one tough challenge..

OK so there is no such thing as perfect life. you know, perfect family, parents and even a perfect house.

I am a kid who was raised with a single parent who have a wide influence on my life. I am surrounded by people who can mold me to be who I am today or in the future.
I am a teenager who is quite sensitive and dynamic especially on this current stage in life.
And I am aware of who I wanted to be. PERIOD!

Apparently, I am in the midst of challenge. But as things becoming clearer, guess I shouldn't have open this up in the first place.

Frankly speaking, I am living in a polluted envirnoment, polluted minds, thoughts, and actions. And to sum it all I am struggling around a huge smoke!

BUt as I was starting to write this very blog, I realized that I am completely putting this up all wrong. Agin I find myself living in a wordly way of thinking. And I was about to forget that God is still there. And I remember that GOd never gives up on anyone, to HIm we can become what we want to be because nothing really nothing is impossible to GOd.
Luke 1:37 says 'For nothing is impossible to God.

methods of measuring Uterine contractions

The uterine contraction pattern should be evaluated every time the FHR is assessed. The contraction pattern can be evaluated using external or internal methods.

External Methods

If intermittent assessment techniques are used, the pattern is evaluated by palpation. If electronic fetal monitoring (EFM) is used, a tocodynamometer (toco) is used to measure contraction frequency and duration.

External monitoring is not as reliable as internal monitoring, because a change in maternal or fetal position can interfere with the quality of tracing.

Internal Method
Infrequently, an intrauterine pressure catheter is used. The physician places the catheter tip above the presenting part in a pocket of amniotic fluid, and then the catheter is connected to the fetal monitor. In addition to recording the frequency and duration of contractions, the internal catheter accurately measures the intensity of uterine activity.

Nursing Responsibilities in monitoring uterine contraction

The uterine contraction pattern should be evaluated every time the FHR is assessed. The contraction pattern can be evaluated using external or internal methods.

Nursing Procedure (Palpation of Uterine Contractions)
Equipment: Warm, clean hands

Procedure:

1. Explain procedure to the woman and her partner.
2. Wash hands thoroughly.
3. Locate and place one hand on the uterine fundus.
4. Use the tips of your fingers to feel changes in the uterus as it contracts.
5. At the beginning of the contraction you will feel the muscle begin to tighten.
6. Note the time the contraction begins.
7. Use your fingertips to evaluate how strong the contraction gets before the muscle begins to relax. Intensity is measured at the strongest point (the acme) of the contraction.
8. Note the time the contraction ends to determine duration.
9. Continue with your hand on the fundus through the next three contractions. Note if the uterus completely relaxes by becoming soft between contractions.
10. Note the time from the beginning of one contraction to the beginning of the following contraction to determine frequency. Frequency is documented as a range when appropriate (e.g., every 3-5 minutes, or every 2-3 minutes), unless they are occurring regularly (e.g., every 2 minutes, every 5 minutes)
11. Wash hands.
12. Chart the contraction pattern (Frequency, duration, and intensity) in the labor record. Document whether or not the uterus is fully relaxing between contractions.

Note: It is best to time several contractions consecutively before charting frequency because it is rare for contractions to be exactly "x" minutes apart. It is more common that the contraction pattern occurs every "x" to "y" minutes apart (e.g., every 3 to 5 minutes). Palpation is a method that takes place. It is best to learn to palpate contractions in conjunction with the use of EFM. In this way, you can see the contraction begin and concentrate on perceiving the tightening of the uterus with your fingertips. You can also see the acme, which lets you know when to evaluate intensity.

NCP constructor

Today, I just discovered this site that helps nurses/student nurses to formulate nursing care plan (NCP) in a more organized, systematic, and modern way!^^..

check it out!
http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/Constructor.cfm

A special message on Easter

Last Sunday, I had a great opportunity to hear God's message through Pastor Ed Lapiz about the demands of Jesus' resurrection. It is said that basically there is three demands First, is to be a disciple and be a discipler. Second, is to baptize people. and finally, to teach others about walking in a Christian living. The message also taught me the importance of resurrection. And it is not about rising from the dead but it means that we need to reborn ourselves in any aspects of our lives. It can be a dream, a goal, our relationship to others such as friends, family members and others or even a ministry. Most especially the ministry, cause along with God's resurrection for us, is accompanied by a responsibility, and that is to minister for Him.
How great it is to be loved by Christ isn't it? I love you Lord for everything I am and will be doesn't mean anything if it wasn't for You!

Indulge in the sweet taste of life!

Today is my uncle Tito's birthday and of course there will be a lot of breathtaking foods, ok , I know that I am on this diet plan, but, oh but, this doesn't happen everyday and the foods are just irresistible, So I just can't help to "grab-a-plate" setting aside my supposedly calorie-counting plan, The meal includes the newest cake that I ever tasted from "Red ribbon" they call it Cherry-Chocolate (although I am not pretty sure about its real name, but the cherry and chocolate with whip cream all mixed together, ah heaven! Plus my uncle Greg's specialty, Sweet and Sour Fish, the pancit malabon and grilled chicken that my titas ordered and the Ice cream that we are all expecting a little later.

I am very aware that there could be chances that I can gain back to 123 or more pounds. But obviously that is not what I planned. But, you know, its not that I am being defensive of my current actions. But, I realized that, I am being too serious of losing weight, where it came to the point that I am limiting myself in a lot of sweet things in life.

Maybe I'm just letting myself drowned to the definitive trend of looking good.
And, I am somehow becoming too desperate which I definitely don't want

Still. losing weight will still be on my list! ^^

My Beautiful 7th Principle..

So far I am now on my 7th day of my "Credo to do" experiment-- (Im not really sure though If that is what I should call it)-- lols.. but anyway moving on: Here is the recap of my said 6 principles for the past 6 days..

1st day: If you have to do something ahead, do it right now.
2nd day: No matter how tempting it is don't give in.
3rd day: Trust and stick on to your conscience (This is my version of trusting your instincts, i prefer conscience, it makes me more human)^^
4th day: Think before you act!
5th day: Be a Lady in every way
6th day: Do things in a Step by Step process..


Here is my 7th principle "Whatever you do, do it beautifully"
Well I have to admit, this is just right in time, I definitely need this one. Thanks God!


"Beauty lies in the specific looks of a person, rather than the object, because different people feel beauty in different things." --"Vally