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Attention to all nurses!!!

Need a job now?

Access to local or foreign nursing jobs available here:

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Sunday, October 28, 2007

Love Story in Harvard - A Reflection

Love Story in Harvard















Description:

Love Story in Harvard portrays the dream and love pursued by foreign students studying in Harvard. It demonstrates bright, hard-working, and romantic characters and storylines.

A young love story set at the famed Ivy League school in the United States. Kim Hyun Woo (Kim Rae Won), a 1st year law student at Harvard Law, enters into a rivalry with classmate Hong Jung Min (Lee Jung Jin) for the affections of beautiful medical student Lee Soo In (Kim Tae Hui). The two men are both from prestigious families, while Soo In is from a poor family. Can the trio resolve their romantic differences and chase their dreams at the same time?


The following is a part of my reflection paper back in college:

Far Eastern University

Institute of Nursing
 

Bogasan, Christine Vanessa P.                    
BSN 604                                           
Ethics and Jurisprudence
Mrs. Alma Hernandez
 

- A REFLECTION –

“Love Story in Harvard”

            The story was very inspiring. Different scenarios gave a picture of different kinds of love. A love between a father and a child, a love of a woman to her man (the two main characters) and vice versa, the love of a lover (the lawyer) to the woman who does not love him back, and the love of an aspiring woman to her principles and chosen profession. Each of these, I think, leaves different messages to the viewers, especially to me. But the latter was the one which really caught my attention…

In one situation portrayed one courageous act of a woman. Although this woman knew that saving a dying man with her own hands would charge her of committing malpractice on her profession - even if it could mean to be the end of her ambition to be a doctor, she still did what she knew was right – to preserve a human life. I believe she was indeed very compassionate of having to think of somebody’s welfare first before hers.

I strongly affirm to the Good Samaritan Law. If I were in her position, I WOULD NOT HESITATE TO DO THE SAME THING, given the same situation – I have a knowledge of the procedure, and there was no licensed (or more competent) person available who could give the most immediate intervention that would save the man from possible death. I may be alleged of the act of negligence by the authority, but I know in the eyes of the Lord, I become a hero…which I feel is the most important thing and the moral lesson in the story.

I think the girl was given even a little right to be heard which facilitated her to express her side and let others in the courtroom hear one ethical and splendid point of view and philosophy in life.

I really do not have an idea why the hearing of the case was done on a small room like that. What I am familiar to is the large courtroom where there are the judge, lawyers of both parties and some other authorities.

I am not against any law regarding the nursing or medical profession because I think it is made as a guideline for nursing and medical practices and also safeguards not only the rights of the patient, but also our rights. That is why we have legal process wherein a certain case is being studied and analyzed as to what is right and just. And in relation to the story viewed, I think justice was observed when the woman was acquitted of the case filed against her.

If only I belong to the production of this episode, I would have suggested to them to also tackle about the ethical position of the rule of Beneficence, under of which is the “principle of double effect”. With this concept, the secondary effects (further complications or death) may be foreseen, but can never be the intended outcomes. The woman just ETHICALLY INTERVENED by trying to help the dying man (no more competent individual was present in the incident), while understanding that she would less competently perform a newly known procedure which put the client at risk of possible complications – so long as the intended effect is the former and never the latter. Furthermore, the good intention (keeping the man alive) equal or outweighs the harmful effects (death or further complications).

This movie gave me more initiative to study and strive hard on my course and made me love my chosen profession even more. Recently, because I experience difficulty and complicatedness on my studies, and also sometimes our professors relate to us some stories of indisposed malpractices and negligence of few registered nurses, I came to think of my future job – what if I happened to do a wrong procedure?; what if I also unintentionally cut my patient’s finger?; what if the child of the mother whom delivery we supposed to attend, accidentally fell down the pail receptacle?; what if my licensed was impounded (the termination of my nursing profession) because of such inadvertent mistake? – and my more other “WHAT IFs”. It really bothered me for a while. But just after I saw the movie, I was greatly enlightened, that in this vocation, what matter are putting into practice the knowledge of the ethics and jurisprudence of nursing and also the care, empathy, love and compassion I could give to whoever would need my service, then everything I will do may somehow turn out to be nothing but for their (and even my) own good and safety.





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FEU Alumni Card, At Last! :)

I just read in FEU- IN Friendster Group that the ALUMNI CARD is now available in FEU- Alumni Affairs Office, 2nd floor Administration Building (look for Sir Mar).

Alumni Card PRIVILEGES:
*Visitor's Pass is not anymore needed when visiting FEU
*FEU library access-free of charge
*10% discount
for plane trip in any AIR PHILIPPINES travel (SOON will be PAL), papelmerotti, etc.
*Discounts in STARBUCKS, McDonalds, Pizza Hut, San Miguel Products are being worked out!!!


Cards are available in different categories:

BRONZE Card

SILVER Card

GOLD Card

DIAMOND Card

PLATINUM Card - LIFETIME MEMBERSHIP

NOTE: This is different from FEU-IN Alumni Card

Credit for this info goes to 'Adrian Joseph.
Click his link and message him for further info.

Here is the link to the original post: FEU-IN Group (Topic: FEU Alumni Card)

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Monday, October 22, 2007

Non-CGFNS States

The following states do not require CGFNS certification.

1.  Arkansas
2.  Arizona
3.  California
4.  Colorado
5.  Florida
6.  Georgia
7.  Hawaii
8.  Illinois
9.  Kansas
10. Kentucky
11. Maryland
12. Michigan
13. Minnesota
14. Nevada
15. New Jersey
16. New Mexico
17. New York
18. Ohio
19. Oregon
20. South Carolina
21. Texas
22. Vermont

For further information (address, contact numbers, websites, etc.) about these states, visit  NCSBN.org.

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37 Stress Management Tips


Alternatives to Anxiety

By Michael Castleman

Stress is a fact of life, but being stressed out is not. We don't always have control over what happens to us, says Allen Elkin, Ph.D., director of the Stress Management Counseling Center in New York City, and yet, that doesn't mean we have to react to a difficult, challenging situation by becoming frazzled or feeling overwhelmed or distraught. Being overly anxious is not just a mental hazard; it's a physical one too. The more stressed out we are the more vulnerable we are to colds, flu, and a host of chronic or life-threatening illnesses. And the less open we are to the beauty and pleasure of life. For your emotional and bodily benefit, we've consulted experts and come up with 37 easy, natural alternatives to anxiety. Enjoy!

1. Breathe Easily
"Breathing from your diaphragm oxygenates your blood, which helps you relax almost instantly," says Robert Cooper, Ph.D., the San Francisco coauthor of The Power of 5 (Rodale Press, 1996), a book of five-second and five-minute health tips. Shallow chest breathing, by contrast, can cause your heart to beat faster and your muscles to tense up, exacerbating feelings of stress. To breathe deeply, begin by putting your hand on your abdomen just below the navel. Inhale slowly through your nose and watch your hand move out as your belly expands. Hold the breath for a few seconds, then exhale slowly. Repeat several times.

2. Visualize Calm
It sounds New Age-y, but at least one study, done at the Cleveland Clinic Foundation, has found that it's highly effective in reducing stress. Dr. Cooper recommends imagining you're in a hot shower and a wave of relaxation is washing your stress down the drain. Gerald Epstein, M.D., the New York City author of Healing Visualizations (Bantam Doubleday Dell Press, 1989), suggests the following routine: Close your eyes, take three long, slow breaths, and spend a few seconds picturing a relaxing scene, such as walking in a meadow, kneeling by a brook, or lying on the beach. Focus on the details -- the sights, the sounds, the smells.

3. Make Time for a Mini Self-Massage
Maria Hernandez-Reif, Ph.D., of the Touch Research Institute at the University of Miami School of Medicine, recommends simply massaging the palm of one hand by making a circular motion with the thumb of the other. Or use a massage gadget. The SelfCare catalog offers several, such as the S-shaped Tamm unit, that allow you to massage hard-to-reach spots on your back. For a free catalog, call 800-345-3371 or go to www.selfcare.com.

4. Try a Tonic
A study at Duke University in Durham, NC, found homeopathy effective in quelling anxiety disorders. Look for stress formulas such as Nerve Tonic (from Hyland) or Sedalia (from Boiron) in your health food store, or consult a licensed homeopath. To find one near you, contact the National Center for Homeopathy, 801 North Fairfax St., Suite 306, Alexandria, VA 22314; 703-548-7790 or go to www.healthy.net/nch/.

5. Say Cheese
Smiling is a two-way mechanism. We do it when we're relaxed and happy, but doing it can also make us feel relaxed and happy. "Smiling transmits nerve impulses from the facial muscles to the limbic system, a key emotional center in the brain, tilting the neurochemical balance toward calm," Dr. Cooper explains. Go ahead and grin. Don't you feel better already?

6. Do Some Math
Using a scale of one to 10, with one being the equivalent of a minor hassle and 10 being a true catastrophe, assign a number to whatever it is that's making you feel anxious. "You'll find that most problems we encounter rate somewhere in the two to five range -- in other words, they're really not such a big deal," says Dr. Elkin.

7. Stop Gritting Your Teeth

Stress tends to settle in certain parts of our bodies, the jaw being one of them. When things get hectic, try this tip from Dr. Cooper: Place your index fingertips on your jaw joints, just in front of your ears; clench your teeth and inhale deeply. Hold the breath for a moment, and as you exhale say, "Ah-h-h-h," then unclench your teeth. Repeat a few times.

8. Compose a Mantra
Devise an affirmation -- a short, clear, positive statement that focuses on your coping abilities. "Affirmations are a good way to silence the self-critical voice we all carry with us that only adds to our stress," Dr. Elkin says. The next time you feel as if your life is one disaster after another, repeat 10 times, "I feel calm. I can handle this."

9. Check Your Chi
Qigong (pronounced chee-gong) is a 5,000-year-old Chinese practice designed to promote the flow of chi, the vital life force that flows throughout the body, regulating its functions. Qigong master Ching-Tse Lee, Ph.D., a professor of psychology at Brooklyn College in New York, recommends this calming exercise: Stand with your feet shoulder-width apart and parallel. Bend your knees to a quarter-squat position (about 45 degrees) while keeping your upper body straight. Observe your breathing for a couple of breaths. Inhale and bring your arms slowly up in front of you to shoulder height with your elbows slightly bent. Exhale, stretching your arms straight out. Inhale again, bend your elbows slightly and drop your arms down slowly until your thumbs touch the sides of your legs. Exhale one more time, then stand up straight.

10. Be a Fighter
"At the first sign of stress, you often hear people complain, 'What did I do to deserve this?'" says Dr. Cooper. The trouble is, feeling like a victim only increases feelings of stress and helplessness. Instead, focus on being proactive. If your flight gets canceled, don't wallow in self-pity. Find another one. If your office is too hot or too cold, don't suffer in silence. Call the building manager and ask what can be done to make things more comfortable.

11. Put It on Paper
Writing provides perspective, says Paul J. Rosch, M.D., president of the American Institute of Stress in Yonkers, NY. Divide a piece of paper into two parts. On the left side, list the stressors you may be able to change, and on the right, list the ones you can't. "Change what you can," Dr. Rosch suggests, "and stop fretting over what you can't."

12. Count to 10
Before you say or do something you'll regret, step away from the stressor and collect yourself, advises Dr. Cooper. You can also look away for a moment or put the caller on hold. Use your time-out to take a few deep breaths, stretch, or recite an affirmation.

13. Switch to Decaf

Wean yourself slowly, or you might get a caffeine-withdrawal headache that could last for several days, cautions James Duke, Ph.D., the Fulton, MD, author of The Green Pharmacy (Rodale Press, 1997). Subtract a little regular coffee and add some decaf to your morning cup. Over the next couple of weeks, gradually increase the proportion of decaf to regular until you're drinking all decaf. You should also consider switching from regular soft drinks to caffeine-free ones or sparkling mineral water.

14. Just Say No
Trying to do everything is a one-way ticket to serious stress. Be clear about your limits, and stop trying to please everyone all the time.

15. Take a Whiff
Oils of anise, basil, bay, chamomile, eucalyptus, lavender, peppermint, rose, and thyme are all soothing, say Kathy Keville and Mindy Green, coauthors of Aromatherapy: A Complete Guide to the Healing Art (Crossing Press, 1995). Place a few pieces of rock salt in a small vial, then add a couple of drops of the oil of your choice (the rock salt absorbs the oil and is much less risky to carry around in your purse than a bottle of oil). Open the vial and breathe in the scent whenever you need a quick stress release. Look for the oils in your local health food store, or try one of the following mail-order companies: Aroma-Vera, 5901 Rodeo Rd., Los Angeles, CA 90016, 800-669-9514; or Leydet Aromatics, P.O. Box 2354, Fair Oaks, CA 95628, 916-965-7546.

16. Warm Up
Try this tip from David Sobel, M.D., in San Jose, CA, author of The Healthy Mind, Healthy Body Handbook (I S H K Book Service, 1997) : Rub your hands together vigorously until they feel warm. Then cup them over your closed eyes for five seconds while you breathe deeply. The warmth and darkness are comforting.

17. Say Yes to Pressure
Acupressure stimulates the same points as acupuncture, but with fingers instead of needles. Michael Reed Gach, Ph.D., director of the Acupressure Institute in Berkeley, CA, recommends pressing on the following three points:

  • The Third Eye, located between the eyebrows, in the indentation where the bridge of the nose meets the forehead.
  • The Heavenly Pillar, on the back of the neck slightly below the base of the skull, about half an inch to the left or right of the spine.
  • The Heavenly Rejuvenation, half an inch below the top of each shoulder, midway between the base of the neck and the outside of the shoulder blade.
Breathe deeply and apply firm, steady pressure on each point for two to three minutes. The pressure should cause a mild aching sensation, but not pain. 18. Schedule Worry Time
Some stressors demand immediate attention -- a smoke alarm siren or a police car's whirling red light. But many low-grade stressors can be dealt with at a later time, when it's more convenient. "File them away in a little mental compartment, or make a note," Dr. Elkin says, "then deal with them when the time is right. Don't let them control you."

19. Shake It Up
This quick exercise helps loosen the muscles in your neck and upper back, says Dr. Sobel: Stand or sit, stretch your arms out from your sides and shake your hands vigorously for about 10 seconds. Combine this with a little deep breathing, Dr. Sobel says, and you'll do yourself twice as much good.

20. Munch Some Snacks
Foods that are high in carbohydrates stimulate the release of serotonin, feel-good brain chemicals that help induce calm, says Dr. Cooper. Crackers, pretzels, or a bagel should do the trick.

21. Boost Your Vitamin Intake
Elizabeth Somer, R.D., author of Food and Mood (Owl Books, 1999), in Salem, OR, recommends that women take a daily multivitamin and mineral formula that contains between 100% and 300% of the recommended dietary allowances of vitamin B, as well as the minerals calcium, magnesium, chromium, copper, iron, manganese, molybdenum, selenium and zinc. Avoid stress formulas, which often contain large amounts of randomly formulated nutrients, such as the B vitamins, but little or nothing else, Somer says.

22. Get Horizontal
If sex has been on the bottom of your to-do list for too long, move it to the top. Sex increases levels of endorphins, those mood-boosting chemicals in the brain, and it's one of the best total-body relaxers around, says Louanne Cole Weston, Ph.D., a sex therapist in Sacramento, CA. Make a date with your mate, and don't let anything get in the way.

23. Admit It
Each of us has uniquely individual stress signals -- neck or shoulder pain, shallow breathing, stammering, teeth gritting, queasiness, loss of temper. Learn to identify yours, then say out loud, "I'm feeling stressed," when they crop up, recommends Dr. Rosch. Recognizing your personal stress signals helps slow the buildup of negativity and anxiety.

24. Space Out
Look out the window and find something natural that captures your imagination, advises Dr. Sobel. Notice the clouds rolling by or the wind in the trees.

25. Try Tea

By now most of us know about the calming properties of chamomile tea. But a steaming cup of catnip, passionflower, skullcap or kava kava also work, according to Dr. Duke. Whether you use tea bags or loose tea (one teaspoon of tea per cup of boiling water), steep for about 10 minutes to get the full benefits of the herbs.

26. Take a Walk
It forces you to breathe more deeply and improves circulation, says Dr. Cooper. Step outside if you can; if that's not possible, you can gain many of the same benefits simply by walking to the bathroom or water cooler, or by pacing back and forth. "The key is to get up and move," Dr. Cooper says.

27. Soak it Up
"When I have the time, nothing is more stress relieving for me than a hot bath," Dr. Weston says. "But when I don't have time, I do the next-best thing: I wash my face or even just my hands and arms with hot water. The key is to imagine that I'm taking a hot bath. It's basically a visualization exercise, but the hot water makes it feel real."

28. Play a Few Bars
A number of recent studies have shown that music can do everything from slow heart rate to increase endorphins. Good bets: Bach's "Air on the G-String," Beethoven's Pastorale symphony, Chopin's Nocturne in G, Handel's Water Music, or pianist George Winston's CDs Autumn or December..

29. Fall for Puppy Love
In a study of 100 women conducted last year at the State University of New York at Buffalo, researchers found that those who owned a dog had lower blood pressure than those who didn't. If you don't have a pooch, visit a friend's: Petting an animal for just a couple of minutes helps relieve stress, researchers have found.

30. Practice Mindfulness
Heighten your awareness of the moment by focusing intently on an object. Notice a pencil's shape, color, weight and feel. Or slowly savor a raisin or a piece of chocolate. Mindfulness leads to relaxation.

31. Dial a Friend
Sharing your troubles can give you perspective, help you feel cared for and relieve your burden.

32. Stretch
Muscles tighten during the course of the day, and when we feel stressed out, the process accelerates. Stretching loosens muscles and encourages deep breathing. Molly Fox, creative fitness director at the Equinox Fitness Center in New York City, says one of the greatest stress-relieving stretches is a yoga position called the child pose, which stretches the back muscles. On a rug or mat, kneel, sit back on your heels, then lean forward and put your forehead on the floor and your arms alongside your legs, palms up. Hold for one to three minutes.

33. Say a Little Prayer
Studies show that compared with those who profess no faith, religious and spiritual people are calmer and healthier.

34. Make Plans
"Looking forward to something provides calming perspective," Dr. Elkin says. Buy concert tickets, schedule a weekend getaway, or make an appointment for a massage.

35. Goof Off
It temporarily removes you from a potentially stressful situations. Esther Orioli, president of Essi Systems, a San Francisco consultant company that organizes stress-management programs, keeps a harmonica in the drawer for when she's feeling stressed out. Bonus: Playing it promotes deep breathing.

36. Straighten Up
When people are under stress, they slump over as if they have the weight of the world on their shoulders. "Slumping restricts breathing and reduces blood and oxygen flow to the brain, adding to muscle tension and magnifying feelings of panic and helplessness," Dr. Cooper explains. Straightening your spine has just the opposite effect. It promotes circulation, increases oxygen levels in your blood and helps lessen muscle tension, all of which promote relaxation.

37. Tiptoe Through the Tulips
Tending your garden helps get you out of your head and lets you commune with nature, a known stress reliever. If you're not a gardener, tend to a houseplant. Plants = growth = cycle of life, a nice reminder that stress, too, will pass.



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.................Let's Stop Abortion................



Message:

Month 1
Mommy, I am only 8 inches long, but I
have all my organs. I love the sound
of your voice. Every time I hear it, I

wave my arms and legs. The sound of
your heart beat is my favorite lullaby.

Month 2
Mommy, today I learned how to suck my
thumb. If you could see me, you could
definitely tell that I am a baby. I'm
not big enough to survive outside my
home though. It is so nice and warm in
here.

Month 3
You know what Mommy, I'm a girl!! I
hope that makes you happy. I always
want you to be happy. I don't like it
when you cry. You sound so sad. It
makes me sad too, and I cry with you
even though you can't hear me.

Month 4
Mommy, my hair is starting to grow. It
is very short and fine, but I will
have a lot of it. I spend a lot of my
time exercising. I can turn my head
and curl my fingers and toes, and
stretch my arms and legs. I am
becoming quite good at it too.

Baby Girl Playful Kicking
Month 5
You went to the doctor today. Mommy,
he lied to you. He said that I'm not a
baby. I am a baby Mommy, your baby. I
think and feel. Mommy, what's abortion?

Month 6
I can hear that doctor again. I don't
like him. He seems cold and heartless.
Something is intruding my home. The
doctor called it a needle. Mommy what
is it? It burns! Please make him stop!
I can't get away from it! Mommy!! HELP
me!!

Month 7
Mommy, I am okay. I am in Jesus'
arms. he is holding me. He told me
about abortion. Why didn't you want
me, Mommy?


Every Abortion Is Just . . .
One more heart that was stopped.
Two more eyes that will never see.
Two more hands that will never touch.
Two more legs that will never run.
One more mouth that will never speak.



You can repost this on your blog if you
are against Abortion..

4 NEW IELTS NINERS!

Enroll na!!! hehehe...

The following got scores of 9.0 on the last Sept. 22 exam:
Heizl Delizo
Veni Genetiano
Bianca Macapagal
Ayvi Alcain

0.9 Niner IELTS Review Center has produced 23 perfect scrorers.

For inquiries, call:

Quezon Ave Branch: tel# 4142192
Taft Branch: tel# 8511739

Open daily 9am-9pm. Kapag may power interruption lang daw sila close sabi ni Sir Ervin..hehe..

FREE IELTS ORIENTATION weekly; cosponsored by BRITISH COUNCIL

Sunday, October 21, 2007

How to Survive a Heart Attack When Alone?



How to Survive a Heart Attack When Alone?

Click on the image above to open the presentation with Microsoft Powerpoint ^_^


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Yahoo! Briefcase

Hi! I just want to share with you some of my favorite online tools . This one has been very helpful to me since i was in secondary school. Almost all my computer files (mail attachments, reaction papers, NCP's, and other miscellaneous documents) are stored on this briefcase. Just making sure i make use of all the available resources. :)

Kico, a friend of mine gave me an idea to recommend this useful tool to everyone, since he is having problem regarding where to store his files, instead of discarding them. hehe.. :P

I made an inside screenshot (below) of my own Yahoo! Briefcase to give you an idea how it looks like. The encircled part is some of my saved files.


briefcase2.jpg picture by haruko_files


To give you an overview:

What is Yahoo! Briefcase?

Yahoo! Briefcase allows you to store files online and then access them from anywhere. Think of it as an extra hard drive that you can use from any computer connected to the Internet. It's a tool for managing files from home, work, or any other location—and a great way to share files with family, friends, and co-workers.

30 worth of space for free, to get you started. That's room for plenty of files to keep you busy. There's no catch; you only have to be a registered Yahoo! user.

You don't need to know HTML or any technical tricks to get started. Return often to take advantage of the new services that make it even easier to share and manage pictures and files.

To get started, click below:

Yahoo! Briefcase

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Eating and Diabetes

What I need to know about Eating and Diabetes

On this page:

Eating and Diabetes

You can take good care of yourself and your diabetes by learning

  • what to eat

  • how much to eat

  • when to eat

Making wise food choices can help you

  • feel good every day

  • lose weight if you need to

  • lower your risk for heart disease, stroke, and other problems caused by diabetes

Healthful eating, along with physical activity and, if needed, diabetes medicines, helps keep your blood glucose in your target range. The diabetes target range is the level suggested by diabetes experts for good health. You can help prevent health problems by keeping your blood glucose levels on target.

[Top]

Blood Glucose Levels

What should my blood glucose levels be?

Target Blood Glucose Levels for People with Diabetes
Before meals 90 to 130
1 to 2 hours after the start of a meal less than 180

Talk with your health care provider about your blood glucose target levels and write them here:

My Target Blood Glucose Levels
Before meals ______ to ______
1 to 2 hours after the start of a meal less than ______

Ask your doctor how often you should check your blood glucose on your own. Also ask your doctor for an A1C test at least twice a year. Your A1C number gives your average blood glucose for the past 3 months. The results from your blood glucose checks and your A1C test will tell you whether your diabetes care plan is working.

How can I keep my blood glucose levels on target?

You can keep your blood glucose levels on target by

  • making wise food choices

  • being physically active

  • taking medicines if needed

For people taking certain diabetes medicines, following a schedule for meals, snacks, and physical activity is best. However, some diabetes medicines allow for more flexibility. You’ll work with your health care team to create a diabetes plan that’s best for you.

Drawings of typical foods at breakfast, lunch, dinner, morning snack, afternoon snack, and evening snack, arranged in a circle around a clock.

Talk with your doctor or diabetes teacher about how many meals and snacks to eat each day. Fill in the times for your meals and snacks on these clocks.

Six blank clock faces, labeled with breakfast, lunch, dinner, and three snacks.

[Top]

Your Diabetes Medicines

What you eat and when you eat affects how your diabetes medicines work. Talk with your doctor or diabetes teacher about when to take your diabetes medicines. Fill in the names of your diabetes medicines, when to take them, and how much to take. Draw hands on the clocks to show when to take your medicines.

Image of blank clock for recording  when medicine is taken.

Name of medicine: __________________
Time: ________ Meal: _______________
How much: ________________________

Image of blank clock for recording  when medicine is taken. Name of medicine: __________________
Time: ________ Meal: _______________
How much: ________________________
IImage of blank clock for recording  when medicine is taken. Name of medicine: __________________
Time: ________ Meal: _______________
How much: ________________________
Image of blank clock for recording  when medicine is taken. Name of medicine: __________________
Time: ________ Meal: _______________
How much: ________________________
[Top]

Your Physical Activity Plan

What you eat and when also depend on how much you exercise. Physical activity is an important part of staying healthy and controlling your blood glucose. Keep these points in mind:

  • Talk with your doctor about what types of exercise are safe for you.

  • Make sure your shoes fit well and your socks stay clean and dry. Check your feet for redness or sores after exercising. Call your doctor if you have sores that do not heal.

  • Warm up and stretch for 5 to 10 minutes before you exercise. Then “cool down” for several minutes after you exercise. For example, walk slowly at first, stretch, and then walk faster. Finish up by walking slowly again.

  • Check your blood glucose before you exercise. Do not exercise if your fasting blood glucose level is above 250 and you have ketones in your urine. If your blood glucose is below 100, eat a small snack.

  • Know the signs of low blood glucose, also called hypoglycemia.

  • Always carry food or glucose tablets to treat low blood glucose.

  • Always wear your medical identification or other ID.

  • Find an exercise buddy. Many people find they are more likely to do something active if a friend joins them.

Low Blood Glucose (Hypoglycemia)

Low blood glucose can make you feel shaky, weak, confused, irritable, hungry, or tired. You may sweat a lot or get a headache. If you have these symptoms, check your blood glucose. If it is 70 or lower, have one of the following right away:

  • 3 or 4 glucose tablets

  • 1 serving of glucose gel (check the label—you’ll want the amount equal to 15 grams of carbohydrate)

  • 1/2 cup (4 ounces) of any fruit juice

  • 1/2 cup of a regular (not diet) soft drink

  • 1 cup (8 ounces) of milk

  • 5 or 6 pieces of hard candy

  • 1 tablespoon of sugar or honey

After 15 minutes, check your blood glucose again. If it’s still too low, have another serving. Repeat until your blood glucose level is 70 or higher. If it will be an hour or more before your next meal, have a snack.

[Top]

The Food Pyramid

A drawing of the food pyramid, divided into six sections.  Each section is labeled with the name of the food group and shows examples of foods in that group.  At the base of the pyramid is the starches group.  Above the base are two groups:  the vegetables and the fruits.  The milk group and the meat and meat substitutes are above the vegetables and the fruits.  The fats and sweets group is at the top.

The food pyramid can help you make wise food choices. It divides foods into groups, based on what they contain. Eat more from the groups at the bottom of the pyramid, and less from the groups at the top. Foods from the starches, fruits, vegetables, and milk groups are highest in carbohydrate. They affect your blood glucose levels the most. See “How much should I eat each day” to find out how much to eat from each food group.

How much should I eat each day?

Have about 1,200 to 1,600 calories a day if you are a

  • small woman who exercises

  • small or medium-sized woman who wants to lose weight

  • medium-sized woman who does not exercise much
Choose this many servings from these food groups to have 1,200 to 1,600 calories a day:
6 starches 2 milks
3 vegetables 4 to 6 ounces meat and meat substitutes
2 fruits up to 3 fats

Talk with your diabetes teacher about how to make a meal plan that fits the way you usually eat, your daily routine, and your diabetes medicines. Then make your own plan.

Have about 1,600 to 2,000 calories a day if you are a

  • large woman who wants to lose weight

  • small man at a healthy weight

  • medium-sized man who does not exercise much

  • medium-sized or large man who wants to lose weight
Choose this many servings from these food groups to have 1,600 to 2,000 calories a day:
8 starches 2 milks
4 vegetables 4 to 6 ounces meat and meat substitutes
3 fruits up to 4 fats

Talk with your diabetes teacher about how to make a meal plan that fits the way you usually eat, your daily routine, and your diabetes medicines. Then make your own plan.

Have about 2,000 to 2,400 calories a day if you are a

  • medium-sized or large man who exercises a lot or has a physically active job

  • large man at a healthy weight

  • medium-sized or large woman who exercises a lot or has a physically active job
Choose this many servings from these food groups to have 2,000 to 2,400 calories a day:
10 starches 2 milks
4 vegetables 5 to 7 ounces meat and meat substitutes
4 fruits up to 5 fats

Talk with your diabetes teacher about how to make a meal plan that fits the way you usually eat, your daily routine, and your diabetes medicines. Then make your own plan.

Make Your Own Food Pyramid

Each day, I need

A drawing of the food pyramid, divided into six sections.  Each section is labeled with the name of the food group and shows examples of foods in that group.  Near each section is the name of the food group and a space to write in the needed number of servings.  At the base of the pyramid is the starches group.  Above the base are two groups:  the vegetables and the fruits.  The milk group and the meat and meat substitutes are above the vegetables and the fruits. The fats and sweets group is at the top.

Use “Your Meal Plan” to make your own meal plan. Write down how many servings to have at your meals and snacks.

[Top]

Starches

Starches are bread, grains, cereal, pasta, and starchy vegetables like corn and potatoes. They provide carbohydrate, vitamins, minerals, and fiber. Whole grain starches are healthier because they have more vitamins, minerals, and fiber.

Eat some starches at each meal. Eating starches is healthy for everyone, including people with diabetes.

The Food Pyramid, with the starches section enlarged to show drawings of rice, potatoes, bread, crackers, tortillas, and other starches.

Examples of starches are

  • bread
  • pasta
  • corn
  • pretzels
  • potatoes
  • rice
  • crackers
  • cereal
  • tortillas
  • beans
  • yams
  • lentils

How much is a serving of starch?

Examples of 1 serving: 1 slice of bread or 1 small potato or a half cup cooked cereal or 3 quarter cup dry cereal or 1 small tortilla.
Examples of 2 servings: 1 small potato plus 1 small ear of corn or 2 slices of bread.
Examples of 3 servings: 1 small roll plus half cup of peas plus 1 small potato or 1 cup of rice.

If your plan includes more than one serving at a meal, you can choose different starches or have several servings of one starch.

  1. How many servings of grains, cereals, pasta, and starchy vegetables (starches) do you now eat each day?

    I eat _____ starch servings each day.

  2. Go back to “How much should I eat each day” to check how many servings of starches to have each day.

    I will eat _____ starch servings each day.

  3. I will eat this many servings of starches at

    Breakfast __________ Snack ___________

    Lunch ______________ Snack ___________

    Dinner _____________ Snack ___________

A diabetes teacher can help you with your meal plan.

What are healthy ways to eat starches?

  • Buy whole grain breads and cereals.

  • Eat fewer fried and high-fat starches such as regular tortilla chips and potato chips, french fries, pastries, or biscuits. Try pretzels, fat-free popcorn, baked tortilla chips or potato chips, baked potatoes, or low-fat muffins.

  • Use low-fat or fat-free plain yogurt or fat-free sour cream instead of regular sour cream on a baked potato.

  • Use mustard instead of mayonnaise on a sandwich.

  • Use low-fat or fat-free substitutes such as low-fat mayonnaise or light margarine on bread, rolls, or toast.

  • Eat cereal with fat-free (skim) or low-fat (1%) milk.
[Top]

Vegetables

Vegetables provide vitamins, minerals, and fiber. They are low in carbohydrate.

The Food Pyramid, with the vegetables section enlarged to show drawings of salad, carrots, broccoli, and other vegetables.

Examples of vegetables are

  • lettuce
  • broccoli
  • vegetable juice
  • spinach
  • peppers
  • carrots
  • green beans
  • tomatoes
  • celery
  • chilies
  • greens
  • cabbage

How much is a serving of vegetables?

Examples of 1 serving: half cup cooked carrots or half cup cooked green beans or 1 cup salad.
Examples of 2 servings: half cup cooked carrots plus 1 cup salad or half cup vegetable juice plus half cup cooked green beans.
Examples of 3 servings: half cup cooked greens plus half cup cooked green beans and 1 small tomato or half cup broccoli plus 1 cup tomato sauce.

If your plan includes more than one serving at a meal, you can choose several types of vegetables or have two or three servings of one vegetable.

  1. How many servings of vegetables do you now eat each day?

    I eat _____ vegetable servings each day.

  2. Go back to “How much should I eat each day” to check how many servings of vegetables to have each day.

    I will eat _____ vegetables servings each day.

  3. I will eat this many servings of starches at

    Breakfast __________ Snack ___________

    Lunch ______________ Snack ___________

    Dinner _____________ Snack ___________

A diabetes teacher can help you with your meal plan.

What are healthy ways to eat vegetables?

  • Eat raw and cooked vegetables with little or no fat, sauces, or dressings.

  • Try low-fat or fat-free salad dressing on raw vegetables or salads.

  • Steam vegetables using water or low-fat broth.

  • Mix in some chopped onion or garlic.

  • Use a little vinegar or some lemon or lime juice.

  • Add a small piece of lean ham or smoked turkey instead of fat to vegetables when cooking.

  • Sprinkle with herbs and spices.

  • If you do use a small amount of fat, use canola oil, olive oil, or soft margarines (liquid or tub types) instead of fat from meat, butter, or shortening.
[Top]

Fruits

Fruits provide carbohydrate, vitamins, minerals, and fiber.

The Food Pyramid, with the fruit section enlarged to show drawings of fruit juice, an apple, a banana, canned fruit, and other fruit.

Examples of fruit include

  • apples
  • fruit juice
  • strawberries
  • dried fruit
  • grapefruit
  • bananas
  • raisins
  • oranges
  • watermelon
  • peaches
  • mango
  • guava
  • papaya
  • berries
  • canned fruit

How much is a serving of fruit?

Examples of 1 serving: 1 small apple or half cup juice or half grapefruit.
Examples of 2 servings: half cup orange juice plus 1 and a quarter cups whole strawberries.

If your your plan includes more than one serving at a meal, you can choose different types of fruit or have several servings of one fruit.

  1. How many servings of fruit do you now eat each day?

    I eat _____ fruit servings each day.

  2. Go back to “How much should I eat each day” to check how many servings of fruit to have each day.

    I will eat _____ fruit servings each day.

  3. I will eat this many servings of fruit at

    Breakfast __________ Snack ___________

    Lunch ______________ Snack ___________

    Dinner _____________ Snack ___________

A diabetes teacher can help you with your meal plan.

What are healthy ways to eat fruits?

  • Eat fruits raw or cooked, as juice with no sugar added, canned in their own juice, or dried.

  • Buy smaller pieces of fruit.

  • Choose pieces of fruit more often than fruit juice. Whole fruit is more filling and has more fiber.

  • Save high-sugar and high-fat fruit desserts such as peach cobbler or cherry pie for special occasions.
[Top]

Milk

Milk provides carbohydrate, protein, calcium, vitamins, and minerals.

The Food Pyramid, with the milk and yogurt section enlarged to show drawings of a cup of milk, a carton of milk, and a cup of yogurt.

How much is a serving of milk?

Example of 1 serving of milk: 1 cup fat-free or low-fat yogurt or 1 cup skim or 1 percent milk.

Note: If you are pregnant or breastfeeding, have four to five servings of milk each day.

  1. How many servings of milk do you now have each day?

    I have _____ milk servings each day.

  2. Go back to “How much should I eat each day” to check how many servings of milk to have each day.

    I will have _____ milk servings each day.

  3. I will have this many servings of milk at

    Breakfast __________ Snack ___________

    Lunch ______________ Snack ___________

    Dinner _____________ Snack ___________

A diabetes teacher can help you with your meal plan.

What are healthy ways to have milk?

  • Drink fat-free (skim) or low-fat (1%) milk.

  • Eat low-fat or fat-free fruit yogurt sweetened with a low-calorie sweetener.

  • Use low-fat plain yogurt as a substitute for sour cream.
[Top]

Meat and Meat Substitutes

The meat and meat substitutes group includes meat, poultry, eggs, cheese, fish, and tofu. Eat small amounts of some of these foods each day.

Meat and meat substitutes provide protein, vitamins, and minerals.

The Food Pyramid, with the meat and meat substitutes section enlarged to show drawings of meat, chicken, fish, eggs, tofu, cheese and peanut butter.

Examples of meat and meat substitutes include

  • chicken
  • beef
  • fish
  • canned tuna or other fish
  • eggs
  • peanut butter
  • tofu
  • cottage cheese
  • cheese
  • pork
  • lamb
  • turkey

How much is a serving of meat or meat substitutes?

Meat and meat substitutes are measured in ounces. Here are examples.

Examples of a 1-ounce serving:  one egg or 2 tablespoons of peanut butter. An example of a 2-ounce serving:  a 1-ounce slice of turkey plus a 1-ounce slice of low-fat cheese. An example of a 3-ounce serving:  a small piece of cooked chicken.

*Three ounces of meat (after cooking) is about the size of a deck of cards.

  1. How many ounces of meat and meat substitutes do you now have each day?

    I eat _____ ounces of meat and meat substitutes each day.

  2. Go back to “How much should I eat each day” to check how many ounces of milk to have each day.

    I will eat _____ ounces of meat and meat substitutes each day.

  3. I will have this many ounces of meat and meat substitutes at

    Breakfast __________ Snack ___________

    Lunch ______________ Snack ___________

    Dinner _____________ Snack ___________

A diabetes teacher can help you with your meal plan.

What are healthy ways to eat meat or meat substitutes?

  • Buy cuts of beef, pork, ham, and lamb that have only a little fat on them. Trim off the extra fat.

  • Eat chicken or turkey without the skin.

  • Cook meat or meat substitutes in low-fat ways:

    • broil
    • grill
    • stir-fry
    • roast
    • steam
    • stew
    • microwave

  • To add more flavor, use vinegars, lemon juice, soy sauce, salsa, ketchup, barbecue sauce, herbs, and spices.

  • Cook eggs using a non-stick pan or with cooking spray.

  • Limit the amounts of nuts, peanut butter, and fried foods that you eat. They are high in fat.

  • Check food labels. Choose low-fat or fat-free cheese
[Top]

Fats and Sweets

Limit the amount of fats and sweets you eat. Fats and sweets are not as nutritious as other foods. Fats have a lot of calories. Sweets can be high in carbohydrate and fat. Some contain saturated fats, trans fats, and cholesterol that increase your risk of heart disease. Limiting these foods will help you lose weight and keep your blood glucose and blood fats under control.

The Food Pyramid, with the fats and sweets section enlarged to show drawings of oil, margarine, pie, soda pop, and other fats and sweets.

Examples of fats include

  • salad dressing
  • oil
  • cream cheese
  • butter
  • margarine
  • mayonnaise
  • avocado
  • olives
  • bacon

Examples of sweets include

  • cake
  • ice cream
  • pie
  • syrup
  • cookies
  • doughnuts

How much is a serving of sweets?

Example of 1 serving: 1 3-inch cookie or 1 plain cake doughnut or 4 chocolate kisses or 1 tablespoon maple syrup.

How much is a serving of fat?

Example of 1 serving: 1 strip of bacon or 1 teaspoon of oil. Example of 2 servings: 1 tablespoon regular sald dressing or 2 tablespoons light salad dressing plus 1 tablespoon light mayonnaise.

How can I satisfy my sweet tooth?

It’s okay to have sweets once in a while. Try having sugar-free popsicles, diet soda, fat-free ice cream or frozen yogurt, or sugar-free hot cocoa mix.

Other tips:

  • Share desserts in restaurants.

  • Order small or child-size servings of ice cream or frozen yogurt.

  • Divide homemade desserts into small servings and wrap each individually. Freeze extra servings.

Remember, fat-free and low-sugar foods still have calories. Talk with your diabetes teacher about how to fit sweets into your meal plan.

[Top]

Alcoholic Drinks

Alcoholic drinks have calories but no nutrients. If you have alcoholic drinks on an empty stomach, they can make your blood glucose level go too low. Alcoholic drinks also can raise your blood fats. If you want to have alcoholic drinks, talk with your doctor or diabetes teacher about how much to have.

[Top]

Your Meal Plan

Plan your meals and snacks for one day. Work with your diabetes teacher if you need help.

Breakfast
Food Group Food How Much









Snack
Food Group Food How Much






Lunch
Food Group Food How Much









Snack
Food Group Food How Much






Dinner
Food Group Food How Much









Snack
Food Group Food How Much







[Top]

Measuring Your Food

To make sure your food servings are the right size, you can use

  • measuring cups

  • measuring spoons

  • a food scale

Or you can use the guide below. Also, the Nutrition Facts label on food packages tells you how much of that food is in one serving.

Guide to Sensible Serving Sizes

This much is the same as
A drawing of an open hand, palm side up, with a circle around the palm area to show the size of a 3-ounce serving. 3 ounces
1 serving of meat, chicken, turkey, or fish
A drawing of a closed fist, palm side up, with a circle around the whole fist to show the size of a 1-cup serving. 1 cup
1 serving of
  • cooked vegetables
  • salads
  • casseroles or stews, such as chili with beans
  • milk
A drawing of the side view of a closed fist, with a circle around the lower half of the fist to show the size of a half-cup serving. ½ cup
1 serving of
  • fruit or fruit juice
  • starchy vegetables, such as potatoes or corn
  • pinto beans and other dried beans
  • rice or noodles
  • cereal
A drawing of an open hand with the cupped palm up, with a circle around the palm area to show the size of a 1-ounce serving. 1 ounce
1 serving of
  • snack food
  • cheese (1 slice)
A drawing of an open hand, palm side up, with a circle around the tip of the thumb to show the size of a 1-tablespoon serving. 1 tablespoon
1 serving of
  • salad dressing
  • cream cheese
A drawing of an open hand, palm side up, with a circle around the tip of the index finger to show the size of a 1-teaspoon serving. 1 teaspoon
1 serving of
  • margarine or butter
  • oil
  • mayonnaise
[Top]

When You’re Sick

Take care of yourself when you’re sick. Being sick can make your blood glucose go too high. Here are some tips on what to do:

  • Check your blood glucose level every 4 hours. Write down the results.

  • Keep taking your diabetes medicine. You need it even if you can’t keep food down.

  • Drink at least one cup (8 ounces) of water or other calorie-free, caffeine-free liquid every hour while you’re awake.

  • If you can’t eat your usual food, try drinking juice or eating crackers, popsicles, or soup.

  • If you can’t eat at all, drink clear liquids such as ginger ale. Eat or drink something with sugar in it if you have trouble keeping food down, because you still need calories. If you can’t eat enough, you increase your risk of low blood glucose (hypoglycemia).

  • In people with type 1 diabetes, when blood glucose is very high, the body produces ketones. Ketones can make you very sick. Test your urine for ketones if

    • your blood glucose is over 240
    • you can’t keep food or liquids down


  • Call your health care provider right away if

    • your blood glucose has been over 240 for longer than a day

    • you have moderate to large amounts of ketones in your urine

    • you feel sleepier than usual

    • you have trouble breathing

    • you can’t think clearly

    • you throw up more than once
Information taken from: Diabetes Clearinghouse

Saturday, October 20, 2007

The On-Line Tutorial for the NCLEX Examination


Please note that the tutorial is the same for both the NCLEX-RN and NCLEX-PN examinations.

Instructions for Downloading the Tutorial

When you click on the link below, a “File Download” box will appear. Click Open and the windows application will download to your PC. Once the installation completes, the guided tour and tutorial will open automatically and you may begin.

http://www.pearsonvue.com/nclex/NCLEX_Tutorial.exe

System requirements for downloading the tutorial—

  • The tutorial program requires a Windows-based PC with at least 64MB of RAM, a Pentium processor, 10 MB available hard disk space, and video resolution set to 800 x 600 or higher. Computers at Pearson Professional Centers are Windows-based PCs.
  • Some Virus Scan software will disable the auto launch capability. Therefore, you will need to launch the demo manually by navigating to the saved location of the folder (NCLEX_Tutorial) and then double clicking on the file “DemoTest.exe” within that folder. This file is the tutorial application.

Monday, October 8, 2007

Nurse's Thoughts - Featured Site

I just found a very helpful site for RN's and aspiring ones. :) A simple, plain blog site, yet very useful and accommodating.

http://richelle-rn.blogspot.com/2007/09/medical-job-fair-this-october.html

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My new site at blogspot.com - Under Construction :)

At last i am able to find a good site to post my stuffs. Finally, it is here! I'm just so excited! Hope I could start customizing it but still got lots of things to finish first. At least, it is here already..

To link me, go or click here: http://vanessa-haruko.blogspot.com/

okies, i gotta go.. see yah there pals!

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