Nursing Podcast by NURSING.com (NRSNG) (NCLEX® Prep for Nurses and Nursing Students)

• Pressure Ulcers Nursing Care Plan

  View the full lesson here: https://academy.nursing.com/lesson/nursing-care-plan-ncp-for-pressure-ulcer-decubitus-ulcer-pressure-injury/?quiz-view=open   All right. Let's work through an example Nursing Care Plan for a patient with a pressure ulcer or pressure ulcers, right? Let's look at the hypothetical patient. Let's think just about what we might see on this specific patient regarding the pressure ulcers. So subjective data, if I have a patient with a big wound, whether it's on their sacrum or their shoulder or their leg, they're probably going to be pretty uncomfortable, right? They might actually have some pain, right? Or they could potentially have some tenderness over the area, especially over those bony prominences. So that's something to think about for sure. Then you might actually see it, right? We're actually gonna see the pressure ulcer. So depending on the stage, stage one to stage four, make sure you check out the lesson on pressure ulcers inside of the med surg integumentary course to know how to stage these pressure ulcers.

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• Encephalopathy Nursing Care Plan

  Find the full lesson here: https://academy.nursing.com/lesson/nursing-care-plan-ncp-for-encephalopathy/   This here is the nursing care plan for encephalopathy. So, the pathophysiology. Encephalopathy is a general term for disease of the brain tissue. It's a syndrome of brain dysfunction caused by damage to brain tissue and failure. This damage can be done by atrophy, lack of oxygen, edema, or toxins. So some nursing considerations, there are a few things that we want to consider when taking care of these patients, we want to consider putting them on seizure precautions. So we want these patients to be protected. The best way to do that is with seizure precautions. We want to do vital signs. We want to monitor their vitals.    We want to do frequent neuro checks and if available and if necessary, we would need to monitor their ICP. And we want to draw labs; more importantly, ammonia and finding levels to see if that is the root cause. The desired outcome for these patients is to treat or reverse the cause in order to restore proper brain function, it returns the patient to their usual baseline mental status. So when this patient comes in to you, this encephalopathic patient comes in to see you. There's going to be a few things that we see, but there's going to be some things that either them or their family tells us. Some of the subjective data that we see is that they are going to complain about mood or personality changes. 

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• be YOUR best self (not this)

  I was so wrong . . . let me explain. I first created this shirt back in 2019 - at the time I was focused on the word "BEST". As in, "Be Your BEST Self".   However, going through 2021 and all the way through 2023 my depression began to grow - immensely. At a few points it absolutely has been debilitating. This is nothing new - I've battled depression, bipolar, and anxiety for many years - but this time - the cloud was much darker.   Nursing can be tough.  Find hope at NURSING.com   ❤️ Happy Nursing!   Jon Haws, RN

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• Abdominal Pain Nursing Care Plan

  Find the full lesson here: https://academy.nursing.com/lesson/nursing-care-plan-ncp-for-abdominal-pain/   First, we're going to collect our data. Remember, our data is just our assessment, so subjective from the patient and objective from the nurse. A patient with abdominal pain, that's having symptoms, the subjective data for this patient is likely going to be the pain, maybe they have a decreased appetite, and how about some nausea? Those kinds of things are going to be all their subjective data.    For objective data, maybe they feel really restless. This is what the nurse is observing. Let's say we see on this patient, that the patient is having some guarding of the abdomen. Maybe some rebound tenderness when they're pushed down. Maybe we see, or assess the patient and realize they're constipated or have constant vomiting or diarrhea. These kinds of things will be our objective data.    My hypothetical patient for our care plan will say that they're having abdominal pain and it's from excessive vomiting. We have to analyze the information. This is going to help us to diagnose and prioritize. So what is the problem? Well, the problem is the pain and the problem is that they are having some excessive vomiting. So, what needs to be improved? What can we do to improve or what needs to be improved to help the patient, is going to be the pain, right, but more than that, we need to, for this patient, we need to fix the vomiting, so that can help fix the pain. What is our priority? So, our priority is going to be to stop the vomiting and to help that abdomen just not be so tender right, so stop that vomiting, which is going to help with the pain for this patient and relieve that pain.

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• i cried as they mourned their loss

  Working as a nurse in the ICU, I cared for many patients who are burned into my mind and heart forever.   One of those patients was a young mom, in her early 40s with children in their early teens, who had suffered from cancer that had metastasized to her brain.   She was incredibly sick, and this cancer was extremely advanced.   One night as I cared for her, she was feeling exceptionally sick.   Just a couple hours into the shift, I was preparing her for bed. Her family stepped out and went home for the night. I could see that this night she was very upset - more so than other nights.   She was low on energy, she was sad, she looked weaker than normal.   Within moments of her family leaving for the night, she passed away quietly.   Nursing is hard, find hope at NURSING.com   ❤️ Happy Nursing! Jon Haws, RN

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