...Disciplines: Palliation and surgery have a historical association. The word ‘palliative’ was first used by a surgeon, a urologic oncologist, who established the world’s first acute care hospital in-patient palliative care service at the Royal Victoria Hospital in Montreal in 1974 [2]. Surgeons, irrespective of their specialty, encounter a wide spectrum of death and dying in their daily practice – this may be a patient with severe trauma, burn or advanced stage cancer or a critically ill patient in a surgical intensive care unit (SICU); death may occur unexpectedly due to internal catastrophes such as bleedings, ruptures or perforations; occur peri-operatively in a patient with multiple morbidity and chronic diseases;...
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...humans. Since we started very small part of it, as one of the first relationships we build is affective (caregivers) and although at the beginning of our lives we have a structured nonverbal communication language allows us to establish these first relationships of type interpersonal, recounting our lives we may find that the most important moments of our existence, from the most important decisions of our life (even some that are not) revolve around dialogue, some personal influence. Analysis Communication is how people ideas, information, opinions and feelings. Health professionals, services (dietetics, nursing assistant, or the environment) necessary for effective communication skills. These skills are used in conjunction with patients, residents, staff and management. Communication skills include listening, hearing ( understanding the message), talk (verbal communication), body language (nonverbal communication ), writing, and showing professionalism with a professional approach at all times. Sometimes how we say something is more effective than what he actually said. Communication of respect has been recognized as an important component of intercultural communication. The culture has a deep prejudice to the positions of respect and the ways in which respect between cultures can communicate in a variety of ways take. Interpersonal communication is that...
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...Euthanasia and Death with Dignity Euthanasia is an ethical decision making dilemma that borders on the philosophical and shakes the foundations of nursing beliefs in patient autonomy, beneficence, non-maleficence. It is an ugly concept for which many cringe and shy away from. It must be differentiated between the concepts of willfully causing death versus restraint from aggressive medical treatment when such procedures would cause no change in the outcome of the illness. This is sometimes referred to as death with dignity or palliative care, which is the “relief from pain and other distressing symptoms…” and “intends neither to hasten nor postpone death” (World Health Organization, 2011). This is the premise we intend to deconstruct. Euthantos, Greek for “good death”, translated as euthanasia in modern terms (Zerwekh, 2005), is commonly mistaken as the willful cause of death in persons unable to make decisions such as those with mental illness or defect. In actuality, there are different types of euthanasia; passive euthanasia, the hastening death by an act, or lack thereof, and voluntary/active euthanasia, known as physician assisted suicide. The nursing code of ethics forces us to take no part in actively ending a life, but where is the line drawn in accepting a patients wish to refrain from live saving measurements? Patients who wish to die with dignity should be afforded the right to determine their course of treatment and practitioners, at the very least, should respect those plans...
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...TRAINING NEEDS ANALYSIS (TNA) THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS® The Royal Australian and New Zealand College of Radiologists Strategic Priorities 2010 - 2014 Name of document and version: Training Needs Analysis (TNA), Version 1 Prepared by: Kelly Menzel - Educational Development Manager Sharon Messina - Director, Education and Research Submitted to: Endorsed by College Council, 21 July 2011 ABN 37 000 029 863 Copyright for this publication rests with The Royal Australian and New Zealand College of Radiologists ® The Royal Australian and New Zealand College of Radiologists Level 9, 51 Druitt Street Sydney NSW 2000, Australia Email: ranzcr@ranzcr.edu.au Website: www.ranzcr.edu.au Telephone: + 61 2 9268 9777 Facsimile: + 61 2 9268 9799 2 CONTENTS 1. INTRODUCTION……………………………………………………………….3 2. WHAT IS A TRAINING NEEDS ANALYSIS? ………………………...……4 3. BENEFITS OF UNDERTAKING A TNA……………………………………..6 4. INITIAL QUESTIONS ………………………………………………………..6 5. METHODOLOGY………………………………………………………………8 6. TRAINING NEEDS IDENTIFIED……………………………………………11 7. RECOMMENDATIONS………………………………………………………18 8. CONCLUSION………………………………………………………………...22 9. REFERENCES………………………………………………………………..24 10. BIBLOGRAPHY……………………………………………………………….26 11. APPENDIX 1…………………………………………………………………..27 12. APPENDIX 2…………………………………………………………………..28 13. APPENDIX 3…………………………………………………………………..36 Education and Research Portfolio Training Needs Analysis 22 July 2011 Page 2 1) INTRODUCTION This training...
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...Running Head: ADVANCED PRACTICE ROLE INDEPENDENT STUDY NU 499: Nursing Capstone Carmen Ragusa February 4, 2010 The Nurse as Educator Abstract This paper explores the nurse educator as a profession. It delineates the responsibilities of the educator as a gatekeeper for the nursing profession and emphasizes its paramount role in the academic world of nursing education and health care delivery. There is an exciting perspective to the educator’s role in nursing and the opportunity to mentor the next generation of nurses. Teaching the novice clinician about the profession and the dedication to serving people is self fulfilling and vital to the preparation of future nurses. This paper examines the diversified roles of the educator as well as the challenges and ethical dilemmas that are congruent to the profession. The articles and nursing journals depict how the role of the educator substantially affects the health care delivery system and how the philosophy of nursing practice is implemented to promote holistic client centered care. The Clinical Nurse Educator The history of nursing education is tied to nursing's quest for a professional identity. Nursing is serious about education, placing major emphasis on lifelong learning as well as initial preparation. Nurse educators are critical players in assuring quality educational experiences that prepare novice nursing students for a diverse health care environment. They are responsible for designing, implementing...
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...families, communities, and populations.” I believe my role, as a nurse is consistent with the scope of practice outlined by ANA and the contemporary definition cited. As a nurse, I strive to be clinically competent and aware of the constant challenges that one faces on a daily basis. Being well informed promotes health and prevents further illness and injuries. One goal I try to set aside every week is to attend a weekly ground rounds meeting, where additional education is provided on a specific case study. This opportunity allows me to stay current and up to date on new medications available, research findings and team collaboration feedback from staff on effective treatment options for optimal patient outcome. In addition, completing required competencies and being a member of Oncology Nursing Society also strengthens my knowledge and skill in providing the best evidence based practice to an individual and their families. Being a resource nurse for my unit allows me the opportunity to share my knowledge with the staff and actively participate in mentoring young nurses build a strong foundation and develop critical thinking skills. Education is critical in the nursing profession. Lifelong...
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...information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into practice to improve health outcomes of patients as well as improvement of education of nurses. What is your role as a CNS? I am a certified midwife nurse, certified registered nurse anesthetists (CRNA) and a certified nurse practitioner. Basically i am a registered nurse with a masters’ level education and certification. My role involves integration of care across the continuum through...
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...Merck: Business Analysis Tamikiia Brown MGT521 July 11, 2011 Sharon Palmitier Merck: Business Analysis Merck is a flourishing research-driven pharmaceutical company, which discovers, develops, manufacturers, and promotes an extensive variety of human and animal health products. Although Merck is one of the biggest pharmaceutical companies of the world, they still come across problems today while striving to sustain a lead against its competition. Merck has achieved success with its lengthy history of breakthrough drugs and the development of three significant pharmaceutical products: antibiotics, vitamins, and hormones. Merck’s success relies heavily on its management and how they modify the business model in place to that of the ever-changing economy. Influence of Economic Trends The global pharmaceutical market is likely to undergo a wide variety of changes with new competition arising in India, China, Malaysia, South Korea, and Indonesia. This new competition has a growing economy and has made a difference between the product cost and disposable income of consumers. According to NASDAQ (2011),“ Global pharmaceutical market sales are expected to grow at a 4-7% through the year 2013 largely being driven by the growing access to health care in emerging economic regions” (para. 2-5). Short-term growth within this area is stimulated by the United States market, as it continues to be the largest pharmaceutical market in the world. A focal point on research and...
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...Cancer Control Knowledge into Action WHO Guide for Effective Programmes Diagnosis and Treatment Cancer Control Knowledge into Action WHO Guide for Effective Programmes Diagnosis and Treatment WHO Library Cataloguing-in-Publication Data Diagnosis and Treatment. (Cancer control : knowledge into action : WHO guide for effective programmes ; module 4.) 1. Neoplasms – diagnosis. 2. Neoplasms – therapy. 3. Early detection. 4. National health programs. 5. Guidelines. I.World Health Organization. II.Series. ISBN 978 92 4 154740 6 (NLM classification: QZ 241) © World Health Organization 2008 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may...
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...Running Head: ELDERLY LESBIANS AND BREAST CANCER 1 Elderly Lesbians and Breast Cancer California State University, Dominguez Hills School of Nursing MSN 533-08 Theoretical Aspects of Aging Running Head: ELDERLY LESBIANS AND BREAST CANCER 2 Elderly Lesbians and Breast Cancer Cancer health disparities have been documented in specific populations in the United States. Elderly lesbians are one such population, with factors related to lifestyle, socioeconomic status, healthcare practices, and access to services (Brown & Tracy, 2008). There is a pressing need for understanding of the health care disparities faced by elderly lesbians, so that the needs of this group can be adequately met. In the United States, breast cancer is the most common cancer among women. Several risk factors for breast cancer are at least partially modifiable, and are present more among the lesbian population than heterosexual women (Brown & Tracy, 2008). Breast cancer is the most common invasive cancer among women worldwide, with rates significantly higher in developed nations. Over 80% of all female breast cancers occur among post-menopausal women. Breast cancer is not primarily found to be hereditary, but women who have the BRCA1 and BRCA2 genes (which can be inherited) have a considerably higher breast cancer risk (Miller, 2012). Lesbian elders have particular well-being requirements, but often suffer from subpar care and reduced access to services. Fear of discrimination, low rates of health...
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...The Norwegian Version of the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain: Reliability and Validity Kari Raaum Hovde, Tone Høilo Granheim, Knut-Andreas Christophersen, Alfhild Dihle P ain in children is still both under-estimated and under-treated (Bell et al., 2009; Liossi, 2006; Stinson, Yamada, Dickson, Lamba, & Stevens, 2008; Zempsky, Cravero, & the Committee on Pediatric Emergency Medicine and Section of Anesthesiology and Pain Medicine, 2004). Inadequate treatment of pain in children may cause many negative psychological and physiological consequences, such as fear and anxiety, post-traumatic stress disorder, increased risk of infections, and delayed wound healing. In addition, poor pain control may result in increased length of stay in the hospital, contribute to the development of chronic pain, and even lead to death (American Academy of Pediatrics [AAP] & American Pain Society [APS], 2001; Liossi, 2006; Schechter, Berde, & Yaster, 2003; Vincent, 2005; Zempsky et al., 2004). The purpose of this study was to evaluate the reliability and validity of the Norwegian version of the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain (PNKAS-N) in nurses who work with children in pain. The PNKAS was translated into Norwegian in accordance with international guidelines and pilot tested with 10 nurses. The reliability was estimated using Cronbach’s alpha coefficient and the test-retest method using Pearson’s r coefficient. Construct validity...
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...JAN DISCUSSION PAPER JOURNAL OF ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions...
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...envelope in my mailbox at work. Next, I took all three sealed evaluations to my sister. After leaving her home, she opened all three of the evaluations, typed the results into a Microsoft Word document, and emailed me this document. At no time did she include the evaluator’s name or identifying traits within the results that were emailed to me. The three individuals within the organization that I chose to evaluate my leadership skills were the director of the Medical/Oncology unit I work in, one of the clinical care leaders that frequently supervises me, and a fellow bedside...
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...Attribution Non-Commercial 2.5 Australian license. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc/2.5/au/ In essence, you are free to copy, communicate and adapt the work for non-commercial purposes, as long as you attribute the Patient Safety and Quality Improvement Service, Queensland Health and abide by the license terms. For further information, contact: Informed Consent Program Manager Patient Safety and Quality Improvement Service Centre for Healthcare Improvement, Queensland Health PO Box 152 Herston Queensland 4029 tel (+61) (07) 3646 9715 psq@health.qld.gov.au www.health.qld.gov.au/chi/psq/ For permission beyond the scope of this license contact: Intellectual property Officer Queensland Health GPO Box 48 Brisbane Queensland 4001 tel (+61) (07) 3234 1479 ip_officer@health.qld.gov.au Forward Patient-centred care is widely recognised as a core dimension of a quality modern health service. Informed decision-making – a two-way dialogue between patients and their health practitioners about the benefits, risks and alternatives of treatment, taking into account the patient’s personal circumstances, beliefs and priorities – is vital to truly patient-centred care. A well informed patient can be an...
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...MEDICAL TOURISM IN PHILIPPINES SUBMITTED BY – DIVYA YADAV Mba-mt (09-11) INDEX About Philippines…………………………………………………………… 3 Introduction ………………………………………………………….. 3 Geography ……………………………………………………………. 3 Climate………………………………………………………….............4 Population ……………………………………………………………...4 Language ……………………………………………………………….4 Currency………………………………………………………………...4 Religion…………………………………………………………………4 Culture and Society……………………………………………………..4 Tourism in Philippines ……………………………………………………… 5 Tourism statistics……………………………………………………….5 Famous tourist destinations…………………………………………….6 Events…………………………………………………………………..8 Healthcare system in Philippines……………………………………………..9 Medical Tourism …………………………………………………………… 10 Medical Tourism in Philippines …………………………………….. 10 Top Hospitals for Medical Tourism in the Philippines……………… 13 Popular medical tourism procedures available in Philippines………….14 Wellness centres………………………………………………………..17 Cost comparison………………………………………………………...18 Entry and Exit Requirements to the Philippines………………………...18 Statistics of Medical Tourism in the Philippines………………………..19 Inclusions of a Philippines' Medical Tourism Package…………………19 BIBLIOGRAPHY……………………………………………………………..21 ...
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