. 1585,#2. forgot page but in same vacinity, #3. p. 1587, #4. pg. 1590,#5. pg.1592 and 1598
Chapter 54: forgot page but around 1469,#2. pg. 1468,#3. pg. 1469-the table, #4. p. 1476, #5. pg. 1474, #6. pg. 1484, #7. pg. 1489
Chapter 55: #1. pg. 1500-1501, #2. p. 1515-1516,#3. p. 1517, #4. p.1518-1519
Chapter 56: #1. p. 1527, #2. p. 1530, #3. 1532, #4. p. 1533, #5. p.1540
N4 Graduates
Would you please post here any tips and advice to pass on to future N4 students of M. Romena's class.
I have heard that reading the text book, text study guide, chapter tests and possibly some of Lippincot's Q and As were helpful. Is there anything else that you used that helped?
We tutors need to know how to help the next classes.
Tuesday, October 24, 2006
N4 lab values
">www.dalesplace.net/lab_values.php
Mark your Calendars
It's a Celebration in honor of ... completion of the second semester of the ADN Program!
Come and celebrate with us! The Nursing Department invites you to attend a celebration of your accomplishment in completing the second semester of the ADN Program
Date: Monday, December 4, 2006 Time: 12:00 - NOON Location:
Upper Danner Hall
Please R.S.V.P. to Julie Lang if you are able to attend by November 27, 2006. Phone: 954-5447 email: jlang@deltacollege.edu
Monday, October 23, 2006
SJDC ADN Class of 2007
Thanks
Sunday, October 22, 2006
Saturday, October 21, 2006
N5 Books
Annastasia
Friday, October 20, 2006
Check you're Delta email ! N4 grades are posted !
Psalm 31: 23-24
23 Love the LORD, all his saints! The LORD preserves the faithful, but the proud he pays back in full.
24 Be strong and take heart, all you who hope in the LORD.
http://www.ibs.org/niv/passagesearch.php?passage_request=Psalm%2031&niv=yes
Wednesday, October 18, 2006
Check your student email!!
If you are going to N5, check your student email. Mrs. Ippolito sent out an email with our first assignment on it. Good luck on the N4 final.
Monday, October 16, 2006
N4 Last exam
Sunday, October 15, 2006
Saturday, October 14, 2006
Need Supplemental Help?
This link will take you to a medical site that has 9 pages of links. Each page has around 100 links. Check it out and share anything that you find helpful with the rest of us.
Medical Learning Links
The Student Nurse's Prayer
as to why I actually wanted to go to nursing school.
Lord, give me the strength to make it through
those boring three hour lectures without falling asleep.
Lord, please give me the patience to make it through twelve hour clinicals
with instructors that can't just give you the right answer
and on the same note, give the nurses the ability to remember
what it was like to be a student and give us just a little more respect.
Lord, give me the endurance to read all the assigned readings
and be able to remember it when I am taking a test with four right answers.
Lord, give my family and friends the ability to realize
I really am on the edge of insanity.
Finally, Lord, give me the vision to see that one day I will be a real nurse
and I will never have to wear this ugly uniform again.
by Meredith Joyner
Inspirational Page
Thursday, October 12, 2006
GU Study Guide
Wednesday, October 11, 2006
N4 Study Group
Monday, October 09, 2006
Sunday, October 08, 2006
and yet another...
Vickie Dawn Jackson, 40, pleaded no contest on Wednesday and was sentenced after prosecutors presented their evidence to a judge.
Investigators believe Jackson injected the patients through their intravenous lines with a drug normally used to temporarily stop breathing when doctors insert a breathing tube.
FBI agent David Burns testified that the patients had been hospitalized for minor ailments -- including a foot sore, diarrhea or dementia -- and were about to be released.
"In general, they were the kind of patients who needed more care," Burns said at the sentencing. "I think that's probably why. They're verbose. They want this. They're thirsty. It seemed to make her angry."
Authorities became suspicious after nearly two dozen deaths were reported at Nocona General Hospital in late 2000 and early 2001, a stretch of time when the hospital should have seen only five to 10 deaths.
Authorities discovered at least 20 vials of the drug were missing. And officers searching garbage at Jackson's home found a syringe that contained traces of it, Burns said.
Jackson's attorney, Bruce Martin, said Jackson maintained her innocence and pleaded no contest to avoid a trial so her daughter would not be called to testify.
In a statement issued through her attorney, Jackson said she was "sympathetic to the families of the deceased" and "acutely aware that closure for them is necessary, if, indeed, closure can ever come for them."
Prosecutors did not seek the death penalty, meaning Jackson would have been sentenced to life in prison if convicted by a jury.
The case was moved from Nocona, 90 miles northwest of Dallas, to this West Texas town because of publicity surrounding the deaths.
health fair???
Tuesday, October 03, 2006
Friday, September 29, 2006
Neruological System
Happy Studying!
Thursday, September 28, 2006
An Army of One
Staff sergeant Daryl V. Morris
(707) 429-0652/0648
Cell: (707) 816-7585
Web site: goarmy.com
1(800)USA-ARMY
Tuesday, September 26, 2006
Please comment
Thanks,
Lindsay
Monday, September 25, 2006
SJDC ADN Class of 2007
N5 study guide posting
Monday, September 18, 2006
Holy Crap!
D'myia Sabrina Nelson and another premature baby girl, Emmery Miller, died Saturday after they received an adult dose of a blood thinner at Methodist Hospital.
Four other babies also were affected. Three were in stable condition Monday at Methodist, while the fourth was in critical condition at Riley Hospital for Children.
Hospital officials said that the overdoses were the result of human and procedural error and that their hearts go out to the families, but Nelson said that doesn't ease her pain.
"They couldn't give me enough apologies for what they have done," Nelson said. "They just took her away. It's like murder. She was just taken away from us."
Heparin, which is often used in premature children to prevent blood clots that could clog intravenous drug tubes, arrives at the hospital in premeasured vials. The vials are placed in a computerized drug cabinet by pharmacy technicians.
When nurses need to administer the drug, they retrieve it from a specific drawer, which then locks again.
Sam Odle, chief executive of Methodist and Indiana University Hospitals, said a pharmacy technician with more than 25 years' experience accidentally took the wrong dosage from inventory and stocked it in the drug cabinet in the Newborn Intensive Care Unit. Nurses, who are accustomed to only one dosage of heparin being available, then administered the wrong dose.
The adult and infant doses have similar packaging, officials have said.
Odle said Monday that the three hospitals that make up Clarian Health Partners -- Methodist, Riley and Indiana University -- would no longer keep certain doses of heparin in inventory. All newborn and pediatric critical care units will require a minimum of two nurses to validate any dose of heparin. And nursing units will receive an alert when a change in packaging or dose is entered in the drug cabinet.
In addition, all employees will be required to sign a document about the importance of correct drug administration by Sept. 23.
Odle stressed that the hospital is "among our nation's safest" and said Methodist would learn from the mistake.
The deaths came just days before the state was to approve a rule that would require hospitals to report errors.
Wednesday, September 13, 2006
study guide for N5
Tuesday, September 05, 2006
N4 Study Guide for the Respiratory System
costovertebral angle - General Practice Notebook
The costovertebral angle is the recess made between the 12th thoracic vertebra and the T12 vertebra at the posteroinferior margin of the thoracic cage on each side."
pix here: http://medinfo.ufl.edu/year1/bcs96/slides/abdomen/abd29.html
Definition of fremitus - Merriam-Webster Online Dictionary
One entry found for fremitus.
Main Entry: frem·i·tus
Pronunciation: 'fre-m&-t&s
Function: noun
Etymology: New Latin, from Latin, murmur, from fremere to murmur; akin to Old English bremman to roar
: a sensation felt by a hand placed on a part of the body (as the chest) that vibrates during speech"
Friday, September 01, 2006
N4 info. from Docushare
http://docushare.deltacollege.edu/dsweb/View/Collection-5039
Thursday, August 31, 2006
Bogger Meeting
Sunday, August 27, 2006
Blogger Meeting Needed!
We need to get together face to face and have a pow wow over lunch or something. We need to talk about how to keep the blogs active and going after we leave Delta. We need to have cross administrative priviledges to help each other out with tech support, mentoring, CD example helps and continuing invitations to the proper blog as new students slide sideways into our classes (out of sync). We need to get helpful links and email addresses onto a master sheet to handoff to the new semesters so that the helpful sites dont get lost in older blogs.
In other words, we need to talk about our mission, vision and goals!
Dan Oden (2nd sem) has suggested Friday Sept 2nd or the following Tues.
I (4th sem) am doing a 12 on Friday but am available Mon, Wed, Thurs of this week and Tues, Wed and Fri of next week.
Please post here with your availability so that we can all come together at a mutually agreed upon time.
My (c) # is 329-1369
bboss947@sbcglobal.net
Saturday, August 26, 2006
SNA Meeting
SNA meeting August 28th @ 1:00
Location LOCKE 313
Please join us
WE WLL BE HAVING A PDA PARTY AT THE SAME TIME. PLEASE BRING YOURS FOR INFO SWAPPING!
Friday, August 25, 2006
N5 test on Monday
LMH N4 Clinical Group
Bonnie
Wednesday, August 23, 2006
n5 study guide?
hey all you helpful people....
hope everyone's off to a good start!
Tuesday, August 22, 2006
N5 quiz 1 study questions
PDA Party!
Everyone please come and bring your PDA to share info and navigation tips with new and fellow users. We need to help each other!
Location TBA.
SNA Meeting
Monday August 28th @ 1:00 location TBA
I NEED YOUR HELP PLEASE!
We need to have a PDA Party ASAP for the 1st Semester Nursing students. It looks as if a Monday 1300 or 1400ish might be the best time for all semesters. (It would be nice if maybe the SNA could take this up as an ongoing project every semester). I cannot do this alone. This involves a lot of sharing and instruction 1 on 1. I need anyone with any kind of PDA to share what you have learned so far in your PDA usage. We are all still learning and can swap programs, helps and ideas with each other.
We also need to consolidate all past posted PDA info and any other info that we have access to.
This is an important project that will benefit all students and Nursing faculty alike. Please help and post replies here or email them to me.
I thank everyone in advance for your help.
This is the semester that you are mentoring in. Please extend to them the help that you received when you first started.
Saturday, August 19, 2006
N5 Karen Ippolito's Test Taking Helps
Tuesday, August 15, 2006
Nursing and Allied Health Career Event:
Join us for our Nursing and Allied Health Career Event at the Summit Campus —
and find out how to make your nursing or allied health career shine with the
best.
Summit Campus – Samuel Merritt College
Health Education Center
1st Floor – Bechtel Room
400 Hawthorne Avenue
Oakland, CA 94609
Tuesday, August 22, 2006
9 a.m. – 5 p.m.
Register today!
For complete details and to register for our Nursing and Allied Health Career
Event, please visit:
http://www.aftercollege.com/ads/bannertrack.asp?id=460
Monday, August 14, 2006
NURS 04 schedule for this Thursday....
Nursing 4 students should meet this Thursday morning at 06:30 in Locke 229. See you there!
Sunday, August 13, 2006
BIG BIG OOPS !!!!!!!!!
I have been working on giving our test bank a face lift for the past few weeks. I have fixed all of the links, made titles for easy test link ID, rearranged the order and colors, etc.
but then...........
I got so excited and relieved to be finally finished that I accidentally hit the wrong key and deleted the whole bank out the Blog's existence.
Fortunatly, I have been keeping an updated copy on a word doc just in case (I know myself too well), but I do not know how to get it back to that exact moment in time to have all links to the bank still work. So I have reposted it in our January 2005 archives.
NEW TEST BANK
I have attempted to fix all of the recent links to the bank that I can find or have access to, but I can't fix all the links or the bookmarks that some of you may have made. Please let me know if you find any bad links.
I'm Sorry!
Have a nice day.
Bonnie
Friday, August 11, 2006
Face lift for the test bank
Attention to all blog administrators, please do not change the posting dates of any tests or quizes. If they are moved to another date or location the link in the Bank will no longer be valid.
I am checking all of the links right now and making the Links easier to read. This is my pre-school goal.
Wednesday, August 09, 2006
Community Service Opportunity!
From the desk of Mary Neville:
Kaiser is having a health fair on Sunday, August 20 from
This is a very late notice from Mary Neville, but it will look great on your resume and offers another community learning experience.
The upside, we will get to practice our skills, have fun and get a free T-Shirt.
The down side, if no instructors show up, we will only be able to be helpers of the non invasive sort. (but we will still have fun)
If you are interested, I have volunteer forms for Manteca, Modesto and Stockton that you can download and fill out to send to Kaiser ahead of time. You can also call or email the nursing office.
Mary Neville needs volunteers!
We are having the campus wide Welcome Day for new students on
Tuesday, August 15 from 10 am to
four and can help, we will have a table in Danner for the Health Science
programs. I also may need some help from
balloon blowing up activities. If you can help, send me an email or
give me a call.
Call the nursing office @ (209)954-5454 for more info
The new semester's nursing blog has been created!
Do you know what this means? This will be the first time in the history of Delta's nursing history (that I know of anyway) that all 4 nursing semesters will be connected together in virtual cooperation and study!
This means that you are now virtual Parentbloggers!
Go check them out and watch as their blog develops.
Your semester is the closest mentor group to the newbies. Help them out with lots of study tips and shortcuts that you have learned. You know how they feel cuz you just, Been there, Done that! Mentors needed!
Share with them your stories of what you have seen and experienced so far and how you learned to put it all together!
1st Semester
THANK YOU
Monday, August 07, 2006
SNA Meeting
DO THE “NON-TANGIBLES”
MATTER TO YOU?
• Satisfaction
• Service Opportunities
• Personal/Professional
development
• Networking possibilities
• Friendships
Get Involved and
Reap the Benefits!
To love what you do and feel that it matters
-how could anything be more fun?
- Katharine Graham
SNA’s Next Meeting:
August 28th @1pm
Watch your student email
for location to be announced.
Wednesday, August 02, 2006
SJDC ADN Class of 2007
Thursday, July 27, 2006
tea meeting almost here
Liana
Thursday, July 20, 2006
CPR Certifications!!!
I hope everyones summer has been relaxing, my face hasen't left a book yet. Oh well, later.
Harrison
3rd Hepatitis B Shot
Blessie
Monday, July 03, 2006
update on tea
LILLIA JACKSON - in regards to the bookmarks that they were going to make we need to make sure that those are in order and if she needs anything to finish them.
RACHELLE- Hey there I need to make sure that you guys are still performing and about how long is your performance going to be. ( I cant wait for this) If you are still going to get the flowers for the center pieces we have about eleven tables just let me know.
DARLENE- She already has the gift bags almost done and she is set on the cake. YOU GO GIRL!!
KARINA- her dad is going to give us a break on the meat and cheese platters. I am just waiting to hear back from her on a price. PLEASE get back to me on this. I am waiting for a price before I order decorations to make sure we have enough money set aside. The decorations take 2-3 weeks for delivery and I leave next week so I want to try and to have them bought before then.
TERESA or ROY- have you picked up any name tags yet for the tea if not just let me know
JAMIKA- I need to make sure that someone has kept in contact with Dameron and has picked up their goodies for the raffle. I cannot seem to get a hold of her so if anyone is around that area or works at that hospital can you please check on that and get back to me as soon as you can.
I have a big container for ice water but I still am in need for punch bowls so if anyone has one at home that we can borrow let me know. We will need about 2 but I would like to get 3 if possible.
I am going to make a pasta salad b/c it is cheap and easy and is something that you can make the night before. I am still up in the air on the coffee situation so I was thinking if people brought their coffee makers from home we could do it that way. I have the coffee all we would need would be two regular and one decaf and just keep it going any other ideas just let me know.
For the name tags I figured that we could color cordinate them eg: Dameron gets red around their name tags ect.. and this will match the red tag around their clinical instructor as well. I figured that this would be easy just get seven or eight different colors and to write each name in a clinical group color and we could label each table with a color.
If anyone has anthing else to add to this just email me and let me know. I am not sure if I had forgoten anything.
Thanks
Liana
Tuesday, June 27, 2006
Welcoming tea meeting
Wednesday, June 14, 2006
Wednesday, June 07, 2006
Sunday, June 04, 2006
FOR SALE
LIFE Brand. All pieces are Ceil Blue (for clinical). Brand New or worn only once.
4 items:
One-Pocket Top size medium.
Six-Pocket Cargo pants size small.
Two-Pocket Cargo pants size extra small.
Drawstring pants with one back pocket size small.
call Miranda 209-476-8271 or 707-246-8420
Friday, June 02, 2006
Five Doctors Duck Hunting
After a time, a bird came winging overhead. The first to react was the GP who raised his shotgun, but then hesitated. 'I'm not quite sure it's a duck,' he said, 'I think that I will have to get a second opinion.' And of course by that time, the bird was long gone.
Another bird appeared in the sky thereafter. This time, the pediatrician drew a bead on it. He too, however, was unsure if it was really a duck in his sights and besides, it might have babies. 'I'll have to do some more investigations,' he muttered, as the creature made good its escape.
Next to spy a bird flying was the sharp-eyed psychiatrist. Shotgun shouldered, he was more certain of his intended prey's identity. 'Now, I know it's a duck, but does it know it's a duck?' The fortunate bird disappeared while the fellow wrestled with this dilemma.
Finally, a fourth fowl sped past and this time the surgeon's weapon pointed skywards. BOOM!!
The surgeon lowered his smoking gun and turned nonchalantly to the pathologist beside him and said "Do me a favor and go see if that was a duck."
Monday, May 29, 2006
Sunday, May 28, 2006
N3 Grades
Have a good summer everyone!
Saturday, May 27, 2006
Friday, May 26, 2006
Grades are posted
The grades are posted in the online classes section and under academic history. See you in the fall
Thursday, May 25, 2006
ROOMS FOR RENT
Wednesday, May 24, 2006
Congrats on Advancing to the 2nd Semester!!!!!!!
Doesn't it feel good?
Great Job. If you want to get recharged and see that light at the end of the tunnel, come to the graduation pinning ceremony This Thurs, at 7pm In the Atherton Theater in the Locke Bldg.
PICTURES
3rd Sem. Link
Link for the 3rd Semester Study guide that Blessie mentioned ! Again scrolled down the page !
Goodluck with the Finals !!!
how to get those funny characters...
good luck on the final everyone!
danO
Tuesday, May 23, 2006
hospital contacts
thanks
Liana
Final Exam Study Guide
Blessie
Who got Skillz
N4 Update !!!
34020 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 34020 will be held at ST JOSEPHS MEDIC CTR.
Jodie
Austin
Rupert
Jill
Natalya
Stacie
Elizabeth G.
Lyudmila
49893 T 8am-10:30am 5.5 LOCK 313 Romena,
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 49893 will be held at DAMERON HOSPITAL.
66013 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJGH TBA Wells, C
Th 6:30am-12:30pm LOCK 229 Wells, C
Section 66013 will be held at SAN JOAQUIN GENERAL.
61278 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 61278 will be held at DAMERON HOSPITAL.
Dan
Jaylyn
10318 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
Th 6:30am-12:30pm LOCK 229 Neville, M
WTh 6:30am-4:30pm LMH TBA Neville, M
Section 10318 will be held at LODI MEMORIAL HOSP.
Harrison
Jenifer W.
Ripan
Leslie
84049 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJGH TBA Dail, G
W 6:30am-12:30pm LOCK 229 Dail, G
Section 84049 will be held at SAN JOAQUIN GENERAL.
42840 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
ThF 6:30am-5:30pm LMH TBA Black, M
W 6:30am-12:30pm LOCK 229 Black, M
W 1pm-5pm TBA TBA Black, M
Section 42840 will be held at LODI MEMORIAL HOSP.
Rox
60536 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 2:30pm-10:45pm SJGH TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 60536 will be held at SAN JOAQUIN GENERAL.
Teresa S.
Adrienne
Kristine D.
43830 T 8am-10:30am 5.5 LOCK 313 Prieto, G 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 43830 will be held at ST JOSEPHS MEDIC CTR.
Nicole
Saturday, May 20, 2006
Friday, May 19, 2006
Wednesday, May 17, 2006
Some kind words from a special person, I thought I would share
First, you Come to the garden alone,while the dew is still on the roses....
FOR THE GARDEN OF YOUR DAILY LIVING, PLANT THREE ROWS OF PEAS:
1. Peace of mind
2. Peace of heart
3. Peace of soul
PLANT FOUR ROWS OF SQUASH:
1. Squash gossip
2. Squash indifference
3. Squash grumbling
4. Squash selfishness
PLANT FOUR ROWS OF LETTUCE:
1. Lettuce be faithful
2. Lettuce be kind
3. Lettuce be patient
4. Lettuce really love one another
NO GARDEN IS WITHOUT TURNIPS:
1. Turnip for meetings
2. Turnip for service
3. Turnip to help one another
TO CONCLUDE OUR GARDEN WE MUST HAVE THYME:
1. Thyme for each other
2. Thyme for family
3. Thyme for friends
WATER FREELY WITH PATIENCE AND CULTIVATE WITH LOVE. THERE IS MUCH FRUIT IN YOUR GARDEN BECAUSE YOU REAP WHAT YOU SOW.
N4 - Who is in your group...
34020 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 34020 will be held at ST JOSEPHS MEDIC CTR.
Jodie
Austin
49893 T 8am-10:30am 5.5 LOCK 313 Romena,
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 49893 will be held at DAMERON HOSPITAL.
66013 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJGH TBA Wells, C
Th 6:30am-12:30pm LOCK 229 Wells, C
Section 66013 will be held at SAN JOAQUIN GENERAL.
61278 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 61278 will be held at DAMERON HOSPITAL.
10318 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
Th 6:30am-12:30pm LOCK 229 Neville, M
WTh 6:30am-4:30pm LMH TBA Neville, M
Section 10318 will be held at LODI MEMORIAL HOSP.
84049 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJGH TBA Dail, G
W 6:30am-12:30pm LOCK 229 Dail, G
Section 84049 will be held at SAN JOAQUIN GENERAL.
42840 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
ThF 6:30am-5:30pm LMH TBA Black, M
W 6:30am-12:30pm LOCK 229 Black, M
W 1pm-5pm TBA TBA Black, M
Section 42840 will be held at LODI MEMORIAL HOSP.
60536 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 2:30pm-10:45pm SJGH TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 60536 will be held at SAN JOAQUIN GENERAL.
43830 T 8am-10:30am 5.5 LOCK 313 Prieto, G 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 43830 will be held at ST JOSEPHS MEDIC CTR.
Tuesday, May 16, 2006
show us your mug!
sheesh people, cmon, this is supposed to be a virtual town square, make an effort and give people a chance to get to know you.
just my $.02.
danO
ps: if anyone needs help posting their pic, or needs some webspace to host the pic, just let me know. :)
Monday, May 15, 2006
Thanks
welcoming tea
Sunday, May 14, 2006
Friday, May 12, 2006
can anyone else post?
i'm only able to post using my admin access, but i'm still able to "blog this" to other blogs, no problem. :(
is anyone else able to post new threads?
i'm seeking tech support from blogspot, and will try to resolve this asap.
in the meantime, if anyone absolutely needs something posted, email it to: danoden@yahoo.com
only two weeks to go! remember to breathe!
danO
:)
Thursday, May 11, 2006
All Nursing Students
The SNA will be hosting a Root Beer Float social on May 15th 2006 @ 1:00 in the Locke Lounge.
There will also be a free raffle for prizes in addition to the S.F. trip raffle
Wednesday, May 10, 2006
Arent we all adults.
What is all the commotion about the tea? As far as I know there has only been one meeting and it was a time when I wasnt even at the campus. Why dont we have a meeting directly after the Thursday lecture so that way we are all on the campus, thus making it easier to attend. I think its a little ridiculous the various blogs complaining about the lack of effort and that the previous semester students feel they need to give us talkings too. We are all adults, capable adults, with the ability of organizing a welcoming tea.
Liana, I havent talked to you one on one, but whats gone on, other than the lack of donation money and the episode with the box? Is it anything I, or my clinical group, can help with?
~Jodie~
Monday, May 08, 2006
welcoming tea???
welcoming tea meeting changed
Sunday, May 07, 2006
ROOM FOR RENT - GREAT DEAL!
2 bedrooms for rent in a 4 bedroom Home. It's safe and quiet great for studying.
close to HWY 5 and Louise exit. Females only/Sorry No pets. Rent is $395/ month.
Please call 510-520-9626 for more info.
Saturday, May 06, 2006
Welcome Tea: A Different Perspective
How many times have you checked the blog for information?
Who knew what was needed for our PDA’s?
How many times have you sought out the guidance of an upper classman, tutor or instructor to help with studying and preparations for the test?
How did you know who and how your clinical instructor would be?
All of these were introduced at our Welcome Tea.
I know that for me, meeting the other students that would be in my clinical group and having a chance to chat and get to know them outside the classroom, was the high point. Some of us are confident walking into a team environment not knowing other members of the team but most of us, when given the opportunity, would prefer the introduction.
This Welcome Tea is not just a cheesy production or an opportunity to out-do other classes. It is an important opportunity to introduce new, first semester students to the resources and support system that was passed on to us; and that we have all used in one form or another.
Although Liana has accepted the responsibility to coordinate the Welcome Tea FOR US, we need to practice the art of giving of ourselves. We all know by this point that nurses get paid good money for a difficult job and a lot of responsibility. What makes it all worthwhile is knowing that we can make a difference and we have the opportunity to do that now.
Donations can be offered with money, time or even supportive interest – whatever works best for your stressed-out, demanding schedule; we’re all in the same boat!
Please come to the next Welcome Tea meeting on May 15th at 3pm after the SNA Rootbeer Float Social (or have someone represent for you) to see what the specific needs are and get signed up. Ideally we would have at least one person from each clinical group. The more people that sign up, the less responsibility we carry individually. If you can’t make it, please email your interest.
This is our chance to Pay It Forward!
Thursday, May 04, 2006
San Francisco Trip
In the business district, one block from Union Square
On May 15th at the SNA meeting a raffle will be held for a nights stay
at this beautiful condo. Value of up to $250 night plus $30 for 24 hr.
valet parking. You can win this for just $5, and the proceeds will go
to the SNA. The winner must use the time during this summer break for
a well-deserved weekend. Club Donatello is booked up for every weekend
to August but I reserved two weekends in July and 1 weekend in June.
If the winner cannot use the dates reserved, arrangements can be made
for another date. The cable cars will take you to Fisherman’s Warf,
China town, and other attractions. Many attractions are within walking
distance, taxis are plentiful. World-class restaurants, theatre plays,
shopping, and clubs surround the area. Club Donatello, features a nice
exercise room, gorgeous marble Jacuzzi, steam room, fine dining,
clubroom on the top floor offers relaxation or watch the large TV. Sit
on the outdoor patio on the top floor with a view of the city. Many
weekends’ jazz and piano are played in the bar on the second floor.
The room is nice with small refrigerator, stereo, TV with cable,
couch, table and chair. Most rooms have these amenities but changes
from room to room. When you arrive you will be greeted by the valet
parking attendant and the bellman. Room service, maid service,
concierge service can assist with your needs.
The winner will be contacted with tips of making the most of the
weekend.
You can buy your ticket at the SNA, give the money to someone else to
purchase your ticket or contact Mikehayley@sbcglobal.net for ticket
info.
Good Luck
Sunday, April 30, 2006
Saturday, April 29, 2006
Friday, April 28, 2006
Welcoming Tea
TIME: 3:00 WHEN: MON 5/1/2006
WHERE: ROOM 230 next door to the skills lab.
Wednesday, April 26, 2006
Sociology 1B
Harrison
Monday, April 24, 2006
page #'s for N3 Practice Questions
1. p.574
2. p.576
13. p.578
14. p.580
21. p.597
22. p.597
23. p.597
31. p.607
32. p.608
37. p.614
47. p.751
48. p.752
55. p.758
56. p.762
57. p.763 *i had to use my Davis' Drug Guide for this one. Did anyone else find support for anything other than (c) Digoxin?
58. p.765
good luck everyone, i know i'll need it.
:)
Sunday, April 23, 2006
Practice Questions & Notes
Also I have notes for Gastrointestinal Disorders if anyone wants them. I already emailed them to those who asked last time...
Can you believe only 5 weeks to go?
Oh yeah, don't forget to practice the Pharm ATI; it's not that far off,
Jenifer
Monday, April 17, 2006
Oops I made a Mistake!!!
elizabeth
N3 theory scores
Student ID Exam1 Exam2 Exam3 Exam4
98-861-2908 50 45 46 48
98-521-5896 43 44 46 47
98-681-2481 46 35 46 45
98-821-3181 45 42 48 45
98-031-4830 35 40 43 44
98-981-4034 45 44 45 44
98-121-3863 42 41 45 43
98-141-3145 46 42 49 43
98-741-4520 47 43 47 43
98-551-3309 45 47 49 43
98-861-3901 47 41 47 43
98-471-2830 41 42 43 42
98-231-2476 40 35 47 42
98-861-4701 44 43 42 42
98-941-5577 49 46 48 42
98-991-4357 46 42 48 42
98-021-5858 39 38 47 41
98-241-3350 45 43 48 41
98-621-2696 48 47 39 41
98-571-3474 43 39 48 41
98-781-3230 46 43 43 41
98-701-3585 44 41 46 40
98-881-5697 48 46 46 40
98-671-3828 39 47 43 40
98-631-5956 43 44 48 40
98-621-5806 43 45 48 40
98-071-3559 49 41 37 39
98-871-5667 38 37 42 39
98-051-5844 42 42 45 39
98-851-2555 39 44 47 39
98-751-5623 43 45 45 39
98-931-5688 38 42 42 38
98-471-2440 47 43 47 38
98-541-5595 45 40 46 38
98-361-3206 45 43 48 37
98-641-5541 45 41 45 37
98-071-2493 44 38 44 37
98-261-5681 41 42 47 37
98-251-2932 43 39 49 37
98-531-2645 43 42 47 36
98-051-4006 39 39 40 36
98-091-5649 43 35 45 36
98-331-5622 44 30 34 36
98-071-4084 43 36 38 35
98-851-5983 50 41 47 35
98-111-5522 45 34 38 35
98-031-5808 38 38 36 35
98-661-2611 46 36 46 35
98-101-2893 41 38 46 34
98-701-3144 38 40 44 34
98-251-4676 37 32 50 33
98-851-3206 40 34 46 33
98-781-3756 40 38 50 32
98-821-5063 40 34 44 31
98-441-4669 39 37 45 31
98-341-4723 46 40 42 31
98-951-5759 38 40 41 30
98-911-4633 32 43 42 30
98-701-4810 42 33 43 25
Sunday, April 16, 2006
SNA meeting coming up!
San Joaquin Delta College Student Nurse’s Association
Announces the next meeting of the SNA on
APRIL 24TH AT 1 P.M.
ROOM 313
PIZZA WILL BE SERVED
PRIZES WILL BE AVAILABLE
ELECTIONS WILL BE HELD
COME HAVE FUN, MEET NEW PEOPLE AND COMPARE CLINICAL EXPERIANCES
THE SNA NEEDS YOU!!!!
SJDC ADN Class of 2007
Friday, April 14, 2006
Page Number
Does anyone know the specific page numbers for the book that will be on the next quiz? And if so, where was this info found??
Hope everyone is having a good Spring Break! Except for you Austin.
Rupert-I received an invitation from Dameron about the job fair/dinner thing. You should've got one too. Let me know if you need the info.
~Jodie~
Tuesday, April 11, 2006
Nursing 2, Exam 2
Monday, April 10, 2006
pharm
Thursday, April 06, 2006
Power Point notes for Gerontology Lecture
Wednesday, April 05, 2006
Spring break
Tuesday, April 04, 2006
Today I held a beating heart,too !
Sunday, April 02, 2006
Thursday, March 30, 2006
Study Guide - N2/Exam 1 - Part 2 by Frank
4. Be able to select the best responses to patient statements about their experiences and concerns about their cancer and related treatment.
- Best response to pt. statements about their experiences & concerns about their cancer & related treatment ( REQUIRES GROUP DISCUSSIONS)
5. Review information in your text about death and dying. Be able to identify responses to news of impending demise as they are described in the text and lecture material. ( Page 169 Table 10.7)
1. Withdrawal
- Pt. near death may seem to be withdrawn from the physical environment, maintaining the ability to hear while not able to respond.
- The RN should converse as if the pt. is alert, using a soft voice & gentle touch.
2. Unusual Communication :
- Pt. may become restless & agitated or perform repetitive tasks. Unusual communication may indicate that an unresolved issue is preventing the dying person from letting go.
- Encourage the family to tell the dying person, " It's okay to go. I will be fine"
3. Vision-like experience
- Pt. may talk to persons who are not there or see places & objects not visible. Vision-like experiences assist the dying person in coming to terms with meaning in life & transition from it.
- Affirm the dying person's experience as a part of transition from this life.
4. Saying Goodbyes
- It is important for the pt. & family members to acknowledge their sadness, mutually forgive one another, and say goodbye.
- Encourage the dying person & family members to verbalize their feelings of sadness, loss, forgiveness : To touch, hug or cry .
- Allow the pt. & family privacy to express their feelings & comfort one another.
6. Develop an awareness of the effects of end-stage illness on family members, significant others, and care givers. Recognize appropriate responses vs. those that are less than optimal.
1. Family members & significant others entail a holistic approach when planning for EOL (end of life) care. Education, counseling advocacy & support are priorities for pt. & family.
2. Caregivers need support systems to deal with the grief process of the pt. this will ease the physical & emotional stress for the RN.
3. Appropriate response of the RN/Caregiver is to listen to the pt. & family members, even in time of silence it is appropriate to listen to the sounds of silence with the pt., significant other and family members.
7. Review pain assessment, medication practices, and goals of pain treatments. Understand the World Health Organization's schematic for pain control. Understand combinations of medications and therapies than have a synergistic effect to relieve pain. (Page 140)
A. Pain assessment - pain is what pt. says it is, influenced by genetic, psychosocial & cultural factors.
B. 5 Dimensions of pain :
1. Physiologic : (Transmission of Nociceptive stimuli)
- Nociceptive pain originates when tissue is injured
2. Affective : (Emotions, Suffering) Anger, fear, Depression & Anxiety
3. Behavioral : (Behavioral responses) Observable
4. Cognitive : (Beliefs, Attitudes, Evaluations, Goals)
5. Sensory : (Pain perception) Pattern, Area, Intensity & Nature
C. Physiologic Dimension & Knowledge of neural Anatomy & Physiology : (4 steps) Page 133 Fig. 9.2 1. Transduction 2. Transmission 3. Perception 4. Modulation
D. Systems affected by pain (pg 132 Table 9.1) EndocrineMetabolic Cardiovascular Respiratory Genitourinary Gastrointestinal MusculoskeletalNeurologic Immunologic
E. Pain assessment goals : - Describe the pt. sensory, affective, behavioral, cognitive & sociocultural to implement pain management techniques & goals.
1. Sensory component (PAIN) includes :
a. Pattern b. Area c. Intensity d. Nature
Medication Practices (Drug therapy Pg. 136 Table 9.3)
In relation to interrupting the pain pathway :
1. Transduction : Use NSAID'S to block prostaglandin production. - local anesthetics, antiseizure agents (i.e. gabadentin [neurotin]) & corticosteriods - block the action potential initiation.
2. Transmission : Use opioids, blocks release of substance P
3. Perception : Use Opioids, NSAID'S, Adjuvants (i.e. antidepressants) to decrease conscious experience of pain.
4. Modulation : Tricyclic Antidepressants (i.e. Amitriptyline [Elavill]) to interfere with reuptake of serotonin & norepinephrine.
World Health Organization (Page 142 fig. 9.8)
Step I - Mild pain : use non-opioids ( i.e. Aspirin, Acetaminophen, NSAIDS)
Step II - Mild to Moderate pain : use opioids (i.e. Codiene, Oxycodone)
Step III - Moderate to Severe pain : use opioids (i.e. Morphine, Hydromorphone, Methadone)
8. Review the physiology of pain, as well as how complimentary and alternative therapies assist in relief of pain. Be able to select the best definition of pain. Study !
1. Pain is described as whatever the pt. experiencing the pain says it is, existing wherever the pt. says it does.
2. Physiology of pain (pg 133) neural mechanisms by which pain is perceived consists of
4 steps :
1. Transduction
2. Transmission
3. Perception
4. Modulation
Page 150 - Therapies for Pain Relief !
Study Guide - N2 Ex. 1/ Part 1 - from Frank !!!
1. Review risk factors, screening procedures and warning signs of cancer.
A. Risk Factors : age, foods, genetics, radiation & exposure, weight & physical activity, tobacco use, environmental concerns, communicable viruses
B. Screening Procedures :
PSA Test Begin by knowing your lumps & if they change, rectal bleeding, vaginal bleeding, etc. Biopsy Blood test (CBS's)
C. Warning Signs : [ Caution ]
Change in bowel or bladder habits
A sore that does not heal
Unusual bleeding or discharge
Thickening or lump
Indigestion or difficulty swallowing
Obvious change in wart or mole
Nagging cough or hoarseness
2. Review treatment modalities for cancer, including Chemotherapy, Radiation, Biological Mediators, and Surgery. Be aware of the variety of goals for each modality.
1. Chemotherapy - Destroy malignant cells, Control tumor growth, works best on fast growing cells
2. Radiation - For cure, control or palliation
3. Biological Mediators - Bone marrow & Stem Cell Transplantation, Interferon therapy is the most common. 4. Surgery (Types) - Preventive, Diagnostic, Curative, Reconstructive, Palliative
3. Be able to identify appropriate Nursing diagnosis for patients experiencing cancer treatment. Using Nursing Diagnosis, be able to select the best interventions for a described circumstances experienced by a cancer patient.
A. For Surgery :
1. Anxiety R/T Diagnosis & Intervention (Anxiety is a biggie)
- S/N will educate Pt. on procedures to reduce anxiety
2. Knowledge deficit RE: Cancer
3. Altered Tissue perfusion
- S/N will assist Pt. with ambulation & ROM Exercises
4. Potential for infection due to deficiency in protective mechanisms.
-S/N will :
- monitor VS & Blood count (WBC's)
- will use septic techniques (hand washing)
- will maintain Pt. hydration
5. Potential for injury R/T decrease in platelets
B. For Chemotherapy :
1. Alteration in nutrition less than body requirements R/T Nausea/vomiting
- S/N will educate Pt. on eating smaller portion
- Pt. will eat plain foods
2. Fluid Volume Deficit R/T Diarrhea
- S/N will monitor Pt. daily weight
3. Electrolyte deficit R/T Diarrhea
- S/N will monitor Pt. I & O's
- S/N will monitor fluid & electrolyte imbalance
4. Alteration comfort R/T diarrhea
- S/N will monitor pt. comfort level
5. Altered bowel elimination R/T diarrhea
- S/N will record pt. BM
6. Alteration in comfort R/T chemotherapy
- S/N will monitor pt pain level ... etc... page 57
Study session for N2 test on Monday
Be prepared to discuss what you what to talk about. Bring your questions.
N2 notes for Pain Lec
Neurotransmitters inhibit or modulate transmission of pain along the descending pathways. These are produced in the neural synapses, which are located in the brain and along descending pathways.The neurotransmitters we are talking about are endogenous opiods.Endogenous opioids are the body’s own morphine. They increase when you have feeling of well-being, like when you are in love, receiving a massage, feeling no need to worry. Eating fruits and vegetables and exercising causes endorphin production and release by the intestines. Beta endorphin is the most morphine like substance, which is stored in the hypothalamus and the midbrain, and is released during acupressure and massage, and in stress states such as stress, fear, restraint, hypertension, or hypoglycemia. It is also well documented to be released during labor and delivery. It also accounts for person’s performing superhuman feats, such as the mom who lifts the car off her child. It is also referred to as STRESS ANALGESIA.The enkephalains are located primarily in the limbic system and hypothalamus. Many nerve endings secrete enkephalins, which block transmission via the A and C fibers through the presence of Serotonin, the most prominent enkephalin. Serotonin also inhibits norepinephrine, sympathetic repsonses, and inhibits nociception.The final substance is the dynorphins, found in minute quantities throughout the nervous system, but especially in grey matter and the spinal cord itself. They are 200 times as potent as Morphine sulfate.
SLIDE 29
Cutaneous considered superficial, begins with injury to skin, tissue trauma activates histamine, bradykinin, potassium, and hydrogen ion release from extracellular fluids.Cell wall injury causes the release of serotonin from platelets, prostaglandins, and substance P. This pain is often not discretely located—and leads to touch, pressure, and stretch of skin being interpreted as noxious stimuli.
SLIDE 30
Somatic pain originates in subcutaneous tissue, joints, tendons, muscles, and fascia. Associated with muscle ischemia and spasm. Bradykini and histamine release, and C fibers are responsible for transmission. May be difficult for patient to identify, and can be dull, aching, or diffuse. Deep somatic pain stimulates the autonomic nervous system and is associated with nausea, vomiting, and cold, clammy skin.
SLIDE 31
In general the viscera have only sensory receptors for pain. Localized stimulation of pain receptors in the viscera can cause minimal discomfort, but widespread stimulation can cause extreme pain. Visceral pain is the result of compression, distention, or stretching of the viscera in the thoracic or abdominal cavity. Myocardial ischemia or infarct pain is visceral. Visceral pain is generally described as pressure, deep, and squeezing, and may be referred pain. Visceral pain fibers travel to the spianl cord with the fibers of the sympathetic nervous system, which accounts for the association of sympathetic nervous system responses and cardiac problems.
SLIDE 32
Deafferentation pain is considered neuropathic pain rather than nociceptive pain. This is the severe pain associated with cancer.Pain is initiated when damage to the central or peripheral nervous system occurs from the progression of tissue damage associated with the invasion of tumors, thermal damage, or chemical injuries from radiation.Neuralgias and phantom pains are other types of deafferentation pains, as well as lesions from Cerebral spinal accidents.
SLIDE 33
0 is pain free, 10 is the worst you have ever experienced. This is generally effective for adult persons, regardless of language spoken.
SLIDE 35
Remember that lack of physiologic assessment of a response to pain does not mean the pain does not exist. Document exactly what the patient says.Types commonly include stabbing, burning, tingling, numbness, dull, constant vs. only when I laugh. Anything that increases or decreases the sensation.
SLIDE 43
Verbal abilities include the ability to speak the same language, and the inability to speak at all related to dysphasia or intubation.Persons experiencing delirium, dementia, or altered mentation related to psychoactive drugs present a barrier to pain assessment. Coma patients cause us to rely on physical symptomsPublic understanding of pain control interferes. Just say no to drugs, fear of addiction cause patients to attempt to tough it out, and families to argue about too much pain medication.Cultural values and beliefs influence response to pain, but each person is an individual and will respond to pain in their own way.Some cultures see pain as being associated with an imbalance of life, and they wish to manipulate the environment to alleviate the pain.Medical personel may believe an addicted person is just seeking medication. They may believe the person deserves to feel the pain.Health care personnel are concerned about respiratory depression, but this rarely occurs if the patient is complaining of pain. It is unrealistic to tell a person that they cannot have pain relief because of time frame, respiratory rates, and the like. Remember the BRN charge to alleviate pain before it becomes severe. It is your job to discuss pain relief with the physician when the client consistently requests medication before it is due.
SLIDE 47
Morphine provides analgesia, antianxiety, and opioid agonistHydropmorphone—opioid agonists. Shorter duration than morphineFentanyl—IV moderate dose analgesia, epidural provides anesthesia It is 80 times as effective as morphineMeperidine, opioid agonist. One seventh as strong as morphine, it was created to help avoid respiratory depression.
SLIDE 48
Talwin, mixed agonist-antagonist, blocks some and activates other receptorsStadol has agonist-antagonist responses
SLIDE 49
Reduce pain at the site by decreasing inflammation, the causes of pain. Toradol is an injectable NSAID. These work by preventing prostaglandin formation, thus preventing inflammation
SLIDE 50
Antidepressants block the reuptake of serotonin which reduces pain transmission.Anticonvulsants slow transmission of all responses throughout the nervous systemSedative Hypnotics potentiate the action of narcotics
SLIDE 51
Blocks both peripheral and central pathways. Currently, this is the most popular, most abused narcotic pain medication in the world. PO med, relatively inexpensive.
SLIDE 52
Oral—medication must resist stomach acids and be absorbed through the GI tract. Minimal time elapse is 20 minutesTopicals, such as capsaicin, prevent release and depletion of substance PIntramuscular are dependent on absorbtion, so the patient needs to be off the injection site.