...C301 Cesarean Sections and Skin-to-Skin Erica Curry Western Governor’s University A.1. Identify and Describe a Current Nursing Practice within your Healthcare Setting that Requires Change. Willow Creek Women’s Hospital is located in Johnson, Arkansas. Willow Creek is a 38 bed hospital specializing in women’s health, including labor and deliver. Currently we practice skin to skin with our mothers and babies post birth for vaginal deliveries. Skin to skin is when an infant is put directly on the mother’s chest after delivery. The infant is dried off and assessed while on the mother’s chest. I work in the operating room and infants are taken to nursey after delivery. The mothers and infants are apart for two to three hours after delivery. I plan to initiate a skin to skin policy in the operating room during cesarean sections. Infants will stay with their mothers in the operating room and will have the opportunity to participate in skin to skin. A.2. Discuss why the Current Nursing Practice needs to be Changed. Approximately 30 percent of deliveries at Willow Creek are performed via cesarean section. Currently, when a mother has a cesarean section, mother and infant are separated for several hours immediately following birth. Separating mother and infant immediately after birth affects them both negatively. Mothers who experience skin-to-skin are more likely to exclusively breastfeed. Infants who experience skin-to-skin immediately after birth have...
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...is also crucial as contact with UV rays can root cancer. The denser the hair, the better it is. 2. Decrease of Asthma and Allergy Signs If you undergo pollen or dust aversion or even asthma, facial hair in fact rally round by operating as a filter and stop the allergens from staying. This is not much dissimilar from nasal hair. 3. Remain Youthful, Always! Here’s your cloak-and-dagger to naturally reduce indications of aging. With decreased sun exposure, you can in reality carry on to look younger, unlike the folks who do not opt for growing a beard. Absurdity of natures, beards make you look mature, but essentially keep you looking youthful. 4. Fends off Illness So it may be summer now, but when it gets bitter cold in the course of fall or winter, the beard will keep you cozily warm and can truly lend a hand to you to combat colds as well. The lengthier the beard, the better protection you get. 5. Beard Diminishes Infections You not ever have to burden yourself about bacterial infections, ingrowths and folliculitis, infection of the hair follicles, triggering spots with growing a beard. These contagions are work-related dangers of regular shaving. Be through with that, and be through with such snags as...
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...ANSWER: OCCUPATIONAL HYGIENIST DEFINITION: occupational hygiene is generally define as the art and science dedicated to the anticipation, recognition, evaluation, communication and control of environmental stresses in or arising from the workplace that may result in injury, illness, impairment, or affect the wellbeing of workers and members of the community. These stresses are divided into the following categories; Biological, chemical physical, erganomic and psychological. According to British occupational hygiene society (BOHS), occupational hygiene is about the prevention of ill-health from work through recognizing evaluation and controlling the risk. Occupational hygiene has been involved historically with changing the perception of society about nature and extent of hazards in the workplace. Many occupational hygienists work day to day with industrial situations that require control or improvement to the workplace situation however larger social issues affecting whole industries have occurred in the past. E.g since 1900, asbestos exposures have affected the lives of ten thousand of people in the later part of the 2000s concern has been raised about the health effects of nanoparticles. Many of those issues have required the coordination over a number of years of a number of medical and Para professionals in detecting and than characterizing the nature of the issue, the risk to the work place and ultimately to society. This has involved occupational hygienists in research...
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...sub atmospheric pressure to draw the edges of the wound towards the center. The continued application of pressure draws out edema from the wound, increases blood flow to the area. A special dressing is placed in the wound or over a graft or flap and vaccum assisted closure therapy applied. This wound packing removes fluids from the wounds like abscess and stimulates growth of healthy granulations tissue. INDICATIONS : 1. Acute and traumatic wounds 2. Pressure ulcers 3. Chronic open wounds like diabetic ulcers, meshed grafts, and skin flaps 4. Venous leg ulcers 5. Kinetic therapy and Proning therapy 6. Venous stasis and Arterial insufficiency ulcers 7. Dehisced wounds 8. Partial thickness burns CONTRAINDICATIONS : 1. Fistulas that involve organs or body cavities 2. Necrotic tissue with eschar present 3. Untreated osteomyelitis 4. Malignant wounds 5. Directly in contact with exposed blood vessels, anastomotic sites, organs or nerves 6. Stage 1 or stage 2 pressure ulcers. 7. Sensitivity to silver granufoam dressing. PRECAUTIONS: 1. Always follow universal precautions. 2. The therapy should be used cautiously in patients with active bleeding, in those taking anticoagulants, and when achieving wound hemostasis has been difficult. 3. When placing the V.A.C. dressing in proximity to blood vessels or organs, take care to ensure that they are adequately protected with overlying fascia, tissue...
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...1 Film Essay: “Perfume: The Story of a Murderer” as an Illustration of ADHESIVE PSEUDO-OBJECT-RELATIONS Like the novel by Patrick Süskind, Tom Tykwer’s film adaptation of Perfume: the story of a murderer (1986) is a gripping horror tale of a fictional eighteenth-century French serial killer. I believe it is also a grotesque version of those cases of trauma and consequence that analysts observe in the privacy of their consulting rooms. Perhaps if, as Freud (1933) suggests, extraordinary pathology can draw our attention to normal neurotic conditions, it may also be true that extraordinary fantasy may provide insight into those more ordinary pathological states. It may also be that certain artists, having “turned away from external reality... know more about internal, psychical reality and can reveal a number of things to us that would otherwise be inaccessible to us” (Freud 1933,p. 58-59). Tykwer’s visually sumptuous film version of Süskind’s story is a masterpiece, to be sure. However, as one intimately acquainted with the book, I cannot help but regret the necessary abbreviation of the details of each character’s experience, the reduction in the number of events in the life of the protagonist and the condensation of the passage of years leading to the development of the murderer that the translation of Süskind’s story into a commercially viable film unfortunately demands. However, I believe that, in spite of Tykwer’s considerable abridgement, Perfume (the...
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...Poaching of Endangered Species “The main reason for animals endangered is the uncontrolled human activity.” This quote was stated on a website called Animal Port. There are many reasons why this statement is true, one of them are poaching. Poaching occurs out of greed to make money. Although there are several laws to protect certain animals, this is a horrible act to any animal. Especially for the animals that are already endangered. Poachers minimizing these animal’s numbers for their own pleasure is not good. People who are against poaching should do what they can to stop this act from escalating, or there will not be any balance on this world. Animals are being killed every day from illegal hunting or capturing, that is called poaching; it’s getting worse and worse in certain places and we should do whatever we can to try and stop it. Poaching happens all around the world. Mainly in parts of the world where there is more game to hunt and a lot of money involved. A social science graduate from Makerere University Kampala in Uganda named Peter Galyak Magellan said that humans have been hunting for survival for a long time now and not because of pleasure. He stated “While primitive humans relied largely upon hunting for food, the agricultural revolution (approximately 10,000 years ago) reduced the need for survival hunting in most parts of the world. Hunting has continued, however, for several reasons, and poaching remains a possibility wherever hunting is...
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...wanted to choose something that would help a broad scope of people and improve an actually problem that is occurring in healthcare settings today. I decided to focus my evidence-based project on preventing hospital acquired infections, also known as HAI’s. According to the Center for Disease Control, “HAI’s affect 5 to 10 percent of hospitalized patients in the U.S. per year. Approximately 1.7 million HAIs occur in U.S. hospitals each year, resulting in 99,000 deaths and an estimated $20 billion in healthcare costs.” If we as nurses were able to prevent these infections that would save a lot people pain, time, money, and in some instances their lives. Recognizing that hospital acquired infections is an issue is just the first part to facilitating a change. There are multiple ways to which a patient may acquire a HAI, some of which occur via mechanical ventilation, chest tube, Foley catheter, VAD, CVAD, etc. PROBLEM For the purpose of this assignment we will be focusing on prevention of infections associated with intravenous catheter insertion and maintenance. Due to the high frequency of vascular access devices in the hospital setting, we must know the best ways of infection prevention. The only way that we may really know what is best is by looking at reliable research and evaluate what has worked in the past. We need to continually immerse ourselves in recent research so that we may continuously improve in our abilities to properly care for our patients. It is our job to give...
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...manipulated readily. In some cases, non-human hosts can be infected with the same viruses that infect humans, but close relatives of human viruses must often be used. Viral Entry Three requirements must be satisfied to ensure successful infection in an individual host: • Sufficient virus must be available to initiate infection • Cells at the site of infection must be accessible, susceptible, and permissive for the virus • Local host anti-viral defense systems must be absent or initially ineffective. To infect its host, a virus must first enter cells at a body surface. Common sites of entry include the mucosal linings of the respiratory, alimentary, and urogenital tracts, the outer surface of the eye (conjunctival membranes or cornea), and the skin (Fig. 1). Figure 1. Sites of viral entry into the host. MID 31 V. Racaniello page 2 Respiratory Tract The most common route of viral entry is through the respiratory tract. The combined absorptive area of the human lung is almost 140 m2. Humans have a resting ventilation rate of 6 liters of air per minute, which introduces large numbers of foreign particles and aerosolized droplets into the lungs with...
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...When I look back at the information that we have covered in class, what helped me the most was seeing that there is still a major problem when it relates to religion, age, gender, sexual preferences, and ethnicities. I had not actively thought that there was a huge problem since I do not surround myself with those that have issues with people in a racist manner. I do see that we are closer to a true “one race.” After this course, I can see that the American history is more than just wars and economy. Is was about fighting for rights and changing the way people view others. There is an overwhelming amount of misinformation and misguided opinions out there. With the “Who am I” assignment I had the opportunity to not only research to find out my own heritage, but I was able to learn about the history involving my ancestors. Knowing that there are multiple religions and backgrounds to my heritage was an eye opener for me in a sense that I am a lot like those that are still discriminated against. Being able to see where I came from and how far my ancestors have evolved has been a helpful in relating to others trials and tribulations. Although my ancestors were from America, not all of their spouses were. This helped me to see that the life of a blended family has not always been easy. I was also able to see that demographically other heritages and ancestors were able to make a place for themselves in America. The year 2050 is not that far away. With the multi-racial families...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 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 not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...Table of Contents 2. Biomedical and Electronic skin patch 2 Motivation behind the Technology 5 Applications 6 Drug delivery system 6 Health monitoring 8 Medium of Communication 11 Human Computer Interaction Interface 12 Stakeholders 12 3. Ethical and Legal Concerns with the technology 14 3.1 Legal Issues 14 Inconsistent Medication 14 Number of Impacts of Wireless Technology 15 Data Integrity and Hacking 16 3.2 Ethical dilemma 17 Cultural and religious criticism 17 Public Monitoring/privacy 19 Impact on people with disabilities 20 Cost issues 20 Social Issues/implications 20 Credibility of Source of Information 21 4. Resolutions for these dilemmas 22 4.1 Possible solution 22 Tackling health issues 22 Preventing leakage of personal information 23 Preventing Overuse of Skin Patch 24 Addressing cultural issues 24 Denying any form of tracking human information 25 4.2 Strategy for implementation 25 Conclusion 26 Reference List 26 1. Introduction The purpose of this report is to identify the legal and ethical issues related to electronic skin patch and provide a possible solution to tackle it. The limitations of current medical science lead to the advancement of biomedical science to resolve the gap. The report further deals with the new technology electronic skin patch that promises to overcome the potholes of the traditional medical science. It provides the detailed analysis of the technology and the strategy...
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...the Homeless, 2002a). According to research, a substantial reduction in the occurrence of chronic homelessness could be achieved by linking affordable housing with treatment and support services. Alcohol and substance abuse is known as both a precipitating factor and consequence of homelessness can effect an individual’s ability to retain housing or limit housing options offered by programs requiring sobriety, and mask underlying or related mental health issues undetected or untreated in addiction treatment programs (Zerger, 2002). Individuals who have co-occurring disorders (COD) are particularly vulnerable to homelessness caused by more severe psychiatric symptoms, self-medication with drugs and alcohol, and frequent contact with the criminal justice system. Typically, once homeless, individuals with COD will have greater problems, need more help and are more...
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...CHAPTER II REVIEW OF RELATED LITERATURE Infectious diseases represent a serious health problem today and account for one third of all deaths worldwide (Perumal et al., 2012), and herbal medicine has been used in many parts of the world as a rich tradition for the treatment of these infectious diseases (Titilope et al., 2012), both infectious and non-infectious. Attah et al. (2012) makes similar claims with the evaluation and development of compounds from similar claims with the evaluation and development of compounds from medicinal plants for the treatment of diseases which is one of the areas that is gaining grounds and acceptability world-wide (p.1). According to the World Health Organization, medicinal plants would be the best source to acquire different effective drugs and, therefore, those plants should undergo investigation to have a better understanding of their properties, safety and efficacy (Rajeh et al., 2010; Nascimiento et al., 2000). There are some published reports describing the antimicrobial activity of various crude plant extracts (Igoli et al., 2005; Alzoreky et al., 2003). It is estimated that there are about 2.5 million species of higher plants and the majority of these have not yet been examined for their pharmacological activities (Ram et al., 2003). In relation with the applications of herbal plants, weed, which is a plant that grows out of place and is competitive, persistent and pernicious (James et al., 1991), have been a part of civilization and...
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...Major body systems Cardio-vascular The cardiovascular system, also called the circulatory system, pumps blood around the body. The right side of the heart pumps deoxygenated blood to the lungs where oxygen diffuses into the blood, it then returns to the heart where it is pumped around the body. It also allows nutrients, hormones, oxygen and carbon dioxide to be transported around the body. Heart: The heart is made up of three layers: * Pericardium – the outer layer of the heart made of two fibrous sacs with fluid between them. It is there to protect the heart and prevent friction between the different beats as well as preventing distension of the heart. * Myocardium – is a specialist cardiac muscle and does not have control over itself. It contains a network of fibres that transmit the hearts electrical signals causing the heart to contract. The myocardium at its thickest at the apex of the heart and it thins towards the base in accordance to the workload that the heart undertakes. There is fibrous tissue running through it providing support as well as the specialist fibres that conduct the electrical signals. * Endocardium – the endocardium is a smooth epithelial tissue that allows a rapid movement of blood, it extends through all the vessels in the circulatory system. The heart is made up of four chambers. The septum divides the two sides of the heart and on each side of the heart there is an atrium – where blood goes into – and a ventricle – where blood is...
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...Personal Predjuges and Biases One personal bias I have would be in relationship to some of the beliefs of the Mormons. Although I infrequently come in contact with individuals of this belief, I have had some exposure to them in my work history and have done some reading about their beliefs. In less than 70 years, the number of Mormons has grown from less than a million to more than 6 million in the United States and 14 million worldwide. Their visibility and influence at all levels and walks of life have increased accordingly (Bohlen et al., 2010). The Church of Jesus Christ of Latter-day Saints (LDS), reflects the cultural impact of basic beliefs and traditions of church members practices and activities. The culture is geographically concentrated in the Western North American area, but is present to a lesser extent in many areas of the world where LDS live. Church members are encouraged to marry and have children, and as a result, LDS families tend to be larger than average. All sexual activity, both heterosexual and homosexual, outside of marriage is considered a serious sin. Same-sex marriages are not performed or supported by the LDS Church. When youth are in their late teens to early twenties they must put everything in their life on pause and go out for 18 to 24 months to spread the gospel. At least a tenth of a Mormon’s income must be given to tithing in order to contribute to the church’s growth. Sunday, the Sabbath...
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