...doctor who specializes in pregnancy, childbirth, and a woman's reproductive system.” (What is an Obstetrician, 1). In open fetal surgery, the obstetrician begins the surgery with locating the baby in the mother’s uterus. This tells the surgeons where to make an incision. The obstetrician does this as well. He/she is the one that will control blood flow with the stapler. After the surgery is started and the neurosurgeon is working, the obstetrician stays to monitor the mother’s uterus until the end....
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...Stay The use of surgical robots has increased greatly and is continuing to grow. Although these robots are already being used they have advantages as well as disadvantages. Surgical robots are only going to improve the outcomes for the patients, surgeons, and hospitals and will keep improving as time goes on, overcoming the disadvantages that are seen today. Many different types of robots are being used to carry out surgical procedures such as the Endowrist, AESOP, Zeus, PROBOT, ROBODOC, SOCRATES and the da Vinci being the most popular. Also there are many specific types of surgical procedures that are being carried out robotically such as urological, gynecological, cardiac, and general surgeries. “Shorter hospital stays, smaller incisions, less blood loss, quicker recovery, less painful, reduced rates of bacterial infections and blood transfusions, eliminating the surgeons hand tremors, more comfort and decrease in fatigue for the surgeon, 3D view, superior suturing skills, reverse fulcrum” are some of the advantages that affect the patient. Disadvantages involved with robot assisted surgery are “high cost, the large size of the robot, lack of compatible instruments and equipment, lengthy set up times, longer operative times, lack of haptic tactile feedback,” but are believed to disappear with more research and time. Surgical robots could be the most successful and most used technology in surgery in the future. “A surgical robot has been defined as a computer-controlled...
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...2014 Michael Leger Facility Planning - Part 2 The community of Hillsboro Oregon will be getting a new family health care facility. The city of Hillsboro has grown in numbers over the past few years and it is expected to continue to grow. This new facility will be a great asset to the community. It is thought it would be more beneficial to build a new family clinic verses remodeling an already existing building. It was found to be more cost effective starting from scratch when compared to the expense of a remodel. There are many details that go into the facility planning process, this paper will go into why this community is in need of a new family health care facility, and the type of population the facility will be serving. Community Need The community of Hillsboro Oregon is continuing to grow at a fast rate. This is believed to be the case because of the employment opportunities offered by the major industries that have taken residence in the area (Kearns Moore, 2014). A recent study done at Portland State University believes Hillsboro could rival Gresham for the title of the fourth largest city in Oregon by the late 2020s (Kearns Moore, 2014). This increased growth is why there is a need to add a new family health care clinic in order to provide the community with quality health care in a timely manner. Adding a new family health care clinic in the city of Hillsboro Oregon will also benefit those who live in the outskirt areas such as the cities of Cornelius...
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...Evidence based-practice (EBP) in nursing can be defined as a systematic, calculated series of interventions and actions employed by health care providers in order to deliver effective care. The goal of EBP is to improve processes in caregiving, sustain positive patient outcomes and inform best practices (Stevens, 2013). Two examples of areas in nursing practice which has improved care outcomes after employing evidence-based practices are prevention of surgical site infection programs and utilization of a surgical checklist to prevent wrong site surgeries. Infection control program to prevent surgical wound infection Surgical site infections (SSI) are serious complications occurring in procedural areas. At best, unplanned antibiotic therapy...
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...Nephropathic Infantile Cystinosis Introduction Nephropathic cystinosis is an atypical genetic lysomal storage disorder distinguished by a destruction of the transfer of amino acid cystine from the lysosomes. Lysosomes are responsible for breaking down unwanted materials into cellular substances, and when cystine accumulates it crystallizes in the lysosomes of the cells and progresses to harm multiple tissues and organs of the body. The intent of this paper is to inform the importance of taking medication to reduce the surplus of cystine into the body’s system. Recognizing signs and symptoms and properly diagnosing is a key factor in treating this disorder. Individuals with infantile cystinosis experience both tubular dysfunction (renal Fanconi syndrome) and glomeralular deterioration. The renal Fanconi Syndrome usually occurs within the first year of life. Glomeralular deterioration progresses throughout the first decade of life, resulting in end-stage renal failure unless patients are treated with cysteamine (The importance of early diagnosis of nephropathic cystinosis to limit tissue and organ damage by treating it with specific medication, and if left untreated patient can develop renal failure by the age of 10. The prevalence of the infantile form of cystinosis transpires in 1 in 100,000 – 200,000 live births and in the North American population there is a carrier frequency of 1 in every 200. Europeans from the United Kingdom...
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...infants and children the signs and symptoms are chronic constipation, abdominal distention, incidence of forceful stool passing, vomiting, and one may be able to palpate a fecal mass easily. A comlication of inflammation of the small intestine could occur (enterocolitis), which results in foul smelling diarrhea, abdominal distention, and fever. To confirm diagnosis a rectal biopsy is used to determine the absence of ganglionic cells. Treatment is removing the abnormal area of the colon (two-stage process), or a laparoscopic-assisted pull-through. The nurse should maintain proper fluid and electrolyte balance of the pediatric patient prior to surgery. After surgery the nurse would maintain open airway of the NG tube, assess for abdominal distention, incision site care, and monitor the return of bowel sounds. The nurse would also provide family teaching on how to care for the temporary colostomy bag, signs and symptoms of complications ( enterocolitis, leaks, strictures at the area of anastomosis, caring for the families concerns, and advising them that with proper management their child will be able to return to a normal...
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...Writing job descriptions is an important step in planning your staffing programs. They form the foundation for many important processes such as job postings, recruitment, selection, setting expectations, compensation, training and performance management. Job descriptions should give a brief overview of the role, how it relates to your company vision, a list of key responsibilities, requirements and qualifications. The physician assistant sample job description can assist with creating a job application that will attract job candidates who are qualified for the job. Finding the qualified candidate can promote and maintain health by providing medical services under the supervision of a physician. Physician Assistant Job Duties: The physician...
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...As a floor nurse on a pediatric nurse on a medical/surgical unit, our precious, little patients are very important to us. I am co-chair of my unit’s unit council team. As a unit council member, our goal is to explore ways to improve patient care standards, employee satisfaction, and patient safety. Changes are implemented using evidence-based practice to improve health care. One major initiative that I have been involved in is initiating bedside shift reporting (BSSR) on our unit. There have been several instances where IVs were infiltrated, orders written were not followed through, medications not given, and other possible safety concerns that were not being addressed or reviewed by the oncoming/off-going nurse during shift report. BSSR has...
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...psychological consequences. The practice of FGM on infants, girls, and adolescents predates Islam and Christianity. Strong evidence points to FGM being practiced in the times of the Pharaohs. Some of the earliest instances of FGM have been found in the tombs of female mummies in Egypt (Nielson, 2010). Today the World Health Organization (WHO) (2012) website states that the women and girls who are most at risk for this procedure dwell in western, eastern, and north-eastern regions of Africa, in some countries in Asia and the Middle East, and among migrants from these areas. However, there was a small window of time at the end of April 2010 in the United States that gave permission to Pediatrics Doctors to perform a version of FGM. According to Belluck (2010) the American Academy of Pediatrics “suggested that American doctors be given permission to perform a ceremonial pinprick or “nick” on girls from these cultures if it would keep their families from sending them overseas for the full circumcision.” Modern societies reasoning for continuing this practice share some of the same reason as the ancient Egyptian. There is a mix of cultural and religious beliefs although there is no scripture that can be found to condone this treatment. Many of the cultures involved believe FGM is necessary to maintain health, secure ones virginity, and obtain a husband, fertility, marital fidelity, beauty, financial, and initiation to becoming a woman....
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...are impairments in the eyes and ears. Deficits in the areas of vision and hearing can result in frustration and anxiety during both health history and physical exams. 23/Health assessment- body position during abdominal assessment Supine with knees flexed is correct because this position relaxes muscles and provides comfort. The answer of supine is used to avoid hip flexion not for an abdominal assessment. 2/management of care Most unstable client needs to be seen first. Determine if hallucinations are telling the child to harm their self or others. If so this client is unstable....
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...performed through smaller surgical cuts than traditional open surgery. There are small precise movements that are possible with this type of surgery. It gives some advantages over standard endoscopic techniques. Sometimes robotic-assisted laparoscopy can allow a surgeon to perform a less-invasive procedure that was once only possible with more invasive open surgery. Once it is placed in the abdomen, a robotic arm is easier for the surgeon to use than the instruments in endoscopic surgery. The robot reduces the surgeon’s movements. The robot assistance reduces some of the hand tremors and movements that might otherwise make the surgery less precise. Robotic instruments can access hard-to-reach areas of your body more easily through smaller incisions compared to traditional open and laparoscopic surgery. This procedure is done under general anesthesia where you are asleep and pain free. The surgeon sits at a computer station nearby and directs the movements of a robot. Small instruments are attached to the robot's arms. Under the surgeon's direction, the robot matches the doctor's hand movements to perform the procedure using the tiny instruments. A thin tube with a camera attached to the end of it called an endoscope, allows the surgeon to view highly magnified three-dimensional images of your body on a...
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...In the 1930’s, immunologists developed new technologies that isolated viruses for study. Today, the healthcare industry continues to rapidly develop new types of drugs, technology and treatments (Ferguson). Physician assistants are professionals that practice medicine under physicians. They examine, diagnose, and treat patients alongside doctors and surgeons ultimately working to give patients the best possible care. Their duties include examining patients and educating the patient as well as their family. The specific tasks of a physician assistant vary greatly depending on their specialty. For example, a physician assistant specializing in surgery would close incisions; however, one specializing in pediatrics would diagnose children. A...
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...Because a woman is weak, she is susceptible to all sorts of all illnesses and diseases. Therefore, there are a number of cultural practices which must be observed in order to gain strength and to avoid illness.[i] The puerperium is a time of great change which spans a period of transition from the pinnacle of experience of birth to the assumption of the joys and responsibilities of family life. Well-integrated post-natal care has an important role to play in assisting this transition and launching the family in their new life together. The puerperium is a period of 6 weeks which begins as soon as the placenta has been expelled. During this time a number of physiological and psychological changes take place: ➢ The reproductive organs returns to the non-pregnant stage ➢ Other physiological changes which occur during pregnancy are reversed ➢ Lactation is established ➢ The mother recovers from the stress of pregnancy and delivery, and assumes responsibility for the care and nature of the infant. This care is based upon 3 principles: 1. Promoting the...
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...Children with Clift lips and palates. Because insurance companies say clefts do not need to be fixed and that they are cosmetic only, it is difficult getting help covering the cost, also It is difficult getting help raising a child with extra needs such as speech therapy. There are several ways to help prevent clefts such as taking folic acid while pregnant. Kids with clefts can be bullied more often due to their different appearance. This site has facts about cleft lips and plates such as “A cleft means a split or separation; the palate is the roof of the mouth.” (American Academy of Otolaryngology, 2012) also presented in this article is several assumptions about what causes them and what can be done as treatment. This site doesn’t provide a great deal of raw data for the purpose of the thesis but is a good starting point to learn a little more about the subject. American Academy of Otolaryngology. (2012). “Fact Sheet: Cleft Lip and Cleft Palate”. Retrieved on 06/24/12 from website http://www.entnet.org/HealthInformation/cleftLipPalate.cfm. This site has good questions to ask such as if your child with a cleft will have a hard time learning to talk, as well as good links to other sources of information for those of us looking to learn more about children’s clefts. Noting that “Usually, but not always, the doctor will see the cleft right after the baby is born.”( American Speech-Language-Hearing Association, 1997-2012) makes a good point that you can start preparing...
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...Mrs. Newton English 102 24 April 2007 The Facts of Life One widely spread allegory comes to mind when considering the unrelenting pet overpopulation problem. The tale is the story about a group of friends having a picnic on a riverbank. Suddenly, the group hears the sound of crying and looks up, shocked to see a baby floating helplessly in the river. They immediately dive in to rescue the drowning baby. To their horror, the group notices another baby floating towards them. They rush to save that baby, but no sooner is that baby pulled to safety; they see another baby floating. By this time a vicious cycle has started and soon the river is full of drowning babies. Again and again, the group dives into the river, trying to save the seemingly endless flow of drowning babies. One of the people gets out of the river and begins running upstream. A friend shouts “Where are you going?” “I’m going to find out who is throwing the babies into the river and make them stop!” the heroic man yells back, as he runs upstream. The homeless animal problem is very similar to this fable. Animal shelters and rescue groups try hard to save the homeless animals in the “river”. However, this will never solve the problem. Millions of dogs and cats are killed annually as the result of unwanted, unplanned litters that could have been prevented by spaying and neutering. According to the...
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