...Cardiac Rehab This week during clinic we got to go to a cardiac rehab facility. When I first walked into the facility there was various workout equipment and a small track around the room, it reminded me a small gym. Cardiac rehab is much more than just a gym. “The cardiac rehab team is made up of an exercise physiologist or physical therapist as well a nurse, a nutritionist, and a psychologist or social worker. The team assesses each person’s risk factors for heart and blood vessel disease; provides information about medicines, nutrition, and stress reduction; and encourages behavior changes.” (Harvard Heart Letter, 2015) That day there was 5 sessions of 4-5 people participating in the cardiac rehabilitation. Each session lasting around one hour. Cardiac rehab is not for everyone, the most common diagnoses of people that participate in it are: patients that have heart failure, stents inserted, bypass surgery or stable angina. The amount...
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...needed to be able to provide the care that is needed. There is poor coordination of care between the different disciplines that provide care to these patients. There are delays in scheduling care for oncology patients. There are no established programs focused on cancer prevention and control. Educational programs on the risk factors for cancer are limited. Orthopedic Services The needs assessment reveals that there will be anticipated growth in orthopedics. Orthopedic cases are expected to increase by 46%. Inpatient volume is expected to increase by 30% and outpatient procedures by 350%. The community needs additional physicians in order to accommodate this growth. There will need additional imaging equipment, operating rooms and rehab facilities. There needs to be better coordination of care to ensure timeliness of scheduling. Educational programs need to be implemented on accident prevention and promoting health lifestyles. Cardiovascular Services Over the next 5 years, there will be an increased need for cardiovascular services....
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...Simulation Review HCS/405 September 2, 2013 Elijah Heart Center (EHC) is a healthcare organization that focuses on patients with heart problems. This 140 bed cardiac care hospital located in New York function as an advanced coronary care center, 120,000 square feet cardiac catheterization labs, surgical suits for open heart surgery, ancillary equipment for radiology, labs, nephrology, pulmonology and service for full spectrum of cardiovascular patients. There is also a full range of outpatient cardiac diagnostic services and rehab programs for patients recovering from heart attacks, open heart surgery, and coronary angioplasty. Although the organization is having some financial problems the patient volume is stable and increasing. As the senior financial consultant I will be working to get things financially under control, I will present a few plans for short and long term goals. I will be working with a great team that includes Gilbert Sanchez, Saiku Takeuchi, Zachary Macholz, and Dr. Brenda Lopez. The Elijah Heart Center has managed to stay focused and in operation do to the satisfied patients that need the services. There is a great team that provides great patient care but there has been a lot of poor decision making in the past that is resulting in a lot of profitable problems. In May 2x03 the financial department reported facing a potential working capital shortfall. In an emergency the hospital might not have enough cash to sustain itself...
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...Running Head: My Life It’s My Life, My Story Takelia Watson PSY 202 Nancy Egelko 8/3/2013 My Life I. Introduction: Thesis Statement I have always pictured my life in a different way for birth to the present II. Body Paragraph #1 A. My life in general 1) My school days 2) My heart defect and how it would affect me for life 3) Living in a single family home 4) How we became homeless III. Body Paragraph #2 B. You have to have big dreams in life; I just don’t want to be like my family. 1) I want to get my degree to become a doctor 2) Start a nonprofit organization for people like me 3) Where I hope to see myself ten years from now IV. Body Paragraph #3 1) Where I see myself now 2) How I feel about I have accomplished 3) What do I think I can improve on V. Conclusion I was told never to judge a book by its cover; I always get the big picture first. I never would have thought the story of my life would even begin like this. I have always pictured my life in a different way with happy memories from birth to the present, but if that’s how it happens then that would not be my life. In this paper I will present a brief description of my life experiences both good and bad that helped shape me into the person I am today and I will analyze some of them with the adult development theories. My story begins in the hospital with my birth. I had many problems before I was even born into the world. I had to have...
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...Angelicia Wingo 224 n Quincy ave Bradley, Il 60915 815-600-6076 braliy0025@gmail.com Education: * PCC Technical Institute Certification in Diagnostic Ultrasound/Vascular Graduated August 2006-July 2007 * University of Phoenix Online Pursuing Bachelor’s Degree Behavioral Science Present- December 2012 Work Experience Healthfair Cardiovascular Technician November 2011- Present * Performing cardiac screenings of 2-D echocardiograms, Carotid arteries, and abdominal aorta * Color flow, echo Doppler diastolic function, and measurements for echocardiogram * Color flow, Doppler, and measurement of CCA, ICA and ECA * Measurements of abdominal aorta Mid Distal and Prox. Sagittal and Transverse views | | Dr. Alaa Abdel-Meguid Echocardiography Trainee May 2007Dec2007/Present * Performing echocardiograms 2-D echocardiography, color flow, echo Doppler, Diastolic Function, M mode and Stress Echo exams for diagnostic purpose alongside lead echo tech Lisa Quick (13 Year experienced technician) * Orientate and prepare patients on procedures, complete all paperwork pertaining to scans performed Med 3000, Tinley Park, Il Collection Specialist/AR Team Lead June 2010-Present * Constantly adapt to changes in a fast-paced work environment while supervising a staff of 16 in Accounts Receivable and Collections ...
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...Burke County Middle School Science Constructive Response 6th and 7th Grade Science 6th Grade Constructed Response 1. What are the three major classifications of rocks formed on Earth? Which one would you find fossils in and why would you find fossils in this rock. Explain how fossils form. (6.E.2.4) Answer: Metamorphic Sedimentary Igneous You would find fossils in sedimentary rock Layers of soil are laid down on dead animals or plants embalming them. The minerals replace the organic matter creating the fossil. 2. Describe how the revolution of the Earth around the sun affects the seasons. Give one example supporting your answer (6.E.1.1) Answer: Revolution is defined as the orbital path a celestial body follows around the sun, or other celestial body. AS the Earth is close to the sun, the sunrays are able to reach the Earth a short distance allowing the Earth to become warmer. When the Earth moves away from the sun, the rays do not reach the earth. The Earth at a persistent distance does not allow the Earth to warm causing a change in seasons. 3. Contrast the differences between lunar and solar eclipses and the affects they have on Earth. (6.E.1.1) Answer: Lunar—Earth’s shadow hides the moon; widely visible Solar—Moon blocks the sun; visible to only certain areas of the Earth at a time. Less light available for a short period of time. 7th Grade Constructed Response 1. Explain how two brown eyed parents could...
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...Frog Heart | Exercise 1: Baseline Data Using the Horizontal Compression buttons and the scroll bar, display the data for Exercise 1 you wish to include in your report. | | ECG and Cardiac Cycle| |Time between QRS and the Startof Ventricular Contraction (s)| 1|1.48| 2|1.48| 3|1.46| 4|1.48| 5|1.48| Mean|1.47| Observe the heart and describe its behavior. Is this behavior consistent with what is shown in the data above? | | Study Questions | 1. Explain the basis for the delay between the atrial and ventricular contractions. | | 2. Describe the relationship between the ECG QRS complex and the beginning of ventricular contraction. What is the physiological significance of this relationship? | Exercise 2: Effect of temperature Using the Horizontal Compression buttons and the scroll bar, display the data for Exercise 2 you wish to include in your report. | | Effect of Temperature on Frog Heart Rate| |Temperature(°C)|Heart Rate(BPM)|CalculatedQ10|Cold|3|31.3||Room Temp|19|42.1|1.2|Warm|37|54.0|1.1||| Describe the effects that you observe of changing the temperature of the solution bathing the heart as it lies wihin the thorax. | | Study Questions | 1. How did temperature affect heart rate? What do you suppose is a consequence of being a poikilotherm? | | 2. Why is the Q10 a useful concept? | Exercise 3: Starling's law of the heart Using the Horizontal Compression buttons and the scroll bar, display the data for...
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...During the Inova Dome Experience it was clear that all procedures and protocols were outlined prior to the surgery having begun, and the RN, MSN Darla was well prepared to give us an overview of the entire aortic valve replacement process. One of the most important safety measures I observed at Inova was the role each physician, nurse, and other staff member played in the surgery. Each individual knew what was expected of him or her and was held accountable for one task or another. Within the pre-op room, the age, sex, race and other important information were listed on the patient chart along with the details of where each individual would stand or sit throughout the procedure. A short but concise rundown of the steps to follow during the procedure was written out on the whiteboard along with abbreviations for special equipment to be used. During the procedure, Darla explained each person’s duty and highlighted the role of the nurse who was in charge of making sure all medical supplies were accounted for at the end of the surgery. This included a magnetic board that held all the needles used during the procedure, all the gauze used during the procedure, tubes, tissues, etc. Next, she discussed the role of the nurse anesthetist who would keep monitoring the patient’s alertness levels to decide whether the patient needed another dose of anesthesia. In addition, Darla explained how the RN-First Hand nurses were able to physically help the surgeon perform the surgery because they...
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...The criteria for a Normal Sinus Rhythm is: • P-wave before each QRS with an interval of 0.12 to 0.20 seconds in duration. • A QRS width of 0.04 to 0.12 seconds • Q-T interval of less the 0.40 seconds. • The rate for a normal sinus rhythm is 60 to 100 beats a minute. Normal Sinus Rhythm P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate 60 to 100 beats a minute ________________________________________ If the rate is below 60 beats a minute but the rest is the same it is a Sinus Bradycardia. Brady- means slow.. Like your brain after you watch the Brady Bunch! Sinus Bradycardia P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate less than 60 beats a minute Yes... the QRS complexes look completely different... That's okay. I already said that we're all different. Relax. ________________________________________ If the rate is between 100 to 150 beats a minute with the same intervals it is a Sinus Tachycardia. Tachy- means fast. (Think of what happens to your heart rate when you sit on a tack) Sinus Tachycardia P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate 100 to 150 beats a minute ________________________________________ When the pattern becomes irregular with normal intervals it is a Sinus Arrhythmia Sinus Arrhythmia P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate 60 to 100 beats a minute, regular rhythm with periodic irregularity Atrial...
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...(Boston: Bedford/St. Martin’s, 2006). This paper follows the style guidelines in Scientific Style and Format: The CSE Manual for Authors, Editors, and Publishers, 7th ed. (2006). Page header contains abbreviated title and the page number. Headings, centered, help readers follow the organization. Hypothermia and Diving Reflex 2 ABSTRACT This paper reviews the contributions of hypothermia and the mammalian diving reflex (MDR) to human survival of cold-water immersion incidents. It also examines the relationship between the victim's age and MDR and considers the protective role played by hypothermia. Hypothermia is the result of a reduced metabolic rate and lowered oxygen consumption by body tissues. Although hypothermia may produce fatal cardiac arrhythmias such as ventricular fibrillation, it is also associated with bradycardia and peripheral vasoconstriction, both of which enhance oxygen supply to the heart and brain. The MDR also causes bradycardia and reduced peripheral blood flow as well as laryngospasm, which protects victims against rapid inhalation of water. Studies of drowning and near drowning of children and adults suggest that victim survival depends on the presence of both hypothermia and the MDR, as neither alone can provide adequate cerebral protection during long periods of hypoxia. Future research is suggested to improve patient care. INTRODUCTION Drowning and near-drowning incidents are leading causes of mortality and morbidity in both children 1 and adults...
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...The Case for Open Heart Surgery at Cabarrus Memorial Hospital Due Week 6 and worth 280 points Read “The Case for Open Heart Surgery at Cabarrus Memorial Hospital” case. Write a 4-6 page paper in which you: 1. Discuss ways the program does or does not comply with the hospital’s mission. 2. Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program. 3. Describe the competitive situation among other area hospitals that could impact the decision. 4. Describe the change in the service area required for the cardiovascular surgery service. 5. Discuss alternative strategies the Board should consider before making a “go / no-go” decision on the possible addition of the open heart program. Your assignment must: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. The specific course learning outcomes associated with this assignment are: Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. Use technology and information resources to research issues in the strategic...
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...Bodybuilding Anaerobic Exercise & Respiration, Muscular Growth and Supplement Intake Ajay Sabhaney, Carlen Ng, Di Wu, Kelei Xu Bodybuilding Page 1 of 59 Table of Contents 1. Introduction 2. The Body & Muscle Groups a. Muscle Growth b. Physical & Psychological Benefits of Exercising 3. Weight Training: Anaerobic Exercise Mechanics & Impact on Muscle Growth a. Energy Transformations During an Exercise b. Investigating Torque in Weight Training c. Muscles Acting as Levers d. Impulse in Weight Training e. Intensity versus Speed 4. Protein Supplementation a. Protein supplementation b. Combining Protein Supplementation 5. Cellular Respiration & Effect on Weight Training a. Glycolysis b. Aerobic Respiration c. Anaerobic Respiration (inc. lactic acid) d. Carbohydrate Loading 6. Creatine Supplementation a. An Introduction b. Lab: Effect of Phosphocreatine on Lactic Acid 7. Anabolic-Androgenic Steroids a. Reactions within the Body involving steroids b. Side Effects of Steroid Intake c. Detecting Steroids in the Human Body 8. Conclusion 9. Works Cited 10. Miscellaneous Bodybuilding Page 2 of 59 I. Introduction Exercise (essentially any form of physical exertion which results in the contraction of a muscle) has become a widespread interest over the past several years, especially in areas of weight training. While exercise is generally intended to promote good physical health, bodybuilding more specifically concentrates on building muscle mass and many individuals in society...
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...Do Not Resuscitate Orders in Pediatric Patients Ethical Issues in Healthcare Abstract Children with terminal illnesses frequently have do not resuscitate orders. Dealing with dying children, and letting them die without major intervention can be hard issues for nursing and other health care professionals to cope with, and can cause an internal ethical dilemma. The seven nursing ethical principles are discussed in regards to do not resuscitate orders, and ethical theory is applied. The ethical dilemma faced by nurses with do not resuscitate order is discussed, and how to resolve it. Do Not Resuscitate Orders in Pediatric Patients Children throughout the United States are diagnosed with terminal diseases daily. Once medical treatments begin to not further the quality of life of the child, discussions will begin with the family to consider a do not resuscitate order. A do not resuscitate order is intended to protect the patient from resuscitative efforts that are not wanted by the patient and family (Baker et al., 2010). As a charge nurse at a pediatric ventilator unit, do not resuscitate status comes into discussion frequently, and it is an uncomfortable topic for some. A do not resuscitate order on a child can cause an internal ethical dilemma for nurses. Children are seen as lively beings, and are supposed to outlive their elders. Also there are many myths surrounding do not resuscitate orders with both family members and members of the healthcare team. Some...
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...Maternal Resuscitation Aim To understand and be able to practive resiscitation of the mother and promote the positive outcomes. Resuscitation of the Mother The approach to apparently lifeless patient is the cardiopulmonary resiscitation (ABCD) drill: Rapid assessment of the Airway, Breathing, and remedy of the problems with these as they are found (search for and correct reversible causes), moving through to remedy of the absence of Circulation. 1. Ensure a safe environment for patient and rescuer. 2. Shake and Shout, if no response, call for help and return to patient. 3. Turn patient on to her back and place wedge under right side of abdomen to relieve aortocaval compression. 4. Open the Airway: Remove any obvious obstruction from mouth. Perform chin lift by placing two fingers under the point of the patient’s chin and lifting the chin forward. Jaw thrust, performed by placing fingers behind patient’s jaw and lifting jaw forward. 5. Assess Breathing for 10 seconds: Look for chest movements. Listen for breath sounds. Feel for movement of air. If the person is breathing, turn her in to the recovery position. If there is absence of breathing in the presence of an open airway, take this as an absence of circulation. Give 30 chest compressions followed by two breaths. Breaths are delivered by taking a full breath and placing your lips around the mouth and blowing steadily into the mouth. If possible, a facemask and ...
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...Research Center, Jeddah, Saudi Arabia 4Department of Epidemiology, Italian National Cancer Institute Regina Elena, Rome, Italy Corresponding author: Deborah Cook, debcook@mcmaster.ca Received: 6 Dec 2007 Revisions received: 22 Jan 2008 Accepted: 4 Mar 2008 Published: 4 Mar 2008 Critical Care 2008, 12:R36 (doi:10.1186/cc6815) This article is online at: http://ccforum.com/content/12/2/R36 © 2008 Lim et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction To use screening cardiac troponin (cTn) measurements and electrocardiograms (ECGs) to determine the incidence of elevated cTn and of myocardial infarction (MI) in patients admitted to the intensive care unit (ICU), and to assess whether these findings influence prognosis. This is a prospective screening study. Materials and methods We enrolled consecutive patients admitted to a general medical-surgical ICU over two months. All patients underwent systematic screening with cTn measurements and ECGs on ICU admission, then daily for the first week in ICU,...
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