Tuesday, November 18, 2014

When Quitting Smoking Was Your New Year's Resolution



Another option: Seek online therapy for nicotine addiction

Trying to quit smoking? You promised yourself that you were going to quit smoking and made a New Year's resolution to do that. Good for you. That is the first step, but it is not that easy to quit, is it?

You know all of the right reasons to quit smoking. More importantly, you know your own personal reasons for making that New Year's resolution. You have tried to quit, but somehow, that did not work. This is not the first time you tried to quit smoking, either. Your intentions are always good, but your addiction seems to win.

Quitting smoking is never easy for anyone.

It can be difficult, no matter how serious you are about not smoking again. This is because of the addiction factor. When you are addicted to nicotine, you continually want more of it. Your body will crave nicotine. You will experience withdrawal symptoms, every time you try to stop smoking.

What can you do to succeed in keeping your New Year's resolution? Can you achieve lasting success over your addiction to smoking?

You have a computer and know how to use a search engine, right? There is valuable information about how to quit smoking, online. There are also therapists who you can talk to about breaking your nicotine addiction and resolving your smoking addiction, permanently.

Online therapy may be the perfect answer for you, because it allows you to go on the Internet and contact 
someone, when you crave that next cigarette.

This is how to use the Internet to get information on how to quit smoking.

Type key words and phrases in the search engine, like smoking, quit smoking, how to quit smoking, addiction to nicotine or breaking the nicotine habit.

You will get a collection of different web sites, oriented towards helping people who are serious about keeping their New Year's resolution to stop smoking.

For example:

This is the website address for the American Lung Association. Click on this link.

http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=33568

On this site, you can register for a Freedom From Smoking Program. Just click on this link.

http://www.ffsonline.org/

There is an American Lung Association help line that you can contact by telephone, at 1-800-LUNGUSA, if you wish to speak to someone personally or have questions about how to succeed at quitting smoking.

This is only one example of many web sites, where you can access online therapy that will help you to quit smoking.

Overcoming a nicotine addiction is never easy, but it is possible. Don't wait until tomorrow. Call now. You can achieve success over a nicotine addiction through online therapy.


Nursing: Why Choose a Career as a Private Duty Nurse?



Are you a prospective private duty nurse?

You may be thinking seriously about becoming a private duty nurse. Great! Private duty nursing is a wonderful occupation for registered nurse to pursue. Private duty nursing presents a unique and interesting challenge, for those who enjoy working with patients on a one-to-one basis, over a long period of time. Patients may come from medical-surgical wards, geriatrics or more specialized areas like palliative care, rehabilitation, cardiology or mental health.

Registered nurses who do well in private duty nursing, love patients and like to have close contact with them. They get excited about taking on the responsibility for the nursing care of just one patient at a time, on a full or part time basis. This kind of nursing allows registered nurses the opportunity to give quality nursing care to their patients.

Private duty nursing can be an intense learning experience, as many patients have go into intensive care or to step down units to resolve or prevent medical crises. This kind of nursing can be demanding physically, mentally, emotionally and spiritually, especially when patients are critically ill, in life threatening situations or having extensive surgery.

Private duty nursing offers some distinct advantages for registered nurses.

Financially, the remuneration is excellent for those who are self-employed and interested in setting up home-based businesses. Private duty nurses can seek their own referrals, but word of mouth may provide private duty nurses with ongoing referrals. Other leads may be obtained from doctors or other private duty nurses.

If private duty nursing employment is through community agencies, the agencies provides patient referrals. In turn, they receive a percentage of the income received for nursing care. If employment is in a hospital, nursing home or other health care facility, the private duty nurses are on salaries.

Many of those who employ private duty nurses are retired, upper class citizens. They live in exclusive residential areas and own beautiful homes that are pleasant and comfortable to work in. The patients needing nursing care may be long term residents in exclusive long term community nursing homes or other privately owned, health care centers.

Travel may be part of the patient's itinerary and private duty nurses may have opportunities to travel with their patients.

Extensive health insurance policies frequently cover a high percentage of the cost of private duty nurses.
Private duty nurses may be employed directly by agencies, hospitals, nursing homes or other long term care facilities. Private duty nurses may take care of patients on psychiatric wards or in other institutions. Many cases involve continual monitoring of patients. An example of this could be patients in drug and alcohol addiction rehabilitation centers.

Many registered nurses find private duty nursing rewarding, as they come to know patients and their families personally. The patient-nurse relationship exceeds the level of patient-acquaintance relationships. Private duty nurses have the opportunity to learn about their patient's personal preferences, habits and lifestyles and see how they function in their homes or in other nursing care environments. As well as interacting with patients and their families, they may assume supervisory roles, training other caregivers.

Because many private duty cases tend to be long term, scheduling is consistent and most schedules can be prepared ahead of time, giving private duty nurses a certain degree of freedom and stability, with regard to their personal lives. These are just a few of the advantages that private duty nurses can expect.

Private duty nursing has some advantages for patients, as well.

Patients often feel safer and more secure with one-to-one care, than they do when they are being cared for by a lot of nurses or when there are large numbers of other patients in hospitals, nursing homes or long term health care facilities. They know who to turn to regarding issues of concern. They enjoy the one-to-one attention from private duty nurses and thrive under their care. Many patients and their families like to know their private duty nurses personally.

There are some concerns that may arise for private duty nurses.

Private duty nurses may have to work in a wide variety of settings. In other words, wherever the patients go, the nurses go too. For example, when this entails surgery for the patient, the private duty nurses follow through with the necessary surgical nursing care. If the patients spend time in intensive care or step down units, the private duty nurses work with them, in those settings. If they are transferred to long-term nursing care facilities, the private duty nurses work there. Having to work in a large number of different settings involves continual changes and increasing educational demands for private duty nurses.

Private duty nurses frequently accompany patients to their doctor's appointments or for treatments and various procedures. They work directly with doctors in respect to long term patient care planning. This involves serious dedication, concern and attention to a lot of detail, on their part.

Many private duty cases can last for months, years or even many years. Many private duty nurses like this, while others prefer change.

Private duty nurses may work alone in patient's homes and assume the majority of responsibility for the patient's nursing care. Family members participate, but not always. Sometimes, there is only one private duty nurse working with a patient, over a long period. Many private duty nurses who work alone, miss the interaction, excitement and social aspect of working in other health care environments. Doing case studies with other caregivers for their patients, helps private duty nurses stay in contact with one another, too. Private duty nurses often become lifelong friends of patients, families and other private duty nurses.

Private duty nursing can be a lonely job at times, as there may not be a lot of people contact if nursing care is needed only during the evenings or at night. Working with one, non-communicative dying or mentally ill patient can be difficult for private duty nurses, but it can prove to be ideal for those involved in continuing education programs, as they may be able to study when patients are resting or sleeping.

Private duty nursing can be a high risk job physically, because many private duty patients have to be transferred, moved or lifted. There may not be anyone else to assist with lifting and there can be a high incidence of back injuries.

Private duty nurses must be able to handle current medications, treatments and procedures, regardless of where the patients are at any particular time. They need to be able to transfer the patients to new settings, on a moment's notice. Private duty nurses must learn to operate essential medical equipment that entails continual upgrading.

Private duty patients may require emergency measures, as many patients are critically ill, or dying. Spiritual care and counseling skills are needed.

Sometimes, private duty nursing demands continuous attendance with patients who cannot be left alone. For example, patients may be suicidal, have Alzheimer's disease, dementia or schizophrenia. Nursing disoriented patients for eight to twelve hours at a time, can be stressful. Of course, each scenario is unique.

Over attachment to patients can occur and private duty nurses must be cautious about becoming too involved with their patients. Patients can become overly-attached to their nurses, but continually maintaining a high degree of professionalism, prevents problems from occurring.

In conclusion, what does the future hold for private duty nurses? Private duty nurses will always be needed by patients, so the prospects of potential employment for them in the future, would appear to be excellent.

Private duty nursing is a career option well worth considering for registered nurses, particularly for those who are independent, able to work on their own and are interested in pursuing higher levels of education at the same time.

How to Write Nursing Articles for the Internet



Twelve tips for registered nurses writing and publishing Internet articles

Perhaps you are a registered nurse, who is seriously interested in furthering your career by becoming a professional registered nurse writer? Have you thought about publishing nursing articles on the Internet? Are you aware that there are numerous Internet publishers looking for different kinds of nursing articles that you could possibly write and publish?

Many professional registered nurses are well educated in nursing, as well as in other areas, because the commitment to upgrading is essential in nursing. Writing nursing articles is an art that combines a degree of nursing knowledge, expertise and experience with appropriate research, Internet skills and the ability to write.

If you are a registered nurse, who is serious about becoming a professional registered nurse writer, consider these twelve tips for writing and publishing Internet articles.

Adhere to writing guidelines.

Every website has unique guidelines for prospective Internet writers. Publishers have their guidelines for the nursing articles they are seeking for possible publication on the Internet. Adhering closely to these guidelines is important. because they are looking for specific data, statistics and current information related to nursing. They may reject articles deemed to be inappropriate or off topic. If you submit an article and receive a rejection, correct any errors in it or re-write it and resubmit the article.

Write about what you know in nursing.

Begin by preparing an outline, focusing on something that you know about nursing. Be aware that writing nursing articles for the Internet presents a challenge to registered nurses, because this is a relatively new realm. Many registered nurses are more comfortable with nursing, than they are with writing about nursing. Registered nurses have valuable knowledge, excellent experience and a high degree of expertise they can draw from and write about, with regard to the nursing profession.

Do appropriate research on your nursing topics.

Use a search engine like Google to do research about current trends, innovations or recent changes in nursing. Remember that nursing is a profession that is continually in a state of flux. Non-permanency in nursing is invariably part of progress in the medical world. In other words, nursing is always changing in one way or another too, so current research regarding topics related to nursing is vital.

Use key words in your nursing articles.

When writing nursing articles, use a high density of key words, because that is how registered nurses or other medical professionals, prospective publishers, as well as interested readers, will find your nursing articles on the internet.

Address your nursing articles to a potential global readership.

When writing for publication for the Internet, it is important to recognize the reality of a potential, global readership. Write each nursing article in a way that other registered nurses, as well as other medical professionals everywhere, are able to understand what you are stating. Make certain that the nursing information that you submit for publication is accurate. What you write may be read by a vast number of professional people or non-professionals from different cultures around the world.

Use appropriate language in your nursing articles.

Always use appropriate language, formatting and sentence structure, when you are writing nursing articles for the Internet. Make certain that the words you use are professional, as well as medically and politically correct. Be aware that what is appropriate language in the western world may not be, in other parts of the world. .

Strive to overcome language barriers.

Write nursing articles that can be easily translated by other registered nurses and medical professionals, in other countries. Language should not be a barrier, when it comes to health or in the nursing articles that you write. Your articles have the potential to help many people around the world, as long as they can be understood when they are translated.

Simplify your nursing articles.

When writing for Internet publication, use short words and brief sentences. Limit your paragraphs to about three or four sentences in length. Always stay on topic. Avoid using first person information, unless requested by a specific publisher. Third person articles are preferable. You can use bullets and lists, depending upon where your article is to be published. Be aware that some websites may not display them or other characters, properly.

Use appropriate web sites for references.

There are a rapidly growing number of professional nursing websites, or other medical websites that can be used as references in your nursing articles. Include appropriate URLs. Always check them. Make certain that any links you place in your articles are working properly and are pertinent to your topics.

Avoid plagiarism in your nursing articles.

Document any sources of information properly. Do research on how to document your source material appropriately for publication on the Internet, to avoid problems. When you succeed as professional registered nurse writer, others may quote your work, as their source of information.

Continue to expand your professional nursing horizon.

Many new professional nursing groups are appearing on the Internet, every day. You may be excited to learn that you and other registered nurses can join these groups. Many times, registered nurses are alerted to changes, advances in nursing or other aspects of the medical field via communication with registered nurses, who are members of Internet nursing groups.

Maintain a positive, constructive attitude.

Maintaining a positive, constructive attitude in your writing, will show others that as a registered nurse, you are seriously committed to becoming a professional, registered nurse writer. Your writing will be a reflection of you, your personality and your values. It will also reflect other registered nurses and the nursing profession, as a whole. Always manifest a high degree of honesty, integrity and respect, with regard to your professional career, in what you write.

These are just a few tips for professional registered nurses who are  interested in pursuing a new career in writing and publishing nursing articles on the Internet.

Enjoy your new career as a professional, registered nurse writer. Know that you can succeed at writing and publishing nursing articles for the Internet!

Sunday, November 16, 2014

Global Alert: What Can We Do?



Prevention of the flu: Individual, endemic or pandemic

Many people unknowingly catch and spread the flu to others, every day. Then, when a global alert is issued by the World Health Organization, they begin to wonder, "What can we do?"

What is a global alert?

A global health alert by the World Health Organization indicates that there is a serious situation pending or happening already. It is important for people to comprehend what is going on and to understand what it means for them, when a global alert has been issued.

A global health alert suggests that there is imminent danger of the transmission of a disease, like a flu virus, to people everywhere. There is immediate danger of contagion or the possibility of infection to many people, if they are in contact with a disease, either directly or in-directly. A global health alert is not sent out unless evidence has revealed that the disease is highly contagious or communicable to many people, around the world.

Should people panic when a global alert is issued?

When people start to demonstrate symptoms of the flu, immediate fear or panic about the possible spread of the disease, can set in. Fear can spread as rapidly as the disease. Is fear justified? Yes, fear about the possible spread of a disease, like the flu virus, is always justified, particularly when it causes a large number of deaths, in one specific area. It is far more serious, when this happens on a global scale.

Panic is not something that should happen, but it does. People should try to remain calm, cool and collected, regardless of the situation at hand. Appropriate measures to stop or prevent the further spread of the disease, must be taken immediately.

There is always legitimate concern about a disease like the flu, spreading to another area. It is called an epidemic, when the infection is limited to one area of a country or to a specific group of people and a pandemic, when it endangers the lives of many people around the globe.

On the pandemic or global level, it is referred to as Strain A. An epidemic is confined to one area of a country and referred to as Strain B. When the flu affects individuals, it is referred to as Strain C.

Mutations of the flu virus occur regularly. The sudden appearance of different hybrid versions of the flu virus, against which there is no immediate defense, are possible. Vaccines need to be developed and that takes time, as first the virus has to be identified with respect to its source, the degree of severity of the illness it can cause and how rapidly it is spreading.

What is the flu?

The flu is a viral, respiratory infection transmitted by human beings, animals and birds. It can be a human virus, an avian virus or an animal virus. The current flu virus is the swine flu virus or the H1N1 virus. Sometimes, viruses are the direct result of a combination of all three sources of cross infection.

Any contact with contaminated material from birds or animals by human beings, can result in a people contracting the disease, as human beings can have their genetic material intermingled with that of birds and animals. The disease can spread or be transmitted from one human being to other human being quickly, unless it is contained in some way.

Appropriate measures of containment must be taken. It may necessary to quarantine infected people or to dispose of animals and birds that are infected. Travel restrictions for affected areas may need to be initiated.
Understanding the disease process and how the flu is spread is important, as this allows the appropriate measures needed in order to prevent, contain or eliminate the disease.

What are the symptoms of the flu?

Symptoms of the flu may include the following: fever, coughing, sore throat, vomiting, diarrhea, joint aches and severe headaches.

What can we do?

There are many things that we all can do in order to prevent the spread of a flu virus to others, if we have become infected.

Anyone demonstrating flu-like symptoms should stay at home until symptom free. He or she should see a physician immediately, if the symptoms become severe or are prolonged. If necessary, a patient and his or her family, should agree to be quarantined until such a time as there is no further evidence of any infection, or endangerment to others.

If you have a persistent cough, always cover your mouth when you cough. Use your arm or elbow, instead of your hand, as this will help to reduce the spread of infection. Encourage others to do the same.
Avoid close personal contact with others, particularly non-family members, by kissing, hugging or touching one another.

In community settings, avoid shaking hands or hugging. Since the flu is an air-born disease, do not stand immediately in front of anyone if he or she is coughing. Allow an appropriate distance between yourself and others. This will help to protect both you and them.

Good hand washing techniques are always important, no matter where you are. Use clean, fresh, flowing water and hand soap to wash your hands. Always wash them properly. Use hand disinfectants when it is not possible to wash your hands. Carry disposable disinfectant wipes with you.

Contact with anything you touch may lead to the spread of the infection. For instance, the flu can be spread by touching the cell phones or public telephones if they are infected, so avoid using or sharing them. Use a disposable wipe to clean them first, if you have to use them.

When opening and closing doors in public places, infection can be spread through direct contact with door knobs or by touching a metal plate on a door that other hands have to touch in order to open it. Use a shoulder or elbow to open a door instead of your hands, when possible.

In classroom settings, do not touch the desks and chairs of other students, as that could result in spreading the flu virus. Avoid sharing lunch pails, backpacks, books, pens and pencils at school. In preschool or nursery settings, do not let your children share their toys, baby bottles, water bottles, cups, dishes or cutlery with other children.

Use disposable tissues instead of a handkerchief. Dispose of any used tissues immediately. If you want to use a handkerchief, make certain that you have a clean, one every day.

When using public washroom facilities use paper towels or hot-air hand dryers instead of cloth towels to dry your hands. Let your hands dry in the air. It may be inconvenient for you, but it will only take a few minutes.

Avoid touching handrails on escalators or stairways in public places, like malls or entertainment centers.

Avoid using public computers in libraries, as the keyboards may be contaminated. These can be cleaned by using a damp, paper towel or by using disposable wipes.

Avoid eating in unclean restaurants. Refrain from using cups, glasses, dishes or other cutlery handled or used by other patrons. Choose your foods wisely and eat food that has been properly cooked.

When you are at home, always wash your cups, dishes and utensils, as soon as possible after they have been used, as they can become an immediate source of infection; so can kitchen towels and dishcloths. Change and wash them frequently.

Use disposable cups, dishes and cutlery in public places like ball parks, parks and swimming areas. Make certain that they are disposed of properly. Use your own towels.

Stay away from large crowds at public centers and fairgrounds, if possible.

Avoid eating any kind of food that may have been sitting for a long time or has become contaminated by others. This could include food served at street festivals where there are vendors, booths in public centers, like theaters or entertainment centers. Choose foods that are pre-wrapped or take your own snack food with you.

Make certain that your jacket, shirt and other clothes are always clean, particularly when you are going out in public. Change your clothing every day. If you are aware that you have been somewhere where there is an infection running rampant, wash your clothes, as soon as possible. Do not put them into your closet, without washing them.

Consider wearing a surgical mask or a light scarf to cover your nose and mouth, when you are in a public place if there is a high incidence of flu in your area. This is important when there are others who are coughing or appear to be ill. Keep your distance from anyone who is obviously ill.

If you know that there is a high level of contagion in a specific area, or in a particular country, do not travel there, unless it is absolutely necessary.

Avoid going to the hospital to visit others who are ill with the flu. Visit your own doctor when it is necessary, but avoid unnecessary visits, particularly when there is a large number of people who are ill with the flu in your area.

Inquire into the availability of anti-flu vaccine and obtain flu shots from your local physician.

Always drink clean, fresh water or water that has been properly treated, boiled or bottled. Never eat or drink anything that you suspect has become contaminated.

With respect to birds and animals, avoid handling them or having any contact with dead animals, excrement or other material that may be infected. If you are walking in an area, where there is bird or animal excrement, make certain that your boots or shoes are well cleaned. Avoid going bare foot.

While the above measures may not prevent the spread of all viral infections, they may be instrumental in reducing the number of instances of contagion. Never put your life or anyone else's life in danger by taking unnecessary risks with contaminants of any kind.

When the World Health Organization issues an alert, it can be on a low level, like 1 or on a high level, like 6. A global alert on any level, is extremely important and it should never be ignored, particularly when the flu is known to be severe enough to endanger the lives of people. Your health and that of others is important.

Saturday, November 15, 2014

Guidelines for Registered Nurses: Writing Your First Nursing Article



Registered nurses are professional, health educators

Writing your first professional nursing article for the Internet could present a serious challenge for you, as a registered nurse. This may seem like a daunting task or a frightening experience for registered nurses, particularly for those who have never considered writing anything for Internet publication. It is not that difficult!

Registered nurses focus on nursing theory and practice, not on writing or publishing professional nursing articles. At the same time, most registered nurses have done a lot of research on a wide variety of nursing topics and have presented numerous, nursing papers or case studies to other nurses and doctors, professional and non-professional care givers, as well as to family members. Registered nurses are professional, health educators. Many of these have never been published on the Internet, as Internet publication is a new field of endeavor for registered nurses.

As a registered nurse, have you ever published an article on the Internet? Be aware that you have a wealth of professional, nursing information to draw from, with respect to the possibility of writing and publishing nursing articles.

Visualize your first nursing article, as written and published on the Internet, as well as having world wide exposure! Imagine how many registered nurses and other health professionals around the world, could read what you write. Ask yourself how many others could benefit from your work, experience and expertise. Prepare to bring that vision into reality.

Your first nursing article is going to be the hardest one for you to write. With this in mind, here are some guidelines.

Choose a nursing topic that you are truly passionate about. Begin your article, by choosing a topic that you are both knowledgeable and passionate about. Focus on something that presents a challenge for you. Your own level of interest will be evident to your reader. The positive, constructive and pro-active approach that you take with regard to your topic, will entice others to read it. For example, perhaps you are concerned about the ongoing spread of the H1N1 flu virus. Many people will be looking for that kind of information, at this particular time.

You will find that it is far easier to write an article about a nursing topic that you are challenged by, interested in or serious about, than one that does not appeal to you. If you are not excited about the topic you choose, your prospective article may sit on the back burner forever. You may never get it finished or you may feel reluctant to publish it, even if you do complete it. Use your integrity with respect to your choice of topics.
Regard writing your nursing article as a legitimate and valid learning experience.

Registered nurses demonstrate a high learning curve, as they learn quickly and tend to be perpetual learners. One of their designated tasks is that of educating others with regard to their general health and well being. In order to teach, registered nurses must be aware of what is currently pertinent to their profession. So, approach this article as a possible research project for you, as well as being a potential teaching tool and source of future education for others.

Compile your research data carefully. Carefully select information that is pertinent, current and relevant to your nursing topic. Avoid information that is mundane, outdated or not appropriate. Use only valid sources of information. Look for new research on your topic.

Begin with a basic outline for your nursing article. Writing a brief outline for your nursing article will give you a sense of direction. Ask yourself, where you are headed with this topic? Does it have a specific goal, reason or purpose? For instance, perhaps you would like to see it published in a medical journal?

Use a word processor to compile and save your data and research material. If you organize this well from the start, it will be much easier to write your article.

Designate a title for your nursing article. Your nursing article title and sub-title are important. They should state what your article pertains to in terms of its content. Designating an appropriate title for your article and sticking to that topic, will make the article more comprehensive.

Find search engine key words that are appropriate for your title. In your title, include appropriate key words, that make your nursing article easy to find on a search engine.

Be selective regarding your body content. Select your article body content carefully, so that everything is in sync with your title and sub-title. Ask yourself the following questions. Is what you have selected professional information? Can it be presented in a logical, feasible and practical manner? If you have compiled information that is not pertinent or relevant to the article title, it may be more appropriate for a future article. File it for later use. Consider revising your title.

There are probably many areas in nursing that you are familiar with, but you may need to do extra research on certain aspects of your nursing topic. If you do not have the kind of information that you need, do more research.

When you use definitions, make certain that they are accurate and explain your definitions carefully. Not everyone will be familiar with medical terminology.

Document your sources properly. Make certain that you retain the information necessary to document your sources accurately, as you may need to locate them again, once you begin writing your article. You may also need to do additional research on how to document Internet sources on your article.

Write the initial draft for the body of your article. After you have completed the first draft of the body of your article, begin to examine what you have written, critically. Ask yourself if you are satisfied with what you have written. Is it on topic? Is your article well structured? Have you used appropriate headings and proper paragraph format? Does it follow article writing guidelines?

Now examine the content of your article more thoroughly. Is it a timely topic? Does what you have written make sense to you? Would it make sense to some one else who reads it? Would another registered nurse or a professional caregiver accept what you have written? You can and should be your own, best writing critic. Look at it realistically. How do you feel about it? Would others respond in the same way? If not, why not?

Write an effective conclusion. Once you are satisfied with the body of your article, write an effective conclusion and critique it. Ask yourself, if it is an appropriate conclusion. Does it summarize what you have been attempting to state in your article? Does it leave the reader interested in reading more? If not, why not? What can be changed, so that it is improved?

Revise your nursing article, as necessary. Make certain that all of the information in your nursing article is well organized. Does it flow properly, so that it is easy to read? Check your article for any possible typos and grammatical errors. Use a spell check and a medical dictionary, if you are uncertain about the spelling of any words or definitions. You may not be able to make corrections on your article later, so proof read what you have written carefully.

Re-check all of your nursing or medical quotations, in order to make certain that everything has been quoted correctly. It should be documented in such a way that anyone can verify it immediately.

Check all of your URLs for functionality.

If you are using the Internet as a source of information for your article, make certain that the URLs are correct and functional. Check all of the links carefully. This will increase your credibility, as a potential writer of future nursing articles.

Re-check your submission and publication guidelines.

Check the web site where you plan to submit your article for any article submission and publication guidelines that you may have missed. Make certain that your nursing article meets all of the specified criteria for article publication.

Submit your article for publication. Once your article is ready for submission, go ahead and submit it to the web site. Seek assistance regarding submission, if necessary. If you have questions about how to submit it, send an e-mail to a contact person on the web site. He or she will understand that you need some directives regarding the submission of your first article on the Internet, as publishing on the Internet is still a relatively new skill for registered nurses.

Deal with rejection of your nursing articles, in a positive, constructive way. Articles do get rejected by Internet publishers for various reasons. If you find out that your first nursing article is not accepted, find out why it has been rejected. Re-write your article or revise it, as necessary. Do not discard it. It may only need minor revisions.

Publishing a nursing article on a web site on the internet is a worthy project to pursue. Learning how to publish Internet articles is a skill that you should acquire, as a registered nurse. Times change rapidly and how nurses and other health care professionals are taught, can change quickly, too. Over time, you could become a credited, Internet professor with the potential to teach many future registered nurses, all around the world.

Being able to publish nursing articles on the Internet, is not yet a requirement in schools of nursing. Registered nurses should seek to acquire the necessary skills. This may become a basic requirement with respect to attaining a nursing degree on any level.

Add this particular writing experience to your next nursing resume. You will be able to state that you 
have begun to write professional nursing articles for a web site on the Internet.

Congratulations on writing and publishing your first Internet nursing article, as a registered nurse!


Nursing Tips: Guide to Dealing With Difficult Doctors



Are doctors really difficult?

Most doctors would suggest that from their personal perspective, doctors are not difficult. Doctors are held in high esteem by the majority of registered nurses. They would also argue that the majority of doctors are not  usually difficult either, although there are others who appear to be difficult to deal with, at times. From a patient's perspective, doctors may be regarded as difficult or almost divine.

Dealing with difficult doctors from nurse's perspective is not always easy.

Imagine this scenario. The elevator door on the pediatric ward opens. Out walks an elderly, bow-legged doctor, with dark black hair and big, bushy eyebrows, wearing a frown on his face, He strides down the hallway, heading directly for the nursing station. All the nurses on the floor disappear from sight immediately. He slams his briefcase down on the desk. "Where is Nurse XX?" he demands. "Room 212" the ward clerk replies. To those on the floor, a confrontation appears to be on the agenda.

But not so, this particular doctor has been called by Nurse XX, as a child is vomiting and appears to be hemorrhaging following a tonsillectomy, earlier that day. Nurse XX is in the child's room. She has quietly re-assured the frightened child. She takes his vital signs and elevates the foot of his bed. She sends the other nurse for an ice pack. She notes the child's appearance and vital signs in his chart and reports everything to the doctor, as soon as he walks into the room. A sterile tray with everything the doctor will need to help the child, is on the bedside table.

Many doctors have to deal with different kinds of critical life and death situations throughout the course of the day, almost every day. Is that what makes doctors difficult? No, but doctors need to have competent registered nurses, who comprehend the reality of what is happening in emergency situations, at any moment. It is crucial that registered nurses know what to do and how to meet the nursing care needs of the patients.

Many times, doctors are not understood, either by nurses, who are attempting to assist them or by patients who need their help. Doctors speak from their own level of expertise which may exceed that of registered nurses and the majority of their patients. Where there is a communication breakdown between doctors and nurses or doctors and patients, registered nurses need to clarify pertinent information. Most doctors are willing to take the time necessary to make certain that their medical instructions or directives are understood by both registered nurses and patients.

Doctors sometimes speak abruptly to registered nurses or appear to make unreasonable demands, but this does not necessarily make them difficult to deal with. 

"Doctor, is there something that I can do to assist you?" is an excellent way to resolve this kind of a problem. The doctor will recognize immediately, that as a professional registered nurse, you are on his side and trying to help him.

Time is often of the essence, in a doctor's day-to-day practice. Many nurses, who work with the same doctors on a regular basis, know what the doctors need or want and make preparations ahead of time in order to have those demands met. Some nurses keep a file on doctor's preferences. Other nurses can access these files when necessary.

Doctors and nurses both have the patient's best interests at heart.

While there may be instances when nurses feel intimidated, the majority of doctors will do their utmost to make certain that this does not happen. It is never in their best interest to intimidate anyone, either the registered nurses they work with or their patients. In fact, to do so would be detrimental to any doctor's practice.

Registered nurses, who show a friendly smile, offer a warm welcome and use kind words when speaking with the doctor, while demonstrating a sincere concern for their patients, immediately make the doctors they are working with feel comfortable. Most doctors will sense immediately, if there is an area of concern when working with registered nurses and will do their best to resolve or alleviate work-related issues.

A high level of professionalism on the part of registered nurses, is always appreciated by doctors, though they may not express their appreciation verbally. Perhaps they are tired, worried about other patients or have personal concerns of their own. The words, please and thank you, can go a long way towards maintaining effective communication and can help to improve relationships between nurses and doctors. Doctors are not necessarily difficult, but are they are busy. They may not have time to talk about non-medical issues, entertain nurses or engage in activities that tend to bolster the ego of registered nurses. This does not mean that they are being difficult.

Whatever registered nurses can do to assist doctors is appreciated. Knowing how to assist doctors properly and professionally, is something that registered nurses strive to learn. Avoiding the doctor in question or being difficult with him or her, is not going to lead to effective resolution. At times, speaking directly to a doctor about a problem may resolve it immediately. Sometimes the intervention of a third person as a mediator, may be required to resolve a difficult doctor-registered nurse scenario, but not always. Having an aggressive, direct confrontation with a doctor is not a good idea. Talking quietly about an issue, may be more helpful in terms of problems solving, particularly when the doctor is not aware that there is a problem.


Continually demonstrating professional conduct, in conjunction with a high standard of medical ethics, is important for both doctors and registered nurses. In nursing, there are always going to be various kinds of stress with different levels of tension. Dealing with these effectively, can help to make and keep nursing a more pleasant occupation. Maintaining an attitude of integrity, honesty and mutual respect at all times, ensures the doctor-registered nurse relationship will continue to head in a positive and constructive direction.

Nursing Tips: How to Communicate Effectively With Patients



Towards more effective nurse-patient communication

Communication is truly an art. Registered nurses normally play an important role in terms of communication, with many different patients, in various scenarios. Trying to communicate with them effectively, often presents a challenge.

Here are some factors for new registered nurses to consider with respect to more effective communication.

Fear may be a major obstacle to effective communication.

Registered nurses, who have just begun their careers, may have or express varying degrees of fear at times, but most new registered nurses are not in bondage to fear. They can communicate with patients, in a way that helps to calm or resolve their fears.

Fear on the part of patients must be considered when registered nurses are attempting to communicate effectively. Patients are afraid about their health status, as well as the medical environment or circumstances in which they find themselves. They may be fearful about what they can or should expect with regard to their pending treatments and nursing care. At the same time, they want to know exactly what is happening and why it is happening to them. So do other family members.

Registered nurses know that care, compassion and concern, invariably go a long way in terms of alleviating patient's fears. It is important with respect to establishing and maintaining good relationships with their patients' families and friends.

Courtesy is a critical element in relationships. Everyone should be treated with respect, at all times.

As a newly trained registered nurse, you can help to alleviate many of your patient's fears almost immediately by the caring expression on your face, the gentle, compassionate touch of your hands and the kind words that you use to show your concern, regardless how serious your patient's situation appears to be.

Time is of the essence in terms of nurse-patient communications and relationships. For example, in emergency situations, it is essential that registered nurses and their patients communicate effectively and understand each other, immediately. Unfortunately, that is not always possible because of language barriers, the mental or emotional state of patients and the ongoing barrage of medical tests, procedures or treatments.

As a newly trained registered nurse in an emergency situation, if you become aware that there is a significant communication breakdown because of a language barrier, do whatever is necessary to ensure the patient's safety and to meet his or her immediate needs. Find an interpreter, as soon as possible. A family member or close friend may be able to communicate more effectively with your patient, than you can. He or she will be able to assist you to assess the physical, mental, emotional and spiritual status of your patient. Explain to the interpreter what is required or essential with respect to the patient's nursing care. Keep your words brief and as simple as possible. Remember to thank the family member, friend or interpreter later.

Integrity is vital in nurse-patient communications. Patients recognize immediately when a registered nurse attempting to communicate with them, is being honest with them. If you are not honest with your patients, they will sense it intuitively, become suspicious and refuse to co-operate.

Make certain you are conveying medical information that is accurate. Remember that your career as a registered nurse depends upon your personal integrity and what and how you communicate with your patients is important.

You cannot assume the responsibility for the way a patient responds to you or others, but you can take the responsibility for your own words, deeds and actions. Try to maintain control in any tenuous situation, but do so in a way that you maintain your integrity, as a professional registered nurse.

Remember that medical language or terminology used by registered nurses, is confusing to patients. 

Recognize the reality that when your patient understands what you are saying or doing, he or she will be co-operative, so take the time to explain it. When you are doing nursing care, speak directly to your patients and use language appropriate for each situation. Make certain that all of your words, deeds and actions are in sync and there is no discrepancy between what you say and do. Remember that patients learn by example.

Practice being an active listener. Active listening is crucial in nursing and it is something that has to be learned. Many registered nurses do it instinctively; for others, it may be more difficult. For some registered nurses, making casual conversation with patients is far easier than it is for others, but active listening will allow you to respond appropriately to your patients.

Many things that patients say go unheard, because many medical professionals including registered nurses are busy and over-worked. Even if it is time consuming, take a moment to hear what your patients are saying. Listen closely to your patients. If necessary, ask them to repeat what they have just stated. Respond to them in an appropriate manner that shows you have heard and understood their areas of concern. If necessary, explain what you are trying to say to them, a second or a third time. This may require patience on your part. 

Try to use a gentle, quiet tone of voice, particularly when there is a high level of stress.

There may be times when you have to speak abruptly to your patients, but do so carefully. For instance, if a patient is doing something that may harm someone including himself, you may need to intervene quickly with abrupt words, deeds or actions. Whatever you must say or do, make certain that it is in a compassionate manner. Kindness goes a long way.

Relax. It is all right to be human. Patents want to talk to registered nurses about their personal lives, families and other concerns. It is a good idea to talk to patients while you are doing their nursing care, as talking may help them to relax. It is also an excellent time to do positive and constructive counseling. Speak directly to them, when there are others in the room. Do not exclude them from the conversation. Avoid needless chatter or off beat humor they may find offensive or questionable. Keep criticism to a minimum and be silent when patients indicate that they do not want to talk.

What you will find over time is that many patients will love you, because of the gentle and sincere way that you communicate with them. You will also find that most patients are wonderful people to talk to and have many of the same kinds of personal concerns in their lives that you and your family have.

Try to spend some extra time with your patients, so that you get to know them personally, whenever it is possible. Show them you are seriously interested in them, their health and well being, as well as in what they have to say to you. At the same time, always maintain a high standard of professional nursing care.

If your patients have questions about their nursing care or other medical concerns, answer them appropriately or refer them to their doctor or someone who can help them. When necessary, find the answers for them, if you cannot answer their questions correctly.

Always be cautious about giving out too much personal information, but enjoy talking with your patients about things that you have in common. Most important of all, let your patients know that you love working as a registered nurse with your patients and that you do care about them.

Effective communication leads to wonderful, long-term registered nurse-patient relationships, so learn the art of effective communication well.