Wednesday, February 18, 2015

GC 2/12/15

Dementia & Alzheimer's Disease

Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. Dementia is an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities. Alzheimer's is the most common type of dementia, and it accounts for 60 to 80% of the cases. Symptoms include memory loss, communication and language problems, ability to focus and pay attention and visual perception. The cause of dementia is due to damage to brain cells. There is no cure for the disease; however, there is treatment available to slow the process.

ICU 2/13/15

Report

  1. Responsibilities: Retrieve medication, give medication to patient, check vital signs, assess patient.
  2. Knowledge learned: Beta blocker is a medication that regulates heart contractions and slows down the heart. 
  3. Best thing: I was able to learn about some medications and about different patients who were there.
  4. Worst thing: Seeing the condition of patients, and being told how one may not survive much longer even though she is young.

This week was : GOOD

I was able to learn a lot, and the nurse i shadowed was very nice and actually taught me and explained things.

Record

Technology Observed:

In the ICU I observed basic technology. I saw the Pyxis which is where you get medication. I also saw the vital signs machine and how the nurses chart.

Diagnostic Procedures:

The nurse explained to me what had happened to the patients. One patient had a stroke. The nurse would explain to the patient what medication the nurse was giving him.

Therapeutic Procedures:

The nurse gave medication to the patient through the IV for pain. He also gave the patient medication to reduce the patient's heart rate. 

Diseases/Disorders Observed:

There weren't really any diseases or disorders that I saw. However, one patient had a stroke. You could tell half of his face was slightly drooping.

Medical Abbreviations:

There was only one Medical Abbreviation that I came across. The nurse talked to me about "a fib" which stands for atrial fibrillation. 

Journal

     Walking into the ICU I thought it would be like the PACU; however, it was very different. Each patient had their own room, and it was pretty calm and quiet. There were no nurses at the nurses station, and all of them were walking around, tending to their patients. The nurses provided the patients with medication, and made sure that they were doing well. The equipment that I saw was the Pyxis, which held the medication, and the vital signs machine. 
     The ICU was not clustered at all, and very organized. Ever drawer and cabinet were labeled with what they held. The health care professionals wore blue scrubs and worked very quickly. They helped each other with charting, and they also helped each other get medication. There was one new guy there who did not really know how the hospital's software worked, so the nurse I shadowed and the new guy would communicate on how to work it. Whenever the nurse put new medication into the IV, he wore gloves as a safety precaution. He told the patient what medication he was using, and gave him antibiotics, betablockers and pain killers.
     Going into the ICU I did not know much. I knew they dealt with patients who were in pretty bad condition, and they tried to bring them back to full health. I learned about some of the medication that was administered to the patient I observed such as a beta blocker. This medication regulates heart contractions, and it makes the heart slow down. The nurse told me that the patient needed this medication because of "a fib" which is a medical abbreviation for
atrial fibrillation." 
     The nurses in the ICU were very willing to teach, and they were very kind. I enjoyed my time there, and I actually learned some stuff. I learned about some medication, and also about some patients that they see in there. I learned that to work in the ICU, you have to be a strong person and really want what is best for your patients. 

Wednesday, February 11, 2015

GC (Activities 2/5)

Myths & Facts About Aging


It is important do know what is a fact and what is a myth regarding our older community. We tend to believe that the older people are not as capable as they really are. It is important that we treat them with respect and care, but not like babies. Treating old people like they cannot care for themselves may cause them to be depressed or lash out. So here are some myths/facts to keep in mind.

Myth: Older people suffer from some form of memory loss such as dementia or Alzheimer's.

Fact: Only 5% of those older than 65 will develop these diseases.

Myth: Elderly people need hearing aids. 

Fact: Sensory cells within the ear begin to die off as you get older; however. only 35% of 80 year-old's actually need a hearing aid.

Myth: As you age, you become grumpy.

Fact: Our personalities don't really change after age 30. Therefore, if you were nice when you were younger, you'll still be nice when you're older.

Myth: When you become old you will live in a nursing home.

Fact: Less than 5% of people 65 and over live in nursing homes.

Myth: Elderly people have more car accidents.

Fact: Elderly drivers are actually more careful on the road and tend to drive slower.

Med Surg 7 - 2/6/15

Report

  1. This week my responsibilities included giving water, giving a bath and taking vital signs.
  2. A new skill I learned this week was how nurses give bed baths. They take wipes and wipe down the patients.
  3. The best thing that happened this week was being able to take vital signs and practicing the things we have learned in class.
  4. I would say the worst thing that happened was giving an old lady a bed bath. She seemed to have slight confusion and was not very happy.

This week was: Good

I was able to observe more than I have in any other unit. I performed more hands-on tasks, and it was a lot of fun.

Record

Technology Observed: 

In Med Surg, I only observed basic technology. I was able to use the vital signs machine, and the ice/water machine. However, I also learned how to input some information into the computer as well.

Diagnostic Procedures Observed:

There were not any diagnostic procedures that I observed. Mainly the MSU is where patients come to recover. Therefore, it is mostly therapeutic procedures.

Therapeutic Procedures Observed:

In the MSU I observed several therapeutic procedures. I helped turn a patient because she had a wound on her back, and I also helped give the patients water. 

Diseases/Disorders:

I did not really see any diseases or disorders. However, there was an older lady who had a wound on her back. 

Journal

  Walking into the MSU was very quiet and calm. There were only three nurses walking around, and I was told that each nurse had 10 patients. I provided the patients with some ice water, and checked vital signs for some. Therefore, I utilized the vital signs machine, and I was also able to use the computer to input data.
  I observed the nurse take vital signs, and use PPE. The health care professionals worked very fast and moved in and out of rooms quickly. The only time I saw them work together was when one nurse did not know where something was, so a nurse instructed her. The safety procedures that I observed were standard precautions. The nurses used gloves and masks. The therapeutic and diagnostic procedures were mainly just making sure the patient was comfortable. We did give a woman a bath, and we also made sure patients had enough blankets. 
  Going into the MSU I only had basic knowledge about it. I knew the nurses took care of patients who have had surgery. I learned that one nurse sees many patients, and has to work very fast to get everything done. I learned how to use the vital signs machine, and I learned how to chart certain information. 
  The MSU 7th floor is definitely the place where I have learned the most stuff. I really enjoyed the staff there, and the nurse I followed actually explained information to me. I was able to really see how nurses work. I learned that you have to be patient with some of your patients, and really love your job and what you do.  
  

Thursday, February 5, 2015

GC Assignment (LTAC 1/29)

Sundowner's Syndrome

What is it?

Sundowner's Syndrome is the name given to a syndrome that causes symptoms of confusion after sundown. These symptoms mainly appear in people who suffer from Alzheimer's and dementia; however, not all patients who suffer these diseases suffer from Sundowner's Syndrome.

Symptoms?

Symptoms include:
  • Forgetfulness
  • Confused
  • Delirious
  • Agitated
  • Anxious
  • Restless

Causes?

There is no evidence as to what causes these symptoms;however, there are theories. Some doctors believes that it is an accumulation from all of the sensory stimulation from the day which begins to overwhelm and cause stress. It could be due to hormonal imbalances that occur at night or simply fatigue after a long day. Lastly, some doctors believe it is anxiety caused by the inability to see as well in the dark. Studies have shown that the symptoms of Sundowner's seem to wear off an hour before sunrise. 

Treatment?

  • Encourage exercise to help sleep
  • Limit caffeine and sugar
  • Keep snacks light
  • Good sleeping environment
  • Calm reassurance