...* To be acquainted with the different drugs for tetanus and their actions. * Plan for a suitable nursing care. * To know the purposes and specific nursing responsibilities before, during, and after some procedure done with the client. * To institute bond between the student nurse and the patient. II. INTRODUCTION Tetanus comes from the Greek word “teiteim” which means to stretch. It is also called lockjaw. It is a serious infectious disease of the nervous system in which toxin causes severe muscle spasm. It is a medical condition characterized by a prolonged contraction of skeletal muscle fibers. It is caused by a bacterium Clostridium tetani. Infection generally occurs through wound contamination and often involves a cut or deep punctured wound. Tetanus is often associated with rust, but this concept is somewhat misleading. The C.Tetani is an Anaerobic bacteria which survives in an environment that lacks oxygen, thus with or without rust a person may have a tetanus once C. Tetani...
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...A. Identify a current nursing practice within your healthcare setting that requires change. DEVELOPING OR CREATING AN INDEX TO MINIMIZE RISKS OFPRESSURE SORE 1. Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities...
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...Contents Abstract 3 Paper 4 References 9 Abstract If you've never done it before, the idea of building a computer from the ground up can seem very intimidating—but it's one of the most satisfying projects a tech enthusiast can take on. Being more of a software gal than a hardware geek myself, I was the only Life hacker editor who had never built a PC from scratch. So when I needed a new PC late last year, I took the plunge and built my custom system. I'm so glad I did—the project turned out to be one of my proudest accomplishments of 2010. If you've cracked open your PC before to install a new hard drive or TV capture card, but you've never built a whole new system from the ground up, it's not as difficult as you might think. Here are my notes for first-timers who want to build instead of buy their next computer. Why Build Instead of Buy "But computers are so cheap these days," you say. "Why waste the time and energy building your own system when you can get a great machine fully assembled and shipped to your door?" That's a great question. Building your own PC will not save you time. It might save you money, but that's not even the best reason to do it. For me, it was a fantastic hands-on educational experience. It gives me a deep sense of satisfaction every single day when I press the power button on my tower, watch it light up, and know that I plugged in the wire that goes from that light to the motherboard. Building your PC takes the mystery...
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...Travis Weaver English 112 June 1st, 2012 Primary Research Essay Lake Wylie is located on Gaston and Mecklenburg Counties in North Carolina and York County in South Carolina. The lakes water supply primarily comes from the Catawba River. The lake is man-made and used to create hydroelectricity by Duke Power Company. Lake Wylie is a large lake and offers an abundance of space for recreation and activities including: boating, fishing, water skiing, sun bathing, swimming and numerous other activities around the lake. It is enjoyed by many people during the summer time. Safety on the water becomes a problem with so many people participating in water activities. Several People die and many others are injured each year in association with the lake. The first thing that comes to mind when being around water is being able to swim. Many people die each year while being on the lake because they cannot swim or not very strong swimmers. Some people think its not cool to wear a life jacket so they jump into the lake without wearing one. They can swim for a short while but they become exhausted and are not close enough to grab on to anything and they struggle to keep their head above the water. Other children were never taught how to swim at all and they think they will be fine hugging onto a float or noodle but they can lose their grip and down they go. The water is dark and by the time someone notices it is to late. The lake water itself is a safety concern. There have been reports...
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...Building There are many things may arise in the workplace that can cause conflict between employees and negatively affect the production or quality of work. In this paper I will give a summary of an article called becoming an evidence based HR practitioner. This article is relevant to this paper because it gives background on how to address issues in the workplace, using evidence based solutions. Also, I have chosen to focus on team building exercises and how they affect employees in the workplace. I will include evidence to support my argument whether or not this is a useful technique. Becoming an Evidence-Based HR Practitioner Becoming an evidenced based HR practitioner was a very insightful article to read. The article described EBHR as a decision making process that combines critical thinking and scientific evidence along with business information. It also informs the reader how to get started as an EBHR practitioner. The key aspect to EBHR is to actively manage professional decisions. This involves making decisions using practices supported by high research. The article also includes step by step set of approaches to becoming an evidence based HR practitioner. It offers guidance for evidence- based practice the article underscores the connection between effective practice and organizational research. Team Building and Employee Relationships The question I decided to focus on was “Do team building exercises improve relationships among employees...
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...facility. This could also lower the length of stay per patient, and greatly reduce the medical care cost per patient. Analyze the current situation and provide evidence based resources to support the need for change and your proposed plan. Include ethical, legal, or standards of care implications. Washing hands as promptly and thoroughly as possible between patient contact and after contact with blood, bodily fluids, secretions, excretions, and medical equiptment contaminated by patients is a huge element in infection control. Hand hygiene is recognized by infection prevention and control experts as the single most important intervention in decreasing the spread of infection in healthcare facilities. Unclean hands are the main transporters for germs between people and inanimate objects (i.e. blood pressure cuffs, bed rails, call lights, etc…). It is imperative to practice frequent hand hygiene using either the traditional soap or water method or by using an alcohol based hand sanitizer. Soap and water is still considered the “gold standard” for hand hygiene. Although hand washing may seem like a simple process, it is often performed incorrectly. Proper hand washing technique should be done by first wetting your hands, then applying an adequate...
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...Intro: What are Pressure Ulcers? Cayuga Medical Center’s Initiative Ideally, in modern medicine patients with wounds are bought to treatment facilities and when they leave they are healthier than when they came in. However, one problem threatens to change this. Pressure Ulcers, which form because of skin pressure reducing blood flow to an area of the body, have a habit of forming in patients with a variety of long-term problems as they are cared for in hospitals and nursing homes. The result of this is that in addition to whatever other problems a patient may have, the ulcer causes the skin and the tissue beneath the skin to die, and if the dead tissue is not quickly removed it can cause additional problems and pain for the patient. There are several factors that put one at risk of pressure ulcers, and these conditions are often difficult or impossible to treat. A typical pressure ulcer patient: suffers from mobility problems, is an older adult, has a spine or brain injury or disease such as multiple sclerosis, has a disease or condition that affect ones mental status, has fragile skin, has urinary incontinence or bowel incontinence or does not get enough nutrition. As most of these conditions are symptoms of old age or mental illness, these people will always be at risk of pressure ulcers, meaning the pressure ulcer prevention is there best chance of living comfortably. Pressure Ulcers can be treated but they are painful and if untreated they can result in death. They are...
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...always been aware of pressure ulcers, and how to try to avoid them but never really knew the complete details of What, How or When of them. I have been on many different courses for H.C.A’s through the years, but they have all really skimmed over the subject of pressure ulcers. I now work on a vascular ward of the hospital where many of the patients are bed or wheelchair bound due to lower limb amputations, caused by complication from diabetes mellitus to circulatory problems. So I thought that by widening my knowledge on pressure ulcers and skin viability, I can and will improve services to the patients I come into contact with. When trying to conduct my research for adequate literature I decided to contact the hospital Tissue Viability Nurses Specialist. When I explained to her why I was seeking her advice on research material and guidance she was glad to help, and give me a multitude of...
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...Defeating the Demons Inside: A Study on Individuals Who Have Survived the Long-Term Effects of Bullying A Research Proposal Presented to Dr. Nymia P. Simbulan Department of Behavioral Sciences College of Arts and Sciences University of the Philippines Manila In Partial Fulfillment of the Requirements for the Course BS 199.1 (Qualitative Methods in Behavioral Research) Christiani Lumayag Matugas 2011-31444 April 1, 2013 I. Introduction Statement of the Problem and Review of Related Literature The school is a battle field and each child is a lone soldier trying to make his/her way through. Each child will have to defeat a series of exams, scary teachers, lab experiments, physical education classes, crushes, mortal enemies and the like. Most of the time, children will learn from these experiences and mature with the lessons that each of these experiences have taught them. However, there are certain battles that wound all too deeply and do not seem to end. These battles are the battles of bullying. What is Bullying? Bullying is a social and interpersonal problem that involves the repeated, intentional use of aggression against a less powerful other (Whitney & Smith, 1993). Bullying can take different forms, be it direct (e.g., physical aggression), indirect (e.g., exclusion, spreading rumors), or verbal (e.g., name-calling). (Hunter, Mora-Merchan and Ortega, 2004) Children who are victims of bullying are more likely than non-victims...
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...Test paper I am testing this page Nicholas Pantazelos Marketing Principles Jamba Juice Feburary/5/2002 Marketing often comes down to making your customers intelligent enough to buy your products or services. They have to understand what it is you’re selling, how it’ll help them, and how much better it is than any other solution. Jamba Juice is a leading juice and smoothies retail chain in the country. Started in 1990, originally called The Juice Club, their stores are now open in most states giving their customers an unexpected health experience by offering the best ingredients, remarkable service, and amazing flavor, nutrients and variety. Jamba Juice is a company that follows on living a balanced lifestyle that integrates nutrition, fitness and fun. Its passion for health and uncompromising commitment to quality are the keys to its customers’ fulfillment and consequently to its success. Jamba Juice is known for their fresh-squeezed fruit and vegetable juice blends that are made on the spot with no additives such as sugars, preservatives, or artificial flavors. The company’s main goal is to augment the daily experience of its customers, its community, and its team members through the life-nourishing qualities of fruits and vegetables. The main marketing issues for Jamba or any other company are social, economic, technological, competitive, and regulatory when compared with a environmental scan of the United States of America. If a Juice Club were to be open near the University...
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...Nursing Research Study Contributions Debbie Rhoads Grand Canyon University Introduction to Nursing Research NRS 433 August 6, 2011 Nursing Research Study Contributions Fee, E., & Garofalo, M. E. (2010). Florence Nightingale and the Crimean War. American Journal of Public Health, 100(9), 1591. Study Background Problem Florence Nightingale is most remembered as the pioneer of nursing as well as the first nursing researcher. During the Crimean War in 1854, Nightingale and 38 nurses traveled to the military hospital Scutari, in Turkey, to care for the wounded soldiers. The conditions they found were horrible. Soldiers were lying in filth, there was little medications and fewer supplies. There was no ventilation and an open sewer ran beneath the hospital. Morbidity and mortality rates were a staggering 43%.(Fee & Garofalo, 2010). Significance to nursing. Nightingale's research had a great impact on the nursing profession. Her research changed the views of society as well as the military regarding the care of the soldiers. Florence focused on cleanliness, ventilation, water purity and improving sanitation, which changed the mortality rates from 43 percent to 2 percent. (Burns & Grove, 2011, p. 10-12). Purpose of Study ...
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...How to Write a Term Paper I. Choosing a Topic: For this paper you get to choose your topic, so pick something that interests you. Once you have decided what you want to write about in general terms, refine that general idea to a specific topic for your paper. Keep in mind that you have a maximum of 12 pages of text to work with, so your topic is going to have to be pretty narrow in its focus. Also bear in mind that this is a research project, not a high school report; it should center around a thesis that you will prove in your paper. Example: I am interested in World War II, but I’m pretty sure that I can’t cover six years of global warfare in fifteen pages of text. Let’s see...I’m more interested in the War in Europe than in the Pacific, so that narrows that down some, but I need something tighter. I like airplanes, so something about the air war would be interesting, and there was this documentary on the History Channel about the Battle of Britain last month...but even the Battle of Britain is too big for twelve pages. Right, have to narrow it down some more here...do a little preliminary research and reading. Ah, here it is: the German Air Force started out trying to destroy the Royal Air Force by bombing RAF airfields, but then switched to targeting British cities. This decision cost them the battle, because it let the RAF rebuild its fighter strength and shoot down enough German bombers to force the Germans to call off the offensive. Wait a minute. ...
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...caffrey@gmail.com Cell phone 978-996-9657 Course Description This class is UC Approved as a College Prep Elective. It is designed to provide classroom instructions and “hands on” practical experience in the exciting field of Sports Medicine. Classroom lectures focus on Athletic Training as a Profession, Administrative & Legality Issues, Human Anatomy & Physiology, Pathology of Sports Injuries, Treatment, Rehabilitation, & Reconditioning, Sports Related Health Issues, Nutrition, Wound Care and Emergency Care practices, CPR/AED, and day to day operations in the training room along with pre & post game preparations. Practical experience skills focus on injury assessment/evaluation, treatment, and rehabilitation of common athletic injuries, as well as protective taping and wrapping. Whether students choose to go onto a 4 year college or university, associate programs, certificated programs, or vocational programs, this class will provide a foundation for a variety of Allied Healthcare professions. This course (ROP) is open to any student 16 years or older. Course Credit/Extra Credit This is a yearlong course and each student is eligible to earn 5 credits/units per semester. (A total of 10 for the school year, please check with the school registrar) Students are encouraged to help the Alhambra HS sports teams with basic emergency care, treatments, taping, and wrapping, as they feel comfortable with their skills. In doing so, the students can earn extra credit towards their overall grade. (THIS...
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...Cabanillas Orangeburg Regional Medical Center has been serving the residents in Orangeburg County over thirty years. Over the years they have added more square footage, open the doors for new wings and job opportunities. Not only that it provided close services for the patients, they no longer had to make a seventy mile drive to have a specific service done, it was now done locally. With a great staff and some state of the art equipment this makes this hospital one the best in the area. They even have a website where you can find the many different service they offer on www.trmchealth.org. Besides emergency care, Orangeburg Regional Medical Center provides a large range of services to the community. They offer an admitting/outpatient wing that allow the service into one area allowing space for Same Day Surgery, which was needed to accommodate the increase in outpatient surgery. They offer some many other services like 15-bed psychiatric unit, pediatric unit, Cancer Center for cancer patients with chemotherapy and radiation therapy. They also offer Breast Health Center, Dialysis Access Institute, Radiology Department, Vascular Center, 20-bed Rehabilitation Unit, and Health Plex for outpatient rehabilitation and wellness, endoscopy, community outreach, EKG, neurology, nursing units, pharmacy, sleep lab, wound center, volunteer service, public relation, occupational therapy, joint center, and Biomedical Engineering (BMET). Those are some of many of the services that are offered...
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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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