“
In the great tornado of life, things sometimes seem out of control, and we can’t see where we are going. But sometimes, when the storm passes and the dust settles, things have landed into place beautifully.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
The more love and support your child receives, the richer his or her life becomes, and nurses can certainly add to the circle of love surrounding your child.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Finding a good nurse is not just about checking off a list of skills the nurse can perform; it’s also about finding someone who is a good fit for your home.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Even though our journey as parents of a medically fragile child began with emotional turmoil, it has since become a purposeful odyssey that brings meaning and depth to our lives. This is the road we were born to travel.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Parents of medically fragile children find themselves becoming experts in lots of different areas, including laws and regulations, research and treatments, and the various specialists that support the health of their children.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
On the flight over to Chicago, I thought of a story Mom had once told me from her days as a pediatric nurse.
"There was this little boy I was taking care of," she said "and he was terminally ill,and we all knew it,but he kept hanging on and hanging on. He wouldn't die, it was so sad.
And his parents were always there with him,giving him so much love and support,but he was in so much pain,and it really was,time for him to go.
So finally some of us nurses took his father aside and we told him, 'You have to tell your son it's okay for him to go. You have to give him permission.' And so the father took his son in his arms and he sat with him in a chair and held on to him and told him over and over, that it was okay for him to go,and,well,after a few moments,his son died.
”
”
Anthony Rapp (Without You: A Memoir of Love, Loss and the Musical 'Rent')
“
The only thing that stood out in my memory was when the pediatric nurse placed Layla’s semi-naked body under my T-shirt, against my skin. During those few brief minutes the hurt I felt in my heart temporarily dissipated. I sighed deeply when Layla squirmed contentedly as she soaked up my warmth when I cradled her protectively against me. Then, when I felt her little heart beating close to mine through her teeny bony chest, I choked up with the indescribable distress I felt, and my tears fell
”
”
K.L. Shandwick (Another Life)
“
An exhausted parent can’t provide the best care, although occasionally, we have all had to do so.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Think of instinct as an unscientific, unquantifiable tool that can be used along with more concrete evaluations to make a well-rounded decision.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Finally it was time to go into the operating room, and the nurse came to wheel her away from me. My heart tightened. To ease her fears, the pediatric nurses gathered around her and created a “bubble parade,” blowing little soap bubbles as they went into the operating room. To create this fairy-tale experience, they used a wand. Specifically, a bubble wand. All the worry and fear melted from my daughter’s face as she was captivated by the magical moment. As a parent, I felt a great deal of gratitude for this small but meaningful touch. As a marketer, I was awed. I’d just witnessed my daughter’s customer experience switch from anxiety to anticipation in less than ten seconds.
”
”
Sally Hogshead (Fascinate: How to Make Your Brand Impossible to Resist)
“
Medsupex | diabetic supplies Chicago Medsupex
Our store has a multitude of products to help you get the support for your medical needs without even leaving your own home. If you're searching for the best medical supplies, look no further than our Chicago based company, Medsupex, which fits individual styles well. Believing that the best medical care begins at home, Medsupex has the broad selection of products that can help you get the medical assistance you need, right in your own home.
We offer aids for daily living, bath safety, beds and accessory assistance, capital equipment, diagnostics, first aid, gloves, hot and cold therapy, incontinence, nursing supplies, orthopedic soft goods, OTC medicines, pediatrics, physical therapy, respiratory problems, re-usable textiles and skin care. We have the strictest of quality conditions when they are manufactured. This means we can guarantee your satisfaction with the product, with the additional bonus of the desire to fit your budget.
Each category, from bariatric to pediatric, has a huge selection of items suitable for all types of patients. When ordering products, you can always register your gift registry, just by clicking on a few buttons diabetic supplies Chicago. If you want your own account, you can also register at My Account on the website. You can find just about anything you need for health wellness and most products can be directly delivered to your home. You can even contact us via the telephone and our support staff is available to answer any questions you may have about your particular condition or what Medsupex products will help you.
Medsupex | diabetic supplies Chicago Medsupex right in your own home.
Medsupex
3029 E. 92ND ST
CHICAGO, IL 60617
”
”
Medsupex diabetic supplies chicago Medsupex
“
The type of review book you need while attending school should be separated into four or five subject areas. These main sections are medical-surgical, pediatrics, psychiatric, obstetrics, and sometimes a fifth topic called community health. The
”
”
Caroline Porter Thomas (How to Succeed in Nursing School (Nursing School, Nursing school supplies, Nursing school gifts, Nursing school books, Become a nurse, Become a registered nurse,))
“
To begin, look over the chapters by glancing at the content on the pages. Set aside about 30 minutes every four to five hours or three times a day and look at the bold words, pictures, and highlighted sentences. Nursing exams generally test on multiple chapters so it is important you start this process as soon as you can. Ideally, begin immediately after you have taken your last exam so you can get a head start on new material. This step helps you recognize the words and familiarizes you with the content. After several times of looking at a word read the definition. As you read the definition notice how you are able to focus on what the word means. Doing this simple step can eliminate reading without understanding. We must see a word several times before our brain flags it as important. That is why after the third or fourth time you look over information you finally say to yourself, “Okay, I have heard and seen this several times and I must know more about it!” Once you have reached that point you will find yourself directing all of your attention to the word’s definition. And that motivation is because you have seen it so many times. There is still a problem though, because in nursing school there are thousands upon thousands of words. By just reading you rely on vision to get you through and retain all of this knowledge. Although this is possible, and has probably worked in the past, this is not an ideal way to study for nursing classes. After you look at the words and read the definitions a few times, go back and underline each word and definition. This helps you engage the body by adding movement. Then say the words and definitions out loud. Doing so engages the three senses of sight, touch, and sound. You are also using all three learning styles, which are visual, auditory, and kinesthetic. No matter what type of learner you are predominately, if you constantly use all three styles it helps to lock the information into your brain. I have also noticed that these steps train you to have a photographic memory. This is especially important when there is a long chart you need to memorize. For example, in pediatric nursing you need to know a very extensive growth and development chart, and if you do not have kids yet it can be extremely foreign. At first, incorporating this new study method may be challenging. But once you start using it and see your exam results rise, you will never turn back. After
”
”
Caroline Porter Thomas (How to Succeed in Nursing School (Nursing School, Nursing school supplies, Nursing school gifts, Nursing school books, Become a nurse, Become a registered nurse,))
“
The scariest, ugliest stories about in-home nursing usually are the result of nurses demonstrating a lack of professionalism, bad morals or a disregard for the child for whom they are providing care.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Once you open your home to nursing, you essentially become the employer of a small staff, even if you aren’t signing the paychecks. As in any workplace, the staff needs to know the rules and expectations, and it is your job to set them and communicate them well. This is your new job; you’ve been promoted to Home Care CEO.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
With emotions ranging from fear, grief and anger to happiness and relief, the process of bringing home a child who needs in-home care can be complicated
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
When it is managed effectively, in-home nursing can become a support for caregivers and families stressed with the care of a medically fragile child.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
An informed parent or caregiver becomes empowered, and empowerment can lead to the best care for our children.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
The partnership between nurses and families is based on mutual trust, and defining the boundaries and rules clearly will help everyone involved, especially your child.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Managing in-home nursing is not always easy. It can be terribly frustrating sometimes, and it can take a while to feel like everything is under control, but success is possible.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
Being thoughtful about the comfort and needs of the people who work in your home is a characteristic of a great Home Care CEO.
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
If your child comes home with a stable staff of nurses that remains stable for years without interruption, you might be a family of unicorns
”
”
Charisse Montgomery (Home Care CEO: A Parent's Guide to Managing In-home Pediatric Nursing)
“
S.P. is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately
2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise
and is relieved with rest. Two years ago, S.P. could walk two city blocks before having to stop because of
leg pain. Today, he can barely walk across the yard. S.P. has smoked two to three packs of cigarettes per
day (PPD) for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN),
peripheral vascular disease (PVD), and osteoarthritis. Surgical history includes quadruple coronary artery
bypass graft (CABG × 4) 3 years ago. He has had no further symptoms of cardiopulmonary disease since
that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed,
he continues to eat anything he wants, and continues to smoke two to three PPD. Other surgical history
includes open reduction internal fixation of the right femoral fracture 20 years ago.
S.P. is in the clinic today for a routine semiannual follow-up appointment with his primary care
provider. As you take his vital signs, he tells you that, besides the calf pain, he is experiencing right hip
pain that gets worse with exercise, the pain doesn't go away promptly with rest, some days are worse
than others, and his condition is not affected by a resting position.
� Chart View
General Assessment
Weight 261 lb
Height 5 ft, 10 in.
Blood pressure 163/91 mm Hg
Pulse 82 beats/min
Respiratory rate 16 breaths/min
Temperature 98.4° F (36.9° C)
Laboratory Testing (Fasting)
Cholesterol 239 mg/dL
Triglycerides 150 mg/dL
HDL 28 mg/dL
LDL 181 mg/dL
Current Medications
Lisinopril (Zestril) 20 mg/day
Metoprolol (Lopressor) 25 mg twice a day
Aspirin 325 mg/day
Simvastatin (Zocor) 20 mg/day
Case Study 4
Name Class/Group Date ____________________
Group Members
INSTRUCTIONS All questions apply to this case study. Your responses should be brief and to the point. When
asked to provide several
”
”
Mariann M. Harding (Winningham's Critical Thinking Cases in Nursing - E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric)
“
A great story about a big company’s ability to do this comes from one of the world’s biggest businesses, General Electric. I learned about Doug Dietz a few years ago when I saw him speak to a group of executives. Doug leads the design and development of award-winning medical imaging systems at GE Healthcare. He was at a hospital one day when he witnessed a little girl crying and shaking from fear as she was preparing to have an MRI — in a big, noisy, hot machine that Dietz had designed. Deeply shaken, he started asking the nurses if her reaction was common. He learned that 80 percent of pediatric patients had to be sedated during MRIs because they were too scared to lie still. He immediately decided he needed to change how the machines were designed. He flew to California for a weeklong design course at Stanford’s d.school. There he learned about a human-centric approach to design, collaborated with other designers, talked to healthcare professionals, and finally observed and talked to children in hospitals. The results were stunning. His humandriven redesigns wrapped MRI machines in fanciful themes like pirate ships and space adventures and included technicians who role-play. When Dietz’s redesigns hit children’s hospitals, patient satisfaction scores soared and the number of kids who needed sedation plummeted. Doug was teary-eyed as he told the story, and so were many of the senior executives in the audience. Products should be designed for people. Businesses should be run in a responsive, human-centric way. It is time to return to those basics. Let TRM be your roadmap and turn back to putting people first. It worked for our grandparents. It can work for you.
”
”
Brian de Haaff (Lovability: How to Build a Business That People Love and Be Happy Doing It)
“
Keiko Shigeno, a board-certified Family Nurse Practitioner with licenses in 22 states, has shifted her focus to telemedicine in response to the changing healthcare landscape. Collaborating with leading telehealth companies, she delivers comprehensive care across various specialties, including urgent care, pediatric care, addiction health, mental health, weight loss management, women's health, men's health, skincare, and long-term health care.
”
”
Keiko Shigeno
“
In Tulsa, Oklahoma, two pediatric nurses—Donna Wong and her colleague, Connie Baker—sought a way of assessing pain in children who had trouble describing what they felt. Wong was incorrectly diagnosed with leukemia as a child, and subjected to painful operations without the aid of analgesics. She became a nurse. In the 1980s, with the smiley face fad in recent memory, the women devised a series of six faces a child could point to. The chart begins with a smiling face and ends with a tearful, grimacing face. The Wong-Baker FACES scale is now a standard in gauging pain in children. There are other versions for adults. Patients are asked to quantify their pain according to a scale—numbered from 0 to 10, 10 being worst. These scales were highly subjective, but they were about the only pain-measurement tools medicine had to offer.
”
”
Sam Quinones (Dreamland: The True Tale of America's Opiate Epidemic)
“
I kept thinking how grateful I felt to have been part of this magnificent team. For five months we had been one unit, all specialists and all tackling the same problem together. The staff at the pediatric ICU and the consultants in the children's center reacted spectacularly. They rallied behind us and spent countless hours without charge, working to make this operation successful.
As pessimistic as I was about the eventual outcome of the surgery, I still felt a glow of pride in being able to work side by side with the best men and women in the medical field. And the end of the surgery wasn't the end of our teamwork. The postoperative care was as spectacular as the surgery. Everything in the weeks following the surgery confirmed again our togetherness. It seemed as if everyone from ward clerks to orderlies to nurses had become personally involved in this historic event. We were a team--a wonderful, marvelous team.
”
”
Ben Carson (Gifted Hands: The Ben Carson Story)
“
Angela is a pediatric nurse practitioner who specializes in caring for children and adolescents with epilepsy who also have developmental and behavioral challenges. Her desire to be a nurse was first documented in her first-grade school journal, but it wasn’t until she was enrolled in higher education that her passion for caring for children with chronic illnesses came to light. Her practice philosophy places high value on partnering with families in a team approach and viewing children holistically so that problems, rather than symptoms, are treated.
”
”
Angela Liberatore