medserg overflow

nasogastric tube (NG)

used to suction out contents of the stomach but can be used to install fluids and nutrition

nasointestinal tube (Dobhoff)

small bore feeding tube that ends in the duodenun or jejunum

intermittent feeding

300-500mL given several times a day over 30 min

continuous feeding

continuous in less than 24hrs overnight

open system

no more than 8hrs of premixed formula, replacing the tube every 24 hrs

closed system

prefilled container that can hang for 48 hrs if sterile technique maintained

Feeding administration

HOB at 30*, checking residuals every 4-6 hours, and keeping room temp

feeding residuals

if more than 100mL or ½ feeding withdrawn, check with provider

fasting blood glucose

70 to 100

metabolic syndrome

3/5 components - elevated waist circumference, elevated triglycerides, low HDL cholesterol, elevated BP, elevated fasting glucose

authoritarian/autocratic leader

leader makes decision alone and low level of trust within the group but productivity high

democratic leaders

often function as a facilitator, encouraging group discussion and decision making

laissez-faire leaders

permissive and want to give autonomy - leaders act as a resource

bureaucratic leaders

do not trust self or others, inflexible and by the book

charismatic

strong interpersonal skills and persuasive communicator

transformational

empowers others, encouraging risk taking and creativity

shared leadership

collaborative

shared governance

decision making distributed by the group but accountable for overall outcome

5 rights of delegation

right task, right circumstances, right person, right directions and communication, right supervision and education

bereavement

objective situation of a person who has recently experienced a death of someone significant

anticipatory grief

noted before loss and associated w diagnosis of terminal illness, disability, acute, or chronic illness

disenfranchised grief

when a loss can’t be openly acknowledged

worden-tasks

bereavement theories that include 4 tasks of morning that are completed in order and revisited over time - acceptance, processing pain, adjusting to world without, find connect with deceased

rando-phase

3 basic phases and six Rs

• avoidance and recognizing loss

• confrontation - react to separation, recollect and re-experience, relinquish old attachment

• accommodation - readjust and reinvent

stroebe and Schut - dual process modal

suggests that grieving oscillates between positive and negative reappraisal of 2 types of stressors - loss oriented stressors and restoration oriented