As a nurse-mom, I would like to give health teachings such as this because I can read online that there are a lot of moms are confused as to how to safe medication practices. 


1. Pay attention to your doctors. If you cannot read their handwriting, ask them. I know these days, doctor's orders are already printed in prescription papers. But please ask them everything about the medicines.
2. Follow the doctor's orders. Just because you do not experience pain anymore or you are already getting better, YOU WILL STOP TAKING MEDICINES especially ANTIBIOTICS. You need to follow how many days it should be given. Why? To effectively kill the bacteria.
3. DO NOT SELF MEDICATE. Unless you know what your symptoms are, and you have a standing order then go. What is standing order? Usually, standing orders are fever medications and go like this:
  • GIVE PARACETAMOL FOR TEMPERATURE ABOVE 38 degrees Celsius and above every 4hours. Other than that, PLEASE DON'T especially for children.
  • GIVE Insulin 2 units subcutaneously for blood sugar above 140mg/dl.

4. NOT ALL SYMPTOMS are the same. This is the reason why you need to see your doctors. Not all cough is JUST coughing. In our profession, we characterize lung sounds and different lung sounds means different DIAGNOSIS. Hindi ibig sabihin na umuubo anak ni kumare ay pareho na kayo ng sakit.
5. Please always check medicines for their expiry dates. Stored opened medicines like antibiotics should be thrown away, chances are, they are not as effective anymore.
6. SOCIAL MEDIA is NOT AN ONLINE CLINIC. Health teaching is different from asking for a medical diagnosis. We cannot seek for an online prescription because medical professionals cannot ASSESS patients properly ONLINE. Assessing entails the use of five senses, something that cannot be done virtually and remotely. 



What does RIGHT DOSE mean?


Proper dose is based on a lot of factors. It is based on height, weight, and age of an individual. It is also crucial, especially to babies and children. 

It simply means the right amount of medicine to give the patients. If the doctor's order is 0.6cc you have to give the exact amount because it is specifically for the patient. 

What you need to do is use a syringe (please remove needle) in order to obtain a proper dose. You can buy this one in a drug store. 

Please do not use household items like a spoon because it varies sizes so most likely, you will not get an accurate dose. 

When measuring medicine, do it at eye level for accuracy.



RIGHT ADMINISTRATION


It is the proper way of giving medicines to patients. 



There are different routes as to where we give medicines. 

➡️ORAL (mouth)
➡️OTIC (ears)
➡️PER RECTUM (anus)
➡️INHALATION 
➡️SUBLINGUAL (under the tongue)
➡️BUCCAL (Cheeks)

➡️INTRADERMAL
➡️SUBCUTANEOUS
➡️INTRAMUSCULAR
➡️INTRA THECAL

And many more. 

The reason for this is, they are most effective when given through those routes. 

➡️Not all liquids are given ORALLY (mouth) and not all tablets are best swallowed. 

➡️When giving medicines to kids, please refrain from calling them candies. 

‼️ TIP: If you are having a hard time giving medications, especially those that taste bitter, it is best to give liquid ones through the syringe, position them upright and give medicine by the sides of the mouth. This is to prevent aspiration. PLEASE DO NOT PINCH THEIR NOSES. 

Also, if you are giving two medicines or more, observe spacing to promote optimum results.




This is quite crucial as I have seen a lot not following this. 

Did you notice that your medicine bottles are dark colored? It is because there are components that are sensitive to light. So it means you need to store them away from light. 

If your medicines are opened, you need to store them inside the fridge, NOT FREEZER and should follow certain temperature. 

If you have vaccines, you also need to place them INSIDE THE FREEZER for it's contents to remain potent. 

Do not store medicines beside your chemicals and should be always away from children's reach. 

Store them in a cool, dry place. If your bathroom is always moist, do not put your medicine cabinet there.


This is the right time the medicines should be given. The reason is, to achieve its full effectivity


What you will see in the doctor's orders are:

➡️OD (once a day) 8am or 8pm
➡️BID (twice a day) 8am and 8pm
➡️TID (three times a day) 8am -12noon-8pm
➡️QID (four times a day) 8am-12noon-4pm-8pm

Q means EVERY
➡️Q2 (every 2 hours)
➡️Q4 (every 4 hours)
➡️Q6 (every 6 hours)
➡️Q8 and so on. 

➡️Notes:
BID and Q12 are different. The former follows 8am and 8pm schedule while Q12 follows 12 hour timing. If medicine is started at 2am, the next dose should be 12hours after the last dose which is 2pm. Usually, medicines that are given by Q are antibiotics, fever medications, and pain relievers. Why? Because of their half-life. 

There are also medicines that should be given PRE and POST PRANDIAL (before and after meals). Premeals medications are usually diabetic medications and gastro medicines. Post meals, medications are usually antibiotics.

But then again, please clarify everything with your health care professionals. ALWAYS.








In this post, I talked about one of the elective surgery, I underwent three years ago. I have been contemplating for years if I should share with you my experience or not. But since it is my duty as a nurse-mom to do health teaching, might as well. 

During all my pregnancies, I was hypertensive or pre-eclamptic. Apparently, it runs in our genes, something can be controlled but cannot get away from it. So when I gave birth to my youngest which is now almost four years old, we decided that it was best to get a bilateral tubal ligation. I know this was against my belief being a Catholic, but, I cannot risk my health anymore. I would like to see and take care of my children until they grow up so we decided to forgo the procedure.

What is Tubal Ligation?  How does a tubal ligation process happen? It is a surgical procedure for sterilization in which a woman's Fallopian tubes are clamped or blocked and sealed, either of which prevents eggs from reaching the uterus for implantation. Tubal ligation is considered a permanent method of sterilization and birth control. 

There are few considerations a woman can get a ligation. Which are the following: 
  • A woman should be in her 30's
  • Should have at least a boy and a girl 
  • Eldest child should be at least 7 years old


But then again, these are a case-to-case basis and something that should be discussed with your husband and your OB-Gyne. This procedure has several techniques which involve clipping, tying of tubes, but what was done to me was Bilateral Tubal Ligation--meaning, both of my tubes were already cut. 

The procedure was done during my last cesarean section so the recovery this time was quite different from two of my cesarean procedures. I wasn't really aware of how I would feel because the ones I read from the blogs across Google was the total opposite of what I really felt. According to them it was painless and done vaginally. Since both of my tubes were cut, the pain on both sides was an additional pain to my incision site. Every time my uterus contracts (I was on an IV Drip with Methergine), both right and left quadrants of my abdomen were extremely painful. The pain was like there was an ice pick puncturing through my sides, it was a pain scale of 9/10. The pain was only relieved by taking oral pain killers which don't even last up to 3 hours. Upon discharge, I continuously took oral pain killers every eight hours. A year after, there was occasional pain in both of my sides, especially when it is cold. 

So far there are two misconceptions as to the possible effect of tubal ligation. One is in terms of intimacy. Some would say, women tend to get dry or lose interest in the matter. But the truth is, nothing has changed except for the fact I am not capable of procreation anymore. The second is if ligated women still experience a monthly period. There is still a monthly period. The only thing that is disrupted from the system is the travel of the egg to the Fallopian tubes to the uterus. So ligated women will still experience a monthly period.

Again, not all can have female sterilization here in the Philippines. There are indications to consider which is why you need to talk to your OB-Gyne about this. 

Are you into contraceptives? Share your thoughts below in the comment section.



It is only February here in this side of the world, but I can already feel the heat mid afternoon. Since we had so much mango in the freezer, I decided to make a refreshment today. I assure you, it is so easy to make. 

Mango Jelly Smoothie


Ingredients:

Gulaman 
Mango Flavor Mr. Hat Gulaman 
Milk 
Sugar (Brown)



Mango Smoothie
Chia Seeds 
Fresh Mangoes 
Milk Pearls (optional)


Procedure:
1. Cook the Gulaman first according to packet instructions. Set aside, let it cool. 
2. Prepare the mango shake. Add fresh mangoes, chia seeds, milk and ice. 
3. Layer them in a mason jar or any glass container. Put shake first, pearls and mango gulaman and pearls. 
4. Enjoy!

Note: You may omit the pearls if you don't any available. 

Have you tried this one? Share yours and don't forget to tag me in my social media accounts.


I have been advocating SELF-CARE for the past months. Having three kids with no nanny is not an easy journey. We usually have burnouts which is why I never knew that I had so many white hairs already! Well, part of this is genes, lack of keratin and also stress. And I couldn't stress enough how much it has stressed me. 










Post hair color. See how shiny my hair is?

The only way I know how to relax is to visit a salon and get that full body pampering. But since I have four kids in total to look after, I cannot afford to get the pampering session I wish done in a day. I am glad I had a simple hair makeover before 2018 ended. 

Novelina is a Japanese formulation manufactured using quality ingredients and the latest technology. It is enriched with Keratin which strengthens the hair shaft and adds shine and smoothens the hair. They also claim that their product is natural and less harmful to our hair. 

This product really changed how I view hair colors in general. One of the reasons why I stopped coloring my hair is due to my sensitivity to the products I am using. Here are some of the reasons why:

  • Minimal to no odor at all. I am sensitive to scents, especially when it is proximal to my nose. Any product I apply on my face and my face really bothers me. What more if it smells really awfully strong and irritating to the nose? Nevermind. But this one, none. 
  • Non-irritating. What they claim to be all natural seems to be true. I never had an allergic reaction or stinging on my scalp during and after the product application. Therefore, I would highly recommend this to my mom who has been so allergic to so many hair products. This one never stung at all. 
  • Affordable. For the price of P299, you can color your hair anytime you want. It is pretty affordable for a hair color product. 
  • Availability. You can order them online through Lazada if you don't want to stress yourself with the traffic going out. Products will be delivered to your doorstep. They also have a store in Cash and Carry mall which they offer free hair color application.

Overall, I liked the product and would definitely recommend this one. It did make my hair shine and it is definitely healthier more than ever. For its price, you can color your hair anytime you want. Remember mommies and daddies, self-care doesn't need to be that expensive. You can spend less than P500 by getting your roots done like what I did mine. Also, if you are nannyless just like me, getting your roots done at the comfort of your home is not an issue anymore since this one is odorless, not harmful to your children. 

Please note that if you want gray hair to be black again, please use the powder one. For those who wanted to make their hair lighter, please choose the cream products. 

If you want to know more about their products, please follow them on their social media accounts:

Facebook: https://www.facebook.com/novelinacosmetics/
Website: https://novelinacosmetics.com/

Navigating the aging process can be challenging and becomes even harder when illness, injury or surgical recovery enters the picture. These conditions can render your daily tasks and routines impossible for you to conduct, while also adding more self-care of your day.
With hospital stays or inpatient nursing facilities being expensive or unnecessary for your situation, you may feel exasperated and hopeless about how to get the care you need. Fortunately, the medical community has adapted to the growing need for flexible solutions with in-home nursing options like healthcare staffing services.

How It Works

Hiring skilled caregivers on your own is time-consuming and inherently risky. Most people will not be familiar with the proper credentials that should be in place or what measures to take to protect both you and your employee. Instead of forging this path on your own, look to healthcare organizations that have a team of practitioners on staff that specialize in providing in-home care.

Communication Is Key

As you consider home health care, take time to list your needs. Agencies employ skilled caregivers whose talents lie in many different therapies. Some patients may need help in recovering speech, while others may have prescribed exercises that require an assistant. No matter what issues you are dealing with, accurate communication between you and the agency is the key to success.

A Healing Relationship

When your health is compromised, it is important to alleviate stressors and discomfort as much as possible. This fact not only applies to you, but your family members as well. By turning to healthcare experts for help, guidance and experienced knowledge, you immediately eliminate negative impacts from your life.
Of course, you want to remain active and independent for as long as possible, and the idea of needing a caregiver is not a pleasant one. However, take comfort in knowing that if help is ever needed, you can enjoy being in your own home while receiving quality health care from trained professionals.

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