"In this presentation, Barb covers various stages of growth and development from the six- to the 18-year-old. It includes a helpful discussion of the "teen-age" brain, which undergoes a major transformation between the ages of 13 and twenty-five. A conversation about mirror neurons helps explain why a kid who bullies becomes an adult who bullies and is most likely to have been raised by a person who bullied, why child abusers beget child abusers, and the theory that autistic children have "broken" mirrors. In addition, she covers the assessment of various clinical conditions that school nurses may encounter—sore throats, abdominal pain, head injuries, signs and symptoms of child abuse, kids with celiac disease, mono, respiratory conditions including the common causes of cough in kids, evaluating the child with asthma, pneumonia, allergic rhinitis, abdominal pain, hypo and hyperglycemia, allergic reactions, and recognizing partial complex seizures (the most common seizure disorder in the world, and the least diagnosed). Barb will also discuss normal vital signs—weight, BP, pulses and respirations and various conditions that change the normal parameters." -- Barb Bancroft website.
"This extensively updated and enhanced volume in the Real Nursing Skills series offers students a complete foundation for competency in physical and health assessment. REAL NURSING SKILLS 2.0: PHYSICAL AND HEALTH ASSESSMENT consists of an interactive DVD-ROM with comprehensive procedures and rationales demonstrated through hundreds of realistic video clips, animations, illustrations, and photographs. Students review the purpose of each skill, its delegation, preparation, procedure, post-procedure, expected and unexpected outcomes, documentation, and variation (if applicable). Coverage includes: vital signs and physical assessment; positioning and restraint; specimen collection; medication administration and irrigation; administering intravenous therapy; pain assessment and management; cardiorespiratory care; nutrition; elimination; and wound care. Many skills in this edition have been updated. New skills covered include: taking histories, performing focused assessments, and examining older adults." -- Pearson website.
"This one-day seminar provides an in-depth discussion of essential aspects of caring for the geriatric patient. Physiologic changes with aging are correlated with physical assessment findings as well as side effects of common drugs used in the aging population. An emphasis on neurologic function includes peripheral neuropathies, dementia and delirium, movement disorders and the special senses. Type 2 diabetes and thyroid dysfunction are covered in the Endocrine System. Reproductive changes are gender specific and include causes of erectile dysfunction in the male and menopausal changes in the female. Cardiovascular diseases include coronary artery disease and atherosclerosis as well as hypertension and CHF. Respiratory function briefly covers COPD and other age related changes in lung function. The effect of NSAIDS in the GI system is emphasized as are the common causes of constipation in the elderly population. The effect of a decreased glomerular filtration rate and drug excretion is correlated with side effects and drug toxicity. This lecture is presented in Barb's characteristically humorous fashion and is a must for anyone working with and caring for Geriatric patients. It truly is a "GEM" of a lecture." -- Barb Bancroft website.
Barb provides an overview on how to approach the pediatric patient—from the newborn to a nineteen-year-old. What should you expect with vital signs? Why is a heart rate of 120 perfectly fine for a one-month-old and an ALARM sign in a 15-year-old with fever and dehydration? How do you assess a toddler with an average 300-word vocabulary consisting of one MAJOR word—"NO" ? Whatever you do, don't ask them if you can do something! How do you explain "the Teenage Brain"? The best neuro exam in a young child consists of observation—the majority of cranial nerves can be examined by watching facial expressions. What 3 individual clinical features are the most accurate for predicting 5% dehydration in kids? Barb explains the clinical findings in children that help to estimate the degree of dehydration—mild, moderate, and severe in kids. Why is weight such an important vital sign in kids? How do you determine fluid and drug doses? What are the new guidelines for determining tonsillectomies in children? What are the new guidelines for working up a child with febrile seizures? What is the current treatment for children with status epilepticus? What's so different about the respiratory system in children vs. adults? What are the causes of acidosis in kids? What are the treatment guidelines for diabetic ketoacidosis? What are some ALARM signs for child abuse? What are some early clues observed in young children with autism? What are the criteria for assessing the child with an acute asthma attack? (website)
The most important part of any physical exam is taking the patient HISTORY. Learn how to characterize the chief complaint by asking the right questions—the PQRST + AAA way. Barb provides examples of how to use this mnemonic to get the most information in the least amount of time. Barb will then guide you through assessment basics—where to "listen" if you only have a minute, where to "look" if you only have a minute, where to "feel" if you only have a minute. Barb correlates anatomy, physiology and pathophysiology for each major system discussed—the heart, the lungs, the abdomen, and the nervous system. You will also be amazed at the information you can glean from basic vital sign evaluation. Last, but not least, Barb discusses various drug classes and the side effects that can confound a physical exam. (website)
Skills covered: Skin, Hair and Nails / Head and Neck / Eyes / Ears / Nose, Mouth and Throat / Breasts and Axillae / Thorax and Lungs / Heart and Neck Vessels / Peripheral Vascular and Lymphatic / Abdomen / Musculoskeletal / Neurologic / Male Genitourinary, Rectum and Prostate / Female Genitalia and Rectum / Head-to-Toe Examination of the Adult
Through realistic clinical scenes and computer animations, this video shows you how to swiftly detect signs and symptoms of fluid and electrolyte imbalances, link your findings to their most probable cause, and provide the best possible nursing care.
-how to elicit Chvostek's and Trousseau's signs--two clear indicators of hypocalcemic tetany.
-how to prevent voluntary muscle movement when assessing deep tendon reflexes through patient distraction.
-which electrocardiographic changes suggest which electrolyte imbalances.
-how hyperkalemia disrupts nerve and myocardial cell conduction, causing specific neurologic and cardiac signs and symptoms.
-how syndrome of inappropriate antidiuretic hormone secretion can produce signs and symptoms of dilutional hyponatremia and hypervolemia.
-why hypervolemia changes the pulses' amplitude and contour.
...and much, much more.
-- Blanchard & Loeb website.