The document provides information on the BUBBLE-HE method for assessing postpartum patients. It describes each component of the acronym: Breast, Uterus, Bladder, Bowels, Lochia, Homan's sign, and Episiotomy/perineum. For each component, it outlines what to assess, normal findings, and nursing considerations. It also discusses breastfeeding and bottle feeding, including benefits and teaching points for each.
Typology of nursing problems in family health careNova Leon
This document outlines a typology and assessment tool for identifying nursing problems in family health care. It describes a 4-level assessment process to determine a family's wellness conditions, health threats, health deficits, and stressors. For each level, it provides examples of specific issues that could be assessed, such as lifestyle risks, environmental hazards, illnesses, disabilities, and family dynamics. The assessment is intended to help students identify appropriate nursing problems and diagnoses for families based on standardized criteria. Students are assigned an exercise to apply this assessment tool to a specific family case.
The document provides information on the BUBBLE-HE method for assessing postpartum patients. It describes each component of the acronym: Breast, Uterus, Bladder, Bowels, Lochia, Homan's sign, and Episiotomy/perineum. For each component, it outlines what to assess, normal findings, and nursing considerations. It also discusses breastfeeding and bottle feeding, including benefits and teaching points for each.
Typology of nursing problems in family health careNova Leon
This document outlines a typology and assessment tool for identifying nursing problems in family health care. It describes a 4-level assessment process to determine a family's wellness conditions, health threats, health deficits, and stressors. For each level, it provides examples of specific issues that could be assessed, such as lifestyle risks, environmental hazards, illnesses, disabilities, and family dynamics. The assessment is intended to help students identify appropriate nursing problems and diagnoses for families based on standardized criteria. Students are assigned an exercise to apply this assessment tool to a specific family case.
The document defines family and discusses the Filipino family structure. It provides definitions of family from various sources that emphasize family as a basic social unit shaped by society. It then outlines sections from the Philippine Constitution regarding the state's recognition and protection of family. The rest of the document discusses characteristics of the Filipino family including bilateral kinship and family types, roles, and stages of development. It also examines theoretical approaches to understanding the family, including developmental, structural-functional, and systems models.
Tetanus toxoid immunization is important for pregnant women and child-bearing aged women to protect newborns from neonatal tetanus, a deadly disease. A series of two tetanus toxoid doses must be received by women one month before delivery. Completing the five dose schedule through booster shots provides full protection for both mother and child, and the mother is considered fully immunized. The expanded program on immunization in the Philippines aims to reduce infant and child mortality from seven vaccine-preventable diseases by ensuring children receive recommended vaccinations by age one.
The family assessment document summarizes a community health nurse's home visit with the Mabatid family. The nurse conducted an initial assessment of the family, collecting information on their structure, socioeconomic factors, environment, and health. Key issues identified were improper waste disposal and a large mosquito presence. The nurse prioritized these problems and created a family nursing care plan focused on educating the family on proper waste segregation and disposal. The activity reinforced the important role community health nurses play in preventive care, health education, and addressing issues at their source within families and communities.
Nursing Case study nsvd normal spontaneous deliverypinoy nurze
The document provides details about a case of normal spontaneous vaginal delivery (NSVD). It describes the four stages of labor: stage 1 involves cervical dilation from 0-10 cm over 3 phases; stage 2 is the pushing stage until the baby is delivered; stage 3 involves delivery of the placenta; and stage 4 is the recovery period. It then provides a nursing case study of a 15-year old patient who experienced an unwanted pregnancy from rape and underwent NSVD, including assessments, orders, and progression of labor and recovery.
This document contains a spot map and analysis of Sitio 3 Acacia in Barangay Ansagay. The following key points are included:
1) The spot map labels various landmarks in the sitio such as the barangay hall, basketball court, elementary school, health center, stores, bakeries, pastures, and water stations.
2) The analysis discusses how each landmark functions and its importance to the community, including providing recreation, education, security, commerce, agriculture, and access to water.
3) The document references several sources on topics like the roles of schools, security forces, pastures, dams, water access, and community health centers to support the analysis.
A couple is having difficulties breastfeeding their 2-month old premature daughter who was born 7 weeks early. The infant's weight is decreasing due to inconsistent feeding. The nursing diagnosis is ineffective feeding pattern related to the infant's prematurity and the parents' lack of knowledge about feeding a premature baby. The nursing plan is to monitor the baby, provide a calm feeding environment, assess alternative feeding methods, teach proper positioning, record feedings, and educate parents on the importance of proper nutrition. The goals are for the baby to improve intake with no dehydration signs and for parents to increase knowledge and follow the correct feeding pattern.
This document provides background information on the Crisostomo family that is the subject of a family nursing diagnosis study. It introduces the family structure, which consists of an elderly widow, Angelita Policarpio, living with her daughter Irma Crisostomo and son-in-law George Crisostomo. It then discusses the socioeconomic factors of the family, including their education, occupations, income, religion and environmental living conditions. Finally, it provides a health assessment of family member Angelita Policarpio, outlining her medical history of kidney stones, arthritis, hypertension and current medications. The document lays out the initial data collected on the Crisostomo family to inform the family nursing diagnosis and care plan.
Importance of nursing informatics in philippine healthcare delivery systemjihfontanilla
Nursing informatics combines nursing, information technology, and computer science to improve patient care and support nurses. It is becoming increasingly important in the Philippine healthcare system. The document discusses the history and increasing recognition of nursing informatics in the Philippines. It explains how nursing informatics can help various areas like administration, education, and clinical decision making. The application of nursing informatics and potential career paths are also outlined.
The document ranks and prioritizes three health problems for a family: 1) poor home/environmental sanitation due to breeding sites for disease vectors, 2) inadequate underwear for children posing infection risks, and 3) poor personal hygiene due to lack of access to clean water. It then outlines goals, objectives, and interventions for each problem, including educating the family on health risks and exploring low-cost solutions through home visits and community resources.
A 58-year-old male was admitted to the hospital on June 22, 2014 with abdominal pain and was placed under the care of Dr. Mark Cacho and Dr. Brandt Lojo. Over the next three days, the doctors ordered various tests, medications, and procedures for the patient, including a complete blood count, plain saline solution, antibiotics, and an endoscopy with biopsy, which was performed on the third day. The patient was advised to rest after the endoscopy procedure and follow a diet of small, frequent meals while avoiding acidic foods.
The EINC initiative of the Philippine Department of Health- Non Communicable Diseases Prevention and Control-Family Health Office (DOH-NCDPC-FHO) and DOH Center for Health Promotions (NCHP), supported by the Joint Programme on Maternal and Neonatal Health (JPMNH), and being funded by AusAID, was piloted in 11 hospitals in the Philippines, and has yielded favorable results.
The recommended EINC practices during the intrapartum period include continuous maternal support by having a companion of choice during labor and delivery, freedom of movement during labor, monitoring progress of labor using the partograph, non-drug pain relief before offering labor anesthesia, position of choice during labor and delivery, spontaneous pushing in a semi-upright position, non-routine episiotomy, and active management of the third stage of labor (AMTSL).
For newborns, four core steps were recommended in a time bound sequence. A social marketing handle, “The First Embrace,” accompanied the initiative for practice change among health workers.
The document discusses the key concepts of community health nursing including defining a community, health, and nursing; it describes the focus, clients, scope, and skills of community health nursing; and it explains the nursing process used in community health nursing from assessment of communities, families, and individuals to planning, implementation, and evaluation of care.
The document provides information on performing a physical assessment of the integumentary system, including the skin. It discusses inspection, palpation, percussion, and auscultation of the skin. Specific techniques for light and deep palpation are described. The document also covers common primary and secondary skin lesions, vascular skin lesions, edema, effects of aging on the skin, and assessment of the head and cranial nerves V and VII. Physical assessment of the integumentary system involves inspection of the skin's color, texture, thickness, and lesions, as well as palpation of temperature, moisture, turgor, and tenderness.
This document contains information about the vision, mission, quality policy, and goals of a university and its College of Health Sciences in the Philippines. The university's vision is to become a premier Philippine university by 2028. Its mission is to develop human capital and sustainable innovations for a global knowledge economy. The quality policy commits to optimizing education, research, and community services through continuous review and improvement of its quality management system. The college aims to provide quality education to produce skilled health professionals, facilitate evidence-based practice and lifelong learning, foster faculty and student research, implement community health programs, and promote environmental awareness. It also outlines the course objectives and teaching plan for a Health Education nursing course, which focuses on developing students' communication and
This document discusses alternative birthing methods including birthing at home, in a birthing center, or using water birth. Birthing centers offer a more natural environment than hospitals with minimal medical interventions. Water birth allows women to labor and deliver in a warm water pool, which can help ease pain and speed up labor. Hypnobirth and the Bradley Method are natural childbirth philosophies that aim to reduce fear and give women more control through relaxation and husband coaching. Risks that may arise from alternative birthing methods include bleeding, infection, pain, anxiety, and fatigue.
EUTHANASIA AND SUICIDE DYSTHANASIA ORTHOTHANASIA
ADMINISTRATION OF DRUGS TO THE DYING
ADVANCE DIRECTIVES END OF LIFE CARE PLAN OR DNR
NURSING ROLES AND RESPONSIBILTIES
ETHICAL DECISION MAKING PROCESS
The Philippine Family Planning Program has evolved over 38 years from a demographic program focused on fertility reduction to a health intervention program emphasizing reproductive health and rights. It aims to provide universal access to family planning and reproductive health services through community education and outreach, with the goals of reducing unmet need for family planning, lowering fertility rates, and improving maternal and child health. The program is guided by principles of responsible parenthood, respect for life, birth spacing, and informed choice.
This document summarizes family planning methods used in Sub-Saharan Africa in the late 1990s and Kenya in 2008-2009. It finds that while 82% of married women in Sub-Saharan Africa were not using any family planning method in the late 1990s, injectables (21%) and pills (21%) emerged as the most popular modern methods. In Kenya in 2008-2009, injectables were the most commonly used method at 22%, followed by pills at 7%. The document also notes that misconceptions about contraception are common in Kenya, with over half believing injectables can cause permanent infertility and most agreeing contraception can harm health or reduce libido.
The document defines family and discusses the Filipino family structure. It provides definitions of family from various sources that emphasize family as a basic social unit shaped by society. It then outlines sections from the Philippine Constitution regarding the state's recognition and protection of family. The rest of the document discusses characteristics of the Filipino family including bilateral kinship and family types, roles, and stages of development. It also examines theoretical approaches to understanding the family, including developmental, structural-functional, and systems models.
Tetanus toxoid immunization is important for pregnant women and child-bearing aged women to protect newborns from neonatal tetanus, a deadly disease. A series of two tetanus toxoid doses must be received by women one month before delivery. Completing the five dose schedule through booster shots provides full protection for both mother and child, and the mother is considered fully immunized. The expanded program on immunization in the Philippines aims to reduce infant and child mortality from seven vaccine-preventable diseases by ensuring children receive recommended vaccinations by age one.
The family assessment document summarizes a community health nurse's home visit with the Mabatid family. The nurse conducted an initial assessment of the family, collecting information on their structure, socioeconomic factors, environment, and health. Key issues identified were improper waste disposal and a large mosquito presence. The nurse prioritized these problems and created a family nursing care plan focused on educating the family on proper waste segregation and disposal. The activity reinforced the important role community health nurses play in preventive care, health education, and addressing issues at their source within families and communities.
Nursing Case study nsvd normal spontaneous deliverypinoy nurze
The document provides details about a case of normal spontaneous vaginal delivery (NSVD). It describes the four stages of labor: stage 1 involves cervical dilation from 0-10 cm over 3 phases; stage 2 is the pushing stage until the baby is delivered; stage 3 involves delivery of the placenta; and stage 4 is the recovery period. It then provides a nursing case study of a 15-year old patient who experienced an unwanted pregnancy from rape and underwent NSVD, including assessments, orders, and progression of labor and recovery.
This document contains a spot map and analysis of Sitio 3 Acacia in Barangay Ansagay. The following key points are included:
1) The spot map labels various landmarks in the sitio such as the barangay hall, basketball court, elementary school, health center, stores, bakeries, pastures, and water stations.
2) The analysis discusses how each landmark functions and its importance to the community, including providing recreation, education, security, commerce, agriculture, and access to water.
3) The document references several sources on topics like the roles of schools, security forces, pastures, dams, water access, and community health centers to support the analysis.
A couple is having difficulties breastfeeding their 2-month old premature daughter who was born 7 weeks early. The infant's weight is decreasing due to inconsistent feeding. The nursing diagnosis is ineffective feeding pattern related to the infant's prematurity and the parents' lack of knowledge about feeding a premature baby. The nursing plan is to monitor the baby, provide a calm feeding environment, assess alternative feeding methods, teach proper positioning, record feedings, and educate parents on the importance of proper nutrition. The goals are for the baby to improve intake with no dehydration signs and for parents to increase knowledge and follow the correct feeding pattern.
This document provides background information on the Crisostomo family that is the subject of a family nursing diagnosis study. It introduces the family structure, which consists of an elderly widow, Angelita Policarpio, living with her daughter Irma Crisostomo and son-in-law George Crisostomo. It then discusses the socioeconomic factors of the family, including their education, occupations, income, religion and environmental living conditions. Finally, it provides a health assessment of family member Angelita Policarpio, outlining her medical history of kidney stones, arthritis, hypertension and current medications. The document lays out the initial data collected on the Crisostomo family to inform the family nursing diagnosis and care plan.
Importance of nursing informatics in philippine healthcare delivery systemjihfontanilla
Nursing informatics combines nursing, information technology, and computer science to improve patient care and support nurses. It is becoming increasingly important in the Philippine healthcare system. The document discusses the history and increasing recognition of nursing informatics in the Philippines. It explains how nursing informatics can help various areas like administration, education, and clinical decision making. The application of nursing informatics and potential career paths are also outlined.
The document ranks and prioritizes three health problems for a family: 1) poor home/environmental sanitation due to breeding sites for disease vectors, 2) inadequate underwear for children posing infection risks, and 3) poor personal hygiene due to lack of access to clean water. It then outlines goals, objectives, and interventions for each problem, including educating the family on health risks and exploring low-cost solutions through home visits and community resources.
A 58-year-old male was admitted to the hospital on June 22, 2014 with abdominal pain and was placed under the care of Dr. Mark Cacho and Dr. Brandt Lojo. Over the next three days, the doctors ordered various tests, medications, and procedures for the patient, including a complete blood count, plain saline solution, antibiotics, and an endoscopy with biopsy, which was performed on the third day. The patient was advised to rest after the endoscopy procedure and follow a diet of small, frequent meals while avoiding acidic foods.
The EINC initiative of the Philippine Department of Health- Non Communicable Diseases Prevention and Control-Family Health Office (DOH-NCDPC-FHO) and DOH Center for Health Promotions (NCHP), supported by the Joint Programme on Maternal and Neonatal Health (JPMNH), and being funded by AusAID, was piloted in 11 hospitals in the Philippines, and has yielded favorable results.
The recommended EINC practices during the intrapartum period include continuous maternal support by having a companion of choice during labor and delivery, freedom of movement during labor, monitoring progress of labor using the partograph, non-drug pain relief before offering labor anesthesia, position of choice during labor and delivery, spontaneous pushing in a semi-upright position, non-routine episiotomy, and active management of the third stage of labor (AMTSL).
For newborns, four core steps were recommended in a time bound sequence. A social marketing handle, “The First Embrace,” accompanied the initiative for practice change among health workers.
The document discusses the key concepts of community health nursing including defining a community, health, and nursing; it describes the focus, clients, scope, and skills of community health nursing; and it explains the nursing process used in community health nursing from assessment of communities, families, and individuals to planning, implementation, and evaluation of care.
The document provides information on performing a physical assessment of the integumentary system, including the skin. It discusses inspection, palpation, percussion, and auscultation of the skin. Specific techniques for light and deep palpation are described. The document also covers common primary and secondary skin lesions, vascular skin lesions, edema, effects of aging on the skin, and assessment of the head and cranial nerves V and VII. Physical assessment of the integumentary system involves inspection of the skin's color, texture, thickness, and lesions, as well as palpation of temperature, moisture, turgor, and tenderness.
This document contains information about the vision, mission, quality policy, and goals of a university and its College of Health Sciences in the Philippines. The university's vision is to become a premier Philippine university by 2028. Its mission is to develop human capital and sustainable innovations for a global knowledge economy. The quality policy commits to optimizing education, research, and community services through continuous review and improvement of its quality management system. The college aims to provide quality education to produce skilled health professionals, facilitate evidence-based practice and lifelong learning, foster faculty and student research, implement community health programs, and promote environmental awareness. It also outlines the course objectives and teaching plan for a Health Education nursing course, which focuses on developing students' communication and
This document discusses alternative birthing methods including birthing at home, in a birthing center, or using water birth. Birthing centers offer a more natural environment than hospitals with minimal medical interventions. Water birth allows women to labor and deliver in a warm water pool, which can help ease pain and speed up labor. Hypnobirth and the Bradley Method are natural childbirth philosophies that aim to reduce fear and give women more control through relaxation and husband coaching. Risks that may arise from alternative birthing methods include bleeding, infection, pain, anxiety, and fatigue.
EUTHANASIA AND SUICIDE DYSTHANASIA ORTHOTHANASIA
ADMINISTRATION OF DRUGS TO THE DYING
ADVANCE DIRECTIVES END OF LIFE CARE PLAN OR DNR
NURSING ROLES AND RESPONSIBILTIES
ETHICAL DECISION MAKING PROCESS
The Philippine Family Planning Program has evolved over 38 years from a demographic program focused on fertility reduction to a health intervention program emphasizing reproductive health and rights. It aims to provide universal access to family planning and reproductive health services through community education and outreach, with the goals of reducing unmet need for family planning, lowering fertility rates, and improving maternal and child health. The program is guided by principles of responsible parenthood, respect for life, birth spacing, and informed choice.
This document summarizes family planning methods used in Sub-Saharan Africa in the late 1990s and Kenya in 2008-2009. It finds that while 82% of married women in Sub-Saharan Africa were not using any family planning method in the late 1990s, injectables (21%) and pills (21%) emerged as the most popular modern methods. In Kenya in 2008-2009, injectables were the most commonly used method at 22%, followed by pills at 7%. The document also notes that misconceptions about contraception are common in Kenya, with over half believing injectables can cause permanent infertility and most agreeing contraception can harm health or reduce libido.
This document discusses various methods of family planning. It describes natural family planning methods like withdrawal and calendar-based methods. It then discusses barrier methods like condoms, diaphragms, and spermicides. Intrauterine devices that contain copper or hormones are explained next. The document also covers hormonal contraceptives like oral contraceptive pills containing estrogen and progestin, and progestin-only pills, implants, and injectables. Advantages and disadvantages are provided for many of the methods.
This document discusses family planning methods, including natural methods like abstinence, the calendar method, and cervical mucus monitoring, as well as artificial methods like condoms, diaphragms, birth control pills, implantable rods, IUDs, and surgical sterilization procedures. It notes that educating girls about their health and family planning options can help them make informed choices that benefit themselves and their future children.
This document discusses the concept of family and different types of families. It defines family as a group of people related by blood, marriage, or adoption living together. It then describes various family forms including nuclear families, blended families, extended families, single-parent families, and same-sex families. It also outlines the typical stages that families go through in their life cycle from marriage to retirement.
The Philippine Family Planning Program has evolved over 38 years from focusing on fertility reduction to emphasizing reproductive health and rights. It aims to provide universal access to reproductive health services with family planning as the flagship program. The program's goals are to reduce unmet need for modern family planning, attain desired family size, and improve maternal and child health outcomes. It utilizes strategies like community education, expanding access to contraceptives, and partnerships between government and NGOs. The document also describes specific family planning methods, including natural family planning which involves observing cervical mucus changes to determine fertile periods.
The document discusses various methods of family planning, including natural and artificial methods. Natural family planning relies on abstinence from sex during the most fertile times in a woman's cycle, which can be determined through basal body temperature tracking, cervical mucus monitoring, or calendar-based cycle tracking. Artificial methods prevent pregnancy through contraceptives like birth control pills, IUDs, condoms, diaphragms, spermicides, sterilization procedures (vasectomy for men or tubal ligation for women), or hormonal injections. Withdrawal is also mentioned as a method where the man removes his penis from the vagina before ejaculation.
Central venous catheter access for hemodialysisReynel Dan
This document contains a 30 question review about central venous catheters used for hemodialysis access. Some key points covered include: the standard volume of anticoagulant used for catheter locks; short term catheters being prone to kinking while long term catheters have cuffs; infection being the most common complication; and hygiene being important to prevent infections at the exit site where they often begin. The review covers topics like proper insertion sites, connection procedures, and maintenance of catheters.
Arteriovenous access for hemodialysis Review QuestionsReynel Dan
This document contains a review for a hemodialysis exam covering arteriovenous (AV) access. It includes 30 multiple choice questions about AV fistulas, AV grafts, cannulation techniques, and access maturation. Key points covered are that AV fistulas are created using a patient's own vein, while AV grafts use artificial material; grafts require less maturation time but have greater risk of problems than fistulas; and cannulation involves listening for thrills or feels and ensuring the access is patent before inserting needles in the direction of blood flow.
The document outlines the vision and mission of the Department of Health in the Philippines. The vision is for Filipinos to be among the healthiest people in Southeast Asia by 2022 and Asia by 2040. The mission is to develop a productive, resilient, equitable and people-centered universal health care system. It describes various programs the DOH provides to support Filipinos throughout their lives from birth through old age, like newborn screening, essential newborn care, rabies prevention, and smoking cessation.
The document lists 11 names along with their assigned municipalities. It provides a roster of individuals and the local governments they have been designated to serve, with most being assigned to municipalities in the Zamboanga del Sur province. The names suggest the listing is providing staff assignments for various local containment sites within the region.
Mental Health: Stress Management in FocusReynel Dan
This document discusses stress, its effects on health, and strategies for managing stress. It notes that stress is a normal human response to demands placed on the body and mind, but that prolonged stress can negatively impact physical and mental health over time by disrupting immune, digestive, cardiovascular and other bodily systems. The document recommends various stress management techniques including self-awareness, spirituality, time management, exercise, social support, and seeking help from health professionals if stress becomes overwhelming.
1) The document provides guidelines for caring for and maintaining an arteriovenous (AV) vascular access, including an AV fistula or graft. It discusses assessing the access before cannulation, identifying appropriate cannulation sites, performing cannulation safely, and removing needles properly.
2) It also outlines a staged protocol for cannulating a new AV access, starting with single cannulation by experienced nurses and progressing to double cannulation and larger needle sizes over time.
3) Maintaining the access involves daily exercise, avoiding heavy lifting or tight clothing on the arm with the access, and properly cleaning and caring for it before and after each treatment.
Decreasing dialysis provider patient conflictReynel Dan
The document discusses strategies for decreasing conflict between dialysis patients and providers. It begins by explaining some common causes of conflict, such as issues with the physical environment, treatment, staffing, and patient nonadherence. It then introduces a "CONFLICT" resolution model involving creating a calm environment, understanding others' perspectives, focusing on the key issue, finding solutions, implementing agreements, continuing communication, and review. Specific tips for defusing anger, such as deep breathing and removing oneself from the situation, are also provided.
The document outlines the challenges faced by dialysis patients including physical symptoms, social and financial struggles, and loss of autonomy. It discusses the importance of identifying patient coping styles and providing support through problem-focused strategies, information groups, and personal interaction. Nurses are well-positioned to help patients develop self-efficacy and empowerment by educating them about symptom management, treatments, and addressing the psychological impact of their condition.
Arteriovenous vascular access complicationsReynel Dan
The document discusses various complications that can occur with arteriovenous vascular access for hemodialysis patients. It describes immediate post-surgery complications like hemorrhage and low venous flow. Late complications include infections, aneurysm formation, fistula vein stenosis, congestive heart failure, steal syndrome, ischemic neuropathy, and thrombosis. The document also outlines various physical findings that are associated with different forms of access dysfunction.
The document outlines the responsibilities of patients receiving treatment from the Nephrology Center of Pagadian City Dialysis Center. It states that patients should learn about their kidney disease, supply health information to plan treatments, follow facility policies and schedules, respect others, and fulfill financial obligations. Responsibilities include understanding their condition, attending on-time treatments, following safety procedures, and paying bills.
The document outlines the rights and services patients can expect to receive at the Nephrology Center of Pagadian City Dialysis Center. Key rights include receiving high-quality and individualized care from a healthcare team, being informed about treatment options and costs, and having privacy and confidentiality. The center also provides dietary counseling, social work services, and assistance with billing and insurance.
Rehabilitation for kidney patients involves returning to a healthier state through a more positive outlook, enjoying time with family and friends, and feeling useful. Physical strength is important and can be improved through dialysis, anemia treatments, and learning to manage fatigue. Emotional strength also requires accepting the illness, learning about treatment, talking about feelings with support systems, and treating any depression. The decision to take a leave of absence from work or return depends on the individual and discussing accommodations for dialysis and limitations with the employer.
Sudden cardiac death is the most common cause of death in hemodialysis patients, usually preceded by ventricular arrhythmias. Hyperkalemia contributes to deaths and emergency dialysis sessions. Cardiac arrest risk is highest on Mondays/Tuesdays after the weekend interval when fluid and electrolyte disturbances peak. Primary prevention includes avoiding low potassium dialysate and proper medication use. When cardiac arrest occurs during dialysis, key steps are calling for help, stopping fluid removal, giving fluid boluses, leaving dialysis access open, minimizing delays in defibrillation, and treating reversible causes like electrolyte disorders and fluid overload. Modifications to standard CPR include disconnecting from dialysis equipment before defibrillation and using
Integrative teaching as mode of instructional deliveryReynel Dan
The document discusses several approaches to integrated teaching and learning:
- Integrative teaching treats the curriculum holistically and uses interactive, collaborative, and innovative processes.
- Thematic teaching organizes learning around broad ideas and links content from various disciplines under a common theme.
- Content-based instruction integrates language learning with subject content, with the language curriculum centered on students' academic needs.
- Focusing inquiry takes an interdisciplinary approach using questions to guide student-led investigations and knowledge creation.
- The generic competency model links multiple courses through overarching competencies like social, personal, and work skills.
This document summarizes amendments made to certain sections of RA 7836 or the Philippine Teachers Professionalization Act of 1994. Specifically, it increases the required number of professional education units for secondary teachers from 10 to 18. It also allows those who failed the licensure exam by less than 5% to get a special 2-year permit to work as para-teachers in areas with teacher shortages. Finally, it changes the period that special permits issued to para-teachers are valid from 3 years renewable to 5 years non-extendable.
The document discusses various grading and reporting systems used in education. It describes the objectives of grading systems as providing results to students, parents, and administrators in a brief and understandable way. Various types of systems are examined, including traditional letter grades, pass-fail, checklists of objectives, letters to parents, portfolios, and parent-teacher conferences. Guidelines are provided for developing effective grading systems and conducting productive parent-teacher meetings.
This document discusses common and less common complications that can occur during dialysis treatment. It provides details on the causes, symptoms, and management of various complications including hypotension, cramps, nausea/vomiting, headaches, and others. Potential complications are grouped as either common (occurring in 5-60% of treatments) or less common. Treatment approaches focus on prevention through careful fluid management and addressing underlying causes of complications when they arise.
Acute renal failure (ARF) is a sudden loss of kidney function that can be reversible. It is caused by renal cell damage from ischemia or toxic substances. ARF progresses through oliguric, diuretic, and recovery phases. Nursing management focuses on fluid and electrolyte balance, preventing infections, maintaining nutrition, and preserving neurologic function. Dialysis may be needed to correct electrolyte imbalances or other complications of ARF.
This document provides an overview of dengue fever, including its causes, transmission, global impact, and prevention. Some key points:
- Dengue fever is a viral disease transmitted by Aedes mosquitoes, primarily Aedes aegypti. There are 4 types of dengue viruses.
- It affects over 50 million people annually worldwide and is a major public health challenge in many tropical and subtropical countries, including the Philippines.
- Transmission occurs when an infected mosquito bites a person and transmits the virus. There is typically an incubation period of 4-7 days before symptoms appear.
- Symptoms range from mild fever to severe dengue hemorrhagic fever. Treatment depends on
The document is a student paper submitted to their professor titled "Stress Management" in partial fulfillment of requirements for a Master of Nursing degree. It discusses stress management techniques including exercise, meditation, deep breathing, spending time with pets, and more. It also covers models of stress management like the transactional model and health realization model, and ways to measure stress levels.
20. Standard Days Method (SDM) 95% epektibo Mugamitug cycle beads paratima-ilhansapanahonngamabingahon (fertile) angbabaye, aronmalikayanangpakighilawasugdilimaburos Para samgababayenga 26-32 kaadlawangsiklo (menstrual cycle) Para samgamagti-ayonngamakapugongsapakighilawas kung fertile angbaye
22. Basal Body Temperature (BBT) 99% epektibo Aronmahibaw-an sabaye kung siyamabungaugmaburoskonmakighilawas, kwaonniyaangiyangtemperatura bag-o mubangonpaghumanugtulogug 3 kaoras o labaw pa Para samgamagti-ayonngamakapugongsapakighilawas kung fertile angbaye
23. Billings Ovulation/Cervical Mucus Method 97% epektibo Obserbahansababayeangklasesa mucus/dugangamugawassaiyangpwertaaronmahibaw-an kung siyamabungahon (fertile) Para samgamagti-ayonngamakapugongsapakighilawas kung fertile angbaye
24. Sympto-Thermal Method 98% epektibo Obserbahanangtemperaturauguban pang timailhannga fertile angbayesamasa mucus ngamugawassaiayngpwertaugpagsakitsa pus-on Para samgamagti-ayonngamakapugongsapakighilawas kung fertile angbaye
32. Dili. Tananpaagisa family planning luwasugepektibo kung saktopaggamit. Angmagti-ayonpwedemupiliugpamaagingauyonsailanglawasugigosailangpanginahanglanugkahimsog.
34. Lain-lain ugganasapakighilawasangkadatawo. Sa kinatibuk-an, angpaggamitug contraceptives walayepektosaganasapakighilawassatawo. Sa paggamitsa contraceptives, mawalaangkabalakasamagti-ayonngamagkaanakngawalasaplano. Tungodani, mas gawasnonangmagti-ayonsapagpakitasapisikalngaaspetosailangpagpanggasausag-usa.