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aser treatment for scars reduces the appearance of scars. It uses focused light therapy to either remove the outer layer of the skin’s surface or stimulate the production of new skin cells to cover damaged skin cells. Laser treatment for scars can reduce the appearance of warts, skin wrinkles, age spots, scars, and keloids. It doesn’t completely remove a scar.
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used to get vascular access in trauma and hypovolemic shock patients when peripheral cannulation is difficult or impossible
It flattens the natural curve of the spine, which can lead to lower back pain. Sleeping all night with the head turned to one side also strains the neck. If this is the preferred position, try using pillows to gradually train the body to sleep on one side
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Tracheotomy and tracheostomy are surgical procedures that create an opening in the trachea (windpipe) to help patients breathe when they have difficulty doing so through the nose or mouth. Though they are similar in purpose, there are some key differences between them.
Tracheotomy is a temporary procedure that involves creating a small incision in the trachea to insert a breathing tube. The tube is typically removed once the patient no longer requires it, and the incision heals on its own. Tracheostomy, on the other hand, is a more permanent solution that involves creating a hole in the trachea and inserting a tracheostomy tube, which remains in place for an extended period.
Indications for these procedures include:
Airway obstruction due to trauma, tumors, or infection
Severe respiratory distress or failure
Prolonged mechanical ventilation
Inability to protect the airway due to neurological disorders or impaired consciousness
Steps for performing a tracheotomy and tracheostomy:
Preparation: The patient is positioned, and the neck area is cleaned and draped. Local anesthesia is often administered, although general anesthesia may be used in some cases.
Incision: A small incision is made in the neck, and the muscles and tissues are carefully separated to expose the trachea.
Tracheal opening: A small opening is made in the trachea, typically between the second and third tracheal rings.
Tube insertion: A tracheotomy tube is inserted through the incision and into the trachea for a tracheotomy, while a tracheostomy tube is inserted for a tracheostomy. Both tubes are secured in place.
Confirmation: Proper placement of the tube is confirmed by listening for breath sounds and checking for adequate ventilation.
Pre-operative care typically involves a thorough assessment of the patient's medical history, as well as any necessary imaging studies or lab tests to ensure the procedure is appropriate and safe. Informed consent should be obtained from the patient or their legal representative.
Post-operative care includes monitoring the patient's vital signs, ensuring the tube remains secure and patent, and managing any pain or discomfort. For tracheostomy patients, regular cleaning and maintenance of the stoma (the opening in the trachea) and the tracheostomy tube are essential to prevent infection and other complications. Long-term care may involve speech therapy, respiratory therapy, and support from a multidisciplinary team to address any ongoing needs.
It's crucial to remember that these procedures should only be performed by trained medical professionals in a clinical setting.
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Central Line Dressing Change- Nursing Skills
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Central Line Dressing Change - Nursing Skills:
In this video we’re going to talk about central line dressing changes. In this particular video, we’re going to look at a PICC Line, but the same strategy is also used for a Central Line. Remember the dressing should be changed every 7 days or as needed for peeling or soiling
This includes PICC lines. Sterile technique must be maintained to prevent Central-Line Associated Bloodstream Infections (CLABSI)
We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Introduction
0.22 Mask application
0:36 Patient positioning
0:48 Dressing removal
1:20 Sterilization
1:26 Dressing change kit
2:14 Sterile gloves (Lesson link below)
https://nursing.com/lesson/ski....lls-01-04-sterile-gl
2:50 Cleaning the site
3:30 Bio patch application
4:20 Changing infusion caps
4:41 Labeling the dressing
5:00 Outro
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Mammogram are great technologies, however, sometimes it cannot detect many things under our bodies. In this video, Dr. Linder is performing a breast implant removal and revision on a patient who has a rupture breast implants. Dr. Stuart Linder is a Beverly Hills board certified plastic surgeon, specializing in body sculpting and reconstructive procedures including breast augmentation, reduction, lift, liposuction and tummy tuck. He is board-certified by the American Board of Plastic Surgery and is affiliated with the American College of Surgeons, the American Society of Plastic and Reconstructive Surgeons and the American Medical Association.
A nerve root block is an injection of local anesthetic (numbing medicine) and steroid injected under X-ray guidance into the area where the nerve exits the spinal column. A nerve root block is usually ordered by your doctor for pain in the arm or leg that follows the path of a single nerve. A nerve root block may be diagnostic (a test to determine the source of your pain) and/or therapeutic (to relieve your pain). If you get a period of sustained pain relief from the injection, the block may be repeated. Sometimes the block is done to help identify whether or not surgery might be helpful and at what level such surgery might be most helpful.
Ellis will be demonstrating how to complete an occupied bed change. It would be appropriate to wear gloves during this skill to avoid contact with bodily fluids.
Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.
#NCLEX #ClinicalSkills #HESI #Kaplan #ATI #NursingSchool #NursingStudent #Nurse #RN #PN #Education #LVN #LPN #bedmaking #nurseeducator
00:00 What to expect
00:53 Initial patient position
1:50 Tucking soiled linens
2:20 Placing initial clean linen
3:30 Rolling patient
3:40 Removing soiled linen
4:05 Completing bottom layer
4:33 Changing pillow case
4:50 Top sheet and blanket
7:23 Mitered corner
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The discussion begins with a basic explanation of Bone biology taking into consideration the osteoblast and osteoclast balance. Concepts of RANK, RANK ligand and Osteoprotegerin are included. Risk factors for Osteoporosis such as Age, alcohol, smoking, sedentary lifestyle are also discussed.