The Greatest Love

The Greatest Love also known as "Best Love" is a Korean drama series. It was aired here in the Philippines this February. Honesty I am an avid fun of Korean drama, movies especially when it comes to comedy. I like some of their series because its not that tragic and violent unlike the others. And one example is "The Greatest Love" comedy drama series about true love in the fake world of entertainment. Starring Cha Seung-won,Gong Hyo-jin, Yoon Kye-sang and Yoo In-na. Here are some information regarding the comedy drama and it's cast. And I hope you liked it like I do.

Gu Ae-jung (Gong Hyo-jin) was the most popular member of girl group Kukbo Sonyeo, literally meaning "National Treasure Girls," some 10 years ago, but fell from grace after becoming embroiled in scandals. She makes appearances on television programs to eke out a living for her troublemaker father and brother. On the other hand Dokko Jin (Cha Seung-won) is the most beloved star in the nation, topping all kinds of popularity polls and appearing in many commercials, but has several character flaws. Ae-jung discovers a secret about Jin by chance and reveals it on a talk show, incurring his fury. However, their ill-fated relationship unfolds in an unexpected way as Jin falls for Ae-jung and tries to win her heart.^[3]

Another star Kang Se-ri (Yoo In-na), also used to be in Kukbo Sonyeo with Ae-jung. But whereas Ae-jung was more famous in her heyday and Se-ri was a nobody, now every girl wants to be just like Kang Se-ri. She dated Dokko Jin for a short time, but despite their breakup, they keep up the pretense that they’re still dating to avoid negative publicity. Se-ri is also the host of popular TV dating show Couple Making Season 3.^[4]

Yoon Pil-joo (Yoon Kye-sang) is a well-mannered, thoughtful and caring doctor of Oriental medicine. He has no interest in celebrities and their outrageous lives. Under pressure from his mother, he agrees to appear on a TV dating show, but after finding out that Ae-jung will also be appearing on the same show, he becomes very eager to meet her.^[3][4] Fictional dating show Couple Making Season 3 is based on MBC’s real variety program We Got Married, where they throw celebrities into fake relationships for the cameras. The concept is a competition-basedmat-seon program, essentially setting up people on blind dates for the purposes of finding a marriage partner. The major difference is that in Couple Making, celebrity ladies compete over a non-celebrity eligible bachelor who gives them roses to prevent their elimination (a la The Bachelor), which is how Yoon Pil-joo ends up as a contestant on the show.

The mix of the main characters’ mismatched personalities with the necessity to maintain (or recoup in Ae-jung’s case) public sentiment makes for great hijinks and drama, not to mention an interesting meta social commentary on the entertainment industry and the star-making and -breaking power of image.^[5]

Phlebitis

I want to share to you guys the topic of the seminar I attended last March 06, 2013 its about "Managing IV complications". And one of our Instructor tackled this issue.


Phlebitis is a complication that is frequently associated with IV therapy. And is defined as the acute inflammation of the internal lining of the vein . Phlebitis is characterized by pain and tenderness along the course of the vein, redness and swelling and warmth can be felt at the insertion site.

There are a number of factors that can contribute to and increase the risk of phlebitis.

These factors include:

• The infusion of drugs or solutions that are acidic or alkaline or have a high osmolarity
• Trauma to the vein during insertion
• Insertion into a vein that is too small
• Using a vascular access device that is too big for the vein
• Extended dwell time of the same IV site
• Type of catheter material used
• Patients history and present condition
• Condition of the veins
• Cannula stabilization
• Skin preparation/infection control
• Frequency of dressing change

Phlebitis can be classified into three categories:

• Mechanical
• Chemical or infusion
• Bacterial

Mechanical phlebitis occurs when the size of the cannula is too big for the selected vein causing unnecessary friction on the internal lining of the vein leading to inflammation. This type of phlebitis can be avoided by doing a thorough assessment of the patient prior to inserting an IV device and following the rule of selecting the smallest device for the largest vessel. Correct and adequate stabilization of the cannula can prevent unnecessary movement of the line therefore preventing the friction from occurring. When manipulation of the cannula is reduced the risk of inflammation is also reduced. This type of phlebitis is commonly seen with PICC lines.

Chemical phlebitis is most commonly seen with peripheral IV devices when medications or solutions irritate the endothelial lining of the small peripheral vessel wall. The lower or higher the Ph of the medication or solution, the greater the risk of phlebitis occurring. The same occurs if there is an increase in the tonicity of a medication or solution. Chemical phlebitis is a rare occurrence in central venous catheters due to the larger size of the vessel and the increased blood volume through these vessels. Medications which have been incorrectly diluted or mixed result in particulate matter being infused; particulate matter is also another factor which increases the risk of chemical phlebitis.

Bacterial phlebitis is usually a precursor to an infection at the insertion site. It occurs due to contamination of the IV system allowing bacteria to enter the solution and then the patient. Contamination can be caused by compromised aseptic technique during mixing of medications or solutions, improper cleaning of connection ports and hubs during connecting of IV equipment and inadequate skin preparation during insertion.

An interesting point to make about phlebitis and PICC lines is that research has shown that female patients have a higher risk of phlebitis than male patients; Caucasians have also shown to have a higher incidence although the reason for the increased risk has not been determined (Maki and Ringer, 1991).

Prevention

Prevention of phlebitis involves many factors and the nurse should consider these factors the moment the patient receives an IV device.
Prevention measures include:
* Adhering to aseptic technique during insertion, dressing changes, mixing or drawing up of solutions or
medications, accessing ports or hubs on IV equipment
* Cannula site rotation
* Using the smallest gauge cannula in the largest vein
* Adequate securement of the IV device
* Close and regular monitoring of the IV site
* Patient education of the signs and symptoms of phlebitis
* IV device selection – When to Pick a PICC!
* Following guidelines on dilution of solutions to prevent particulate matter and to ensure that     the medication or solution doesn’t have too high or too low a pH or tonicity.

Jackson (1998) states that peripheral intravenous cannulation is one of the most prevalent invasive procedures in health care today. Problems such as phlebitis continue to affect patient care. Having an awareness of the types of phlebitis and the causes can improve patient care by preventing unnecessary and often expensive intravenous interventions.

Source: Google