Nursing with Dr. Hobbick

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Did you know that everyday items like soap and chemicals can trigger urethritis and cystitis? This episode invites you on a comprehensive journey into the world of urinary tract infections (UTIs), urethritis, and cystitis. We begin by breaking down the differences between upper and lower UTIs and how they relate to acute and recurring UTIs. You'll also understand why bacteria from the bowel play a significant role in UTIs and how hospital-acquired infections often originate from urinary catheters.

The second part of our discussion centers on the preventive measures against UTIs and the right use of urinary catheters. We reference a handy tool by the American Nurses Association, guiding you on the proper use of catheters. Besides, we'll take a detour into home prevention methods and tackle controversial practices such as the consumption of cranberry juice. Finally, we reveal the diagnostic process for UTIs, including the potential use of a urinalysis or culture insensitivity test, CT scans, and cystoscopies for complicated cases. So, get ready to equip yourself with vital knowledge on this common health issue and how to combat it effectively. 
Here is the link to the ANA CAUTI prevention Tool mentioned in this episode! 
https://www.nursingworld.org/practice-policy/work-environment/health-safety/infection-prevention/ana-cauti-prevention-tool/

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What if your life was suddenly disrupted by a mysterious condition that started in your legs and gradually progressed to your face, causing numbness, tingling, and in severe cases, paralysis? This is the reality for patients suffering from Gilan Boree, a baffling syndrome that we explore on this episode of Nursing with Dr Hobbock. After a closer look at this perplexing syndrome, thought to be triggered by a viral infection, we lay bare the consistent patterns of its manifestation, starting from the legs, and progressing to the upper extremities, the trunk, and the face. 

From tingling and numbness to complete paralysis affecting crucial functions like talking, chewing, and swallowing, the insidious nature of this condition is alarming. However, the real danger is in its ability to cause respiratory failure, which is why this episode focuses on recognizing the key indicators of this potential outcome. We delve into the crucial role of monitoring patient respirations and discuss the potential for rapid development of weakness or paralysis of the intercostal and diaphragm muscles. As we wrap things up, we further stress the need for vigilance in patient monitoring and prepare listeners to deal with possible respiratory distress and the potential need for mechanical ventilation.

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Wondering how to navigate the intricate journey of caring for Parkinson's patients? We've got your back. Join us on this episode of "Nursing with Dr Hobbock Today," as we unpack the nuances of the disease. From identifying the hallmark symptoms to exploring the potential risks and the importance of creating a safe environment, we've got you covered. The conversation gets even more interesting as we discuss strategies to manage the disease, such as scheduling activities later in the day and encouraging slow, clear speech.

Dive deeper with us into the world of neurodegenerative disorders as we compare Parkinson's with Huntington's disease. Witness the intricacies of cognitive changes that can occur with Parkinson's. Enlighten yourself with the treatment options, including the revolutionary deep brain stimulation and the contentious experimental fetal tissue transplantation. Hear insights from Dr Hobbock on the significance of patient data, such as time of onset of symptoms and their progression. This episode is a treasure trove of vital knowledge for those caring for Parkinson's patients, don't miss out!

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Ever wondered why multiple sclerosis (MS) is such a complex and mystifying condition? How does this disease subtly sneak its way into the nervous system, disrupting nerve impulses, and causing a myriad of symptoms that make it both challenging to diagnose and manage? Our resident expert, Dr. Hobbick, takes us on an educational journey through the tricky landscape of MS, illuminating its demyelinating nature, the distinctive types, and the crucial role of genetics and environment in its onset.

Dr. Hobbick explains how the use of MRIs in diagnosing MS helps identify plaques, indicative of the disease, in different areas of the brain and spinal cord. She provides practical advice on symptom management and a detailed overview of medication options, their effects on the immune system, and the importance of a holistic, interdisciplinary treatment approach. In addition, she steers us towards another neuromuscular disorder, myasthenia gravus - discussing its unique characteristics and treatment options. Join us as we shed light on these neurological conditions, helping you to better understand, manage, and navigate this often complex field.

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A heartfelt tribute to the woman who not only birthed me, but also became the cornerstone of my career path, my dear mother. Recently, we said our last goodbyes to her after a brave battle with the aggressive clear cell uterine cancer. Her journey is a testament to her resilience - from the initial diagnosis in 2012 to the multiple treatments, periods of remission and relapse. It's a journey that took us to the sunny state of Florida, and introduced us to the invaluable medical team at the Mayo Clinic, Jacksonville. 

With the passing of my mother, I am reminded of the immense gratitude I bear for hospice care, specifically the team at Community Hospice in St Augustine, Florida, who were there for my mother until the very end. They provided the comfort we needed during those challenging times. The treatments she underwent - chemotherapy, radiation, and biologics like Ketruda and Lmvima - were a bittersweet rollercoaster of emotions. I dedicate this episode to her strength, her courage, and the indomitable spirit that inspired me to pursue nursing. So, if you still have the chance, hug your mom for me today and every day.

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Ever wondered how to expertly navigate the complex world of caring for patients with spinal cord injuries? Fear not, because in our riveting discussion with Dr Hobbock, we unpack everything you need to know, from recognizing the telltale signs of spinal shock and autonomic dysreflexia to implementing effective management strategies. Master the use of corticosteroids, the role of traction, and the essential monitoring techniques to ward off further injury or infection. 

It's not just about the medical side of things though. We will also tackle the psychological impacts of these debilitating injuries on patients. We'll help you understand the guilt that often accompanies spinal cord injuries and how best to provide emotional support. Learn how to connect your patients with the right support groups, therapists, and case managers or social workers. Don't miss out on this treasure trove of key insights and practical tips that will arm you with the knowledge you need to provide top-notch care for patients with spinal cord injuries.

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Ever wondered how the Glasgow Coma Scale impacts patient prognosis? Or why outdated methods in feedings could be detrimental for patient care? With Dr. Hobbock as our guide, we untangle these subjects and more in a comprehensive look at the neurologic system in nursing. Together, we debunk ambiguous terms in measuring altered states of consciousness, advocating for the specificity of the Glasgow Coma Scale. We also underscore the importance of regular vitals and go in-depth into the risks of aspiration for patients and methods to prevent it.

As we shift gears, we put the spotlight on the pivotal role of correct processes for feedings and the need to check the placement of an enteral tube. Dr. Hobbock illustrates why old-school methods are no longer reliable and the pressing need for accurate techniques. We further explore the potential complications of immobility and preventive measures. Wrapping up, we dive into monitoring vital signs, recognizing increased intracranial pressure, and the role of constant communication in patient care. Join us on this journey, filled with essential insights and actionable tips, a must-listen for all nursing enthusiasts and healthcare professionals.

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Ever wondered why we lower our voices when communicating with those suffering from hearing loss and not raise it? Join me, Dr. Hobbock, as we explore the delicate mystery of sensory health, focusing especially on hearing loss. In this insightful episode, we break down the two primary types of hearing loss - conductive and sensory neural. We get to the root of conductive hearing loss, often caused by infections, trauma or wax build-up, and discuss simple solutions such as wax removal and the use of hearing aids. More importantly, we share some respectful and helpful tips on how to interact with those dealing with this type of hearing loss.

Moving on to the more complex sensory neural hearing loss, we delve into how sound distortion in the inner ear or cranial nerve, often caused by infection, ototoxic drugs, trauma, neuromas, noise, or the aging process, contributes to this type of hearing loss. We explore various ways to assess this condition, employing tools like a tuning fork or a whisper test. Further into the episode, we share some practical advice on how to communicate effectively with patients who have hearing loss, from reducing distractions to using visual aids. Lastly, we provide hands-on tips on how to look after hearing aids and cochlear implants. Tune in and gain practical insights into the common sensory issue that is hearing loss.

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Are you ready to unravel the mysteries of Neurosensory conditions? It's a world where subtle signs like a halo around lights or a slight loss of peripheral vision can signify the onset of Glaucoma, a condition with potentially devastating impacts on vision. Join us as we embark on a deep exploration of Glaucoma, shedding light on everything from symptoms and diagnostic testing, to nursing considerations and treatments. We'll lend special focus to the proper administration of Pylocarpeen eye drops, a vital tool in the fight against this condition.

The journey doesn't end with Glaucoma; we also uncover the intricacies of Wet Macular Degeneration - a condition that can slowly blur your central vision. We'll walk you through the myriad of treatment options available, including laser therapy, ocular injections, and Vascular endothelial growth factor inhibitors. You'll learn how these treatments can slow down the progress of the disease and limit any potential damage. This adventure through neurosensory conditions is loaded with practical insights, whether you're preparing for your NCLEX or have a keen interest in the subject. Come along on this exciting journey of discovery and learning!

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A quick run down and example of SBAR communicaiton.