nurse's notes

Conjunctivitis -

• inflammation of the conjunctiva due to bacterial infection, allergy, trauma and viral.
• rickettsial or chemical injury

Symptoms:

• redness
• pain
• swelling
• lacrimation

Nursing care:

• frequent irrigation to remove the discharge
• warm compresses
• wash hands before and after cleaning or treating
  
• use clean washcloths and face towels should always only by his own use
  

Chalazion-

• it is a cyst of the meibomian glands.
• just it occurs as a small lump, hard and painless in the lid
• incission usually done because most of the cyst were became infected.

Nursing Care:

• hot compress of the affected site

Management:

• incision and drainage and express the cyst by the physician

Trachoma-

• chronic highly communicable disease of the eyelids. It is caused by virus
  
• Follicles appear on the conjunctiva after acute inflammatory process and eyelids turns in if scar formation in the eyelids which causes the lashes to scratched the cornea. Constant scratching causes irritation and infection. which leads to ulceration and blindness.

Nursing care:

• encourage patient and family tp prevent the spread of the disease. dire
  
• isolate patient because this disease spreads through direct contact
  
• pesonal hygiene
• carried out antibiotic treatment as prescribed by the physician
  

Acute Cervical Adenitis- infection of the lymphatic glands of the neck secondary to an infection of the mouth pharynx or the scalp.

Causes:

• from infected tonsils

• pediculosis- cause of infection of the posterior group of glands

• infection due to tooth problem

Signs and Symptoms:

• swelling of one side of the neck, tender and edematous

• abscess formation

• spontaneous rupture if swelling not incised

Prevention:

• children are the once usually affected so regular inspection and proper care and appropriate prophylactic treatment for teeth and tonsil to avoid infection
• parasiticides is applied in case of pediculosis
• proper hair care to avoid lice infestation
  

Vincent's Angina - is usually called "trench mouth" and a pseudomembranous ulceration affecting the edges of the gums, the mucosa of the mouth, the tonsils and pharynx caused by spirochets and a fusiform bacillus


Signs and symptoms

• painful bleeding gums
• painful upon talking and swallowing
• fever
• lymph nodes in the neck

Nursing Care

• mouthwash hourly or irrigation
  
• soft diet or liquid diet to reduce trauma of the gums and avoid acidic odor
• sterilizing utensils
  

Blephritis- infection of the eyelids with redness, irritation and mucopurulent disharges


Nursing Care:

• maintain cleanliness
• prevent excessive dryness
• keep the scalp clean and daily cleaning of the eyelid by rubbing gently with clean face towel
• anti-infection ointment as prescribed by the physician
  

Sty (external hordeolum)- infection of the eyelash follicle at the edge of the eyelid

Signs and Symptoms:
swollen
red
tender
painful

Nursing Care:
hot compress at early stage
removal of the lash followed by drainage of the pus

Depormities is one complication of an illness or injury. One of way to prevent is proper POSITIONING- a patient must have to encourage frequent changing of position, proper positioning in bed, exercise and ambulation

Purpose of positioning are:

• prevent contraction
• promote coughing exercises to stimulates to cough out respiratory secretions and lung expansion
• to relieve pressure to a body area
• stimulates circulation and help prevent thrombophlebitis, bed sores and edema of the extremities
  

Senile Dementia of the Alzheimer's Type of Disease is the irreversible type of dementia characterized by progressive impairments of memory, judgment, language, cognition and self care . Or in other words it is a loss of memory of an aged individual and the cause is still unknown. It is the disease of among aged affecting approximately 20% of the population at age 80 years old. Once a grandparent manifest symptoms of dementia they submit for institutionalization because they don't have the knowledge and understanding dementia If no one of the family member is not specialized on dementia nursing care is really impossible that your grandparent will be given a proper care unless you hired a specialized caregiver to look after her/him 24 hours a day. Well it is not really easy to take care of dementia patient. This needs a full understanding and knowledge about dementia disease including all the possible dementia symptoms. This is focus on care rather than cure. They are potential for injury during the time of impulsive behavior and confusion. They get easily irritated to something and refuses self care despite of assisting them. There are times that there are dementia patient who are not institutionalized and just at home but they are abandoned and restrained. Maybe due to their children are irresponsible or lack of knowledge about the right of the aged individual that they must have to care them and they must have to submit for dementia treatment.

I am really glad about this web site dementiaguide.com They offers education about dementia disease and the signs and symptoms and treatment and care. Yes this is really important to every individual to learn everything about dementia. We need to care for our aged parents as how they care for us when we were young.

A patient with congestive heart failure must have to learn to lessen his activity to prevent reoccurence of the disease and prevent the progression of the disease.

• He must have an adequate rest by shortening his working hours in a day.Must have to take a regular rest day and avoid emotional stress.
• Avoid excessive eating and drinking. There are weight reduction exercise program that fits for heart failure patients.And There are also exercise program prescribed by the physician to improve circulation and muscle tone.
  
• Must have a high resistance against respiratory infection. Cough aggravates stress
• keep regular appointment with the physician for check up
• Must have to be always aware of symptoms of congestive heart failure which indicates reoccurence like weight gain, loss of appetite persistent cough, shortness of breath, swelling of ankles, feet and abdomen.
  

Here in the Philippines is now the highest user of cellphone. Just imagine how Filipino people patronizes cellphones. From small kids age 6-7 years old has already his own cellphone and can operate by himself. Know why? A very close family relationships is the trait of every Filipino that will never fade. Always make sure there is a contineous contact or communication with each other. When cellphones invented and launched a decade ago Philippines is one of the highest consumers throughout the world for business and personal transaction. But most users had it only for personal purposes and made it sure that they have the latest model. I tell you ! there are also poor Filipino people who are living in the squatters area but they have their own loaded cellphone. For them, to have a cellphones looks like already had great breakfast.
One time i was shopping in SM Mega Mall .I was in kids department store ,there two kids at five to seven years old who are also shoppings. One of the kid's cellphone rang and the five years old boy answered his Cellphone "We are here Mommy at toys kingdom safely. Just shop there and fetch us here at Toys Kingdom when you are finished shopping. Just take your time." I am touched and amazed the importance of cellpnone when kids in the malls. At their early age they learned the proper use of cellphones and it is a big help to parents because she can monitor the whereabouts of their kids when they go outside the house. That is how fanatic cellphone user my countrymen that is why i am planning to put up cellphone store although I know there is a very tight competitions and they are already established . I have browsed a site that helps me to use the right marketing strategy to make a business boomed without delay.
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My Gushhhh! The other day early morning when i opened my profile. Half of the contents of my three blogs was saved draft . Unluckily when i republished it was all deleted. More than one hundred posts automatically deleted and the page rank turns to Zero. I think somebody hacked my accounts. I am really much worried because one of my blog has someone made a post and advising to delete this blog and somebody can use it. It is not a joke. If anyone of you can give an advise what i must do . Please tell me....