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Treatment of Pressure Ulcers

Written by kimmel52 on November 25, 2012 – 11:08 pm

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Change in practice assignment
The purpose of this article is to address the problem of the development of pressure ulcers occurring in susceptible individuals during short terms stays in the hospital. Identifying those factors that put patients at risk and critically evaluate current nursing practices used on the floor, such as documentation, identification and current methods of prevention.
The Development of Pressure Ulcers during Short Term Stays
According to the National Guideline Clearing House, people of all ages are at risk of developing pressure sores based on the vulnerability of their current health status (“Target population,” 2011, para. 4). In the current work setting, almost all patients with limited mobility who cannot get out of bed by themselves and need to wear briefs or use the bedpan begin to develop a stage I pressure ulcer prior to discharge within 1 -2 days after hospitalization or short term emergency room stay. The hallmark of quality nursing care is excellent skin care (Wurster, 2007, p. 267). It is up to the nurse to lead the role in pressure ulcer prevention. The importance of this problem extends beyond the hospitalization stage. Those individuals who are discharged with stage 1 pressure ulcers do not always have properly trained family members to care for them thereby preventing the stage 1 from getting worse. For many of the elderly patients, pressure sores are a common health problem particularly among the physically limited or bedridden and without proper treatment can remain for the duration of the persons life (Jaul, 2010).
The incidence of pressure sores has increased by 63% between the years of 1993 to 2003 in hospitalized patients(Wurster, 2007). The nurse is responsible for targeting the care that these patients need to receive to prevent pressure ulcer development. Coordinating staff to work as a team is currently lagging in the work place. The charge nurse does not follow up on the staff nurse notes, nor does the staff nurse follow up on the nurse aide tasks of turning the patients and providing nutritional supplements provided by their dietary orders. The assessment and management of pressure ulcers require a comprehensive multidisciplinary approach (Jaul, 2010, p. 313). Read more »


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The Math on the N.E.T.

Written by kimmel52 on January 31, 2010 – 3:40 am

Pass The Nursing Entrance Test, The First Time! Helps prepare students better than the actual study guides for the HESI, The N.E.T. and The TEAS, much more comprehensive.

The NET ( Nursing Entrance Test ) is a computer based test consisting of six parts: math skills, reading comprehension, test taking skills, stress level, social interaction, and learning style. All six parts must be completed in order to receive scores and be considered for admission in a nursing school. The products below will help you achieve your dream of becoming a nurse. As a BONUS we will include FREE with any order a copy of the Kimmel Guide – The Easy Guide to Accredited Degrees Through Correspondence. Products offered and written by the U.S. leading authority in helping students prepare for The Nursing Entrance Test, Nancy Kimmel R.N. Ph.D
As a math instructor at Henry Ford Community College, I have seen the difficulties that students have with the math basics. In this tutorial I incorporate the same teaching methods used in a classroom setting. It is like having a math teacher in your living room.
Pass The N.E.T. Math Review Includes over 200 pages of tutorials, questions and answers. Available in PDF format, can be immediately downloaded upon purchase by clicking on a secure link sent by email.
Topics Covered Include;
1. Addition and subtraction of fractions
2. Multiplication and division of fractions
3. Powers of ten
4. Word problems
5. Ratio and Proportions
6. Solving for “X”
7. Decimals and percentages
8. Dividing by decimals
9. Multiplication of decimals
10. Exponential division, multiplication, addition and subtraction
11. Algebraic factoring
12. Geometry
13. Angles
14. Equations of lines

All explanations are included with detailed solving methods to assist the student in taking the HESI, TEAS, or the N.E.T. quickly and proficiently.

Many students are not sufficiently prepared for the math section. They tend to take too much time on one problem. The methods that you will learn with this tutorial are similar to those that I teach my students to use. Analysis and critical thinking are some of the concepts that you will be able to apply when using this guide.


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“PASS THE N.E.T. SEMINAR”

Written by kimmel52 on October 23, 2009 – 7:12 pm

How Did Our Seminar Go?
10/23/09
Well folks we had a great time at the “Pass the N.E.T.” seminar last night. There were students all over the greater metro Detroit area present. A lot of learning took place. We had reading comprehension and math handouts, the Nursing Entrance CD, and a free subscription to the Nurses Learning Center online tutorial with practice tests, not to mention the four hours of one on one instruction and tutoring. It went great. We covered much of the pertinent topics, such as how to test smarter, not harder, tips on how to increase scores in the reading comprehension section and how to handle those difficult fractions in the math section. There was another seminar going on a few doors down dealing with improving reading comprehension abilities in high school students. They liked our handouts so much that they asked for some so they could incorporate it into their new curriculum design. What a wonderful night of learning.
There were many students that wanted to attend but couldn’t. They called asking if we were going to have another seminar. Indeed we are. Tentatively our next seminar date will be toward the middle of February. Look for flyers at your local college book stores. By the way, we would like to extend our many thanks to Pat, manager of all five of the Wayne County Community College Book stores who allowed us to put up our flyers, and a big thank you to our local Henry Ford Community College Book Store. We apologize to all of the students for giving such late notice regarding the seminar. So absolutely, we are going to do this again.
The staff at the Double Tree Hotel in Detroit, were courteous and professional in handling all of our needs. The tables had white table cloths with pitchers of fresh ice water and crystal glasses at each table. The participants had their own pen and pad of paper, and what beautiful room décor. We will certainly choose the Double Tree Experience again at our next seminar. Thanks again Double Tree.
In the seminar we covered test anxiety. This was a big topic. Students loose points due to test anxiety, even though they know the material. By tackling test anxiety and learning how to use visual guided imagery the student can increase their test score by ten points at the least. Many of the students had questions regarding how many times they could take the Nursing Entrance Test. Some schools will only allow three attempts, while other schools will allow unlimited attempts. Questions arose regarding whether or not the Nursing Entrance Test could be taken at one school and transferred to another. While some schools do accept the scores from other schools, it is not the norm. Most schools will only accept student’s scores on the Nursing Entrance Tests that they administer on campus. The NET (Nurse Entrance Test) is a computer based test consisting of six parts: math skills, reading comprehension, test taking skills, stress level, social interaction, and learning style. All six parts must be completed in order to receive scores and be considered for admission. However, only the math and reading scores will be used to calculate application eligibility. A reading score of 60% or higher and a math score of 50% or higher must be achieved for admission to one of the Maricopa Community Colleges’ Nursing Programs.

Math skills problems consist of whole numbers, decimals, fractions, percentages, number system conversions and algebra equations. Calculators are NOT allowed. Scratch paper will be provided.

Reading comprehension involves reading selections and answering questions. Not only do most schools prefer their student’s take the Nursing Entrance Test on their campus, but there are many versions of the N.E.T. circulating throughout the various nursing schools throughout the United States, such as the H.E.S.I., the ATT, and the T.E.A.S.. With all these variations of the N.E.T. it is no wonder that student’s have trouble with their search for reliable study materials. It is for this reason that we developed a comprehensive online tutorial platform that includes Anatomy and Physiology, Chemistry, Biology, English Grammar and heavy on the Math and Reading Comprehension. In doing this we have helped students prepare for any and all Nursing Entrance Tests successfully. Participants at the seminar were very pleased with all of the help and free software that they received. We are going to keep on developing more and more practice tests. We want everyone to pass the Nursing Entrance Test the first time.


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The NET, the HESI and the TEAS

Written by kimmel52 on October 23, 2009 – 5:50 pm

Hello Students;

Pass today

For all of you considering going to nursing school, you will probably be asked to take a pre-nursing entrance exam such as the NET, HESI or the TEAS.  There is another pre-nursing entrance exam entitled the ATT.  Which ever exam you are required  to take, you can feel confident that the book entitled, “Pass The NET, The First Time” will help you to pass with higher than national average scores.  The reading comprehension and math are treated in depth with many questions and fully explained answers.  In it you will also find Anatomy and Physiology, Chemistry, English Grammar and Biology questions, along with fully explained answers.  There is also a free downloadable software that comes free of charge, to give you hours and hours of practice.  The software requires that you have Micro Soft Power Point installed on your computer.  With this software you can take tests that are timed for one minute and get your scores as well as check your answers with fully explained solutions to all the problems.

Do you think that becoming a nurse is the right career choice for you, then get ready to take the N.E.T., the HESI or the TEAS entrance test. You can begin preparing for your career by practicing your skills using the online tutorials and tests at The Nurses Learning Center. For a small one time fee, you will have unlimited access to all the tests, which include Reading Comprehension, Math, Anatomy and Physiology , Chemistry, Biology and English Grammar. It is yours to keep. New questions are added daily. It’s like taking the actual test in the privacy of your home.
Best Wishes to all,

Nancy Kimmel RN PhD


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Nursing Entrance Test, HESI, TEAS Sample Math Question of the Day

Written by kimmel52 on October 23, 2009 – 12:31 pm

Math Question of the Day

Three fourths of 129.00 is equal to what number?

Solve:
First use the rule of math language.
3/4(129) = x

This is the same as multiplying 0.75 (129) = 96.75
Remember, you need to know your long multiplication to take the HESI, the TEAS or the N.E.T.

Home Sales versus Renting in the State of Michigan

YEAR Homes Purchased Homes Rented
1999 30,000 25,000
2000 29,000 26,000
2001 28,000 27,000
2002 27,500 27,078
2003 27,125 27,103

A. Given the data above, the equation of a line for “Homes Purchased” and for “Homes Rented” is shown below.
B. Find the year at which homes rented will equal homes purchased

H(t) = – 0.19(t) + 43.73

R(t) = 0.16(t) + 39.90

If you have the desire to go into nursing, then you must first get ready to take the N.E.T., the HESI or the TEAS entrance test. You can begin preparing for your career by practicing your skills using the online tutorials and tests at The Nurses Learning Center. There are over 1000 questions and answers. You will get unlimited internet access, 24/7. It is yours to keep. New questions are added daily. It’s like sitting for the N.E.T., The HESI or the TEAS in your home.


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Nursing Entrance Test, Math Calculations

Written by kimmel52 on February 21, 2009 – 3:14 am

Learn how to solve medication calculations correctly every time.

Medication calculations, hate them, right? 
You probably wouldn’t think that you would have to know how to do medication calculations on the NURSING ENTRANCE TEST.  You don’t have to fear medication calculations.  There are indeed problems on the N.E.T. that are medication calculations. The only thing different from regular math problems and a medication calculation is what type of formula to use. At the Nurses Learning Center the student can study online computerized tests and track their scores. They even get feed back on their answers and can see the entire equations solved right before their eyes. Learning math will not seem as difficult when practice problems are presented in an integrated learning environment such as the NET Tutorial provides. It seems as if there are no two teachers that explain the math the same way.  Don’t forget the stress associated with the tests.  You only get two to three chances and you are out of the program if you don’t pass.  Below you will find some sample medication calculation questions solved using dimensional analysis. If you can get a handle on using this technique you will sail through the hardest test.   Take a look at some of the examples below the product plug and Good Luck. 4. The order reads for digoxin 0.5mg po. Available to the nurse is digoxin 0.25 mg/tablet. The nurse would
administer how many tablets?
5. The order is for Bactrim 0.5G po. Available to the nurse is Bactrim 250mg/tablet. The nurse would
administer how many tablets?
6. The physician orders propanolol (Inderal) 80 mg po daily. Available to the nurse is Inderal 20 mg/tablet.
The nurse would administer how many tablets?
7. The physician orders alprazolom (Xanax) 0.25 mg. Available to the nurse is alprazolom 0.5 mg/tablet. The
nurse would administer how many tablets?
8. The order is for risperidone (Risperdal) 1 mg po daily. Available to the nurse is risperidone 0.5 mg/ tablet.
The nurse would administer how many tablets?

Here is one of our tutorials from the Pass The Net™ Education Store:

Pass The N.E.T. Math Review
Includes over 200 pages of tutorials, questions and answers. Delivered in PDF format immediately upon purchase.
Price: $24.77

For all other Pass the NET™ products visit our Nursing Education Store.

Medication Calculation

1. The doctor’s order reads, give Tylenol® grains X every 4 hours prn for pain. This amount is equal to which of the following?

A. 365mg

Read more »


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