Higher Education Podcasts anyone?
I just received a link for a website about Youth and Learning through an email from my pinoyteachersnetwork Yahoo group.
This could be useful for those who are in higher education. Another online learning resource! Click here.
Filed under E-Learning, Education, Learning by Simon Francis Blaise.
Human Anatomy and Physiology Index
I’ll be teaching Human Anatomy and Physiology again at the University of Pangasinan this semester. Human Anatomy and Physiology is one of the core and fundamental subjects of the AHSE curriculum which will lead to a B.S. Nursing degree.
I’ll be using the university’s NEC LCD Projector for my lectures. I got hold of two CD-ROM based teaching materials to aid me in accomplishing the set learning objectives:
1. The expanded Essentials of InterActive Physiology CD-ROM which features activities specifically selected for short Anatomy and Physiology course, including animations, tutorials, and quizzes.
2. The enhanced Instructor Art and Lecture Presentation CD-ROM which gives me quick and convenient access to PowerPoint lecture outlines and all the figures and tables from text in both labeled and unlabelled formats.
As a learning resource, will be using the textbook Essentials of Human Anatomy & Physiology Eight Edition by Elaine N. Marieb.
Note: For Instructors and Students: You could access an online Companion Website for Essentials of Human Anatomy & Physiology. Click here.
I have watched two MVPs carry their respective teams to victory today.
And both showed two different leadership styles.
I am talking about Lebron James of the Cleveland Cavaliers and Kobe Bryant of the Los Angeles Lakers. Both came straight from high school before entering the NBA. Both are scoring leaders in their own right.
 Lebron James, the naillbiting phenom who is probably the best all-around two guard literally carried his team to 97-96 victory against the prolific scorer Gilbert Arenas-led Washington Wizards. He scored his 50th 30 plus game amidst the stingy and double teaming defense. His team was down by one point with 23.4 seconds to go when he struggled to put up a shot, first eluding his guard then pump faking an off the glass shot against the shot-blocking Michael Ruffin. This is after all the criticisms that Lebron was incapable of taking charge in late game and nerve wracking situations. The Cavaliers capped the win by withstanding a trifecta attempt by Gilbert Arenas that went pfft in the dying seconds. Now the Cavaliers are up 2-1 in the first round of the NBA playoffs.
 In another game, the oft-misunderstood Kobe Bryant helped eke out a win against the high octane offense Steve Nash-led Phoenix Suns. Bryant this year’s scoring leader who is perceived as a cocky, ballhog and selfish player, did what was unexpected of him- trust his teammates. This probably caught the opposing team off guard as they expected an 81 points scoring Bryant. Instead, they faced a Magic Johnson-like team leader who trusted his team and help will the team to wins. It wasn’t a usual scoring night but he did show his multi-faceted game of assists, rebounds and steals.
Lebron James and Kobe Bryant. Two MVPs in their own right. Two leaders. One for taking the responsibility and the strong will to win for the betterment of the team. The other for being a trusting and encouraging team leader who shunned one-upmanship and had no qualms doing the "dirty work" all in the name of the team and the win.
They may not emerge as NBA season MVPs or even win the NBA crown but both earned a lot of people’s respect (like mine) unlike the heckler who ruined a graduation ceremony.
Filed under Feature, Learning, Reactions, Sports, Training by Simon Francis Blaise.
This is a Do-It-Yourself Nursing Care Plan on Chest Pain.
All you have to do is put a check in the blank for the appropriate conditions/ situation for the nursing care plan. Customize and add details. Presto! An instant NCP!
ASSESSMENT: CHEST PAIN
NURSING DIAGNOSIS:
Related To:
___Myocardial Infarction
___Unstable Angina
___Coronary Artery Disease
___Chest Trauma
___Stress Anxiety
___Musculoskeletal Disorders
___Pulmonary, Myocardial contusion
___Other:_____________________________
As evidenced by:
Major: (Must be present)
___Person reports or demonstrates a discomfort.
Minor: (May be present)
___Increased BP
___Diaphoresis
___Dilated pupils
___Restlessness
___Facial mask of pain
___Crying/moaning
___Short of breath
___Anxiety
NURSING ANALYSIS: Analyze the probable cause of the problem
______________________________
DESIRED GOAL/ PLAN AND OUTCOME:
The patient will:
___Verbalize relief/control of pain.
___Verbalize causative factors associated with chest pain.
___Other: _____________________________
NURSING INTERVENTIONS:
___Assess for causative factors associated:
* Activity
* Stress
* Eating
* Bowel elimination
* Previous angina attack
* Other: ____________________________
___Assess characterizing of chest pain.
* Location
* Intensity (Scale 1-10)
* Duration
* Quality
* Radiation
___Review history of previous pain experienced by patient and compare to current experience.
___Instruct patient to report pain immediately.
___Continuous EKG monitoring; note and record pattern during pain. Obtain STAT 12-lead EKG per policy for acute changes noted on continuous monitor.
___Provide a quiet, restful environment.
___As per physician order, administer IV analgesics in small increments until pain is relieved or maximum dose is achieved. Monitor BP during administration of pain meds. Assess pt. response to pain medication and notify physician if pain is not controlled or pt. experiences adverse reaction (decreased BP, HA, distress).
___Administer nitroglycerine as ordered by physician. Monitor as stated above.
___Titrate IV Nitro to achieve pain relief as ordered by physician. Monitor hemodynamic response to medication (BP, urine output).
___Administer supplemental oxygen as ordered by physician.
___Assist with ADL's to reduce cardiac stressors.
___Assist in eliminating causative factors as identified by patient assessment.
___Other:______________________________
RATIONALE explains in detail why such nursing intervention is needed
______________________________________
EVALUATION:
___Goal met: __________________________
___Goal partially met: ___________________
Filed under Education, Health, Learning, Medicine by Simon Francis Blaise.
For almost 15 years now, I have been a part of a basketball group that meets weekly on the hardcourt. The group is comprised of 20 something to 30 something years old men of different backgrounds and personalities. The group is composed of young businessmen, a politician, OFWs, a teacher (that’s me), employees, salesmen, a law graduate, physical therapists, nurses, managers, and students. The degree of familiarity and developed friendship has not diminished the level of competitiveness among us.
We learn a lot of things in life outside the classroom. I have found a significant learning place in the basketball court. Throughout the years, basketball has taught me lessons that can’t be found in books or classrooms. These lessons learned are even multi-disciplinary. Physical fitness, Physics, Leadership, Team Building, Group Dynamics, Personality Development, and Values Education.
 I am, in basketball standards, small. I stand just about 5.5 feet and am thinly built. I am not a skywalking, speedy or a sweet shooting player. But I take pride in my perimeter sniping, passing skills and defense. Definitely a late bloomer, it was in high school that I have fully appreciated playing ball and hoops. During class breaks, after classes, under the sweltering sun, and even in leather shoes. I became part of the varsity in high school only because 1. I was a senior and 2. We have a small school population. In college, I was a member of the inter-block championship team as a second stringer and a strategist. In many places, basketball pick-up games introduced me to a lot of new people and eventual friends. I played in the backyard of a neighbor, wooden gymnasiums, in classier exclusive subdivisions in Manila, premier school gyms, in Brunei, and even in a court made up of sand.
I also learned more about life more than about the game itself not only as a player but also as a coach. I have coached kids in several barangay/community basketball leagues. I also experienced being a playing coach (more of the coaching than playing) for our subdivision team. My capping glory as a head coach is steering a small college in a fourth place finish in the 1998 MCAAD (Metro Colleges Athletic Association of Dagupan). We had the smallest line-up and probably the thinnest too. Yet we managed to reach the battle for third place which we lost to the Juan Castro (former MBA player)-led Lyceum Northwestern. The champion that time was University of Pangasinan. Well, I was not as successful as my idols coach Ron Jacobs, Baby Dalupan or Phil Jackson but to my players, that experience was golden!
Basketball has instilled in me the value of discipline and responsibility. Before one can become a team player, one should take the responsibility of the particular role to be played. It also has developed my patience, resilience and sportsmanship. I have honed my decision-making skills enabling me to adjust and cope with different situations.
Basketball has kept both my mind and body sharp. It also has enabled me to practice my leadership and team building skills. It brought that winning attitude but with the values of honesty and magnanimity in defeat. Yes, we learn a lot from the losses. Stand up and learn from each fall.
These basketball lessons are valuable in the game called life.
Filed under Learning, Lessons, Personal, Sports by Simon Francis Blaise.
Summer is here and I know for a fact that most companies conduct their human resources development activities at this time of the year.
I got an email from Anna (a high school friend) asking other friends and me for team building ideas. In short a really good team building activity. I guess this is for their annual corporate team building. She mentioned that it should be one that is aside from anything involving heights and ropes. I replied that I know a team building activity that involves bikinis and beach to which she replied; "That is very interesting to know. Bikini will be what we wear underneath and beaches will be the venue. Ha ha, how much? Free goodies enough?"
I was sweet-talked to it so I had no choice but to ask for more details. I was informed that the said team building activity would be sometime in April. I asked for specific team competencies she wants them to enhance, the goals she would like the team to achieve and who are the participants. Anna replied, "Communication and synergy, I guess. We don’t really have a team yet; we just have a "group" thrown in with each other assigned to the same department. Everybody works on their own and makes rules of their own; it’s the culture of the boss."
There are many team building activities out there that anyone can think of. Watch reality shows (Extra Challenge, The Apprentice, Amazing Race, and yes even the pathetic Pinoy Big Brother) and you could get a lot of ideas. For all we know, the activities of the shows were conceptualized by trainers and consultants using SLEs (structured learning experiences) and training icebreakers. Team building is fun and very effective if the participants are committed. The goals and objectives of the entire exercise should be well set and the facilitator must conduct a good great debriefing session afterwards otherwise the activity will just be a corporate outing disguised as an expensive training program.
And yes, a team more than just a group of people. A team is a group of committed interacting individuals sharing a common goal and the responsibility for achieving it. Team building is not just a buzzword, a catch phrase or a training fad. Team building is an intervention specifically designed to improve a company's organizational effectiveness. Team building is also a skill and any skill must be practiced to be mastered. A team building activity is an excellent way of boosting corporate staff morale and improving group dynamics and communication. Team building is exciting and challenging and has almost unlimited possibilities because human potential is almost unlimited.
Bikini and beach for a team building activity. It would be inexpensive and lots of fun!
You could buy books on team building and other office productivity tools here:
  
Filed under Books, Business, Learning, Personal, Training by Simon Francis Blaise.
As promised in my previous post, here is a sample NCP in Ortho.
Assessment
Subjective – "Hindi ako masyado makagalaw dahil dito sa ikinabit sa paa ko," as verbalized by the patient.
Objective – limited ROM
Nursing Diagnosis
Impaired physical mobility r/t restrictive therapy amb inability to move purposefully and limited ROM
Analysis
Restrictive therapies such as application of tractions, casts, and braces are used to immobilize the fractured bones to facilitate bone union. However, these devices pose a limitation to the mobility of the individual.
Objective
At the end of the shift, the patient will be able to regain mobility in an allowable level.
1. The patient will be able to increase strength of affected and compensatory body parts within 2 days.
2. The patient will be able to demonstrate Active ROM exercises after sample demonstrations of the said exercises.
3. The patient will be able to do self-care activities immediately after the intervention
Nursing Intervention
1. Assess degree of immobility produced by treatment and note patient’s perception of immobility.
2. Instruct patient with active ROM exercises of affected and unaffected extremities such as flexion and dorsiflexion of the toes of the affected leg, and flexion and extension of the unaffected leg.
3. Instruct in use of the overhead trapeze.
4. Encourage self-care activities such as bathing and oral care.
Rationale
> Patient may be restricted by self- perception out of proportion with actual physical limitations.
> Increases blood flow to muscles and bone to improve muscle tone, maintain joint mobility, and prevent contractures or atrophy.
> Facilitates movement during hygiene/skin care and linen changes.
> Improves muscle strength and circulation, enhances patient control in situation, and promotes self-directed wellness
Evaluation
Goal met: The patient was able to regain mobility that her condition allowed.
Goal met: The patient showed increased strength in her affected and unaffected legs as showed by her independence in performing active ROM exercises.
Goal met: The patient was able to do a return demonstration of the active ROM exercises taught to her.
Goal met: The patient was able to resume with her self-care activities.
I will feature sample Case Studies and Drug Studies in the future so watch out for it.
Filed under Education, Health, Learning, Medicine by Simon Francis Blaise.
I am currently teaching some science subjects in the College of Nursing (Anatomy and Physiology, Health Ethics and Science Technology and Society). This exposed me to some of the reports and projects of the student nurses. One particular paper requirement that I am taking interest in is the Nursing Care Plan.
Why? The nursing care plan is often seen (and misunderstood) by most student nurses and registered nurses as too cumbersome and often a waste of time. Also because of its name (nursing care plan), it is often thought to be relevant only to nursing. We have to remember that caring for the patient is an essential part of healthcare. Therefore planning for such care is equally important and very much essential to the effective delivery. The nursing care plan or more popularly known to students as NCP, is a “map” or written guideline to ensure that all issues of the plan of care are not neglected. This provides a comprehensive plan not just for the nurse but also for other people involved in the care of the patient. This includes the family members, other nurses, and even the patient himself/herself.
The NCP has 7 steps/ parts namely assessment, nursing diagnosis, analysis, objective, nursing intervention, rationale, and evaluation.
Assessment as an initial step should be accurate and comprehensive otherwise the plan will be useless. Assessment includes a restatement of the verbalization of the patient to determine the patient's exact status and complaints.
After completing the initial assessment, a problem list should be prepared. This could be as simple as a list of nursing/ medical diagnoses.
Once the problem list is completed, look at each problem, analyze and ask the question, “What could be the probable cause of the problem?”, "Will this problem get better?" (Or, "Can we make this problem better?") If the answer is yes, then your goal will be for the problem to resolve or show signs of improvement within the review period. In the acute setting, the review period may be as short as next shift, next day or next week. In the long-term or home health setting, the review period will likely be longer.
In any case, the goal should be specific, measurable and attainable. Do not write a goal that a stroke patient’s heart muscle strength "will be improved by next week." This is not specific or measurable, and most likely not attainable. A better goal statement would be for "stroke patient” to improve and recover by exhibiting increased activity in the next 90 days." The approaches (or interventions) should also be measurable and realistic, and should be documented elsewhere in the record when performed.
The rationale explains in detail why such nursing intervention is needed. The evaluation phase includes the accomplishment of the goals that were set.
The nursing care planning process is never truly completed until the patient/resident is discharged from the current care setting or is deceased. The care plan needs to be fluid and changeable, as patient/resident status changes. Periodic scheduled reevaluation must take place, with changes being made as needed. Unscheduled updates should also be made as condition warrants. When a problem has resolved, that problem can be completed. If the person has had a major change in a problem area that results in changes in goals and approaches, it may be easiest to resolve the problem and enter an entirely new problem, goal(s) and approaches, rather than making many changes to the existing problem.
Remember that the ultimate purpose of the nursing care plan is to guide all who are involved in the care of this person to provide the appropriate treatment in order to ensure the optimal outcome during his/her stay in our healthcare setting. A caregiver unfamiliar with the patient/resident should be able to find all the information needed to care for this person in the nursing care plan.
Watch out for my next post: Sample NCPs
Filed under Education, Health, Learning, Medicine by Simon Francis Blaise.
Author's Note: This is an unsolicited advise from a friend to the thousands of nursing graduates aspiring to become registered nurses. He self-reviewed and passed (take one and with way above the passing exam rating) the local board exam last December 2005. He was relatively an underachiever and a carefree student in college. He would like to give inspiration to average students like himself who want to pass the nursing licensure exam. "You don't have to be a Cum Laude to pass the exam. Being academically exceptional in college is not a guarantee."
DURING THE REVIEW
Know When to Relax
Do not punish yourself i.e. reading or reviewing all day and all night. You are human, not a machine… or even if you could be a machine, just imagine a machine which is overused. It will overheat and eventually bog down.
Avoid reviewing when you are not in the mood- its useless! Do not force yourself. Willingness is the key (and determination). It would also be very helpful to know the time of the day when you function well or when you are at the highest performance. That would be the best time to study.
Unwind and exercise. Engage in games that stimulate the mind and improve critical thinking- like doing crosswords, bookworm, text twist (the author’s favorite pastimes). Exercise your body. Try swimming, basketball or any sport you like. It keeps the body alert and the mind sharp.
Don’t Just Read, Read and Read
Try to understand what you are reading. Train yourself to analyze and not to memorize. Make your own example, code and pneumonic- this will help you recall lessons easily.
Example: Maslow’s Hierarchy of Needs- P.S. Lea
Physiologic Needs
Safety/ Security
Love/ Belonging
Self-Esteem
Self-Actualization
Read more
Filed under Health, Learning, Lessons by Simon Francis Blaise.
Tsk.. Tsk…
I missed liveblogging the Kalutan Ed Dagupan (Grill in Dagupan) Event for the PRISAA delegates last night at the Dagupan City Plaza. It was an opportunity I lost.
Not even the sight of Gary V. (who came within a few feet from me) could assuage my frustration. I also saw fellow blogmates ~Pangasinan Business Journal and Pangasinan in Pictures~ who were there to cover the event. Aloha!
Oh well. Lesson to be learned- Its not Filipino time all the time. Got it?
Anyway, the Kalutan Ed Dagupan was a treat for the almost 4,000 delegates of the Private Schools Athletic Association (PRISAA) National Games. What a bliss for the athletes to partake and taste our world class bangus! Tit for tat, the province of Pangasinan is lucky to host the event.
PRISAA have existed for about 53 years already and I think this is the first time that we (Pangasinan) hosted the national event.
It could've been my first time too. Live blogging, that is. Its not everyday that you get an opportunity to do things that you want to do.
At least I had barbequed meat and bangus. And a half-finished bottle of San Mig Light. Sourgrapes
Author's Notes: Thanks to Ate Fina (wife of blogmate Off-The-Air) who gave me the tickets.
Filed under Learning, Live Blog, Sports by Simon Francis Blaise.
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