Nursing

ncaa_champs_05 asked:


my son is 3 weeks old and when he was born i nursed him until he was almost 2 weeks and it seemed like he wasnt getting enough, so i started giving him formula every now and then like his dr told me too. he is now getting used to the bottle and eating more and everytime i nurse him its becoming very painfull. i really want to nurse him, but my ******* are really sore sometimes i feel like crying it hurts that bad, and i know if i dont nurse him my milk will dry up. should i just give him the formula and forget about nursing? this didnt happen with my first child. which they weighed different. what should i do?????

clinical nurse specialist

Laurie Villanueva asked:


This week, the New York Times reported that 90 percent of all nursing homes have been cited for violating federal health and safety standards. Even worse, 94 percent of all privately-owned facilities were cited for such violations. It is clear that nursing home abuse and neglect has become an epidemic, and anyone with a loved one in a nursing home needs to be aware of this issue.

Nursing home residents’ rights are guaranteed by the federal 1987 Nursing Home Reform Law. The law requires nursing homes to “promote and protect the rights of each residentâ€?.  Yet, as the New York Times recently made clear, nursing homes are not doing enough to protect their residents.

The National Center on Elder Abuse estimates at least one in 20 nursing home patients has been the victim of negligence and or abuse, though it concedes that the number is probably higher. According to the National Center’s study, 57% of nurses’ aides in long-term care facilities admitted to having witnessed, and even participating in, acts of negligence and abuse.  Data from the U.S. Centers for Disease Control and Prevention show that nursing home neglect played role in the deaths of nearly 14,000 nursing home patients between 1999 and 2002.

The New York Times report detailed a study conducted by the inspector general of the Department of Health and Human Services.   According to the inspector general, more than 1.5 million people live in the nation’s 15,000 nursing homes. To participate in Medicare and Medicaid, facilities must meet federal health and safety standards. These programs cover more than two-thirds of nursing home residents, and cost taxpayers more than $75 billion per year.

According to the inspector general’s report, in the past year, poor nursing home conditions were the subject of 37,150 complaints. Of those, 39 percent were later substantiated by inspectors, and at least 20 percent involved the abuse and neglect of patients.  What’s more, 17 percent of nursing homes had deficiencies that caused “actual harm or immediate jeopardyâ€? to patients, the report said.

About two-thirds of the nation’s nursing homes are owned and operated by for-profit companies. Non- profit organizations own 27 percent, while government entities own and operate 6 percent. Of the facilities owned by non-profits, 88 percent were cited for violations, while 91 percent of government-run institutions received citations. According to the report for-profit nursing homes averaged 7.6 deficiencies per facility, while not-for-profit and government homes averaged 5.7 and 6.3, respectively.

To protect a loved one living in a nursing home, it is important to understand what constitutes nursing home abuse and how to spot it. The most common type of nursing home abuse is neglect. Understaffing at nursing homes is the main culprit behind this kind of abuse. Evidence of nursing home neglect includes bedsores and stiff joints, as well as signs of depression. A patient who appears over medicated or is needlessly sedated could be a victim of nursing home neglect.  The smell of urine or ***** and poor personal hygiene are hallmarks of this problem.  Extreme unexplained weight loss in an otherwise healthy resident can also be a sign of abuse. And if visitors are made to wait while the staff readies a patient to see them, - or does not allow the visit at all - neglect could be the reason.

Nursing home neglect is as much a crime as any other form of abuse. Nursing home neglect robs patients of their dignity, and it can be deadly. Neglected nursing home patients have been known to wander away from facilities, and sadly some of these patients have died of exposure. Other unattended patients have been allowed to die as a result of undetected internal bleeding or other ailments that could have been corrected with proper medical care.

Physical abuse is an unfortunate fact of life in many nursing homes. Nursing home staff are often guilty of this crime, but abuse among residents is not unheard of. About 2500 cases of physical abuse by nursing home staff are being reported each year.  While physical abuse encompasses crimes like battery, it also includes placing a patient in excessive restraints or physically confining residents for no valid reason.  Over-medicating patients simply to keep them quiet, or withholding medical care are also forms of physical abuse.

And sadly, sexual abuse also occurs in nursing homes. Again, both staff and other residents can be guilty of this type of abuse. According to a 1996 Medicaid Fraud Report, 10% of all physical abuse cases in nursing homes are of a sexual nature. Sexual elder abuse is defined as non-consensual sexual contact of any kind with a nursing home resident. Sexual contact with any person incapable of giving consent is also considered sexual elder abuse.

Often, nursing home sexual abuse goes undetected. Sadly, the physical and cognitive impairments common among nursing home patients make it impossible for them to fight off sexual assailants or report sexual abuse. Some physical signs of nursing home sexual abuse bruising around breasts, upper abdomen, or inner thigh; is often evidence of inappropriate touching or worse. Signs that a nursing home resident has been the victim of a sexual assault include bleeding from the ****** or anus; the presence of a sexually transmitted disease; troubles walking or discomfort when sitting; and irritation or itching in ********.

If nursing home abuse is suspected, immediate action must be taken. Call 911 if a resident appears to be in immediate danger, otherwise, report the situation to an administrator. All nursing homes are required to have formal complaint procedure and a staff person who is designated to review grievances. Submit specific information about your complaints and attempts to resolve them. If the situation is not resolved, then the problem should be reported state agency charged with overseeing nursing homes.  It may be necessary to remove a resident from a deficient nursing home if the problem is not corrected. In many cases of suspected nursing home abuse and neglect, it can be helpful to retain an experienced elder abuse lawyer to take action on a loved one’s behalf.



nursing assessment

girlincali asked:


I have a teaching degree with a major in general science and a minor in Bio and am certified as a CCT and have finished a diploma as a Cardiac Sonographer but no jobs in either profession but tons in nursing. I don’t want to go back to school for another year?? Do colleges actually work with the degrees you have to push you further?

geriatric nursing

Frankie B asked:


I am 45 years old and tired of living in the basement. My mom is too old and no longer can do my laundry or cook for me and my friends when they come over. How can I legally stick her in a nursing home so I can take the house over and move upstairs. There is no mortgage so don’t worry about my expenses.

Answers form lawyers will be good. Thank you in advance.

va nursing

devoteetv asked:

Allison Lapper the pretty Phocomelia victim is showing how she ****** feeds.

surgical nursing

Bei Maniago asked:


A clinical nurse is another term used for registered nurses who, as the term implies, work in actual clinic settings. Clinical nurses are also called nurse practitioners. Clinical nurse jobs are very flexible in nature. Clinical nurses can work in various types of clinics, and can enter various specializations, given the right qualifications.

The fact that clinical nurses span specific medical fields makes the number of clinical nurses quite huge. Most nurse practitioners fall under the clinical nurse category. Several subcategories also fall under it. The clinical nurses who achieve and complete the qualifications for specializations in specific areas are called clinical nurse specialists. These nurses can specialize in various fields of health and medicine such as midwifery, psychiatric or mental health, geriatrics, pediatrics, among many other fields. These nurses also claim specific titles such as mental nurse, maternity nurse, and theatre nurse. A clinical nurse can also specialize in the surgical section, or the emergency room and accidents section. Some clinical nurses can also be stationed in the Intensive Care Unit. Aside from these specializations, clinical nurses can also work as a general staff nurse or administrative nurse in hospitals and clinics.

This wide variety of options when it comes to specializations and areas makes clinical nurse jobs a very common type in the medical and health field. Aside from that, given the large number of hospitals and clinics, and each one needing several nurses for every particular section, clinical nurse jobs are quite in demand nowadays.

There are also several levels in the hierarchy of clinical nurses. There are simply clinical nurses, while there are also clinical support nurses. Then, as mentioned, there are clinical nurse specialists, who work in specific areas. There are also chances for career advancement in being a clinical nurse. You can move on to become a clinical nurse advisor, a clinical lead nurse, or a clinical nurse manager. This further increases the types of jobs available to those interested to pursue a career in the nursing field.

Clinical nurses have varied responsibilities. The mix of duties typically depends on the specialization or the area they work for. However, other factors can also affect the weight of responsibilities of a clinical nurse. Depending on the size of the organization, a clinical nurse can have more or less responsibilities than is normal. However, the responsibilities of clinical nurses mainly revolve around clinical practice, which summarizes the act of providing nursing care to patients. Although it is summarized in a single term, the word clinical practice deals with a lot of things and is the main focus of the nursing field. However, aside from clinical practice, they can also be faced with responsibilities to do conduct research, and to handle consultations and management responsibilities, among some others.

The clinical nursing field is up and running nowadays. The need for clinical nurses is constantly increasing, and nursing jobs are now speedily rising towards the top of the charts. More and more incoming college students are advised to consider a career in nursing. A lot of people veer away from clinical nurse jobs because they don’t think they have what it takes. They are quite mistaken. With the various options and specializations when it comes to being a clinical nurse, any skill can come into play. Those interested to pursue the nursing path can choose from amongst the rich number of options to find the one that best suits their preferred area, their knowledge, and skills.



men in nursing

Sandy Darson asked:


Since nursing is a booming industry today, there are also a growing number of nursing supplies and tools available. Nurses are no longer subjected to the tired old-fashioned scrubs and stethoscopes of yesterday. There are more tools that can assist a nurse in their everyday tasks, and these tools have a variety of designs. Although a nurse’s tools and supplies vary by their specialty, there are tools and supplies that are common in almost all nursing specialties.

Whenever you are referring to nursing tools, you have to start with the most common tools that a nurse is going to use. The first of these tools is a stethoscope. Today, stethoscopes come in a variety of styles and colors; and, a few of the most popular stethoscope brands include Littmann, Omron, Prestige, and ADC. Some of the newest innovations include lightweight and electronic models, and there are some that are geared toward specific specialties, such as pediatrics. Yet, stethoscopes have a price range that is wider than most nursing tools, as they can range from $20.00 to $700.00 dollars.

Though referred to within the medical community by the proper name of sphygmomanometer, most call this nursing tool a blood pressure pack or unit. Blood pressure units have also come along way, from nurses using a stethoscope and stopwatch to more compact units. Nurses may also need more than one blood pressure unit; since, larger sized patients may require a larger blood pressure unit due to the size of their arms. Even the high-end blood pressure units are usually under $100.00, and some of the more popular types today are the digital wristwatch blood pressure monitors. But, please note that we are only referring to small portable units. The larger units are typically only purchased by the healthcare facilities.

The most common supply among all nursing specialties is a set of uniforms, typically referred to as scrubs. Scrubs or uniforms are often the first thing a nurse buys or is issued by their employing facility. Although nursing scrubs were once predominately white, nursing scrubs can now be purchased in a variety of colors. Typically, nursing scrubs describe a shirt and pants uniform, that was designed to be light weight and allow the nurse to perform duties with ease. They also allow patients to easy distinguish nurses from other medical staff. Scrubs or uniforms may also include a jacket or hat.

Although a nurse’s shoes are deemed as being a part of the nursing uniform, they are not provided by employers as frequently as the nursing uniforms. However, healthcare facilities may place restrictions on the type of shoes that nurses are allowed to wear. Nursing shoes are almost always tennis shoes. Nursing shoes tend to be lightweight and able to handle long periods of standing and walking. They should also provide as much comfort as possible. Nursing shoes are typically white.

A common but critical nursing tool is a gait belt. Gait belts are used to aid nurses in moving and transferring patients. Gait belts come in a variety of colors. Two of the most popular brands of gait belts are Posey and Alimed. Though gait belts range in price, from $10.00 to $200.00; there, are only subtle differences in the majority of these tools. The main reason for the gait belts on the lower end of the pricing spectrum is that the cheaper belts are usually disposable. One of the most popular types of gait belt is one that can easily be cleaned.

Nurses still often need a good wristwatch. A nurse’s wristwatch should have a hand that measures seconds. It is also advised that a nurse’s wristwatch be comfortable, yet worn tightly enough to avoid slipping. It is also recommended to purchase waterproof watch since they spend a great deal of time washing their hands throughout the day.

Nurses are also required to keep a pen with them at all times to be able to record patient’s data. Though there are no real standard for these pens, nurses often take it a step further by using pens that are equipped with a light. It is recommended that they use ergonomic pens due to the frequency of use. Many nurses purchase pocket organizers or penholder necklaces for easy access. Scissors are also part of a nurse’s common tools, because of the need to frequently cut bandages.

In efforts to make things more compact and easy for a nurse to access, most common nursing tools can be purchased as a portable kit. The size and style of nursing tools are evolving as new ways of making a nurse’s duties easier are discovered. Nursing uniforms are now bursting with comfort and color. The only constant is that as the nursing profession changes, the tools are also going to change with it.



nursing tanks

juliethenurse asked:

Johnson & Johnson has a “Campaign for Nursing’s Future” This is one ad from the series

nursing pictures

August R asked:


I am suppose to write a 700-1,050 word paper on how nursing wages are calculated in any state, I would like the state of Arizona for the year 2009 or something close in years. I am having a hard time finding a web site for it, can you help?

lpn nursing

Reinventingmyself asked:


I want to be a CNA and a local nursing home offers training classes. A friend applied and didn’t get accepted for classes. What are the instructors or CNA themselves looking for when one is applying to be accepted into a CNA training program at a local nursing home?

nursing malpractice