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.
A turkey burger is a healthy meal option that's made with a combination of light and dark meat. An average turkey burger patty has around 190 calories and under 15 grams of fat. When a turkey patty is cooked and served as a burger, bold sauces and fresh veggies are always used to provide flavor. Although cranberry sauce, lettuce, and tomatoes can enhance a turkey patty, you can take a turkey burger to the next level by pairing it with tasty items.


Chips

Because potato chips are available in a variety of favors, you can easily find a bag of chips that highlights the poultry. If you eat pickle chips with your burger, you won't have to put regular pickles on the patty because the chips will provide the sour flavor. The following chips also taste great with a turkey burger:

  • BBQ chips
  • Plain chips
  • Cheesy chips

French Fries

French fries with great seasonings can enhance the flavor of a turkey burger. In order to make tasty seasoned fries, you'll need many types of seasonings and a bowl. When you're selecting seasonings, try to pick spices that are commonly used during Thanksgiving. If possible, you should make fresh pepper by grinding peppercorns. Fresh peppercorns that are processed in a grinder provide a bolder flavor than pepper that's manufactured in a can.

Beans

If you're going to pour BBQ sauce on your turkey burger, you should eat it with a side dish that has a flavor that doesn't overpower the smoky BBQ elements. The best product for this task is a can of beans because every bean is smoothed in a bold sauce.

These are just some of the many products that you can enjoy with a hardy turkey burger. If you're going to cook a processed turkey products, you should always buy patties that are provided by the best frozen turkey burger brand.
                
Japanese culture has a great influence on our everyday lives. From food, clothing, entertainment and even organizing our homes--think Marie Kondo. It is no surprise that we are slowly accustomed to their culture because of our sense of adaptability to new things. 

Ramen is a Japanese noodle soup, which is similar to our Mami has become a comfort food of so many Filipinos--that includes me. Last December 2018, another branch of Tomochan Ramen Express has finally launched at SM Cherry in Shaw Boulevard. Tomochan is founded by Akiko Okamoto. She wants to share the authentic Japanese delight with the Filipino community and to the rest of the world at a reasonable price without sacrificing its quality and taste. Her first store opened in Angeles City, Pampanga last July 2017. She believes and lives with the undying dream that Tomochan Ramen will be the new "daily ramen" that every individual would consider as their comfort food. She thought of something that will be known as solid friendship and that is how Tomo (Japanese term for a friend) and Chan (used for close friends, couples and loved ones) came to reality. 

Now let us talk about their menu. They have Ramen, rice meals, set meals, and ala carte. They have two soup bases, one is the Shoyu (soy) Base and the other one is the Miso Base. I have tried their Spicy Miso Tantan and their Chicken Karaage. Their Spicy Miso Tantan is Miso basic ramen which has spicy pork, half egg, leek, and veggie. The soup base is not that salty, the noodles are not the ordinary instant noodles and the egg is cooked just the way I liked it. The rice meal is also complete in terms of food groups because they have carbohydrate, protein, and vegetable. The chicken karaage is juicy on the inside and crunchy on the outside and not too salty too which is a bonus point. I must say that this is the most affordable Ramen I have ever tasted so far that did not compromise the taste and quality of the ingredients at all. 

Katsu Rice Meal B



Spicy Miso Tantan


MENU:

Ramen:

Tokyo Shoyu

Shoyu Basic- P99
Shoyu Vegee-P109
Spicy SHoyu Tantan-P129
Shoyu Special-149

Miso Basic

Miso Basic-P129
Miso Vegee-P139
Spicy Miso Tantan-P159
Miso Special-P169

Rice Meals:

Chicken Karaage-P79
Katsu-P79
Gyoza-P79

Ala Carte:

Chicken Karaage-P69
Katsu-P69
Gyoza-P69


Gyoza

You can visit them in any of their branches:

Marquee Mall: Level 2 Food Choice, Marquee Mall, Angeles City
New Point Mall: Lower Ground, New Point Mall, Angeles City
Solenad Mall: Fiesta MArket, Solenad 3, Nuvali, Santa Rosa, Laguna
Fairview Terraces: Food Choices, Secod Floor, Ayala Fairview Terraces, Quezon City
LKG Tower Branch: Food Odyssey, 11th floor, LKG Tower, Makati City

Tomochan Ramen Express is also open for franchising. The franchise fee is P160,000 which includes the following:

  • right to use Tomochan's unique name
  • Site selection, evaluation and approval
  • Tomochan's exclusive classroom and hands-on training
  • Pre-opening and opening assistance
  • Confidential Tomochan's Operations Manual
  • Consistent support, business consulting and field visits
  • Marketing and promotions support
  • Rights to use Tomochan's proprietary products and services
  • Access to accredited and exclusive suppliers of Tomochan.

If you are interested, please contact them here:

(045)-3044353
09770635706
09154826019
franchisetomochan@gmail.com

Connect with them through the following:

Website: www.tomochan.com.ph
Facebook: Tomochan
Instagram: @tomochanph




Building your very own home is exciting and provides you with plenty of opportunities to get creative with your favorite styles of homes and personal preferences. When you are thinking of building your own home, choosing to hire professional home builders is a way to move forward with your project with peace of mind and knowing you are on the right track. 


Licensed and Insured

Professional home builders are not only licensed to do the job of building a home from the ground-up, but they are also insured. Insured home builders protect homeowners from potential financial stress associated with falls, injuries, or damage done while your construction project is in process. Adequately protect yourself legally and financially by working with a certified home builder.

Design Knowledge

Home builders are not just skilled construction workers. They have a vast knowledge of different home styles, designs, and layouts. Often times, home builders are aware of ways to create a more spacious room or a more compact area depending on your needs. Work together with your chosen home builder to draft a blueprint that truly reflects the vision you have for you and your family.

Use Quality Materials

Home builders are professionals and work with a variety of manufacturers and suppliers, giving them more choice when it comes time to order materials for your home build. Ensure you receive high-quality materials by working with a professional home builder that is well-versed in material costs and providers near you.

Stick to Your Timeline

One of the most notable advantages of working alongside a professional home builder is the ability to stick to the timeline or deadline you have in mind. Home builders are professionals and strive to meet deadlines while ensuring that the job is done right.

Knowing the advantages of working with a professional home builder allows you to find a provider that is right for you and the type of home you intend to build. Working together with the professional home builders in St. Augustine, FL while sharing the vision you have for your perfect home is a way to make your dreams a reality.
                

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