Life is indeed full of challenges, who doesn't have it must be really weird! kidding aside. But I do know now that handling a challenge really depends on our psychological and spiritual condition. And to sum it all up, it is wisdom. Wisdom that is brought about by the renewing of mind guided by the word of God.
I proved it a lot many times, like for instance if my mom would start to be irrationally-ill-tempered,instead of being drowned by the unthinkable words, I would just have to understand where she is coming from, what could be her condition that made her say that and just focus on rationalizing things inside by not appearing sarcastic.
And boy, I never felt so calm and happy.. Since I began to respond this way on different areas of my life, I somehow managed to lessen my stressors.
God is indeed amazing, I know now that I should always believe in what He says.
Finally I realize that in all situations, it is what God thinks that counts.
Wednesday, May 11, 2011
Thursday, November 4, 2010
My playlist
Here is my new found cool songs...
1. You Will Never Leave Me - Hillsong Youth
2. My only Cry - Hillsong
3. This Love - Hillsong Youth
4. It's time for Africa - Shakira
1. You Will Never Leave Me - Hillsong Youth
2. My only Cry - Hillsong
3. This Love - Hillsong Youth
4. It's time for Africa - Shakira
Thursday, October 21, 2010
self awareness!
I think I should finalize my goals in life. I am completely not focused. I easily get distracted by tons of ideas and dreams that I forget what I should have been focusing to right now. I understand that there should be only one road to follow. And that I should always learn to value things in life. Now that I understand these things, It's sbout time to focus on what I should really be valuing.
So here are my priorities:
>To be a qualified, competent and outstanding nurse that I can be.
>TO be of useful to others especially to my love ones. And that includes performing my roles in life well.
>To keep myself well preserved by being healthy in mind and in body.
>To do something for my environment.
>To value quality in everthing I do.
>To keep on following and Praising God everytime.
So far, these are the things that I can think of..
So please help me God! =)
So here are my priorities:
>To be a qualified, competent and outstanding nurse that I can be.
>TO be of useful to others especially to my love ones. And that includes performing my roles in life well.
>To keep myself well preserved by being healthy in mind and in body.
>To do something for my environment.
>To value quality in everthing I do.
>To keep on following and Praising God everytime.
So far, these are the things that I can think of..
So please help me God! =)
Sunday, July 25, 2010
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.
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.
Friday, July 23, 2010
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.
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.
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.
Monday, April 19, 2010
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
check it out!
http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/Constructor.cfm
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