All posts by Cindy T


End-of-Life Nursing Care

Here is a great article that is directed towards nurses to discuss end of life care and also includes the framework, barriers to advocacy, and the grieving process.



World’s First Head Transplant

View this article and video to learn about the plan for the world’s first head transplant. A 30 year old Russian man with terminal muscular atrophy has volunteered to be the first human to receive this procedure. The goal is that he receives a new body from a donor through a very intricate and involved procedure. Now think about all the neurological involvement with this one…



Non-healthcare provider pharmaceutical knowledge

I was with my sister-in- law the other day when she began to have symptoms of a headache. She asked me if taking tylenol or advil is any different.  I educated her on the differences between tylenol (acetaminophen) and advil (ibuprofen). I educated her about the anti-inflammatory properties of ibuprofen and the antipyretic properties in acetaminophen as well as the analgesic properties of both. She also asked about Excedrin. After looking up the drug make-up in Excedrin, I educated her about the risks of taking combined drug medications. Excedrin already has acetaminophen in it and if she were to take more tylenol on top of the Excedrin, she could be at risk for an acetaminophen overdose. This is not the first time I have come across someone who does not know which analgesic to take or what to look for in the combined drugs. I think there can be more education done to the public about combining medication and how to select appropriate OTC medication for certain symptoms.


Latest Respiratory Device

Throughout nursing school we have learned about the use of chest physiotherapy as a nursing intervention for the mobilization and removal of airway secretions. It has been shown to prevent and reduce respiratory complications due to atelectasisis, cystic fibrosis, pneumonia, bronchitis, and other respiratory diseases. Chest physiotherapy is highly beneficial however it is very labor intensive and time consuming. A newer intervention used in the United States now is called a Positive Expiratory Pressure (PEP) device. This device is an alternative to chest physiotherapy and allows more air to enter the lungs and go behind secretions to move them. This prevents further collapsing of the alveolis. This alternative is a safe, effective, and less labor intensive intervention to improve respiratory health.

Below is the Positive Expiratory Pressure Mask

Figure 1:

Below is the Positive Expiratory Pressure Thera-PEP

Figure 2:

Hristara-Papadopoulou, A., Tsanakas, J., Diomou, G., & Papadopoulou, O. (2008). Current devices of respiratory physiotherapy. Hippokratia, 12(4), 211–220.


My experience with Cardiopulmonary Arrest education

Part of my job as an EMT for AMR includes providing  “Hands-Only CPR” training to the public. AMR provides these trainings free of charge to anyone in Ventura County. We go to schools, churches, malls, girl scout meetings, homeowners meeting, health fairs, retirement communities and anywhere people request our service. The great part about this is that we are able to educate all ages of the population. My experience with teaching “Hands-Only CPR”  started a little over 2 years ago. From comparing the population’s familiarity with CPR between then and now, I see a significant difference. The movement in this county to push for everyone to learn “Hands Only CPR” has created an educational environment with a population who is more educated on what to do in a cardiopulmonary arrest.  The most fulfilling part of this experience for me is when I have children who come up to me and say, “I know how to do this, can I teach my friend?” Not only are children in this county becoming educated in CPR but they are absorbing, retaining the information, and are able to teach their peers. The most common responses I get when interviewing people about cardiopulmonary arrest and resuscitation include questions about how to know when someone’s not breathing and how hard to compress on the chest. The goal of the quick “Hand’s Only CPR” lesson is to help the population feel more comfortable with this topic and know what to do in a Cardiopulmonary arrest situation.


Google Glass

Google Glass is a new and innovative technology used in cardiac surgery. Google glass sits on your face like a pair of glasses however it has many different capabilities. Surgeons are able to capture pictures, take videos, and transmit data all hands free. What does this mean? Surgeons don’t have to contaminate the sterile field because their hands stay free. A potential use is during coronary angiography procedures. Surgeons can view the pictures of the dye in the arteries through these glasses all while recording the procedure.

Publications, H. H. (2016). 5 new cardiac technologies to watch. Retrieved February 01, 2017, from