Blog #3: The Future of Nursing April 14, 2010

I’m not one who tends to watch a sci-fi movie or other eccentric movies that really make me use my imagination. To me, it’s very unbelievable and I don’t have time for that while ‘life’ is happening. Maybe, as a child, my imaginary friend wounded my ability to believe and dream big. Or I guess it could have been my 4 sisters and brother that constantly told me to quit talking to myself because I sounded crazy. Growing up with a fairly large family you just know that many things just aren’t possible and I became such a ‘realistic’ person. Yes I was told, “you can be anything you want to be if you just put your mind to it.” However, I never bought in to that statement.

When I first started this class it was kind of like that sci-fi movie to me, very unbelievable. Since I don’t work in the hospital I don’t see the huge tech movement of the computerized charting (EHR), equipment, robotics, and all the other tech savvy information being used. But man oh man have my eyes been opened! This class has truly made me open my mind and dream big. I’ve thought about totally unrealistic technology that may impact how we care for our patients (which is so out of character for me).

I am so thankful that God has brought me to this place in my life where I am NOW finally seeing that I CAN do anything I put my mind to. I know nursing informatics is a new topic to most people; however, it’s been around for many years. I would love to see SBU/St. John’s SON integrate this class into the ASN program where these nursing students can begin dreaming about the possibilities of technological advances that can help our patients. I feel that this would compliment the information they’re getting within their clinicals.

When I think about the question, how can nursing embrace technology better in the future? Well I am pretty safe to say that most RN’s are Type A personalities. They want to get their work done, correctly, be in charge and everything will follow the right steps to get there. As technology has advanced we can be more organized with our charting (and not miss anything). We can be assured less medical errors when the technology is used correctly. And we can still have time to do what we do best, take care of our patients!

This class has made me so excited for the future of nursing! I have even thought about the possibility of central lines and IV catheters having sensors to determine if there is a blood clot or obstruction. Or even cameras to view the arteries during an angiogram to determine the true size of a blockage or narrowing. Or several of my classmates have discussed ‘bluetooth’ type equipment used for dictating or voice activation of pulling up information on a screen. The possibilities are endless and I thank you Ms. Terri for letting me open my mind and dream big!

Webliography on Childhood Obesity March 29, 2010

Childhood Obesity

Childhood obesity is near and dear to my heart as a School Nurse and as a mother of three. The statistics and health risks are alarming! Yet parents still don’t seem to be jumping on the band wagon to help their child. Childhood obesity is a serious medical condition that is affecting children and adolescents. Most overweight/obese children become obese adults. I feel that when managing childhood obesity, it should start with the parents not just the obese child. They ultimately buy the food, cook, have the same poor eating habits and don’t exercise.

The health risks from obesity definitely effect the body over time and Type II Diabetes is on the rise with our younger children. Some other health risks include: high blood pressure, diabetes, high cholesterol, cancer, bone and joint problems, stroke and being at HIGH risk for MANY diseases. One of the best strategies to combat excess weight gain is increasing your exercise and monitoring caloric intake. Decreased physical activity and sedentary behavior is some of the biggest reasons why many children are obese and overweight. Kids need 60 minutes of exercise each day.

I love how the game industry has changed how kids play their video games. Nintendo Wii has been a good addition to many families to get their children moving in the right direction. It has definitely been a hit at my house. As a parent, I try to make an effort to do the 60 minutes of exercise with my children. I need it along with my children and it’s some great bonding time that we can spend together.

Below is some great information on childhood obesity from credible websites such as CDC, Mayo clinic, Journal for Specialists in Pediatric Nursing, and Disease Management and Health Outcomes.

National Center for Chronic Disease Prevention and Health Promotion
Healthy Youth
http://www.cdc.gov/HealthyYouth/keystrategies/pdf/make-a-difference.pdf

This website has a research-based resource that can help any school implement a long-term approach to help combat obesity. The School Health Index (SHI) is a detailed tool that helps identify the weak areas within a school district. After identifying the weak areas a plan of action is developed with specific steps to implement. A committee of people who are dedicated to children and obesity is needed to further implement this program. This process is a bit lengthy and time consuming but is a good resource.

The Obesity Society
Childhood Overweight
http://www.obesity.org/information/childhood_overweight.asp

This website has a quick overview of the health risks that are associated with childhood obesity. It demonstrates how to calculate a child’s Body Mass Index (BMI), which is a quick tool to determine if your child is overweight. This is a quick formula that compares height, weight, sex, and age. However, it doesn’t consider being muscular, having a larger body frame or how children grow in different rates.

Mayo Clinic Children’s Health
Children’s snacks: 10 tips for healthier snacking
http://www.mayoclinic.com/health/childrens-health/HQ00419

This is a great website that has some quick and easy healthy snack ideas. It has some tips on good ways to get your children to eat different healthy foods.

EMedicineHealth
Obesity in Children
http://www.emedicinehealth.com/obesity_in_children/article_em.htm

This website has some cool slideshows available to view on promoting healthy eating and implementing exercise into their daily routine. The website is very thorough and has valuable information regarding childhood obesity. It is easy to navigate through the many different tabs on obesity, treatment, care, and resources.

Gance-Cleveland, B., Gilbert, L., Kopanos, T., & Gilbert, K. (2010). Evaluation of Technology to identify and assess overweight children and adolescents. Journal for Specialists in Pediatric Nursing, 15(1), 72-83. Retrieved from CINAHL Plus with Full Text database.

This is a fabulous article on how providers are using computer technology in their practice. This system allows providers to be connected with current Body Mass Index (BMI) guidelines and being able to provide heartsmart information with their patients. HeartSmartKids is a program that not only maps their child’s height, weight, BMI percentile but gives a summary of health and heartsmart risks. It allows the parent to do a comprehensive health history via touch screen computer which that information is generated into the patients chart and their child health risks are identified. This article has some examples of the printouts and what recommendations the doctor has for nutrition or activity. Awesome innovation for helping with childhood obesity!

Hughes, A., & Reilly, J. (2008). Disease management programs targeting obesity in children: setting the scene for wellness in the future. Disease Management & Health Outcomes, 16(4), 255-266. Retrieved from CINAHL Plus with Full Text database.

This is another Journal article that has the repeated information from the sites above; however, addresses more short-term and long-term health outcomes. The long-term effects address the behavioral outcomes of the effects of obesity. The psychosocial aspect to adolescent obesity is detrimental to a child’s self-esteem and needs to be addressed along side the nutrition and exercise component. This study shows improvement in body satisfaction with intervention.

Nursing Informatics Journal 1 March 9, 2010

Nursing Informatics…I know it has something to do with computer science and information but didn’t really know what it entailed. I’ve been out of hospital nursing and in school nursing for the past three years. So I’m not up to date on the mega information systems that are used in the hospital. We have a well managed program at our district SISK12 which allows all disciplinary systems to be integrated together. Except special education, for cost reasons they are on a different program. Funds are limited for many school districts and are even cut year to year. So we don’t have the luxury of having amazing programs. But it works for us and definitely cuts down on the paper work! It is an online system that can be accessed from home by parents and faculty. It’s a great communication tool for parents who work during school hours to keep up to date on their child’s assingments and grades.

Back to Nursing Informatics…it is “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.” (McGonigle and Mastrian 2009). We deal with so much information that this is an efficient way of handling the data, it can be easily stored and retrieved by all entities within the Health System. I can’t even imagine the depth of knowledge that the programmers have by creating such a system of this magnitude. I am so thankful that those people are out there! And truly make my job easier!

The Electronic Health Record….so many thoughts! But my first thoughts on who owns the Electronic Health Record (EHR) is the patient. It’s their own, private information and they are paying the insurance premiums that pay for the care. But after reading and understanding the great deal of effort and cost that goes into the system, I feel that the Health Center owns the record but the patient owns the information. I’ve got mixed emotions. The EHR is a phenomenal resource and definitely cuts down on the admission process with having all their information at hand!

New to blogging! February 26, 2010

Hello! I am new to blogging and am pumped to tell things that I am doing in nursing!  I have found a new love, which is running and am currently training for a half-marathon!  Woohoo!  I also have 3 BEAUTIFUL children and a wonderful husband who light up my world!  I love Jesus and am in awww by his Majesty and forgiveness!

School Nursing is where my career is for the time being and I feel like a momma of 350 students!  My background is in Cardiac and I love CCU and Cardiac Cath Lab.

Hello world! February 26, 2010

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