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Kacip Fatimah or Labisa Pumila Improve Women Health

Kacip Fatimah is traditionally used to maintain a healthy female reproductive system, to help tighten and lubricate, and to enhance sexual function.
Kacip Fatimah is rich in phytoestrogen and isoflavones, that may ease menopausal symptoms. Oak Gall is rich in antioxidants and is traditionally used as postpartum care to tighten the reproductive system.


Kacip Fatimah has been traditionally used by the Malay women for many generations in childbirth in inducing and eases delivery, as a post partum medication to help contract the birth channel, to regain body strength, regulate menstrual cycle and avoid painful or difficult menstration, and to alleviate menopausal symptoms. The plant is traditionally boiled and the water extraction is taken as a drink.


Other traditional uses include treating dysentery, rheumatism, and gennoehoea. It is also used as antiflatulence by helping to drive away and prevent the formation of gas. The plant will also help to firm and tone the abdominal muscles. Scientific studies have established that the medicinal properties and biological activities of Kacip Fatimah are due to the presence of phyto-estrogen (plant estrogen) that is naturally found in the plant.

While being used by the indigenous people of Malay the Kacip Fatimah plant were usually boiled and the water soluble extract was taken as drink. Interest had recently been shown in the herbal preparation to determine its mode of action and potential pharmacological application. In the mean time commercial preparations as can drinks have been marketed without knowledge of the mode of action potential toxicity and side effects. Because it is given to women post-partum, the possibility of it being a phyoestrogen was considered highly likely.

Recent studies in the Institute for Medical Research, the water extracts of Kacip Fatimah were able to displace estradiol binding to antibodies raised against estradiol, making it similar to other estrogens such as estrone and estriol. Binding to estrogen receptors are being investigated.

Other claimed traditional uses of the Kacip Fatimah plant include using it to effectively treat dysentery, rheumatism and gonorrhea. It is also used as anti-flatulence by helping drive away and preventing the formation of gas. By cleansing and avoiding painful or difficult menstruation it is used as an anti-dysmenorrheal. This plant will also help to firm and tone the abdominal muscles. All these properties and biological activity is due to the presence of phytoestrogens that is naturally found in the plant.

Nursing Diagnoses / Diagnosis

A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual and/or potential health problems or life processes. A medical diagnosis, on the other hand, is the identification of a disease based on its signs and symptoms.

The professional practice of nursing is the diagnosing and treatment of these basic human responses. Nurses need a common language to describe the human responses of individuals, families, and communities to health threats. NANDA strives to classify in a scientific manner these basic human responses.

Nursing diagnoses are classified under the concepts of ingestion, digestion, absorption, metabolism, urinary/gastrointestinal elimination, sleep/rest, activity/exercises, energy balance, sexuality, post trauma responses, comfort, and growth and development.



dentification of human responses to health problems and life processes is the basis for the nurses' decisions on how to best intervene to help people heal or improve their quality of life. With nursing diagnoses, emphasis is placed upon achievement of the client's maximum health potential. The nurse gathers the assessment data and from this data, identifies high-priority nursing diagnoses. The nursing diagnoses then provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.

The PATIENT (not the nurse) is central to the nursing process. The nursing process involves looking at the whole patient at all times. It personalizes the patient. Nursing care needs to be directed at all times for improving outcomes for the PATIENT.

In order to tailor the nursing process to the patient, you need to identify the patient's problems related to the objective and subjective assessment data. Then you need to formulate a nursing diagnosis for each of these problems. You will also prioritize the problems in formulating your plan and goals (according to the ABC's and Maslow's Hierarchy of Needs).

Nursing diagnoses are written in "PES" format:

* "P" stands for PROBLEM
* "E "stands for ETIOLOGY or cause of problem
* "S "stands SIGNS and SYMPTOMS of problem

However, if you identify a high-priority "RISK FOR" nursing diagnosis, then you do not put the signs and symptoms (in other words, no "AEB"). How can you have evidence (signs and symptoms) for something that is only a risk?

Nursing goals are simply the antithesis of the nursing diagnostic statement with a reasonable time frame. In other words, diagnostic statements are "problems" (negative). Goals are "positive" (turn the nursing diagnostic statement around). If the nursing diagnosis is "Risk for Infection r/t..." for instance, then the goal statement might be "Client will not experience infection throughout hospital stay AEB clear lung sounds, afebrile, WBC count between 5,000 and 11,000, wound site well approximated with no purulent drainage." Goal statements always begin with "The patient/ client will..." and have a specified time element.

Nursing interventions are the "meat and gravy" of the nursing process and flow from the "etiology" part of the nursing diagnostic statement. Nursing interventions are either independent (such as teaching/learning or safety) or collaborative/ dependent (require a physician's order, such as administration of medications). The nurse must use his or her critical thinking skills to plan, coordinate, and implement nursing interventions, and then EVALUATE the effect of these interventions in achieving the desired patient goal. Nursing interventions always begin with "Student nurse will..." or "Nurse will..." and are very specific, as well as being realistic to the client situation (not just "cookie-cutter" interventions copied from a nursing careplan book).

Helpful examples of nursing interventions (in this case, related to visual disturbances) may be found at this website:

http://www1.us.elsevierhealth.com/ME...ex.cfm?plan=46

Nursing interventions must be backed up with a scientific rationale - Otherwise, this action is just your opinion and has no merit. Remember, everything in nursing must be EVIDENCED-BASED. Provide a citation for your scientific rationale, in APA format, from a peer-reviewed source: professional journal, textbook, lecture.

When evaluating your goals, need to state specifically: GOAL MET, GOAL NOT MET, GOAL PARTIALLY MET, or UNABLE TO EVALUATE GOAL due to time constraints. If the latter is the case (Unable to evaluate goal due to time constraints), then you need to state what outcome criteria would be needed in order to state GOAL MET. In other words, if I were present (at specified time element), I would look for the following outcome criteria in order to state, "GOAL MET." Then you list the desired outcome criteria. Remember, you are evaluating the goals, not the interventions.

So you see, it is an orderly, evidenced-based process and not that difficult with practice. Nurses cannot know what interventions to select or which outcomes to project unless they have accurate representations of what patients are experiencing (using a common reference language, NANDA).

References

Care Plan Constructor

2009-2011 Nursing Diagnoses with Functional Domains (starting on p.2)

Manual of Nursing Diagnosis

Handbook of Nursing Diagnosis

Nursing Diagnosis Reference Manual

NANDA Nursing Diagnosis Home Page


Original Post from VickyRN of allnurses.com:
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Pneumothorax

Definition
■ Disruption of lining of lung (visceral pleura) or lining of thoracic cavity
(parietal pleura) permitting air (pneumothorax) and/or blood (hemothorax)
into pleural space → lung collapse
■ 2° rib fx, stab or gunshot wound, thoracentesis, emphysema

Signs and Symptoms
■ Sudden unilateral chest pain
■ ↑P, ↑R, Signs and Symptoms
■ Sudden unilateral chest pain
■ ↑P, ↑R, dyspnea, ↓breath sounds on affected side, ↓PaO2
■ Air/blood in pleural space on x-ray
Treatment
■ O2, assist with insertion of chest tube/water seal drainage to reestablish
negative pressure (pneumothorax—2nd anterior intercostal space,
hemothorax—lower and more posterior space)
Nursing
■ Monitor S&S; relieve pain
■ Assess water seal chamber fluid level (↑ on inspiration and ↓ with
exhalation) and for bubbling in water seal chamber (continuous bubbling
suggests air leak and absence suggests full lung expansion or blocked
tube)
■ Instruct patient to exhale and bear down when removing chest tube, then
apply occlusive dressing
■ Subcutaneous emphysema: Palpate around insertion site for crackles,
which indicates air in subcutaneous tissue (crepitus)
■ Air/blood in pleural space on x-ray

Treatment
■ O2, assist with insertion of chest tube/water seal drainage to reestablish
negative pressure (pneumothorax—2nd anterior intercostal space,
hemothorax—lower and more posterior space)

Nursing Management
■ Monitor S&S; relieve pain
■ Assess water seal chamber fluid level (↑ on inspiration and ↓ with
exhalation) and for bubbling in water seal chamber (continuous bubbling
suggests air leak and absence suggests full lung expansion or blocked
tube),
■ Instruct patient to exhale and bear down when removing chest tube, then
apply occlusive dressing
■ Subcutaneous emphysema: Palpate around insertion site for crackles,
which indicates air in subcutaneous tissue (crepitus)

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Northumbria Numbers : Make your own private plate number

Did you live in UK? Did you have a new car? Did you want to offer some private plate number? Like F19 AJS, F18 BEN, N400 BOX, E384 VET, C8 ASH an more elegant number?

Northumbria Numbers is the great place for buying Private Plate Number for your special car. You can buy the private plate number ONLINE.

For more information please feel free to contact them through their website www.northumbrianumbers.com. This website is very simple and easy to browse. Trough this website you can search the private plate number include the availability. You can make your own private plate number also.

Northumbria Numbers established in 1995 and situated in the Border County of Northumberland also known as "The Secret Kingdom", Northumbria Numbers pride themselves on giving the best service in the Cherished Numbers business.They have supplied thousands of private number plates to thousands of happy customers over the last decade.

Boxes, Boxes and more Boxes

Hubs and I have begun packing up our belongings to move in with my inlaws in 2 weeks. Not the ideal situation, but we are completely out of options. Hubs is still unemployed and my salary cannot support us. This is the most humbling experience EVER. Our age and having to accept help from family, God is constantly teaching us lessons I suppose. Selling off furniture so we don't have to store it, going from a place of our own with just us and our dogs to living in a small ranch house with PARENTS. If only we had another option.

I will have to drive about 90 miles each day round trip for work...and work EARLY at 7am...this will be a challenge. Getting up at 5, leaving by 6 and then at work at 7. Ugh. Alas, I dare not complain as money is money and at least we can afford to feed ourselves, make the truck payment and pay our new bills (we are paying the utilities at the house). Even if we still have no health insurance. Beggars can't be Choosers. My immediate manager at work was laid off last Thursday night! They are doing a reorganization and he was a causality....but they will keep me... the cheap help...lol

On a positive note, the girls (our Bichons) love being at their grandparents house with a huge yard to run around and hanging out with their Grandpa who takes them with him fishing and hanging in the yard. So they will make the transition easily. The lack of privacy is going to be challenging, but again I am blessed to have a place to go and a roof over my head.

Thanks for letting me vent...yet again...one day I will get back to the purpose of this blog....

Now back to the boxes, boxes and more boxes that liter this place....

The Open Road

We are hitting the open road! Nothing like a Road Trip to forget your troubles! My family has been nice enough to fund a trip for Matt and I to drive to PA for a visit this holiday weekend. We both need to get away SO bad that I am very thankful for this. It will be good to see them as we haven't seen them since New Years. See my niece Asia play high school field hockey, play with the boys, Darius (5), Braylon (4) and Marcus (2) and just relax, cook-outs, visit some of my favorite Lehigh Valley haunts and DO NOTHING.

Alas - Tuesday I'll have to come back to reality, but that leaves me with 4 days of nothing but FUN FUN FUN!

Woo Hoo!!!! Now off to pack for the 13 hour drive! Just so you know VIRGINIA really IS the longest state in the union...I think we are in that state like 6 hours of our drive...no kidding!