Nursing Blog

This is an incomplete list, which may never be able to satisfy particular standards for completeness. You can help by expanding it with reliably sourced entries. This is a list of notable public health journals about nursing. AAACN Viewpoint AACN Nursing Scan in Critical Care AAOHN Journal Advance for Nurse Practitioners Advances in Neonatal Care AORN Journal BMC Nursing British Journal of Cardiac Nursing British Journal of Community Nursing Canadian Journal of Nursing Research Cancer Nursing Practice Clinical Nurse Specialist: The Journal for Advanced Nursing Practice Emergency Nurse (magazine) Evidence-Based Nursing (journal) Gastrointestinal Nursing Human Resources for Health International Journal of Nursing Terminologies and Classifications Issues in Mental Health Nursing Journal of Addictions Nursing Journal of Advanced Nursing Journal of Holistic Nursing Journal of Nursing Education Journal of Obstetric, Gynecologic, & Neonatal Nursing Journal of Orthopaedic Nursing Journal o

In the modern world, there are a large number of specialities within nursing. Professional organizations or certifying boards issue voluntary certification in many of these specialties. Ambulatory care nursing Advanced practice nursing Burn nursing Camp nursing Cardiac nursing Cardiac catheter laboratory nursing Case management Community health nursing Correctional nursing Critical care nursing Emergency nursing Environmental health nursing Faith community nursing Flight nursing Forensic nursing Gastroenterology nursing Genetics nursing Geriatric nursing Health visiting Home health nursing Hospice nursing Hyperbaric nursing Immunology and allergy nursing Intavenous therapy nursing Infection control nursing Infectious disease nursing Legal nursing Maternal-child nursing Medical-surgical nursing Military and uniformed services nursing Neonatal nursing Neuro-surgical nursing Nursing informatics Nursing management Obstetrical nursing Occupational health nursing Oncology nursing Orthopaedic

Introduction Lawrence Kohlberg (1927-1987) devised a theory in which he explained s six stages of moral development divided into three levels. Morality is the system one uses to decide what is right and wrong; how one’s conscience affects choices. Moral development refers to the capacity of the individual to act in accord with conscience and moral imperatives rather than egocentric values. Kholberg defines moral judjments "as judgments of value, as social judgments, and as judgments that oblige an individual to take action.” He was inspired by Swiss psychologist Jean Piaget and the American philosopher John Dewey. Moral development accross life span By the second year of life, “moral emotions” are emerged. By 36 months, most children demonstrate the internalization of parental standards. During the school years, the importance of rules and adhering to them become well defi ned. Moral dvelopment after adolescent period is complex and influenced by social factors. Kohlberg's The

Sample of Nursing Care Plan Sample of Nursing Diagnoses (As per NANDA- North American Nursing Diagnosis Association) Nursing Diagnosis Analysis 1 Risk for injury related to accelerated motor activity Accelerated motor activity or impulsive actions 2 Disturbed thought process related to impaired judgement associated with manic behaviour Judgement impaired , mood of elation (patient is using inappropriate dress and bizarre dressing) 3 Self-care deficit (unkempt appearance) related to hyperactivity Unable to take time for self-care is, dishevelled and unkempt 4 Impaired verbal communication –flight of ideas related to accelerated thinking Accelerated speech with flight of ideas (thought speeded up causing rapid speech and flight of ideas, excessive planning for activities 5 Ineffective coping related to elated expressive mood Euphoria, elation, cheerfulness( an exaggerated sense of well being) 6 Disturbed thought process –grandiosity related to elevated mood Grandiosity-inflati

Nursing Care Plan Seizure Disorders CARE SETTING Community; however, may require brief inpatient care on a medical or subacute unit for stabilization/treatment of status epilepticus. RELATED CONCERNS Cerebrovascular accident (CVA)/stroke Craniocerebral trauma (acute rehabilitative phase) Psychosocial aspects of care Substance dependence/abuse rehabilitation Patient Assessment Database ACTIVITY/REST May report: Fatigue, general weakness Limitation of activities/occupation imposed by self/significant other (SO)/healthcare provider or others May exhibit: Altered muscle tone/strength Involuntary movement/contractions of muscles or muscle groups (generalized tonic-clonic seizures) CIRCULATION May exhibit: Ictal: Hypertension, increased pulse, cyanosis Postictal: Vital signs normal or depressed with decreased pulse and respiration EGO INTEGRITY May report: Internal/external stressors related to condition and/or treatment Irritability; sense of helplessness/hopelessness Changes in relationshi

Nursing Care Plan Multiple Scelorsis CARE SETTING Community or long-term care with intermittent hospitalization for disease-related complications. RELATED CONCERNS Extended care Pneumonia: microbial Psychosocial aspects of care Sepsis/Septicemia Patient Assessment Database Degree of symptomatology depends on the stage and extent of disease, areas of neuronal involvement. ACTIVITY/REST May report: Extreme fatigue/weakness, exaggerated intolerance to activity, needing to rest after even simple activities such as shaving/showering; increased weakness/intolerance to temperature extremes, especially heat (e.g., summer weather, hot tubs) Limitation in usual activities, employment, hobbies Numbness, tingling in the extremities Sleep disturbances, may awaken early or frequently for multiple reasons (e.g., nocturia, nocturnal spasticity, pain, worry, depression) May exhibit: Absence of predictable pattern of symptoms Generalized weakness, decreased muscle tone/mass (disuse), spasticity, tremors

Nursing Diagnosis Activity intolerance Insufficient physiologicalor psychological energy to endure or complete required or desired daily activities Defining Characteristics Abnormal blood pressure response to activity; abnormal heart rate response to activity; EKG changes reflecting arrhythmias; EKG changes reflecting ischemia; exertional discomfort; exertional dyspnea; verbal report of fatigue; verbal report of weakness Related Factors (r/t) Bed rest; generalized weakness; imbalance between oxygen supply/demand; immobility; sedentary lifestyle Suggested NOC Outcomes Activity Tolerance, Endurance, Energy Conservation, Self-Care: Instrumental Activities of Daily Living (IADLs) Example NOC Outcome with Indicators Endurance as evidenced by the following indicators: Performance of usual routine/Activity/Concentration/Muscle endurance/Eating pattern/Libido/Energy restored after rest/Blood oxygen level (Rate the outcome and indicators of Endurance: 1 severely compromised, 2 substantially com

A family nursing care plan is a set of guidelines developed by a patient’s family and nursing staff. The plan may cover home care and include times and activities a visiting nurse may be required to fulfill. A full-time nurse includes the family by assigning various duties to willing family members. According to RNpedia, a nursing care plan includes realistic goals and clear, specific instructions. Step 1 Make a list of your concerns before meeting with the nurse. Include problems that you’ve had with your family member in the past as well as ongoing needs you’ve identified. The nursing care plan also should take into consideration future concerns and prepare contingency plans for problems your family foresees in the future. Step 2 Allow the nurse to make an assessment of the patient, so that the nurse can add appropriate comments when you sit down for the meeting. The nurse is the one who will be reporting back to the patient’s doctors and needs to record accurate medical details and

For most patients, the nurse becomes the primary contact in the medical world. The nurse serves as the liaison between doctor and patient. She must understand the doctor’s instructions and the patient’s concerns. Her communications skills focus on both giving and receiving information as well as creating an environment of confidence. Both verbal and nonverbal communication skills aid nurses in their work. A soothing voice while answering questions and a friendly smile both send a message to the patient. Clear descriptions of symptoms aid the doctor in choosing a course of treatment. When the nurse is faced with a patient suffering disfiguring injury or illness, her calm demeanor in dealing with him can help ease his mind about acceptance in the world. Another type of communication is the accurate written record maintained by the nurse on the patient’s behalf. Clear, concise notes make follow up easier and improve continuity of care between caregivers. If the nurses on each shift know w

Hypoglycemia Treatment Management of hypoglycemia involves immediately raising the blood sugar to normal, determining the cause, and taking measures to hopefully prevent future episodes. The blood glucose can be raised to normal within minutes by taking (or receiving) 10-20 grams of carbohydrate. It can be taken as food or drink if the person is conscious and able to swallow. This amount of carbohydrate is contained in about 3-4 ounces (100-120 ml) of orange, apple, or grape juice although fruit juices contain a higher proportion of fructose which is more slowly metabolized than pure dextrose, alternatively, about 4-5 ounces (120-150 ml) of regular (non-diet) soda may also work, as will about one slice of bread, about 4 crackers, or about 1 serving of most starchy foods. Starch is quickly digested to glucose (unless the person is taking acarbose), but adding fat or protein retards digestion. Symptoms should begin to improve within 5 minutes, though full recovery may take 10–20 minutes.

Stroke A stroke, previously known medically as a cerebrovascular accident (CVA), is the rapidly developing loss of brain function(s) due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood flow) caused by blockage (thrombosis, arterial embolism), or a hemorrhage (leakage of blood). As a result, the affected area of the brain is unable to function, leading to inability to move one or more limbs on one side of the body, inability to understand or formulate speech, or an inability to see one side of the visual field. A stroke is a medical emergency and can cause permanent neurological damage, complications, and even death. It is the leading cause of adult disability in the United States and Europe and it is the number two cause of death worldwide. Risk factors for stroke include advanced age, hypertension (high blood pressure), previousstroke or transient ischemic attack (TIA), diabetes, high cholesterol, cigarette smoking and atrial fibrillation. H