The Night Piece
Last week, I had spent my seven-to-three morning shift at the nursing station 4 of Kidapawan Doctors Hospital (tertiary hospital). After few instructions from our clinical instructor, I pulled my paraphernalias on my 3rd year high school back pack (na magbibirthday na bukas) and went in to see my first patient at the male ward and acting like I know what I am doing and talking about. It's all about practice, you know. hehe. I have five patients all-in-all.
I received K, twenty five years old, conscious and responsive. He's a man with high estrogen level. Of course as usual, I always start by introducing myself and to establish rapport. I'm aware that he's gay and his looks don't really come across. I took his vital signs, no abnormalities noted. I noticed multiple abrasions on his both lower extremities and I found out that he's a victim of January 10 bombing here in Kidapawan. He walked- no fret- by Quezon Boulevard, blast at 8:45. He suffered multiple blast injuries on his both lower extremities. On his Xray, small metabolic foreign bodies are noted in the soft tissue underlying his ankle joint, soft tissues of the middle third of his thigh posterolaterally as well as in the third of his leg. No fracture noted.
My nursing care: Bedside care, Vital sign checked, rechecked and recorded, due meds given, placed on comfortable position, encouraged to have adequate rest period, encouraged to eat nutritious foods, diet well tolerated, encouraged verbalization of feelings...
Tuesday morning at around 10, I followed the physical therapist for an electronic therapy for evaluation and treatment on his left foot drop. He couldn't perform activities like walking comfortably within the hospital premises because of his present condition. So, it's alteration in comfort. Sir Pete, the physical therapist who happened to be my friend Quen's big bro. What a coincidence! hehe. So we had a little chit-chat and asked him with questions about what he is doing than pretending myself like a babbling idiot. After 20 minutes of improving my patients dorsiflexion of his left foot, I wondered why Sir Pete using a doppler ultraound on Kimwel's left knee. Oh no! my patient is pregnant! *lol. It is just a therapeutic ultrasound and part of the treatment process.
K is just one among the victims admitted at KDI. There are wounded innocent lives, creatures haunted by that night. Ounce of blood dripped. Blood that keeps the beast alive to tell of its existence.
Most of our lives we've been praying for peace. But it seems impossible when everybody could see that peace being held in captive, struggling to be set free. The current news about bombing has allegedly urged nations to produce armaments that have perhaps drawn no end to these coercions. Conspicuously, in large areas here in Mindanao, these inhumane acts are a constant treat, If we only could get rid of the violence and let humanity grow then maybe that's when peace will fly again.
The unfortunate events have seeded its wrath, and to most people, it would take away lives of scores. Every place has been put onto suspicion. Everyone gets feared that anytime a bomb could explode. Is there any place in the world worth to be called safe? I guess none. For its only our trust in Him that would make us safe.
I have the desire to ease the suffering that used to be part of the healing process. But I got tired of fixing problems that don't matter in the grand scheme of life.
Labels: nursing updates, Related Learning Experience
[Ho I wish to have a PDA]
We're getting hang of maximizing space in the planet. From bulky analogs, we made wee cellphones; from monster desktops to sleek mac laptops; from bunch of nursing books to a pocket sized device.
The object of my dreams and fantasies is a pocket- sized plastic device measures more or less four inches length and 3 inches wide called PDA or Personal Digital Assistant.
In short, guto ko magkaro'n ng PDA.
For a nursing student like me whose life revolve around the college and clinical settings resolves around reference books like the medical dictionary, laboratory manual, NANDA, durg handbook and journals; that were staples in our backpacks , is not an easy you know. When a clinical instructors asked a drug study, students searching for the right book ( MIMS or PDR Drug Hand book, etc) to look for classifications, adverse effects, indications, contraindications, mechanism of actions and nursing responsibilities. If only the students had something to keep with them. It would save time and increase the probability that they [we] take the extra step to research pharmacological interventions.
What is a Personal Digital Assistant?
PDAs (Personal Digital Assistants) are handheld computers that can synchronize information between the handheld and your desk top computer. Most use pen based interfaces with handwriting recognition technologies for data entry. Like most technology the PDA has quickly evolved to be a fairly sophisticated device but the basic applications on most PDAs include a date book, address book, task list, memo pad and calculator.
Types of Devices
There are currently two main competing device formats, Palm (PalmOne) and Pocket PC (Microsoft). Palm devices uses the Palm Operating System (OS) as do several other manufacturers such as Handspring, Sony, and TRG for example. Microsoft PocketPC based devices include those manufactured by Compaq/Hewlett-Packard and Casio.
Why would I buy a PDA?
Many programs have been developed to help nurses and other health care professionals and are valuable because of the enormous amount of information that can be made available during patient care and particularly at the point-of-care. Some of the particular uses include calculations, vast amounts of reference and clinical tools for quick reference, and patient tracking. It is important to consider what you want to use the PDA for when making a decision about which device to purchase. Some things to think about include: the device's data entry method (especially for email and text intensive applications), the size and shape of the device and its display (should be comfortable to hold and the display easy to read), integrated features such as GPS, MP3 player, memory slots, peripheral accessories (headphones, keyboards etc.), digital camera and cell phone.
What comes with a PDA?
Some of the basic applications that come with a PDA are a calendar and date book, address book, memo pad and To Do list, expenses, email, calculator and built in security features such as passwords and information 'locks'. Increasingly PDAs are integrating other technologies such as voice recording, MP3 players, wireless connectivity with wireless networking (WiFi) or cellular telephone technology, and digital cameras. Basically, the more features and memory that these adaptable computing devices offer the higher the price.
An essential feature of PDAs is their ability to synchronise data with a PC or Apple Mac computer. All PDA devices come with synchronisation software and some sort of desktop Personal Information Manager (PIM) application. Palm OS machines will work with either Windows or Apple Macintosh systems, whereas PocketPC machines are designed to synchronise with Microsoft Windows based systems. Most can also use third-party PIMs such as Lotus Organiser, or CorelCentral with additional software purchases.
Quotes from Old School Goes High Tech, Advance for Nurses:
To me, it ties it all together, Kurt said. As you're learning how critically think about a patient, you want to look at all aspects.
This pocket- sized reference builds confidence in students allowing to assuredly answer patients' questions with certainty.
Sources: Old School Goes High Tech, Advance for Nurses, Internet
Labels: Device, Related Learning Experience, Trip
Real Spirit of Christmas
Mind you, in parts of India, there's an annual holiday during which people pay visits to those with whom they've quarelled during the previous year, and make peace. I wish we could import that practice and make it part of our christmas. Think of it: a festival of mass reconciliation, a day of new beginnings which is what our Christmas should be, but isn't. There are boo boos that make everyone, seem well, a litle grinchy.
HAPPY NEW YEAR TO ALL!!!
Labels: Holidays, Trip