Sep 24, 2011

Posted by Sonia Morrison in Uncategorized | 0 Comments

Caregivers: Which of These Nursing Tips Are Helpful?

I want to provide value to family caregivers and am considering some of these nursing tips to my upcoming book, The Heart of Caregiving. Please let me know which are the top 3 to 10. Thank you, Sonia Morrison

Abuse assessment is best done with open questions:
When do you feel safe? When do you not feel safe.

Abduction is moving a limb away from body.
Adduction is moving a limb towards center of body.

Administer oxygen asap for MI.

Always assess respiration while taking pulse, otherwise the rate may not be accurate. The left lung has two lobes instead of three to make space for the heart.

Ask, Advise, Assess, Assist, Arrange follow-up for tobacco use and dependence.

Advanced age,
Assessing skin includes assessment, temperature, color, moisture, turgor and integrity.

Assessing mental status by asking more than yes or no questions.
Assess immediate memory by telling 3 words, have them repeat and remember and then have them recall and repeat the 3 words in 5 minutes.
Assess short term memory by asking for a description of something that you can verify, that happened in the last few days.

Auscultation works best when the tubing does not touch any other surface, to avoid extraneous sound. Stethoscopes may freeze or crack if left in the cold.

BP wait at least 2 minutes, if you need to retake the blood pressure. Bowel sounds range from 5-35 in one minute.

Caregiver process Assess, Plan, Implement, Evaluate the 6 Principles of care.

Convert Celsius to Fahrenheit by multiplying 1.8 and adding 32.
Convert Fahrenheit to Celsius by subtracting 32 and divide by 1.8.

Clubbing = thickening of flesh under the toenails and fingernails, causes nails to curve down. Seen in patients with chronic lung disease causing hypoxia. Clubbing is typically a sign of pulmonary or cardiovascular disease, such as emphysema, chronic bronchitis, lung cancer, or heart failure.
Common courtesy; listen to the person you are caring for, tell them the plan.
Dark green leafy vegetables are the best sources of non-dairy calcium.
Delegating care 5 rights; right person, right task, right circumstance, right direction, right supervision.

Dementia persons may express pain with atypical behavior, like aggression.

Detection, Dispatch, Delivery, Door, Data, Decision, Drug are the 7 Ds of stroke care per the American Heart Association.

Digoxin toxicity’s most common sign, is when a green halo is seen around lights.

Don’t smoke for at least 2 weeks before and after surgery.

Feeding tube medication should be given separately, flushing before and after with 15 ml of sterile water.
Five rights of giving medication; right person, right medicine, right dose, right time, right route.
Functions of kidneys: form urine to remove wastes from the body, maintain acid-base and fluid-electrolyte balance, and assist in BP control. The kidneys help manage acid-base balance by regulating bicarbonate concentration of the blood.
Heart sounds may be better heard; seated and leaning forward or left side lying.

Heart pumps oxygenated blood to lungs from the right side and the left side of the heart pumps oxygenated blood to the rest of the body.

Muscles function for movement, posture, and heat.
Muscle injury assessment includes pain, paresthesia, paralysis, pallor, pulse.

Prevent urinary infection by keeping drainage bag below the level of the bladder at all times.

Pulse should never be taken with your thumb-it has its own pulse. Use the pads of your middle and ring fingers to feel the pulse. Never check both carotid pulses at the same time or too firmly-they may faint or have a very low heart rate. When it is your first time to take a baseline pulse or if the pulse is irregular or if they have a pacemaker-count the beats for a full minute.

Safety ABCDE: Asymmetry, Border, Color/Configuration, Drainage and Evolving.
Awareness, Attentiveness and Anticipation will help to prevent exposure to blood or other body fluids.

Sharing care works best when you think SBAR; Situation, Background, Assessment, Recommendation.

Spleen interacts with lymphocytes to initiate immune response, breaks down the worn out RBCs, filters and removes bacteria and other foreign substances.


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