...Zofran or Ondansteron Staci J. Tate Dabney S. Lancaster Community College Zofran or Ondansteron Zofran, also known by its generic name of Ondansteron is a medication used to prevent and to treat nausea and vomiting for a variety of different patients. It is used for patients undergoing radiation therapy and in patients with cancer. It is also used as a preventative measure in situations where nausea and vomiting are expected such as after a surgery and is even recommended in cases where the incidence of nausea and vomiting are low. It is available in three different forms, an oral solution, orally disintegrating tablets that are absorbed through saliva, and oral tablets that you take with water. It is to be protected from sunlight, stored at room temperature, and it is to be kept in the wrapper until it is time to take the dose or when given an oral solution, the bottle is to be kept upright at all times. If you miss taking your dose of Zofran it is okay to take it as soon as you remember. Contraindications of this medication include hypersensitivity to ondansteron hydrochloride which is the main ingredient in the drug and in patients taking apomorphine because of the incidence of a loss of consciousness and severe hypotension reported when taking both of these drugs together. Question One The website Zofran.org appears more biased in the fact that it says that the effects of Zofran on pregnant women have not been studied efficiently without further explanation and...
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...My communication preference is relationship driven and people orientated. Many physicians differ in their type of communication preference depending personality. My hospitalist group has a combination of different preferences that make our group unique. As a lead physician, my most arduous task involves identifying each physician’s communication preferences and adapting my preference to mesh well with theirs. The physicians in my group most often identify with action oriented versus content oriented with few that identify with technology oriented preferences. I will go through specific examples of each communication preference I have encountered, conflicts that have arisen and solutions to those conflicts. My communication preference is relation driven and people orientated which allows me to directly interact with my fellow colleagues face to face. I feel my strengths include empathy, consistency, and honesty. Weaknesses include emotional attachments, directness, and at times overcritical. My schedule currently allows me to work seven days on and seven days off. We work about 12 hours per day during our work week. I share my managing responsibilities with a fellow colleague that works on the opposite week. My colleagues communication preference is technology oriented. A specific example on where a conflict arises is with our sign out process. We are required by our group to sign out our patients to our counterparts once work is complete for that week. My preference is...
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...Despite the widespread use of antiemetics, more than 70% of patients being treated with chemo therapy report experiencing nausea and vomiting. (Ryan, 2009) b. Thesis Statement: Research suggests that adding Ginger to standard antiemetic regimens can decrease the incidence of nausea and vomiting in patients receiving chemotherapy. Less nausea and vomiting can improve the patients overall wellbeing. c. Preview of main points: i. Nausea continues to be reported by as many as 70 % of patients undergoing chemotherapy. This is despite the use of standard use of antiemetic medications. (Ryan, 2009) ii. Lingering and persistent nausea can affect overall quality of life as well as the patient’s overall health during chemo therapy. (Bloechel-Daum, Deuson, Mavros, Hansen, & Heretedts, September 20, 2006) II. Nausea continues to be reported by as many as 70 % of patients undergoing chemotherapy Show visual aid (Ryan, 2009) The Phase II/III placebo-controlled, double-blind study included 644 cancer patients who would receive at least three chemotherapy treatments. They were divided into four arms that received placebos, 0.5 gram of ginger, 1 gram of ginger, or 1.5 grams of ginger along with standard antiemetics. (Ryan, 2009) a. Patients took the ginger supplements three days prior to chemotherapy and three days following treatment. Patients reported nausea levels at various times of day during following their chemotherapy and those who took the lower doses had a 40 percent...
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...Christian Ramirez Instructor E. Gooden Writing 100 4 March 2013 You’re Going to Be a Daddy! The day I found out I was going to be a dad was truly unforgettable. It was filled with so many feelings, emotions, and adventures! Graciela, my wife, and I were on our way to my cousin’s baby shower. On the way to the baby shower, Graciela was feeling a bit odd. She looked at me and without her saying anything, I knew something was up. I was at red light on Valencia Rd. and Midvale Rd. when she opened the car door and started to throw up. When she finished puking, she looked up at me and said, “I think I might be pregnant!” “You might just have a stomach flu, or something you ate might be causing you to throw up,” I replied. Loudly she answered, “I’m ten days late, Christian, it’s not the food! Now pull over into Walgreens to get a test.” Being an obedient husband who was freaking out inside, I listened and pulled into the store to buy a pregnancy test. I bought three of them just to be sure I got accurate results. After I paid, I went to the car while she went to the restroom. She might have been there for about fifteen minutes, but it felt like I had been waiting for two hours! When I saw her coming, I turned off the music and unlocked the car door. She opened the door, sat down, and said the one sentence I will never forget. “You’re going to be a daddy, honey!” Filled with joy and happiness, I leaned over, kissed her, and said; “I promise to be the best dad in the...
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... Microbiology in the News Nausea and vomiting are among the most frequently experienced toxic side effects associated with chemotherapy. Chemotherapy is the treatment of disease by the use of chemical substances, especially the treatment of cancer by cytotoxic and other drugs. Chemotherapy is an important part when treating cancer and it is almost impossible for a patient to not experience any type of nausea and vomiting. Chemotherapy induced nausea and vomiting, also known as CINV has 5 syndromes: acute, delayed, anticipatory, breakthrough, and refractory. Acute CINV is known for nausea and vomiting within the first 24 hours after treatment. Delayed is nausea and vomiting that begins after the first 24 hours of treatment and may last for up to 5-7 days. Anticipatory CINV nausea and vomiting often occurs prior to the second or subsequent administration of chemotherapy in patients who have experienced poorly controlled nausea and vomiting during previous courses of chemotherapy. Breakthrough CINV can be defined as nausea and vomiting during any phase of the chemotherapy cycle. Refractory CINV is also described as a failure to respond to prevention and/or intervention during a previous cycle of treatment. Nausea and vomiting affects cancer patients differently. Some are affected physically, some are affected psychologically, and some are affected emotionally. Some anti-nausea medicines have been found to reduce nausea and vomiting but the problem is still left...
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...Ginger: Avert nausea Ginger can prevent stomach upset from many sources, including pregnancy, motion sickness, and chemotherapy. "This is one of Mom's remedies that really works," says Suzanna M. Zick, ND, MPH, a research investigator at the University of Michigan. A powerful antioxidant, ginger works by blocking the effects of serotonin, a chemical produced by both the brain and stomach when you're nauseated, and by stopping the production of free radicals, another cause of upset in your stomach. In one study of cruise ship passengers traveling on rough seas, 500 mg of ginger every 4 hours was as effective as Dramamine, the commonly used OTC motion-sickness medication. In another study, where subjects took 940 mg, it was even more effective than the drug. MORE: The Smoothie Cure For Gas And Bloating It might also: Decrease your blood pressure, arthritis pain, and cancer risk. Ginger helps regulate blood flow, which may lower blood pressure, says Zick, and its anti-inflammatory properties might help ease arthritis. Ginger extract had a significant effect on reducing pain in all 124 patients with osteoarthritis of the knee, in a study conducted at the Miami Veterans Affairs Medical Center and the University of Miami. Those same anti-inflammatory powers help powdered ginger kill ovarian cancer cells as well as—or better than—traditional chemotherapy, at least in the test tube, found a study by the University of Michigan Comprehensive Cancer Center. Although further testing is...
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...of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more complex and detailed than others. To help me with my reflection, I have chosen Gibbs (1988) reflective cycle as a guide: The names of the patient, staff members and health care setting will be changed to protect...
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...Learning through reflection 2 Reflection is an active process whereby the professional can gain an understanding of how historical, social, cultural and personal experiences have contributed to professional knowledge and practice (Wilkinson, 1996). Duffy (2007) believes that reflective practice is an active deliberate process of critically examining practice where an individual is challenged and enabled to undertake the process of self-enquiry to empower the practitioner to realize desirable and effective practice within a reflexive spiral of personal transformation. Learning is derived from experience but it doesn’t just happen. For it to take place you not only need to engage in reflection you must also record it. By thinking about what you are doing and why you are doing it is what turns your experiences into meaningful learning. If you are to become a reflective practitioner you have to use that learning to increase your professional knowledge and skills to the benefit of not only yourself but also to your patients / clients. Why Reflect Reflection is really a process that begins with looking back on a situation, pondering over it, learning from it and then using the new knowledge to help you in future similar situations. Reflection, which is learning through experience, is not a new concept. As humans, we naturally reflect on our surroundings and experiences. However, the conscious, deliberate and ordered process of using reflection as a learning tool...
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...GE 2218 Third Reflection Paper “Write your own script for your play” this is the most impressing point I have learnt form Mr. Ki ‘ s success on his career, which is also the major principle for his career management. In this talk, Mr. Ki shed light on the meaning of success from different perspectives and dimensions. I can tell from his career that he is satisfied with what he did in the past and what he is doing now. There are two essential factors I can draw from his experience, reinvent your career and refine your life. For the points that he raised in this talk, I quite endorsed his unique perception on career that it is divided into three phases. “ Work for success”, “ work for significance” and “ work for legacy”. Apart from myself, I guess most of the people value ones’ success by wealth and positions. Mr. Ki , however, adds to that life structure, purpose, identity and significance. Exemplified by Mr. Ki ‘s career, he retreated from his respected working position just at the prime of his career simply because he wanted to do something meaningful, not only to his life but also to the whole society. So he transfers his prowess to help and engage in social enterprise project. Reinventing one’s career is equally important in a sense that it helps put your career into perspective, and achieve a balance of life, just like what Mr. Ki mentioned, the second career, the parallel career and the social career. Besides, always reflect on you experience as well as have a full...
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...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
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...------------------------------------------------- University of Phoenix Material Academic Success Answer each question below in at least 75 words per question, reflecting on your current abilities, and identify resources to strengthen your skills. Refer to the videos, readings, and other weekly assignments to help you compose your answers. Question | Your reflection | How would you define academic readiness? | I would define academic readiness as your own understanding of your study. Also what your own goals are and what your plans are to obtain them. As well as what your self discipline is | What concerns, if any, do you have with academic writing and reading? | My concerns mostly is the writing part of it all. I love to read, I just have a hard time putting things on paper. But. I know I will learn through all these exercise | What two university resources will you use to strengthen your writing and reading skills (refer to your Student Resources Worksheet)? | I believe the two resources that will best benefit me will be writepoint and guides. | What is your personal learning style (refer to the Ch. 1 Aplia homework)? | My personal learning style is like more hands on mode3. | What are two obstacles you might need to overcome (refer to your Life Factors and personality assessments)? | One of my biggest obstacle is time management. Plus another would be financial. | What strategies can you use to overcome these obstacles and be successful? | One strategy would...
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...Date: 27th October, 2014 Title: Morrisons breaks pledge on low prices Link: http://www.thesundaytimes.co.uk/sto/business/Retail_and_leisure/article1475669.ece The ethical issue was related to credibility of a company. It was about Morrisons the supermarket increased prices of some products marked with “I’m cheaper” sign after promising to cut prices permanently on over 1000 goods six months ago. The supermarket claimed the rise in prices was only a reflection of “commodity inflation” and still “lower than they would have been” without the “I’m Cheaper”cuts. No doubt by increasing the price of goods, the supermarket could compensate the losses from the inflation in supply costs. This do help to maintain profitability of the supermarket and strengthen the confidence of its investors. Also, even though the prices had been raised, they were still lower than the general prices of these goods. The promise of enduring price cut was kept. It was a win-win situation in the eyes of Morrisons. One of the problems arose in this issue was the reputation of Morrisons towards the customers was deeply affected. Although action of increasing the prices due to inflation was justifiable, Morrisons still broke part of its vow of long-lasting price cut. A credibility gap between Morrisons and customers might have been develop as a result. Moreover, the intention of the supermarket was to maintain its profitability while the issue of the news had leaded to a fall in its share price of 0.46...
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................................................................................................ 2 POSTING INSTRUCTOR FEEDBACK TO MY ITEMS (INCLUDING DOCUMENTING YOUR REACTIONS AND FUTURE PLANS BASED ON THE FEEDBACK IN THE ARTIFACT DESCRIPTION FIELD) ............................................................... 4 ACCESSING AND RENAMING THE PRESENTATION TEMPLATE ................................................................................ 7 ADDING ITEMS (ARTIFACTS OR REFLECTIONS) TO MY PRESENTATION................................................................. 11 REORDERING ITEMS (ARTIFACTS OR REFLECTIONS) IN MY PRESENTATION ......................................................... 14 HOW DO I UPLOAD A FILE TO MY ITEMS AREA? .................................................................................................. 17 HOW DO I CREATE A REFLECTION? ...................................................................................................................... 21 ASSOCIATING ITEMS WITH A REFLECTION ........................................................................................................... 23 HOW DO I SUBMIT MY EPORTFOLIO PRESENTATION TO THE DROPBOX? ............................................................ 25 HOW DO I ADD A VIDEO TO YOU TUBE (WITH PRIVATE OR UNLISTED OPTION) .................................................. 30 A QUICK WAY TO FIND THE EMBED CODE FOR YOUTUBE, FACEBOOK, ETC...........................................................
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...Team Leader and Member Report PSYC305 Week: 2 Team Assignment: 2 Anais Ortega | Team member Name: Javon Pablo | Team Leader’s Name: Please answer the questions below, having reflected on your experiences in the team work this week. Please provide examples to back up your claims. A. Rate your team leader and make a short comment that describes what the leader did or did not do, on the four leadership functions below, that makes you give that appraisal. 5- Good, 4-Satisfactory, 2-Could have been better, 1- Poor. Note absence of Rating 3. | Four leadership functions | Rating | Supporting comments | Quality of planning of the week’s team assignment | 5 | Javon was organized and planned out this week’s assignment well. | Communication with members and professor | 5 | Communication was open and clear. | Guidance provided to team members | 5 | Guidance was given and always responded back in a well timely matter. | Timely feedback and posting of final team product | 5 | Feedback was open and given. As well as tips and advice. | | B. If you are the Team Leader, comment in A. above and on the following: | What did you do in order to motivate your team’s contribution? | What would you try again? What would you never try again? | What did you do in order to motivate your team’s contribution? | | C. Write a short comment that describes your team members and team work during this...
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...Topic: Perception Perception is the process by which individuals select, organize and interpret their sensory impressions in order to give the meaning to their environment. Concept #1 – Factors influencing perception The perceiver are the commuters that were affected by the breakdown of the NEL train service. Some of the commuters felt that the breakdown on 15th March was well handled by SBS while others felt that it was poorly handled. SBS was able to provide a more efficient announcement service as commuters were told in advance. They also provided free bus services at affected MRT stations in addition to the free shuttle bus services that were already provided. Thus, this allowed certain commuters to realise that actually, SBS had made good efforts to handle the breakdown. The target is the issue or individual that we are interpreting. In this situation, it will be the MRT breakdown. The repetition of the MRT breakdown might cause commuters to feel that the transport system is poorly maintained. Furthermore, MRT breakdowns have been happening regularly. Thus, they might have a negative impression of the MRT system. The situation is the time and event in which the breakdown happened for different commuters. There were commuters that were rushing for work or school and also there might be others whom were just running some errands. Commuters that were rushing to work felt that the breakdown caused inconvenience to them as it increased their traveling time to work and...
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