...Personal Impact Paper Anissa Spada Rn May 3, 2012 NUR427 Laurie Baumgartner RN, MSN, CNS, NP, CCRN Introduction This paper will examine the chronic disease of lupus. A big portion of information in the paper comes from a patient Anna. The areas of her life that are affected by the disease , and the motivators for lifestyle change are discussed. The education of Anna regarding the disease and learning model theory will be examined. What is Lupus? Lupus is a chronic autoimmune disease. The immune system fights off invaders in the body. The body develops antibodies to protect from invaders. The immune system affected by lupus cannot tell the difference between good and bad tissue. This process causes the immune system to attack itself. There are many different types of lupus. The type Anna has is cutaneous and systemic. Cutaneous affects the skin. Systemic lupus in her case affects the joints. Cutaneous lupus causes skin rashes/lesions. The most familiar rash is the butterfly rash. The rash occurs on the bridge of the nose and across upper cheeks. Systemic lupus cause the joints become painful and inflamed. Anna The interview with Anna was held over a couple of days. Anna was diagnosed a year and a half ago with lupus. Anna believes that she has had the disease for longer than a year and a half. The rashes that she experienced had been occurring since she was...
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...San Marcos Abstract This paper explores the findings from four peer reviewed articles about the effects of Healing Touch (HT)/Therapeutic Touch(TT) has on patients. The studies represented in the articles vary in their study designs; however they all aim to ask the same two questions. 1) Does Therapeutic touch play a role in the healing process and health outcomes in selected patients; and 2) Secondly, Is there a need for TT to be utilized in further treatment modalities? This paper examines two different oncology patient studies, one osteoarthritis pain study and one study focusing on patients who are being treated in a psychiatric facility. The Effects of Healing Touch on Patient’s Health “Healing Touch (HT) is a complimentary non invasive biofield therapy, which has demonstrated effectiveness in reducing pain, distress and fatigue. HT purportedly supports the body’s natural healing process and enhances the function of the immune system (Wong, Ghiasuddin, Kimata, Patelesio, & Siu, 2012, pg.1).” The goal of Therapeutic/Healing Touch is to restore harmony and balance to individuals energy systems, which provides the opportunity to self-heal (Wong et al., 2012, pg.27).This paper explores research conducted on the effects of Healing Touch on patients with cancer, pain as and well as other effects on their mental health and the need to further research into the effects of Healing Touch on multiple health care...
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...involve labour of the workers to put in place the materials as per the design are it mixing, lifting and placing them in place, installation, delivery and storage of the materials. Material handling can be by machines/equipment or directly by the workers themselves. Handling and storing materials involves many different activities such as hoisting, manually carrying bags or material and stacking supplies. Employees can be injured by improperly lifting materials (manually and by machine), falling objects and improperly stacked supplies. This paper concentrates on the human ability in the movement and placement of materials and other facilities as work progresses on site. An examination of activities on an active site have been undertaken to inform this paper on the practicability and applicability of researched theories relating to human lifting capability on site. The following sites have been examined and findings discussed later in this paper: • Proposed Primary Security Screening Facility - JKIA Nairobi • Construction of a Terminal Building at Isiolo Airport • Crescent residential apartments in Kileleshwa • Riverside place apartments in Lavington. The human aspect on sites being examined relates to the handling of materials and other facilities on site. It is noted that manual handling involves activities that...
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...During a martial arts demonstration a 16-year-old black belt taekwondo practitioner heard a popping sound and felt a pull in the posterior upper thigh while performing an axe kick. The axe kick motion involves a rotation and flexion of the trunk assisting in a quick flexion of the coxal joint through a swing phase raising the foot at, or above the practitioners’ head height. The motion is immediately followed by extension of the trunk and the coxal joint accelerating the descent of the foot onto its target. The practitioner experienced the occurrence of the injury at the terminal swing phase. She experienced an immediate onset of pain in the right upper hamstring and an inability to remain in an upright position. Flexion, extension, and medial and lateral rotation of the coxal joint results in pain and significant guarding. Diagnosis performed by a sports medicine doctor was a secondary hamstring strain injury (HSI) at the musculotendinous junction of the biceps femoris on the ischial tuberosity. Clinical testing ruled out other pathologies. Initial prescription involved RICE (Rest, Ice, Compression, Elevation) protocols while inflammation is present. During the proliferation phase MICE (Movement, Ice, Compression, Elevation) are implemented to increase range of...
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...I chose to review an article related to the treatment of chronic pain for a plethora of reasons. To begin with it will be on my first test, secondly it is one the reasons most people go to the emergency room and see their doctors. And finally in my opinion pain along with mental health illnesses may be the most often misunderstood and mistreated diagnosed in health care today; therefore as a nurse and patient advocate it is imperative that I attain a wide knowledge base on the subject of pain and its complimentary treatments. The article discussed a variety of complementary and alternative methods to manage and treat varying types of pain. The article was not inclusive of all CAMs, only the most common practices of complementary alternative medicine. Including on the list discussed was acupuncture, acupressure, homeopathy, naturopathy, and tai chi. These are the more common modalities of CAM, as well as other CAMs that were new to me such as Jin Shin Jyutsu, lymphatic therapy, myofascial therapy and craniosacral therapy. Also included were reviews and evidence base practice regarding some of these therapies. Though the article made mention of several research and clinical trials. For example, “In randomized clinical trials, qigong has been shown to be effective in significantly reducing pain when compared with the general pain care.” (Schulenburg, 2015, p. 322), it was not a research paper or clinical analysis. It is a journal article written by a registered nurse for...
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...Kathryn Henry Vocal Pedagogy Term Paper 4/27/14 Is it Locked?: The Study of the Temporomandibular Joint and its Effects on Vocal Production In this research paper, I will discuss the temporomandibular joint and its effects on vocal production. The paper begins with a definition of what the temporomandibular joint is, where it sits in the skull, and what its functions are. Following this section will be disorders and treatments of disorders that one may encounter involving the temporomandibular joint. Finally, I will discuss how temporomandibular joint disorders can negatively affect a singer’s vocal production. The Temporomandibular Joint, or TMJ, is a joint located in front of one’s ears on each side of the face. ‘Temporo’ refers to the temple, the bone in the side of one’s head, and ‘mandibular’ refers to the mandible. The joint connects the mandible to the bone on the side of the head. The TMJ allows the mandible to move up and down as well as back when chewing, talking, or yawning. As the mouth opens, the rounded edges of the mandible, called condyles, glide along the socket of the temporal bone. As the mouth closes, the condyles slide back into their original resting positions. The TMJ is a ginglymo-arthrodial joint, meaning that the joint allows forward and backward movements, ginglymoid, as well as gliding movements within narrow limits, arthrodial.The TMJ has a combination of hinging and sliding motions, making this joint among the most complicated of the human...
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...QI Plan Part I- Consumerism HCS/588 October 17, 2011 QI Plan Part I- Consumerism Healthcare organizations have a responsibility to its consumers and various stakeholders to ensure only the highest quality care is delivered. Quality measures such as performance measurement and quality improvement processes play a critical role in helping organizations achieve quality outcomes. This paper will contrast performance measurement and quality improvement processes. In addition, this paper will discuss a healthcare organization, Gulf Coast Medical Center, its mission and QI goals, and the role of the consumer and stakeholders in the QI process. Performance Measurement vs. Quality Improvement Processes Performance measures are an important element of the overall quality management of an organization. “Performance measures quantitatively tell us something important about our products, services, and the processes that produce them” (Oak Ridge Institute for Science and Education, n.d.). In the healthcare industry, performance measures are a tool used to help understand, manage, and improve what healthcare organizations do. Performance measures are composed of units of measure; a number to tell how much, a unit to give the number a meaning of what, each tying in to the overall target number. In contrast, quality improvement (QI) focuses on bridging the gap between current levels of quality and expected levels of quality. “QI uses...
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...Sciences 2011 Department of Psychology Course: Between Psychology and Medicine Paper on: Medical and Psychological processes in Pilates Presented by: Hani Ovadia Introduction Psychological and physical health is greatly affected by behavior, similarly, different patterns of behavior derive from psychological and physical health (Folkins 1981). Consequently, both psychotherapists and doctors recommend to their patients to participate in activities that advance a healthier lifestyle (Bull 1995). The patients are advised to integrate gymnastics of different types in their lifestyle, includ ing among others: aerobics, yoga, kickboxing and Pilates (Howell 2011). Pilates is an exercise method based on gentle phy sical movements integrated with focused mind. The physical aspect is designed to tone and increase the flexib ility of the muscles and joints and also includes developing good posture, balance and coordination. The psychological aspect is based on correct breathing and mental concentration (Field 2009) In this paper I will examine the beneficiary effects of Pilates as a mind and body training method. First, I will describe the development of the method and the uniqueness of Pilates in comparison to other physical exercising methods. Then, I will further examine the physical and psychological influence Pilates has on its practitioners, while referring to research difficulties that arise and I will conclude with my personal opinion. Developing the...
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...[pic] ICAK-USA Research The Following is a Compilation of Applied Kinesiology Research Papers Published in the Collected Papers of the International College of Applied Kinesiology for the year 2005-2006 -- Edited by Scott Cuthbert, D.C. Functional Systems Approach to Central Nervous System Evaluation Richard Belli, D.C., D.A.C.N.B. ABSTRACT Objective: This study investigates the clinical utility of testing functional systems within the central nervous system, compared to testing individual motor nerves with manual muscle testing. Design: Private practice. Study Subjects: Patients were examined by the treating chiropractor from his existing patient pool. Methods: Chiropractic management was decided on by the treating chiropractor. A series of twelve tests were designed to discover disorders of functional systems within the CNS. The tests described were to evaluate the function of 12 systems: 1) spinal cord, 2) myelencephalon/reticular formation, 3) vagal system, 4) trigeminal motor system-muscles of mastication, 5) vestibulospinal system, and bulbo reticular area, 6) reticular formation, 7) diencephalons and gait locomotion system, 8) mesencephalon, 9) cardiac sympathetic autonomic system, 10) pyramidal system, 11) limbic system, 12) sensory system. Results: This chiropractic approach tests the nervous system after provocation of functional systems...
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...Abstract Since joint destruction begins within a few weeks of symptom onset in rheumatoid arthritis (RA), early diagnosis and treatment are crucial to decrease impairment of physical function and halt disease progression. A delay in therapy of as little as 3 months has demonstrated to cause irreversible joint damage. Treatment plans for RA includes pharmacological as well as non-pharmacological modalities. Treatments for rheumatoid arthritis (RA) have involved a variety of single agent and combination therapies with a goal, to slow disease progression and bone destruction. The research indicates that not all drug combinations are equally effective in all patients with RA. To more accurately distinguish how to best manage early RA, and because treating RA within 3 months of diagnosis appears crucial for improved outcomes, this paper review studies that compare combination to mono-therapies in RA. Introduction Rheumatoid Arthritis (RA) is considered to be an inflammatory arthritis (Gardner, 2010). It is a disease that is chronic and characterized by diffuse inflammation and degeneration of the connective tissues, often characterized by joint stiffness in the morning that lasts at least 30 minutes but can range to several hours (Gardner, 2010). Pain improves with activity as fluid accumulated in the joints during inactivity is forced back into the system through the lymphatics. RA has a different cause from Osteoarthritis (OA). It is considered to be...
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...the body or body part. However, proprioception can easily be altered due to pain, swelling, injury, or fatigue. Therefore, it is crucial to incorporate exercises that enhance proprioception into the rehabilitation process. These do not necessarily need to be solely for proprioception, but can also have strengthening or plyometric gains as well. Doing too much of one exercise can bore the patient and probably become too easy. Including more than one rehabilitation aspect into an exercise can increase the difficulty and keep the patient engaged. There are also different interventions that can improve proprioception by stimulating other receptors in the body. There are several tests that can be used to determine the level of proprioception a patient has. Joint position sense has been used for the cervical spine and extremities. This test measures the difference between a passive movement and the active movement the...
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...Rheumatoid Arthritis Gregory Alfonso Biology 115 Dr. Rebecca Coleman Friday, July 19, 2013 Rheumatoid arthritis (RA) is an autoimmune disease that results in a chronic inflammatory of joints within the body. (CDC) RA is characterized by synovial inflammation and hyperplasia autoantibody production swell to the point that they begin to destroy cartilage and bone structures. This is what causes the skeletal deformation in some patients of RA but not all. Other Symptoms include morning stiffness that can last for several hours my mother has complained about this several times and fatigue, fever and weight loss. (Mayo Clinic) RA can happen to anyone at any age this is one of the common misconception of the disease because when it first started showing up the assumption was that it was an old person disease. There are estimates that there are in 1995-2007, 41 per 100,000 people were diagnosed with RA each year. Incidence rose with age (e.g., 8.7 per 100,000 people among those aged 18-34 compared with 54 per 100,000 among those aged ≥ 85 years); incidence peaked among people aged 65-74 years (89 per 100,000) (all estimates age-adjusted to 2000 US population). From 1995 to 2007, rates increased by 2.5% each year among women but there was a small decrease (0.5%) among men. (Myasoedova, Crowson, Kremers, Therneau, and Gabriel 1) While one study from the Rochester Epidemiology Project that there have been declines in...
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...INTRODUCTION In Kindred Rehabilitation, the patient had a total knee replacement due to osteoarthritis. Osteoarthritis causes degenerative changes, within the joints causing bone stiffening and reactive inflammation. My patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively, and nursing care. Although this article is a basic overview from preoperative...
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...The accreditation process is designed to assist healthcare establishment to identify and enhance the patient’s safety and the quality of service delivery. This paper presents a review of the readiness Nightingale Community Hospital for accreditation audit. The paper comprises of a periodic performance review of the establishment. The review has focus of several priority areas. These areas include; assessment and care; quality improvement; patient safety, and staffing effectiveness. Trend within the hospital indicates the Nightingale has made significant progress towards fulfilling the standards of the Joint Review Commission. However, the trends in staffing effectiveness are limiting the organization’s compliance. Periodic Performance Review (PPR) The PPR is based on data collected in the Joint Commission Survey. The survey utilized the priority focus methodology to evaluate the compliance of Nightingale Community Hospital. The priority focus process is a methodology that makes use of data to establish priority areas for reviewing compliance. This process has utilized of both external and internal data to evaluate the compliance of Nightingale Community Hospital. This methodology identified several priority areas. These include; assessment and care services; quality improvement activities, and patient safety. This paper evaluates Nightingale’s compliance in these three priority areas. Compliance Status The PPR process has also focused on assess the activities that Nightingale...
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...The Harmful Effects of Declawing on Cats Maria Stanley Washburn University Abstract This paper describes the ways in which declawing a cat does more harm mentally and physically for the cat than good. After describing the declawing procedure, this paper examines the mental and physical harm this procedure can cause to a cat and provides alternative solutions to declawing a cat. Many pet owners believe that declawing their cat is a harmless solution to their natural scratching behaviors, but it has been found that declawing a cat can actually cause more harm than good, as future life-threatening illnesses for the cat, mood swings, and a change in personality. Studies and researchers have tested this theory and found that instead of deciding to declaw their cat, pet owners should look for a safer and better method to prevent them from scratching things up. Declawing It is often believed that there is no serious harm in declawing a cat. Declawing a cat is often seen as a quick fix to stop the scratching that a cat might be doing. It is seen as a way to prevent one’s furniture, and other belongings from being scratched up. What most proponents of declawing do not realize, however, is all of the physical and mental distress that the cat will now suffer for the rest of its life because of this one action. Many people do not realize all of the harm that can come from declawing their cat. Those who believe that it is a quick fix to prevent their cat from scratching...
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