The Nursing Show: News, Tips, and Commentary for Nurses and Students http://nursingshow.com The Nursing Show features news, tips and tricks, medication information, nursing career interviews, education and commentary for nurses, nurse students, and anyone interested in general medical information. Feeder 1.5.10(880) http://reinventedsoftware.com/feeder/ http://blogs.law.harvard.edu/tech/rss en This work is licensed under a Creative Commons Attribution-Noncommercial No Derivative Works 3.0 United States License. podmedic@mac.com (Jamie Davis) podmedic@mac.com (Jamie Davis) Fri, 06 Mar 2009 11:26:54 -0500 Fri, 26 Jun 2009 22:29:17 -0400 http://www.mediccast.com/images/LaptopScrubsiTunes144.jpg The Nursing Show: News, Tips, and Commentary for Nurses and Students http://nursingshow.com 144 144 The Nursing Show: Featuring News, Tips, and Commentary for Nurses and Students Jamie Davis The Nursing Show: Featuring News, Tips, Meds, Reviews and Commentary for Nurses and Nursing Students and Instructors nurse, nursing, nurse student, education, medical, hospital, patient, news no Jamie Davis, the Podmedic podmedic@nursingshow.com no Anatomy of Abdominal Pain and Episode 85 http://nursingshow.com/blog/2009/06/26/anatomy-of-abdominal-pain-and-episode-85 Welcome to Episode 85

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News--

Profession Takes Emotional Toll on Nurses

Quality of Life and Environment Required from Nursing Homes

Congress Address Health Workforce Shortage
-----------------------------------

Tip of the Week-- Anatomy of Abdominal Pain

Abdominal Pain in Adults by eMedicineHealth

Abdominal Pain in Children by eMedicineHealth

MedlinePlus Medical Encyclopedia

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This week- Winter Circle with, “Streetlight Flicker

Matthew Ebel - Beer & Coffee - Wasting My Time

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Fri, 26 Jun 2009 22:29:13 -0400 anatomy-of-abdominal-pain-and-episode-85 Jamie Davis, the Podmedic Abdominal pain review for nurses and nursing students with the focus in this episode on the anatomy associated with abdominal pain. Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly. range in intensity from a mild stomach ache to severe acute pain. The pain is often nonspecific and can be caused by a variety of conditions. In the U.S. Government Census Data on ER visits by diagnosis for the most recent year tracked (2005), Abdominal pain figures are high on the list for adults Many organs are found within the abdominal cavity. Sometimes the pain is directly related to a specific organ such as the bladder or ovary. Usually, the pain originates in the digestive system. For example, the pain can be caused by appendicitis, diarrheal cramping, or food poisoning. The type and location of pain may help the physician find the cause. The intensity and duration of pain must also be considered when making a diagnosis. A few general characteristics of abdominal pain are as follows: * Abdominal pain can be sharp, dull, stabbing, cramp-like, knifelike, twisting, or piercing. Many other types of pain are possible. * Abdominal pain can be brief, lasting for a few minutes, or it may persist for several hours and longer. Sometimes abdominal pain comes on strongly for a while and then lessens in intensity for a while. * Sometimes abdominal pain can hurt so much that the patient may throw up, with no respite in the pain. Other times, vomiting eases the pain. * Abdominal pain can make the patient want to stay in one place and not move a muscle. Or the pain can make them so restless they want to pace around trying to find "just the right position." no 32:50
Staging Pressure Ulcers and Episode 84 of the Nursing Show http://nursingshow.com/blog/2009/06/19/staging-pressure-ulcers-and-episode-84/ Welcome to Episode 84

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News--

New Studies on Essence of Nursing Workforce in Success of Health Reform

Nursing Voted as Most 'Ethical and Honest' Profession

MIHS Develop Protocol to Significantly Reduce Pressure Ulcers
-----------------------------------

Tip of the Week-- Staging Pressure Ulcers For Nurses

National Pressure Ulcer Advisory Panel

Risk Assessment and Prevention of Pressure Ulcers

CPEGC Prevention of Pressure Ulcers

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Song this week:

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“Wasting My Time” by Matthew Ebel

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Matthew Ebel - Beer & Coffee - Wasting My Time

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Fri, 19 Jun 2009 20:21:40 -0400 staging-pressure-ulcers-and-episode-84-of-the-nurs Jamie Davis, the Podmedic Assessment and Staging of Pressure Ulcers for Nurses and associated staff members Nurses RN and LPN Tip of the Week-- Staging Pressure Ulcers For Nurses Bedsores, more properly known as pressure ulcers or decubitus ulcers, are lesions caused by many factors such as: unrelieved pressure; friction; humidity; shearing forces; temperature; age; continence and medication; to any part of the body, especially portions over bony or cartilaginous areas such as sacrum, elbows, knees, ankles etc. Stages Stage I is the most superficial, indicated by non-blanchable redness that does not subside after pressure is relieved. This stage is visually similar to reactive hyperemia seen in skin after prolonged application of pressure. Stage II is damage to the epidermis extending into, but no deeper than, the dermis. In this stage, the ulcer may be referred to as a blister or abrasion. Stage III involves the full thickness of the skin and may extend into the subcutaneous tissue layer. This layer has a relatively poor blood supply and can be difficult to heal. Stage IV is the deepest, extending into the muscle, tendon or even bone. Unstageable pressure ulcers are covered with dead cells, or eschar and wound exudate, so the depth cannot be determined. Suspected Deep tissue injury: Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue. Interventions Specific interventions depend on the stage of the pressure ulcer. Management includes wound care, debridement, and infection control. Preventive measures comprise of turning or changing positions, skin care, early detection through proper risk assessment and more. no 35:30
Antipsychotic Meds Review and Episode 83 of the Nursing Show http://nursingshow.com/blog/2009/06/12/antipsychotic-meds-review-and-episode-83/ Welcome to Episode 83ProMedNetwork.com

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-----------------------------------

News--

ANA Complains About Nurse Jackie TV Show

Nurse Jackie Page at Showtime

Cardiac Patients at Greater Risk in Crowded ER's

FDA Approves Some Newer Antipsychotic Meds for Kids
-----------------------------------

Tip of the Week-- Antipsychotic Medication Review

National Institute of Mental Health (NIMH) on Antipsychotic Meds

Article on Understanding Behavioral Issues Caused by Antipsychotics

Adherence Behaviour for Antipsychotic Medications

Info about Antipsychotic Medications for Nurses and Patients

(from the NIMH web site)

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Jim's Big Ego - noplace Like Nowhere - Stress

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Fri, 12 Jun 2009 12:17:36 -0400 antipsychotic-meds-review-and-episode-83-of-the-nu Jamie Davis, the Podmedic Information, News, Commentary, and Tips for Nurses, Nursing Students, Educators and more with this week's show featuring a review of some information on Antipsychotic Meds. Info about Antipsychotic Medications for Nurses and Patients (from the NIMH web site) Antipsychotic medications are used to treat schizophrenia and schizophrenia-related disorders. Some of these medications have been available since the mid-1950's. They are also called conventional "typical" antipsychotics. Some of the more commonly used medications include: * Chlorpromazine (Thorazine) * Haloperidol (Haldol) * Perphenazine (generic only) * Fluphenazine (generic only) In the 1990's, new antipsychotic medications were developed. These new medications are called second generation, or "atypical" antipsychotics. One of these medications was clozapine (Clozaril). It is a very effective medication that treats psychotic symptoms, hallucinations, and breaks with reality, such as when a person believes he or she is the president. But clozapine can sometimes cause a serious problem called agranulocytosis, which is a loss of the white blood cells that help a person fight infection. Therefore, people who take clozapine must get their white blood cell counts checked every week or two. This problem and the cost of blood tests make treatment with clozapine difficult for many people. Still, clozapine is potentially helpful for people who do not respond to other antipsychotic medications. Other atypical antipsychotics were developed. All of them are effective, and none cause agranulocytosis. These include: * Risperidone (Risperdal) * Olanzapine (Zyprexa) * Quetiapine (Seroquel) * Ziprasidone (Geodon) * Aripiprazole (Abilify) * Paliperidone (Invega) Side effects of many antipsychotics include: * Drowsiness * Dizziness when changing positions * Blurred vision * Rapid heartbeat * Sensitivity to the sun * Skin rashes * Menstrual problems for women. Atypical antipsychotic medications can cause major weight gain and changes in a person's metabolism. This may increase a person's risk of getting diabetes and high cholesterol.1 A person's weight, glucose levels, and lipid levels should be monitored regularly by a doctor while taking an atypical antipsychotic medication. Typical antipsychotic medications can cause side effects related to physical movement, such as: * Rigidity * Persistent muscle spasms * Tremors * Restlessness. Long-term use of typical antipsychotic medications may lead to a condition called tardive dyskinesia (TD). TD causes muscle movements a person can't control. The movements commonly happen around the mouth. TD can range from mild to severe, and in some people the problem cannot be cured. Sometimes people with TD recover partially or fully after they stop taking the medication. no 29:46
Fish Poisoning and Episode 82 http://nursingshow.com/blog/2009/05/29/fish-poisoning-and-episode-82/ Welcome to Episode 82ProMedNetwork.com

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-----------------------------------

News--

Costs of Uninsured Health Care

FDA to Look At Acetaminophen Products

Infusion Nursing Article

-----------------------------------

Tip of the Week-- Ciguatera Fish Poisoning

A ToxTidbits Segment with Lisa Booze from the Maryland Poison Center

About Ciguatera

Ciguatera fish poisoning (or ciguatera) is an illness caused by eating fish that contain toxins produced by a marine microalgae called Gambierdiscus toxicus. People who have ciguatera may experience nausea, vomiting, and neurologic symptoms such as tingling fingers or toes.

They also may find that cold things feel hot and hot things feel cold. Ciguatera has no cure. Symptoms usually go away in days or weeks but can last for years. People who have ciguatera can be treated for their symptoms.

Fish like barracuda, black grouper, blackfin snapper, cubera snapper, dog snapper, greater amberjack, hogfish, horse-eye jack, king mackerel, and yellowfin grouper have been known to carry ciguatoxins.

Find more info at the CDC page on Ciguatera Fish Poisoning

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Song this week:

Michael Heaton's "I Know What I Know"

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Fri, 29 May 2009 22:58:37 -0400 fish-poisoning-and-episode-82 Jamie Davis, the Podmedic Nursing Tip of the Week-- Ciguatera Fish Poisoning Tip of the Week-- Ciguatera Fish Poisoning A ToxTidbits Segment with Lisa Booze from the Maryland Poison Center About Ciguatera Ciguatera fish poisoning (or ciguatera) is an illness caused by eating fish that contain toxins produced by a marine microalgae called Gambierdiscus toxicus. People who have ciguatera may experience nausea, vomiting, and neurologic symptoms such as tingling fingers or toes. They also may find that cold things feel hot and hot things feel cold. Ciguatera has no cure. Symptoms usually go away in days or weeks but can last for years. People who have ciguatera can be treated for their symptoms. Fish like barracuda, black grouper, blackfin snapper, cubera snapper, dog snapper, greater amberjack, hogfish, horse-eye jack, king mackerel, and yellowfin grouper have been known to carry ciguatoxins. Find more info for nurses and other health care providers at the CDC page on Ciguatera Fish Poisoning no
I.V. Complications and Episode 81 http://nursingshow.com/blog/2009/05/22/iv-complications-and-episode-81/ Welcome to Episode 81ProMedNetwork.com

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-----------------------------------
News--

Recession Bad for Health Care

Float Nurse Satisfaction Story

Infusion Nursing Article

-----------------------------------

Tip of the Week-- Assessment and Care of IV Lines

Common complications with IV catheter placement include:

  • Infiltration - Leakage of the IV fluid or medication into the surrounding tissues. If the infiltration is caught early enough and a small amount of infiltrate had leaked, the problem is not usually a cause of long term issues. Discontinue the IV infusion, remove the catheter and initiate IV access elsewhere.
  • Extravasation - is related to infiltration but is a more serious complication where the fluid or medication leaking into the tissues is a vessicant or highly concentrated solution. Common medications in this category include Dopamine, Diazapam, Calcium Chloride and D-50. Even small amounts of extravasation into surrounding tissues can cause localized cellular breakdown and tissue necrosis.
  • Phlebitis - is the inflammation of the vein itself and is most often caused by irritation due to long term IV access in that location (days). Some medications of a more alkaline or acidic nature can also irritate the vein and rarely a bacterial infection may be the cause, as well.
  • Infection - Infection related to improper cleaning of the site prior to insertion of the catheter or due to migration of bacteria along the cather into the tissues during extended IV access (days).
  • Hypersensitivity to Medication - Allergic reaction to the medication administered. Can be seen in meds such as IV antibiotics but may happen with any IV fluid or medication. May be localized to the site or systemic.

-----

IV Complications Web Based Slide Show and Presentation

IV Infiltration Article

Photos of IV Complications

Complications of peripheral I.V. therapy (From Nursing Made Incredibly Easy, Jan/Feb 2008)

Nursing Show Episode 54 on Infusion Nursing Specialty

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  • --------------------------------

    Song this week:

    Matthew Ebel "Downtown"

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    ]]> Fri, 22 May 2009 13:32:58 -0400 iv-complications-and-episode-81 Jamie Davis, the Podmedic no 31:15 Nephrology Nursing and episode 80 http://nursingshow.com/blog/2009/05/15/nephrology-nursing-and-episode-80/ Welcome to Episode 80ProMedNetwork.com

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    -----------------------------------

    News--

    Nurses and Doctors Shut Out of Health Reform Talk

    Australian Nurses Prescribers

    Doctors vs. Midwives: Home Birth Adversaries?
    -----------------------------------

    Tip of the Week-- Interview with Sue Cary of American Nephrology Nurses' Association

    ANNANurse.org website

    Link to Nursing Show Article on Free ANNA CNE Resources

    Nephrology Nursing Philosophy (from ANNA website)

    ". . . the role of nephrology nursing is to assess the real or threatened impact of renal disease on the individual as well as to diagnose and treat his/her responses to this problem. Within this context, ANNA also believes in the commitment of nursing to assist each individual to achieve an optimum level of functioning, whether it be in preventing renal disease, arresting further dysfunction, or rehabilitating the individual throughout the life cycle. In order to achieve these goals, we believe that practitioners within the field of nephrology nursing should set forth high standards of patient care that are continually updated.

    We believe that through the continued education of nurses in the field of nephrology, we can assure high quality patient care. We further believe that a sound educational program is necessary to develop, maintain, and augment competence in practice. Because research is essential for the advancement of nursing science, new concepts must be developed and tested to sustain the continued growth and maturation of nephrology nursing.

    We believe in the team approach to patient care and embrace interdisciplinary communication and collaboration as being essential to the achievement of the highest attainable level of cost-effective, quality patient care. As members of the nephrology team, it is our duty to respond to issues affecting our practice in both private and public sectors.

    -----------------------------------

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    Fri, 15 May 2009 22:13:16 -0400 nephrology-nursing-and-episode-80 Jamie Davis, the Podmedic no 37:16
    Rehab Nursing and Episode 79 http://nursingshow.com/blog/2009/05/08/rehab-nursing-and-episode-79/ Welcome to Episode 79

    Listen to the show!

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    -----------------------------------

    News--

    ANA Suggests Ways to Celebrate Nurses Week

    Cuts in Education Hurt Arizona's Nursing Shortage

    YouTube Video Helps Man Deliver His Baby
    -----------------------------------

    Tip of the Week-- Interview with Jason Jwoytas on Rehab Nursing

    What is Rehabilitation Nursing?

    Rehabilitation nurses help individuals affected by chronic illness or physical disability to adapt to their disabilities, achieve their greatest potential and work toward productive, independent lives. They take a holistic approach to meeting patients’ medical, vocational, educational, environmental and spiritual needs.

    Rehabilitation nurses begin to work with individuals and their families soon after the onset of a disabling injury or chronic illness. They continue to provide support in the form of patient and family education and empower these individuals when they go home or return to work or school. The rehabilitation nurse often teaches patients and their caregivers how to access systems and resources.

    Rehabilitation nursing is a philosophy of care, not a work setting or a phase of treatment. Rehabilitation nurses base their practice on rehabilitative and restorative principles by:

    • managing complex medical issues
    • collaborating with other specialists
    • providing ongoing patient/caregiver education
    • setting goals for maximal independence
    • establishing plans of care to maintain optimal wellness

    Definition provided by the Association of the Rehabilitation Nurses

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    Sat, 09 May 2009 00:01:10 -0400 rehab-nursing-and-episode-79 Jamie Davis, the Podmedic A look at the nursing career specialty of Rehabilitation Nursing. An interview with Jason Jwoytas, a Canadian Rehab Nurse. Tip of the Week-- Interview with Jason Jwoytas on Rehab Nursing What is Rehabilitation Nursing? Rehabilitation nurses help individuals affected by chronic illness or physical disability to adapt to their disabilities, achieve their greatest potential and work toward productive, independent lives. They take a holistic approach to meeting patients’ medical, vocational, educational, environmental and spiritual needs. Rehabilitation nurses begin to work with individuals and their families soon after the onset of a disabling injury or chronic illness. They continue to provide support in the form of patient and family education and empower these individuals when they go home or return to work or school. The rehabilitation nurse often teaches patients and their caregivers how to access systems and resources. Rehabilitation nursing is a philosophy of care, not a work setting or a phase of treatment. Rehabilitation nurses base their practice on rehabilitative and restorative principles by: * managing complex medical issues * collaborating with other specialists * providing ongoing patient/caregiver education * setting goals for maximal independence * establishing plans of care to maintain optimal wellness Definition provided by the Association of the Rehabilitation Nurses no
    Med-Surg Nursing Careers and Episode 78-updated http://nursingshow.com/blog/2009/05/01/med-surg-nursing-careers-and-episode-78/ Welcome to Episode 78ProMedNetwork.com

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    -----------------------------------

    News--

    Teen Pregnancy Prevention Programs Face Cuts

    NLN Releases Nursing Diversity Program
    Telenurses Proposed to Assist 911 Overload
    -----------------------------------

    Tip of the Week-- Interview with Kathleen Singleton for AMSN.org

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    Fri, 01 May 2009 19:53:05 -0400 medsurg-nursing-careers-and-episode-78 Jamie Davis, the Podmedic no 37:20
    Zofran (Ondansetron) Review and Episode 77 http://nursingshow.com/blog/2009/04/24/zofran-and-episode-77/ Welcome to Episode 77ProMedNetwork.com

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    Tip of the Week-- Ondansetron (Zofran) Medication Review


    Nursing Drug Guide Applications for iPhone and iPod Touch
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    Song this week:

    Variations On The Kanon By Pachelbel by George Winston

    George Winston - December: Piano Solos - Anniversary Edition
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    Fri, 24 Apr 2009 19:17:17 -0400 zofran-ondansetron-review-and-episode-77 Jamie Davis, the Podmedic Zofran (Ondansteron) Administration and Review Tips for Nurses, Students, and others in the health care field. no 26:14
    Pain Assessment Tools and Episode 76 http://nursingshow.com/blog/2009/04/17/pain-assessment-tools-and-episode-76/ Welcome to Episode 76ProMedNetwork.com

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    podcastdownload.jpg Right Click to download (Macs Option Click)

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    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

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    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Johns Hopkins HealthCare New Conflict-of-Interest Policies

    Panel Recommends Credits For Nurse Educators

    Family Members Assess Loved One's Pain In ICU

    -----------------------------------

    Tip of the Week-- Pain Assessment Tools

    Pain is often called the fifth vital sign. This places it in its proper place alongside pulse, respirations, blood pressure and temperature that a nurse needs to assess regularly on a patient. Just like the other vital signs, the proper assessment tools make tracking and treating a patient's pain much easier and more reliable.

    Because pain assessment is a subjective measure, the patient is a necessary component of the process. What causes one person to writhe in pain may barely break a sweat in another. However, when measured against the patient's own standards, it is much easier to trend the patient's pain level and to be proactive in managing that pain.

    Use the links and tools below to look at some of the common myths about pain management and also review the available assessment tools and scales you might use for different patient populations. I have also included the links to my articles on pediatric pain assessment and management.

    Maryland Board of Nursing Pain Management White Paper

    Guide to Using Pain Assessment Tools

    Links to Pain Assessment Tools

    --

    Nursing Show Article on Pediatric Pain Assessment

    Nursing Show Article on Pediatric Pain Management

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    -----------------------------------

    Song this week:

    Laura Clapp with, "I Gotta Be Me"

    -------------------------------------

    Creative Commons License

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    Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

    ]]>
    Fri, 17 Apr 2009 22:48:20 -0400 pain-assessment-tools-and-episode-76 Jamie Davis, the Podmedic Pain management review for nurses, lpn, rn, msn, bsn Pain is often called the fifth vital sign. This places it in its proper place alongside pulse, respirations, blood pressure and temperature that a nurse needs to assess regularly on a patient. Just like the other vital signs, the proper assessment tools make tracking and treating a patient's pain much easier and more reliable. Because pain assessment is a subjective measure, the patient is a necessary component of the process. What causes one person to writhe in pain may barely break a sweat in another. However, when measured against the patient's own standards, it is much easier to trend the patient's pain level and to be proactive in managing that pain. Use the links and tools below to look at some of the common myths about pain management and also review the available assessment tools and scales you might use for different patient populations. I have also included the links to my articles on pediatric pain assessment and management. no 27:53
    Dermal Exposure Poisoning and Episode 75 http://nursingshow.com/blog/2009/04/10/dermal-exposure-poisoning-and-episode-75/ Welcome to Episode 75ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Impact On Healthcare Providers Of Caring For The Terminally Ill

    Nurses face career shortages during economic downfall

    Talk Therapy Better for Cardiac Related Depression

    -----------------------------------

    Tip of the Week-- Dermal Exposures with Lisa Booze from the Maryland Poison Center

    Maryland Poison Center

    NIH Medline on Poisonings

    NIH Medline on Pesticide Poisonings

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    -----------------------------------

    Song this week:

    Music from The Podsafe Music Network

    This week - The Detonators with the song, "Bugs"

    Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

    -------------------------------------

    Creative Commons License

    This work is licensed under a
    Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

    ]]>
    Fri, 10 Apr 2009 22:19:18 -0400 dermal-exposure-poisoning-and-episode-75 Jamie Davis, the Podmedic Dermal Exposure Poisoning: a Review for RNs, Nurses, Nursing Students and others Poisoning occurs when people drink, eat, breathe, inject, or touch enough of a chemical (poison) to cause illness or death. Some poisons in very small amounts can cause illness or injury. Injury or illness may occur very quickly after exposure or may take several years with long-term exposure. The Centers for Disease Control and Prevention (CDC) defines a poisoning that occurs by accident as “unintentional poisoning” and a poisoning that results from a conscious, willful decision (such as suicide or homicide) as “intentional poisoning.” Household Chemicals and Carbon Monoxide * Always read the label before using a product that may be poisonous. * Keep chemical products in their original bottles or containers. Do not use food containers such as cups, bottles, or jars to store chemical products such as cleaning solutions or beauty products. * Never mix household products together. For example, mixing bleach and ammonia can result in toxic gases. * Wear protective clothing (gloves, long sleeves, long pants, socks, shoes) if you spray pesticides or other chemicals. * Turn on the fan and open windows when using chemical products such as household cleaners. no 26:06
    Gastritis for Nurses and Episode 74 http://nursingshow.com/blog/2009/04/03/gastritis-for-nurses-and-episode-74/ Welcome to Episode 74ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    Click the arrow to play the Nursing Show

    [audio:http://www.podtrac.com/pts/redirect.mp3/media.blubrry.com/nursing_show/traffic.libsyn.com/nursingshow/NursingShow_20090403.mp3]

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Male Nurse on Stereotypes

    Study on Nurse Retention

    Obama on Health Reform

    -----------------------------------

    Tip of the Week-- Gastritis and Peptic Ulcer Disease Review

    Gastritis is not a single disease, but several different conditions that all have inflammation of the stomach lining. Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori (H. pylori). Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well.

    The most common symptoms are abdominal upset or pain. Other symptoms are belching, abdominal bloating, nausea, and vomiting or a feeling of fullness or of burning in the upper abdomen. Blood or "coffee grounds" emesis or black, tarry stools may be a sign of bleeding in the stomach, which may indicate a serious problem requiring immediate medical attention.

    Gastritis is diagnosed through one or more medical tests:

    • Upper gastrointestinal endoscopy. this procedure looks at the stomach lining, checking for inflammation and may remove a tiny sample of tissue for tests.
    • Blood test. Check red blood cell count to see whether the patient has anemia, caused by chronic blood loss from a bleeding ulcer.
    • Stool test. This test checks for the presence of blood in the patient's stool, a sign of GI bleeding. Stool test may also be used to detect the presence of H. pylori in the digestive tract.

    Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing. (Stomach acid irritates the inflamed tissue in the stomach.) Avoidance of certain foods, beverages, or medicines may also be recommended.

    If gastritis is caused by an infection, that problem may be treated as well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once the underlying problem disappears, the gastritis usually does too

    (from The National Digestive Diseases Information Clearinghouse)

    ----

    Gastritis and Peptic Ulcer Disease at eMedicine

    NIH on Gastritis

    NIH on Peptic Ulcer Disease

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    -----------------------------------

    Song this week:

    The Podsafe Music Network

    This week –
    “Sunday Jen” by Slackstring If you like the track, click below to go to iTunes and purchase it there:
    slackstring - slackstring - Wednesday Morning

    Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

    -------------------------------------

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    Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

    ]]>
    Fri, 03 Apr 2009 22:54:47 -0400 gastritis-for-nurses-and-episode-74 Jamie Davis, the Podmedic Gastritis Peptic Ulcer Disease and Episode 74 of the Nursing Show for RN, LPN, BSN, MSN and others in the nursing field. Tip of the Week-- Gastritis and Peptic Ulcer Disease Review Gastritis is not a single disease, but several different conditions that all have inflammation of the stomach lining. Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori (H. pylori). Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well. The most common symptoms are abdominal upset or pain. Other symptoms are belching, abdominal bloating, nausea, and vomiting or a feeling of fullness or of burning in the upper abdomen. Blood or "coffee grounds" emesis or black, tarry stools may be a sign of bleeding in the stomach, which may indicate a serious problem requiring immediate medical attention. Gastritis is diagnosed through one or more medical tests: * Upper gastrointestinal endoscopy. this procedure looks at the stomach lining, checking for inflammation and may remove a tiny sample of tissue for tests. * Blood test. Check red blood cell count to see whether the patient has anemia, caused by chronic blood loss from a bleeding ulcer. * Stool test. This test checks for the presence of blood in the patient's stool, a sign of GI bleeding. Stool test may also be used to detect the presence of H. pylori in the digestive tract. Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing. (Stomach acid irritates the inflamed tissue in the stomach.) Avoidance of certain foods, beverages, or medicines may also be recommended. If gastritis is caused by an infection, that problem may be treated as well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once the underlying problem disappears, the gastritis usually does too (from The National Digestive Diseases Information Clearinghouse) ---- Gastritis and Peptic Ulcer Disease at eMedicine NIH on Gastritis NIH on Peptic Ulcer Disease no 29:26
    ECG Reading Part 2 and Episode 73 http://nursingshow.com/blog/2009/03/27/ecg-reading-part-2-and-episode-73/ Welcome to Episode 73ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    Click the arrow to play the Nursing Show

    [audio:http://www.podtrac.com/pts/redirect.mp3/media.blubrry.com/nursing_show/media.libsyn.com/media/podmedic/NursingShow_20090327.mp3]

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Musical Emotions Are Universal

    NLN To Hold Panel Discussion on Clinical Education

    Sleep Disorders and Cardiac Arrythmias

    -----------------------------------

    Tip of the Week-- ECG Reading (pt 2)

    Part One of ECG Reading Review here

    Reading ECGs is like learning to read a new language. It's not impossible, it just requires the nursing student to wrap their head around a new way of looking at things. There's no better way to do this than to practice, practice, practice.

    This section of the ECG reading review will cover some of the common arrythmias and some tricks that you can use to recognize them. This will use the basic steps covered in the earlier segment linked above so if you haven't listened to that segment, I urge you to do so before listening to today's show.

    This episode will look at identifying the three degrees of heart block, including both Type I and Type II third degree heart blocks. There will also be discussions on the ways to recognize some of the differences in the supra ventricular tachycardias such as atrial fibrillation, atrial flutter, and SVT for unknown causes.

    Use the linked sites below to continue your review of ECG reading and I will also recommend some good review guides available from Amazon. If you know of some other good resources, leave a link to them in the comments below this post.

    ECG Learning Center

    Merck.com Animation of Heart and ECG

    ----

    ECG Learning Resources at Amazon.com

    ECG Interpretation Made Incredibly Easy!

    ECGs for Nurses (Essential Clinical Skills for Nurses)

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

    Don't miss an episode! Get the Nursing Show Newsletter by email.

    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    Contact Me!

    -----------------------------------

    Song this week:

    Podsafe music from the PMNJim’s Big Ego with — “Stress” at iTunes

    Jim's Big Ego - noplace Like Nowhere - Stress

    Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

    -------------------------------------

    Creative Commons License

    This work is licensed under a
    Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

    ]]>
    Fri, 27 Mar 2009 21:07:47 -0400 ecg-reading-part-2-and-episode-73 Jamie Davis, the Podmedic ECG Reading for Nursing Students and Review by RNs and others. Tip of the Week-- ECG Reading (pt 2) Part One of ECG Reading Review here Reading ECGs is like learning to read a new language. It's not impossible, it just requires the nursing student to wrap their head around a new way of looking at things. There's no better way to do this than to practice, practice, practice. This section of the ECG reading review will cover some of the common arrythmias and some tricks that you can use to recognize them. This will use the basic steps covered in the earlier segment linked above so if you haven't listened to that segment, I urge you to do so before listening to today's show. This episode will look at identifying the three degrees of heart block, including both Type I and Type II third degree heart blocks. There will also be discussions on the ways to recognize some of the differences in the supra ventricular tachycardias such as atrial fibrillation, atrial flutter, and SVT for unknown causes. Use the linked sites below to continue your review of ECG reading and I will also recommend some good review guides available from Amazon. If you know of some other good resources, leave a link to them in the comments below this post. ECG Learning Center Merck.com Animation of Heart and ECG ---- ECG Learning Resources at Amazon.com ECG Interpretation Made Incredibly Easy! ECGs for Nurses (Essential Clinical Skills for Nurses) no 29:31
    Orthostatic Vital Signs and Episode 72 http://nursingshow.com/blog/2009/03/21/orthostatic-vital-signs-and-episode-72/ Welcome to Episode 72

    ProMedNetwork.comThe Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Bill To Reduce Nurse Injuries

    Research Is Essential In Nursing Education

    National League for Nursing Unveils NLN DataView™

    -----------------------------------

    Tip of the Week-- Orthostatic Vital Signs (assessing for hypovolemia)

    Orthostatic Measurment

    Beyond the Basics: Interpreting Vital Signs

    How is dizziness diagnosed?

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    Contact Me!

    -----------------------------------

    Song this week:

    Podsafe music from the Podsafe Music Network

    Laura Clapp — I'm Not Responsible

    Laura on iTunes
    Laura Clapp

    Click here to get other Songs from the MedicCast at the iTunes Store.

    -------------------------------------

    Creative Commons License

    This work is licensed under a
    Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

    ]]>
    Sat, 21 Mar 2009 11:27:23 -0400 orthostatic-vital-signs-and-episode-72 Jamie Davis, the Podmedic Nursing Show Episode on Orthostatic Vital Signs with reviews of this diagnostic tool for RNs and student nurses. Find more at NursingShow.com Tip of the Week-- Orthostatic Vital Signs (assessing for hypovolemia) Orthstatic vital signs are used by RNs and other health care professionals to determine if recent symptoms experienced by a patient are related to fluid volume deficit. The basis of this is that changes in the patient's posture or positioning have an effect on the cardiovascular response to maintain blood pressure. Look at patients who are experiencing syncopal episodes (fainting spells), dizziness, GI symptoms (like nausea, vomiting, and diarrhea), or other symptoms related to potential cardiovascular system response. Is there a problem with their heart? Is it a GI bleed? Is it a seizure or stroke? You don't know as a nurses or other practitioner. In comes the orthostatic vital signs series. This is also known as a "tilt test" or "postural vital signs." This test of changes to blood pressure and heart rate examines the cardiovascular response to changes in position. The body would normally have a temporary change in BP and pulse rate after a change, however after a minute or so, the changes should have evened out somewhat. In a patient who is fluid deficient for some reason, this stabilization doesn't happen as fast or at all. There isn't enough fluid to shift to correct for gravity and the heart rate needs to compensate by rising and remaining raised to push more blood around the system. The vasculature can't clamp down enough to squeeze fluid to the central circulation. Thus, the blood pressure remains depressed (usually by 20 mm of hg or more systolic) and the heart rate remains raised (by 20 bpm or more) this can be an indicator of a need for fluid volume replacement therapy. Follow the links below for more on vital signs and orthostatic or tilt testing. no 29:15
    Macrolide Antibiotics and Episode 71 http://nursingshow.com/blog/2009/03/13/macrolide-antibiotics-and-episode-71/ Welcome to Episode 71

    ProMedNetwork.comThe Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Marketing, Prescribing, and Nurse Practitioners

    Nursing graduation rates attract state grant

    Walmart and Electronic Patient Records

    -----------------------------------

    Tip of the Week-- Macrolide Antibiotics

    Macrolide antibiotics are commonly prescribed to patients and are important medications for nurses and nursing students to learn about. This is part of an ongoing series on antibiotics for student nurses and RNs and is included in the featured medication review study aids at NursingTopStudent.com.

    You may not recognize the name macrolide but will certainly recognize the specific drug names of the antibiotics in this class of meds (trade names in bold):

    • erythromycin (E-mycin)
    • azithromycin (Zithromax)
    • clarithromycin (Biaxin)
    • dirithromycin (Dynabac)

    These meds are used to treat infections classified as mild or moderate in nature. Most commonly used for respiratory and sinus infections, as well as some GI, STD, and skin or soft tissue infections.

    Some other medications' actions can be potentiated by the effects of macrolide antibiotics including the effects of anticoagulants so review all drug interactions and educate patients about warning signs of their other medications as well. Common side effects of macrolides include, GI symptoms including mild nausea, diarrhea, heartburn, and occasionally, vomiting. Other rare but more serious side effects include:

    • confusion
    • anxiety
    • tachydysrhythmias
    • anaphylaxis
    • hearing loss (usually reversible)
    • potentiation of resistant infections (superinfection)

    More info for RNs, nursing educators, and student nurses can be found at the link below or online at NursingTopStudent.com for members there.

    AllNurses.com Forum Entries for Antibiotic Review

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis: