...Pancreatic Cancer Research Grad2016 Abstract This paper is looking into the effects of pancreatic cancer and the research behind it. Pancreatic cancer is one of the most deadly forms of cancer known and contributes to over 30,000 deaths a year in the U.S. alone. Little is known about this killer cancer or of an accurate treatment. Unfortunately this disease has a very low survival rate even with treatment. There are several benefactors associated with this disease that we will discuss as well. These include alcohol abuse, genetics, tobacco, diabetes and lifestyle. There is a lot of research being conducted on this killer disease with hopes of increasing the survival rate with a cure or early diagnosis. One of the most deadly cancers is known as Pancreatic Cancer. This type of cancer is confined to the pancreas and is responsible for thousands of deaths every year. Little is known about the true cause of pancreatic cancer or a curable treatment. One of the reasons it is associated with the most deadly cancers is the fact that even with treatment it still has a very low survival rate. According to H. Chang (2007) only 10-15% of patients can expect to be cured by treatment. Out of the 30,000 plus patients that are diagnosed each year that is a very low survival rate. Pancreatic cancer is very hard to diagnose at an early stage because there is no precursor standard that is associated with it. Recent research has identified an association with hyperglycemia with patients...
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...Pain Concept Analysis Audrey Hubler Chamberlain college of Nursing NR501: Theoretical Basis for Advanced Nursing Practice Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory. This paper will define the term pain and how it pertains to the comfort theory. Next, there will be discussion from relevant literature in regards to pain. Its defining attributes will be covered and then antecedents and consequences will be addressed. Examples of empirical referents will be given, as well as a model case and alternative cases. Then the discussion will conclude with a summary of the analysis findings. Definition/Explanation of Pain According to Merriam-Webster, pain is defined as “the physical feeling caused by disease, injury, or something that hurts the body; or mental, emotional suffering, or sadness caused by some emotional or mental problem.” In general, pain refers to an unpleasant, distressful and uncomfortable feeling. Studies have shown that unrelieved pain can affect the quality of life of the individual, cause physical and emotional effects, and can impact family. The comfort theory was developed...
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...Alcohol as among the drugs that are been abused in large number and has become a major ill in our society. Alcohol destroys the lives of their victims in many ways. Alcoholism is the later stage after been addicted to alcohol but it can be recovered but it needs self discipline. Contents: Page: 1. Introduction……………………………………………………………. 3 1.1. Definition of alcohol…………………………………………………. 3 2.0. Effects of alcohol…………………………………………………….. 3 2.1. Healthy effects of alcohol……………………………………………. 4 2.2. Social effects of alcohol……………………………………………… 4 3.0. Alcoholism…………………………………………………………… 5 4.0. Causes of Alcoholism………………………………………………... 5 4.1. Social and Emotional causes of Alcoholism………………………… 6 5.0. Ways to recover from Alcoholism…………………………………… 6 6.0. Conclusion…………………………………………………………… 7 INTRODUCTION Drug abuse is an intense desire to obtain increasing amounts of a particular substance or substances to the exclusion of all other activities. According to WHO “Drug abuse has become a major ill in our society; it destroys the lives of their victims in many ways because these chemical substances are not intended to be introduced into the human body and as a result weakens the body system for instance the heart, lungs, liver, kidneys and brain are often damaged by heavy drug use and all of these organs are vital for life. Due to the broad case with drugs, I have chosen alcohol as an example of drugs been abused in the society. What is alcohol? According to Buddy. T...
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...to explore an acute deterioration in the health of an adult I have encountered during a clinical placement, in an acute care setting. The essay will begin with a definition of acute care, followed by the introduction of my patient and predisposing factors. This essay will include an explanation of the significant pathophysiological changes and related clinical manifestations and a critical analysis of the nursing interventions implemented during the acute episode of care, focusing on holistic care, rationale and evidence base. It will then describe the actual deterioration in the patient’s condition, and discuss the nurse’s role in the recognition and assessment of the actual deteriorating condition following the trusts policies. Assessment tools, monitoring, detecting and reporting will be considered. Finally this essay will include a discussion of the importance of multidisciplinary team collaboration in the diagnosis and provision of care during the acute episode, and a discussion on whether the deterioration could have been prevented by identifying any areas of practice which could change in relation to evidence based practice. For the purposes of privacy and confidentiality, in accordance with NMC (2008) code of conduct, the name of the patient will be changed to Peter and the placement area will remain as an acute care setting. According to McFerran (2008) the term “acute” is described as a disease of rapid onset, severe symptoms, and brief duration. Acute Care refers to...
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...INTRODUCTION Addiction is specifically concern with the process by which drug-taking behavior, in certain individuals, evolves into compulsive patterns of drug-seeking and drug-taking behavior that take place at the expense of most other activities and the inability to cease drug-taking. THERE ARE FIVE THEORIES OF ADDICTION NAMELY; * MEDICAL MODEL * PSYCHODYNAMIC MODEL * SOCIAL MODEL * MORAL MODEL * BIO-PSYCHO-SOCIAL MODEL MEDICAL MODEL This involves * Addiction as a “brain disease” * Neurotransmitter imbalance * Disease model: * Agent: drug * Vector: dealers * Host: addict PSYCHODYNAMIC MODEL This involves the following * Drug abusers who are self-medicating * Drug abuse which is a symptom of underlying psychological problems * Drug use is also a maladaptive psychological coping strategy * Drug abusers also need to resolve internal conflict, and when they do, drug use will be unnecessary. SOCIAL MODEL This involves * Drug use as a learned behavior * People using drugs because drug use is modeled by others * Peer pressure * Environmental effects leading to drug use MORAL MODEL * Addicts are usually weak and can overcome a compulsion to use with willpower * Drug abusers are anti-social and should be punished for that * Drug are generally evil BIO-PSYCHO-SOCIAL MODEL * All the above are true, to greater or lesser degrees * Each person’s drug use is a result of some aspects of some or all...
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...Volume 3, number 2 What is critical appraisal? Sponsored by an educational grant from AVENTIS Pharma Alison Hill BSC FFPHM FRCP Director, and Claire Spittlehouse BSc Business Manager, Critical Appraisal Skills Programme, Institute of Health Sciences, Oxford q Critical appraisal is the process of systematically examining research evidence to assess its validity, results and relevance before using it to inform a decision. q Critical appraisal is an essential part of evidence-based clinical practice that includes the process of systematically finding, appraising and acting on evidence of effectiveness. q Critical appraisal allows us to make sense of research evidence and thus begins to close the gap between research and practice. q Randomised controlled trials can minimise bias and use the most appropriate design for studying the effectiveness of a specific intervention or treatment. q Systematic reviews are particularly useful because they usually contain an explicit statement of the objectives, materials and methods, and should be conducted according to explicit and reproducible methodology. q Randomised controlled trials and systematic reviews are not automatically of good quality and should be appraised critically. www.evidence-based-medicine.co.uk Prescribing information is on page 8 1 What is critical appraisal What is critical appraisal? Critical appraisal is one step in the process of evidence-based clinical practice. Evidencebased clinical practice...
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...The Health Care Manager Volume 27, Number 2, pp. 147–158 Copyright # 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins Five Myths of the Chinese Health Care System D. Rob Haley, PhD; Mei Zhao, PhD; JoAnn M. Nolin, JD; Kerry Dunning, MHA; Sun Qiang, PhD As China continues its moves from a socialist ideology to a market economy, the impact of its presence is being felt globally. This is especially true with China’s health care system and the challenges that it is experiencing with its 1.3 billion population. The erosion of China’s socialist ideology was accompanied by an erosion of the government’s subsidy of health services, placing the major responsibilities of providing health care services on regional governments. Unfortunately, the impact of these policies on China’s health care system is not commonly understood, resulting in confusion and propagation of myths. For example, many believe that the Chinese government provides free health care for all citizens, and the population has not accepted Western medicine and relies primarily on traditional Chinese medicine. In addition, it is believed that there is no shortage of nurses, as the majority of care is provided at home. Finally, it is commonly believed that China’s health care issues are different from those of the United States. Exploration of these myths provides us with a better understanding and an improved ability to engage with this emerging economic global leader. Key words: China, Complimentary...
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... Page 8 Conclusion Page 9 References Page 10 Appendix I Page 11 Appendix II Page 11 Appendix III Page 12 Appendix IV Page 13 Appendix V Page 13 Appendix VI Page 16 Abstract This paper will focus on the clinical manifestations of hepatic encephalopathy and its effects on Mrs. X. She is a 64 year old female who has been an alcoholic for more than 40 years. The constant abuse of alcohol has left her with cirrhosis of the liver. One problem of cirrhosis is the inability of the liver to filter ammonia. When the levels of ammonia build up in the body, it affects various organs and systems. In Mrs. X’s case, it affected her brain. She manifested impaired cognitive abilities as well as physical limitations. This case study will expand on these processes as well as her prognosis and nursing implications. Hepatic Encephalopathy Mrs. X is a 64 year old white female and was a functional alcoholic and smoker for more than 40 years. She presented to the E.R. from home with complaints of lethargy, confusion, and decreased mobility. This paper will discuss the clinical manifestations of hepatic encephalopathy and the effects it has had and still do on Mrs. X’s mind, body, and soul. Mosby’s medical dictionary (2007) defines hepatic encephalopathy as: A neuropsychiatric manifestation of extensive liver...
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...Outline The overall objective of this research paper is to identify and address those aspects of alcoholism, which contribute to it as a medical disease. True, alcoholism has many ramifications for society as well as the economy, but the focus of this paper shall be, for the most part, on the medical aspects. In the way of background, alcoholism refers to the drinking of alcoholic beverages to such a degree that major aspects of the individual’s life -such as work, school, family relationships or personal SAFETY AND HEALTH, above all, are seriously and repeatedly interfered with. Alcoholism is considered a disease, meaning that it follows a characteristic course with known physical, psychological, and social systems. The alcoholic continues to consume alcohol despite the destructive consequences. Alcoholism is serious, progressive, and irreversible. If not treated, it can be fatal. It is generally thought that once the disease has developed, the alcoholic will not drink normally again. An alcoholic who abstains from drinking, however, can regain control over the aspects of life with which ALCOHOL interfered. The alcoholic is then said to be “recovering” not “cured” of the disease. It is important to note that the particular symptoms and pattern of DRINKING PROBLEMS may vary with the individual. ALCOHOLISM is, therefore, a very complex disorder, and it is this very complexity which has led some recent researchers to question the accuracy of the disease concept of alcoholism...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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...onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley or for impaction 3. any of the mycin's..check for...
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...Enhancing Health and Wellbeing Name: University: 1 August 2014 Enhancing Health and Wellbeing The health agenda Health is constantly evolving and will relate to different things for different people (Jack & Holt, 2008). The paper uses the World Health Organization’s definition of health, which states that health is a stare of complete physical, mental and social wellbeing. The definition goes beyond other primary declaration of health as being the absence of disease. Health needs vary among individuals and groups in society mainly due to social class and wealth differences. Often, those living in the poorest social economic conditions also suffer greatest from health problems, and when dealing with such issues, it is important to embrace a holistic definition of public health. Here, the adequate explanation would be to take public health as a science and art of disease prevention and health promotion as ways of prolonging life. In that regard, health needs assessments are important when tackling public health issues for communities. The assessments help to identify new health priorities to reflect changing social circumstances, and results from previous public health approaches. In addition, assessments help to realign health interventions with changes in demographics, given that individuals may not belong to only one community; they can join different communities at separate times of their lives (Hien, et al., 2010). Alcohol misuse as a contemporary health issue Alcohol...
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...NCLEX-RN® DETAILED TEST PLAN 2010 NCLEX-RN Detailed Test Plan ® Effective | April 2010 Item Writer/Item Reviewer/Nurse Educator Version Mission Statement The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection. Purpose and Functions The purpose of the National Council of State Boards of Nursing (NCSBN ) is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. ® The major functions of NCSBN include developing the NCLEX-RN and NCLEX-PN examinations, performing policy analysis and promoting uniformity in relationship to the regulation of nursing practice, disseminating data related to NCSBN’s purpose and serving as a forum for information exchange for NCSBN members. ® ® Copyright© 2010 National Council of State Boards of Nursing, Inc. (NCSBN) All rights reserved. NCSBN , NCLEX , NCLEX-RN and NCLEX-PN are registered trademarks of NCSBN and this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN. ® ® ® ® Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purposes only. Nonprofit education programs have permission to use or reproduce all or parts of this document...
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...|Ethics Case Studies—Learning Application of the 2009 ADA/CDR Code of |[pic] | |Ethics for the Profession of Dietetics | | |Case Study #1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it...
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