...Introduction: Total hip replacements (THR) happen for a multitude of reasons. Patient’s requiring a THR are in pain within the hip joint from a specific cause. For example, a THR could be done to relieve arthritis pain, repair a break in the bone, or repair the joint from a traumatic injury or disease. The hip joint is a ball and socket joint, made up of the head of the femur (ball) which moves within the acetabulum (socket) in the pelvis (Hasan & Akbar). Functionally, this joint allows movement of the lower body in relation to the trunk in a circumduction motion. At the time of the repair, usually patient’s have decreased function of that lower extremity because of pain. The joint itself does not have nerve endings, but bone does....
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...Planning and Design Analysis of a Qualitative Research Study NUR/443 Evidence-Based Nursing Research and Practice Planning and Design Analysis of a Qualitative Research Introduction A qualitative research is a “systematic, subjective approach used to describe life experiences and give them meaning” (Burns & Grove, 2011). With this type of research, the data are collected through interviews, focus groups, observations, and review of documents. Thus, qualitative research uses words instead of numbers. This paper is going to analyze the planning and design of a qualitative research paper titled: Patient’s experience of pain and pain relief following hip replacement surgery, published in the Journal of Clinical Nursing on October, 2010. Research questions Although the research question or questions are not clearly labeled in the study, the research questions were as follows: 1) How do patients describe their experience with pain after hip replacement surgery?, 2) How do patients describe their pain relief following hip replacement surgery?, 3) How does pain affect patients after hip replacement surgery? Problem A research problem is “an area of concern in which there is a gap in the knowledge base needed for nursing practice” (Burns & Grove, 2011). In this research, it was identified that many patients undergo hip replacement every year and previous research has focused largely on the long-term effects of pain for these patients but not so much on their subjective...
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...catheter in patients with hip fracture Critical Appraisal In this quantitative research article, the authors have dealt with one of the most common clinical problem i.e. clamping of urinary catheter after hip surgery. Hip surgery is very common among the people of old age group especially above 75 years. Further, older women are more susceptible to hip fracture and commonly undergo hip injury (Johansson & Christensson, 2010). Bladder catheterization is a common clinical practice in surgeries. It helpful in monitoring urine output in patients. However, it is also associated with one of the major clinical problems, i.e. operative urinary retention (POUR). It can be defined as the inability of a patient to pass urine in spite of full bladder (Baldini, Bagry, Aprikian, & Carli, 2009). It is has been reported that patient of hip surgery are at higher risk of urinary retention (Balderi & Carli, 2010; Johansson & Christensson, 2010; Singh et al., 2010). In the case of hip replacement the incidence of POUR has been reported to be between 12- 84%. Similarly, in case of hip fracture the prevalence of POUR is 18% to 56% (Borghi et al., 2004; Oishi et al., 1995). The most effective intervention reported till date for reducing the risk of urinary retention is clamping of urinary catheter. The main objective of this paper was to investigate the efficacy of clamping of urinary catheter through randomized controlled trial in patients undergone hip surgery for fracture. Title:...
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...disease. Technology is not limited to medical milestones through research and the creation of new drugs but also how people can obtain the information regarding medical procedures, receive medical care and information about living healthy lifestyles (Williams & Torrens, 2010). The most common concept that one considers is technology within the health care field is the research that creates life-saving medical procedures through surgery and medication. Large companies such as Pfizer, Merck, and other companies possess the abilities to fund ground breaking research in order to find cures for diseases like HIV/AIDS and many types of cancers or to help treat the ongoing symptoms. Their concept of technology also applies to the materials that many surgeons use during surgeries such as knee/hip prosthetics for knee and hip replacements. In the 1960s these types of surgeries were unheard of and have grown to a $600 market for the research and development to produce such devices through companies like Stryker (McGill, 1989). Significant technology Technology within the healthcare field is not merely limited to ground breaking research to treat illness and disease but specifically how physicians can access patient health records in order to better management current chronic conditions and medical accidents. The most significant requirement for healthcare is the mandated conversion of medical health records from paper form to electronic form by 2014 (Sanchez, 2012). A complete conversion...
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...Unit 1 Research Paper 1 Injectable Tissue Engineering Brand Zae GS1140 Injectable Tissue Engineering Introduction Every year more than700,000 Americans undergo a form of joint replacement surgery. The procedure-in which a knee or a hip is replaced with an artificial implant-is highly invasive, and many patients delay said surgery for as long as they can. A doctor by the name of Jennifer Elisseeff , a biomedical engineer at Johns Hopkins University, hopes to change that with a simple and quick procedure that does away with surgery entirely. Dr. Elisseeff and her colleagues have developed a way to inject joints with specially designed mixtures of polymers, cells, and growth stimulators that solidify and form healthy tissue. This form of technology can eliminate the need for many expensive and dangerous surgeries. Surgeries involving muscle development, the cardio vascular system, and even limb repair after a traumatic incident. This form of technology can improve our health care system dramatically and open new windows of opportunity for new forms of medicine. Even the possibility for new cures for diseases that we currently fight every day such as cancer and possibly even HIV, eliminating the need for long and expensive treatments. As well as repairing worn or damaged tissue, this form of engineering can also be used in the future for growing new organs or limbs to replace old damaged or missing ones. If a patient is in need of a new heart...
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.............................................................................. 6 NOKIA MARKETING STRATEGY............................................................................................... 7 INDUSTRY TRENDS.................................................................................................................... 10 KEY D ECISIONS FACING NOKIA ..................................................................................................... 12 RECOMMENDATIONS............................................................................................................... 13 RESIST COMMODITIZATION ........................................................................................................... 13 FOCUS ON REPLACEMENT M ARKET...
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...Preparing rooms ready for surgery, setting up tools on the table and knowing which ones are which, We all know this isn't a common thing everyone does. With this profession, you are facing multiple challenges a day, as in saving lives and helping people become more healthier. This profession are companied by multiple nurses and a physicians, working as a team to make a difference in lives. They are much like us, we work in teams in life and do as much as we can until we've achieved what we're working on. This is called a surgical technologist. A surgical technician or also called a operating room technician, is an allied health professional working as a part of the team delivering surgical care. The requirements to enter into this field are...
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...Delirium in the Older Adult Population Delirium is a common issue found in older adults in the hospital and often not recognized until the illness develops, showing more evident and severe symptoms. Delirium is most commonly seen in the intensive care unit (ICU) and its frequency suggests an evident need for increased prevention. This paper will review an article by Susan Seliger, Another Hospital Hazard for the Elderly (see Appendix for more information), and look at various other perspectives focussing on the main arguments, as well as looking at personal understandings and biases, to better relate to and work with delirious older adults. Summary of the Article To summarize Susan’s article, “Another Hospital Hazard for the Elderly”, it...
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...What makes a Top 100 Hospital Abstract This paper explores the reasons Kaiser is one of the top 100 hospitals, using research conducted online and offline, by using patient and customer feedback, and also by explaining how Kaiser Permanente achieves its quality of care to become a top hospital. Kaiser Permanente has marketed itself as one of the top 100 hospitals in the U.S., proclaiming their exceeded cares for those who are Kaiser Permanente Members. They have been administering healthcare for many years, through inpatient and outpatient care. A plethora of accolades in various categories shows Kaiser Permanente’s success in keeping long term patients under their provided care. Keywords: Kaiser Permanente Today’s Top 100 Hospitals In today’s world, people believe in researching who can provide the best quality service in the healthcare industry. We are keenly aware of how our health service is provided when we are struck with an illness or injury, which makes it imperative to learn who ranks among the top hospitals. Kaiser Permanente has been well known to give the best quality care for those who are Kaiser Permanente Members. They are known to be highly ranked in various aspects, ranging from internal medicine, cancer research, surgery, cardiology, orthopedic care, pediatrics, and geriatrics, to name a few. Back in the 80’s and 90’s, Kaiser Permanente was well known for its less than stellar reputation. At the time, it was not fathomable that Kaiser...
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...Do most people know what is in the food that they eat? Very few people are aware of the dangers of consuming everyday food. Things such as chicken nuggets or hamburgers could be slowly killing someone these days. With so many things being added to foods, the human race must keep in mind the fact that said things are also being added to their bodies. Exposure to these particular additives could have a large impact on humans and more importantly, their children. Perhaps we should first take a look at exactly what is in our food. Steroid hormones are chemicals that are produced naturally in the bodies of all animals, including humans. They are chemical messages that control important body functions such as growth, development and reproduction. Our bodies produce them naturally in very small amounts to maintain a delicate balance. There are six different kinds of steroid hormones that are currently approved by FDA for use in food production in the US: Estradiol, Progesterone, Testosterone, Zeranol, Trenbolone acetate, and Melengestrol acetate. Estradiol and progesterone are natural female sex hormones; testosterone is the natural male sex hormone; Zeranol, Trenbolone acetate and Melengesterol acetate are synthetic growth promoters (hormone-like chemicals that can make animals grow faster). Ingesting steroid hormones, either natural or synthetic can upset the natural balance in the body and lead to health problems. Studies have shown increased rates of cancer due to the ingestion...
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...Running Head: Self-Care Deficit Theory Concept Analysis: Self-Care ABSTRACT Dorothea Orem’s Self-Care Deficit Nursing Theory has been used as a basis for nursing care since she first proposed the theory in 1959. The focus of this paper is to define the Self-Care Theory in broad terms and to analyze the concept Self-Care Deficit Nursing Theory using the Chinn and Kramer “Integrated Theory and Knowledge development in Nursing” process. The SCDNT is an important theory in nursing and helps to guide the nursing process and improve patient care with measurable results. It is also an important theory for developing curriculum in nursing schools and has proved invaluable to care providers when performing self-care for others. 1 In 1959 Dorthea Orem, a nurse from Baltimore, Maryland, developed the theory of Self-Care defined as a condition that “in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the inability of the parent (or guardian) to maintain continuously for the child the amount and quality of care that is therapeutic “(Orem, 1995, p.53-54). Orem posited that to determine if people need nursing care then it is “ the inability of persons to provide continuously for themselves the amount and quality of required self-care because of situations of personal health” (Orem...
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...JAN ORIGINAL RESEARCH Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives Karen Spilsbury1, Andrea Nelson2, Nicky Cullum3, Cynthia Iglesias4, Jane Nixon5 & Su Mason6 Accepted for publication 5 September 2006 Karen Spilsbury PhD RN Research Fellow Department of Health Sciences, University of York, York, England, UK Andrea Nelson PhD RN Reader School of Healthcare, University of Leeds, Leeds, England, UK Nicky Cullum PhD RN Professor Department of Health Sciences, University of York, York, England, UK Cynthia Iglesias PhD Research Fellow Department of Health Sciences, University of York, York, England, UK Jane Nixon PhD RN Deputy Head Clinical Trials Research Unit, University of Leeds, Leeds, England, UK Su Mason PhD RN Principal Research Fellow Clinical Trials Research Unit, University of Leeds, Leeds, England, UK Correspondence to Karen Spilsbury: e-mail: ks25@york.ac.uk 6 5 4 3 2 1 SPILSBURY K., NELSON A., CULLUM N., IGLESIAS C., NIXON J. & MASON S. ( 2 0 0 7 ) Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives. Journal of Advanced Nursing 57(5), 494–504 doi: 10.1111/j.1365-2648.2006.04140.x Abstract Title. Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives Aim. This paper reports a study exploring patients’ perceptions and experiences of the impact of a pressure ulcer and its treatment on their health and quality...
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...Medical Tourism Medical Tourism Introduction Medical tourism is the act of traveling to other countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation ...
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...Ethics Paper HCC/335 La’Verne A Love Professor Holly Martinez de Andino June 16, 2014 We are hearing all too frequently about End of life issues and decisions that family members are having to deal with because of not being prepared for when the time comes for a loved one. I will discuss more in depth the issues, problems and solutions to making this seemingly painful and undiscussed topic something that will help make it less painful and more important to do before the time comes. Death is something that is inevitable, it will eventually come to us all, some sooner than later and we should do all that we can to make it less stressful and painful to the loved ones we leave behind. Making these End of Life choices beforehand has always been considered a “taboo” of sorts because it’s just an issue that is never discussed. There is no said population that this matter should be discussed with because no one knows when they are going to die unless they are contemplating suicide and that’s an entirely different situation. End of life choices is a role that many of us may have to step into whether for ourselves or assisting our loved ones with them. “Only about one in four people have signed advanced directives that spell out their wishes if they’re unable to make medical decisions on their own, according to a 2006 report published by the Pew Research Center for the People & the Press”. An advance directive includes two types of documents, a living will describes...
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...27 References.......................................................................................................…...30 Abstract Medical tourism, where patients travel overseas for operations, has grown rapidly in the past decade. High costs and long waiting lists at home, new technology and skills in destination countries alongside reduced transport costs and Internet marketing have all played a role. With the best infrastructure and medical facilities, comparable with any of the western countries, accompanied with the most competitive prices, treatment can be done in India at the lowest charges. The research suggests that India represents the most potential as a medical tourism market in the world. This paper seeks to provide a first assessment of this emerging phenomenon and then will examine, using the research, whether medical tourism will be a profitable business venture for Medscape India Inc. in New Delhi, India. Medscape will form an alliance with Apollo Hospitals and will be in operation early...
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