Tuesday, October 7, 2014

Exam is over!

It always feels good getting exams over with!  Now, to studying for the next exam, the same day you finished an exam.. Story of nursing school!

Hope everyone is doing well on their exams!!


We alll need a little humor right!? :)


I NEED SOMEONE TO BUY ME THIS MUG! 

Happy Studies future nurses xoxo

Those darn cranial nerves!!!

Hopefully these pictures help you in preparation for your Cranial Nerve Assessment with your patient!

TWELVE cranial nerves!

^ this picture really helped me in the actual assessment, gave me the perfect way(s) to test each nerve!



^ first column is the list of 12 cranial nerves, second column is a mnemonic to memorize the 12 and the third column defines whether or not the corresponding nerve in the row is Sensory (S), Motor (M), or Both (B).

^ nerve number, name, composition and functions

^creepy picture but actually helped me in reference of where to assess each.



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Some possible ocular findings among patients:







Monday, October 6, 2014

Lesions


Identifying Primary and Secondary Skin Lesions

Primary skin lesions are present at the onset of a disease. In contrast, secondary skin lesions result from changes over time caused by disease progression, manipulation (scratching, picking, rubbing), or treatment. These 2 types of skin lesions can be differentiated as follows:

Primary lesions

Bulla-a vesicle (see definition below) greater than 5 mm in diameter

Cyst-an elevated, circumscribed area of the skin filled with liquid or semisolid fluid

Macule-a flat, circumscribed area; can be brown, red, white, or tan

Nodule-an elevated, firm, circumscribed, and palpable area greater than 5 mm in diameter; can involve all skin layers

Papule-an elevated, palpable, firm, circumscribed area generally less than 5 mm in diameter

Plaque-an elevated, flat-topped, firm, rough, superficial papule greater than 2 cm in diameter; papules can coalesce to form plaques

Pustule-an elevated, superficial area that is similar to a vesicle but filled with pus

Vesicle-an elevated, circumscribed, superficial, fluid-filled blister less than 5 mm in diameter

Wheal-an elevated, irregularly shaped area of cutaneous edema; wheals are solid, transient, and changeable, with a variable diameter; can be red, pale pink, or white.

Secondary lesions

Crust-a slightly elevated area of variable size; consists of dried serum, blood, or purulent exudate

Excoriation-linear scratches that may or may not be denuded

Lichenification-rough, thickened epidermis; accentuated skin markings caused by rubbing or scratching (eg, chronic eczema and lichen simplex)

Scale-heaped-up keratinized cells; flakey exfoliation; irregular; thick or thin; dry or oily; variable size; can be white or tan.

Source

Hess CT. Clinical Guide: Wound Care. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.

- See more at: http://www.nursingcenter.com/lnc/journalarticle?Article_ID=572216#sthash.u5HQciTs.dpuf

Functional Consequences Theory: Chart

Miller, C.
Best picture of functional consequences theory I could take in lecture!

Advance Directives

Important patient legal documents that nurses must acquire from the client(s)!
^a "just in case" umbrella

"What are advance directives?

Advance directives are legal documents that provide instructions about who should oversee your medical treatment and what your end-of-life wishes are, in case you are unable to speak for yourself. Advance directives include a Health Care Power of Attorney and a Living Will." -Cleveland Clinic

Link to article:

http://my.clevelandclinic.org/patients-visitors/legal-ethical-decisions/personal-medical-decisions/advance-directives


Below is a chart breakdown about the specifics (DNR order, Health care POA, Organ/Tissue Donor, Living Will):

 

If the words are too small/appear blurry feel free to refer to: http://my.clevelandclinic.org/ccf/media/Files/Patients/advance-directives.pdf 

-Clevelandclinic.org 

ADL, IADL

Great example of ADL/IADL and what chart input would look like!



^ great chart in contrasting: ADLs vs IADLs


Gait, Ambulating

^mnemonic that works for me when working with/ambulating a patient up & down stairs (walker, etc.)




Gait, Ambulating

^mnemonic that works for me when working with/ambulating a patient up & down stairs (walker, etc.)




Geri

What to consider for your geriatric patient^

Physical developments related to older adults/geriatric population^

Common Lab Tests

Great for knowledge of "normal" values of very common diagnostic tests. 

Braden Scale

More visual Braden Scale to assess for the risk of pressure ulcers. 

Delirium, Dementia, Depression

Here's a great table for comparing the three:

GDS, a Geri assessment tool

Diagnostic Values

Helpful values you may recognize in charts! Look them up if you are unfamiliar. Knowledge is power :)

Happy Monday

I know I'm not the only one who finds this humorous! Happy studies!

S/s of Dehydration


Mild to moderate & severe s/s of dehydration^

Pressure Ulcers

Locations, stages and what each may look like on your patient.