4 ways a EEN can assist an patient with acute respiratory distress to promote a clear airway?

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I am doing an assignment on Nursing interventions for individuals with an acute respiratory illness, please I need help.
Hi there

I'm doing my RN degree at uni and am guessing that you need will need to back up these interventions with credible, peer reviewed references. You could try looking on the Department of Health website or use google scholar to search for journal articles related to your essay topic.

I find these very helpful when researching for my essays.

Good luck!  (+ info)

Can an adult be diagnosed with aspergers syndrome another word for autism?

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Can a person have austism and not know they had until they are an adult?
sure
often misdiagnosed, from lacking "common sense" to schizophrenia. As symptoms can be similar to other conditions, or in conjunction with other medical conditions.

Self diagnosis is often the first accurate step

AS people like to reason things out, to understand them as a rational cause-and-effect proposition
(Asking the same question repeatedly, is a trait some AS people have)
The increased anxiety levels in every day life, can cause AS people to become tired, burn out, stress or overwhelm easier than others. So AS people need more relaxing, down time built into their timetable. 'Tuning out' or staring into space is possibly a relaxing time for the brain to process the days input.
Group dynamics or tasks with more than one step can be problematic.
Naive, trusting, at least one 'obsessional' interest. I believe not all with asperger's syndrome are unempathetic, some are very empathetic. "The 'known fact' of people with Asperger's Syndrome lacking empathy leads some autism professionals into erroneous thinking..."

I wish you the very best of luck with your journey  (+ info)

What kind of financial support is availsble for an adult with treacher collins syndrome?

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A member of my family has treacher collins syndrome and currently does'nt have enough money to pay the surgery that is needed.This family member has a mild case,the eyes are small slant down slightly,no hearing loss,the main thing is how he feels about himself,society can be crule and not very understanding.Currently he lives in chicago so if anyone has any info please please reply.Thanks so much.
I would try this site, looks to have some useful information

http://www.craniofacial.net/treacher_collins_syndrome.htm  (+ info)

Is there an adult version of shaken baby syndrome? Articles?

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I've found one citation of an adult version of shaken baby syndrome. Nothing more.
Here are some:

Pounder DJ. "Shaken adult syndrome." Am J Forensic Med Pathol. 1997 Dec;18(4):321-4

Carrigan TD, Walker E, Barnes S. "Domestic violence: the shaken adult syndrome." J Accid Emerg Med. 2000 Mar;17(2):138-9.

Geddes JF, Whitwell HL. "Shaken adult syndrome revisited." Am J Forensic Med Pathol. 2003 Sep;24(3):310-1.

Salehi-Had H, Brandt JD, Rosas AJ, Rogers KK. "Findings in older children with abusive head injury: does shaken-child syndrome exist?" Pediatrics. 2006 May;117(5):e1039-44.

There are others. I searched in the PubMed database at:
http://www.ncbi.nlm.nih.gov/sites/entrez/
using the search term: shaken adult syndrome  (+ info)

Is it possible for a normal looking adult to have down syndrome?

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You can tell if someone has down syndrome by looking at them, but are there any people who have the syndrome but you couldn't tell just by looking at them?
the short answer is no  (+ info)

How do you tell an adult that you think they may have Asperger's syndrome?

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My husband and I highly suspect that my mother in law has Asperger's syndrome. She was diagnosed with ADD as a child. She may really have ADD but she also shows several symptoms of AS too. Over the last 6 years I have observed her say and do many things that are socially rude, hurtful and judgmental. Because of this she has no close friends, strained friendships with myself, her coworkers and family members. She doesn't look at you when you are talking to her, she does HOURS of book and online research about specific topics, she gets very anxious when routines change, she doen't understand when people are losing intrest in what she is talking about. After she hurts/bothers/offends people she becomes very depressed and then the anxiety/depression cycle begins again. We love her and want to help her in any way we can but we don't know how to approach this subject with her. Any ideas would help. We don't want to embarrass or hurt her, we are just concerned! Thanks!
Do you think you can change her? You can't. I wouldn't tell her because it wouldn't serve any purpose. I work with middle school special education students, some of whom have Asperger's, and you will do no good to tell her. Your best bet is to learn to deal with her the way she is.  (+ info)

How do I get an Adult diagnosis of Asperger's syndrome?

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I believe from various books and articles I have read that I have Asperger's. How do I get an dianosis as an adult?
Why are you fishing for a diagnoses?  (+ info)

What's the difference between respiratory arrest and respiratory distress?

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Respiratory arrest is the cessation of breathing. It is a medical emergency and it usually is related to or coincides with a cardiac arrest. Causes include opiate overdose, head injury, anaesthesia, tetanus, or drowning. Respiratory arrest is treated initially with artificial ventilation, together with treatment of the likely cause.

Respiratory distress:respiratory distress syndrome (ARDS), also known as respiratory distress syndrome (RDS) or adult respiratory distress syndrome (in contrast with IRDS) is a serious reaction to various forms of injuries to the lung.

ARDS is a severe lung disease caused by a variety of direct and indirect issues. It is characterized by inflammation of the lung parenchyma leading to impaired gas exchange with concomitant systemic release of inflammatory mediators causing inflammation, hypoxemia and frequently resulting in multiple organ failure.  (+ info)

If yu have Munchausens as a child are you likely to develop Munchausens by Proxy Syndrome as an adult?

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Out of curiosity, I have a friend with Munchausens Syndrome and she says that she doesn't want to have kids because she doesn't trust that she won't develop MBPS when she does, is that how the illness works?
First of all, it's not an illness, it's a disorder. Secondly, she should be getting treatment for Munchausen's which, by the way, is EXTREMELY rare. Has she been diagnosed? Or does she just think she probably has it? The disorder is characterized by someone who wants attention and control by self-inflicted medical problems. If she doesn't get treatment, i would think that the desire to get attention and control would still be present and would be unhealthy to her children.  (+ info)

What should be one of the first techniques when doing an exam. on a patient with respiratory distress?

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Also..
Wen using percussion as an exam. technique for the lungs, you find a hyper resonance sound(more echo than expected) this abnormal sound could indicate what?
The first thing if the patient is in respiratory distress should be to do a PRIMARY SURVEY

Check their Airway, Breathing and Circulation

When you are happy that the patient is stable (you have ensured the airway is clear, patent and maintainable ... you have provided oxygen ... you are happy that the patient's circulation is stable)

THEN you can proceed to more thorough examination.

Depending on the nature of how the patient presents

in a trauma situation - perform Secondary Survey examination: head to foot

in a non-trauma situation - perform usual respiratory examination: start with the hand (observe for nicotine staining, clubbing, peripheral cyanosis) - move to arm (HPOA, BP, pulsus paradoxus) - face (central cyanosis, mitral facies) - cervical lymph nodes, JVP, Pemberton's sign ...

At the chest - LOOK first. Observe patient's respiratory movements. Look for obvious injury (open pneumothorax). Check for equal chest wall movements on both sides.

Feel next. Palpate the patient's trachea - it should be midline. Feel the chest wall for subcutaneous emphysema. Palpate the ribs for rib fractures. Percuss chest for resonance. Feel for vocal fremitus if you are a believer in that.

Auscultate - Listen to all areas of the lung. Vocal resonance.

Then examine abdomen (ptosis of the liver ... scrotal examination in young males for testicular cancer, the most common metastatic cancer in young males)

Examine legs for signs of DVT and assess peripheral circulation.

Hyper-resonance is said to be a sign of a pneumothorax.

However, in practice this is difficult to detect.  (+ info)

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