...Melanie, thank you, for sharing information about the current transition to Relationship-Based Care (RBC). While reading your post, I was very curious what type of care did your unit use before this transition? In 2014, I worked on a medical telemetry floor for a large hospital, and the RBC was the type of care that we incorporated when providing care to patients on the unit. I think this type of care is excellent and allows for the primary nurse to build a relationship with the patient and be more likely to determine changes in health conditions throughout the patients stay on the floor. Based off of your post, it sounds like Lewin’s Change Management Model is appropriate for this type of change and your unit’s current situation. To progress...
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...Red Blood Cells Isolated from Umbilical Cord Blood Stored at Room Temperature Mariia Zhurova, 1 John Akabutu, 2 and Jason Acker 3 ,* Author information ► Article notes ► Copyright and License information ► ------------------------------------------------- Abstract Red blood cells (RBCs) from cord blood contain fetal hemoglobin that is predominant in newborns and, therefore, may be more appropriate for neonatal transfusions than currently transfused adult RBCs. Post-collection, cord blood can be stored at room temperature for several days before it is processed for stem cells isolation, with little known about how these conditions affect currently discarded RBCs. The present study examined the effect of the duration cord blood spent at room temperature and other cord blood characteristics on cord RBC quality. RBCs were tested immediately after their isolation from cord blood using a broad panel of quality assays. No significant decrease in cord RBC quality was observed during the first 65 hours of storage at room temperature. The ratio of cord blood to anticoagulant was associated with RBC quality and needs to be optimized in future. This knowledge will assist in future development of cord RBC transfusion product. Go to: ------------------------------------------------- 1. Introduction Fetal and neonatal anemias are among the most serious complications of pregnancy and postnatal development. The causes of fetal anemia include immune haemolytic disease [1], defects in hemoglobin...
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...Primary Care versus Urgent Care: Why People are Choosing Urgent Care Clinics Group 1: Melissa Allen, Nahtika Belser, Meghan Evans, Hailee Gallaway Dr. Martha Rock University of North Alabama NU-200W-01 Abstract The purpose of this paper is to show why people are choosing urgent care over primary care facilities. In this paper, we showed the advantages of both primary and urgent care centers. The methods conducted for this research was online scholarly works. The participants who volunteered were Melissa Allen, Nahtika Belser, Meghan Evans, and Hailee Gallaway. The data obtained resulted in the advantages that urgent care is why patients are choosing them over primary care facilities. Overall, our conclusion shows that primary...
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...TEXAS March 3, 2014 DeMonica Junious, PhD, RN, CNE INTRODUCTION This paper is a systematic presentation of nursing theories based on literature review. The purpose of this paper is to describe how nursing theories are applied in administrative practice. It will help to generate further nursing knowledge. Nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service. The First stage is introducing the paper. The Second stage is the body of paper which consists of six different articles from pages three to eight. Each article starts with brief description about the study following with concise review of the selected theory. About who formulated the theory and also describes the components of the theory. The middle part of the article states the reasons for using the specific theory by the author. Also describing how the theory was used and illustrates the results of the study. The article ends with explaining how that particular theory can be used in my own nursing administrative practice. The Last stage is summarizing the paper and listing the references in alphabetical order. Pressure sore and skin tear prevention and treatment during a 10-month program Brillhart (2005) article reports the effectiveness of a 10-month skin care program conducted in residential Alzheimer’s disease unit. In this study 30 clients were selected, in which 26 were free of skin tear...
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...Every company wants to get close to its customers, but wishing doesn't make it so. New research identifies four stages of customer focus and maps the organizational changes necessary to navigate from one stage to the next. The Quest for ustomer Focus by Rahjay Gulati and James B. Oldroyd For Continental Airlines, the joumey began when the company was emerging from bankruptcy and needed to know more about the profitability of its individual customers. One ofthe first things it uncovered was a service mess that was costing the airline millions of dollars every year. Continental took a systematic look at how passengers were treated when a plane was significantly delayed, when they were bumped from a flight, or during some other unfortunate event. What it found was that compensation was offered on an arbitrary basis by the gate agent, and, somehow, the lowest value customers were, on average, receiving the highest compensation. Worse, some passengers were finding ways to be doubly compensated; a customer who was bumped from a fiight might first approach a gate agent, pick up a voucher for a free fiight, and then minutes later telephone the airline and ask for HARVARD BUSINESS REVIEW M |ORE AND MORE CEOs are hoping a stronger customer focus will be the antidote to escalating commoditization pressures. But as the frustrations of myriad companies can attest, getting closer to customers is not just a matter of installing a better CRM system or of finding a more effective...
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...Chapter I INTRODUCTION In modern medicines, plants occupy a very important place as the raw material for some important drugs. Synthetic drugs are effective in controlling different diseases but these synthetic drugs are out of reach of millions of people. It is estimated that around 70,000 plant species have been used for medicinal purposes. The herbs provide the starting material for the synthesis of conventional drugs. (Kumal & Malhotra, 2010) Medicinal plants have curative actions due to the presence of complex chemical constituents. Today, lots of health problems are escalating. One of these is coagulation problems. A normal platelet count in a healthy individual is between 150,000 and 450,000 per μl (microlitre) of blood (150–450 x 109/L). Ninety-five percent of healthy people will have platelet counts in this range. Some will have statistically abnormal platelet counts while having no demonstrable abnormality. However, if it is either very low or very high, the likelihood of an abnormality being present is higher. Some diseases or disorders in the platelet count in the blood are the Thrombocytosis where the presence of platelets in blood is high and Thrombocytopenia where platelets count in blood is low. In this case, a new way to develop platelets is needed. The researchers wanted to test the effectivity of tawa-tawa plant (Euphorbia hirta) treated with Riboflavin in the development of blood platelets. Euphorbia hirta...
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...The ORIGINAL ARTICLE Heart the MVand Short StaturePolicy implications CASE REPORT Sinking of Failure Doña Paz – II. in a 43 year-old male Table 1. Initial Laboratory Results Heart Failure recommendations to address these to hypothyroidism. with cardiomyopathy secondary factors. The patient had been born full term to a then 31-yearMethod. ReviewPara 3 (G4P3), the 4th of preparedness in the old Gravida 4 of the state of maritime 9 siblings, with an pre-disaster setting and the post-disaster responsefacilitated the apparently unremarkable delivery at home following by Table 2. Thyroid Doña Paz by the sinking of the MV Function Tests government and responsible a traditional birth attendant. He was noted to be normal agencies. A scrutiny Reference Value preparedness of concerned of the state of Result at birth. and subsequent response to thewith age was agencies The patient was allegedly at par0.02 disaster both Free T4 (0.8-2.0) ng/dL physically and mentally until formulating 24.75 Uiu/ml conducted with the objective of eight years old when he was recommendations TSH (0.4-6.0) said to have stopped growing in height. He was brought to which may lead to prevention and mitigate loss of lives. a private doctor, whose diagnosis was undisclosed, and he Results. Multiple factors to increase for the occurrence patient was given medications accounted height, which the of this tragedy. only one month with no improvement. Through the took for These factors include an inherent risk due...
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...critical care review Transfusion-Related Acute Lung Injury* A Review Mark R. Looney, MD; Michael A. Gropper, MD, PhD, FCCP; and Michael A. Matthay, MD, FCCP Transfusion-related acute lung injury (TRALI) is an underreported complication of transfusion therapy, and it is the third most common cause of transfusion-associated death. TRALI is defined as noncardiogenic pulmonary edema temporally related to transfusion therapy. The diagnosis of TRALI relies on excluding other diagnoses such as sepsis, volume overload, and cardiogenic pulmonary edema. Supportive diagnostic evidence includes identifying neutrophil or human leukocyte antigen (HLA) antibodies in the donor or recipient plasma. All plasma-containing blood products have been implicated in TRALI, with the majority of cases linked to whole blood, packed RBCs, platelets, and fresh-frozen plasma. The pathogenesis of TRALI may be explained by a “two-hit” hypothesis, with the first “hit” being a predisposing inflammatory condition commonly present in the operating room or ICU. The second hit may involve the passive transfer of neutrophil or HLA antibodies from the donor or the transfusion of biologically active lipids from older, cellular blood products. Treatment is supportive, with a prognosis substantially better than most causes of clinical acute lung injury. (CHEST 2004; 126:249 –258) Key words: ARDS; lung injury; pulmonary edema; transfusion; transfusion-related acute lung injury Abbreviations: ALI acute lung injury;...
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...PARTNERS, LLC - CHATTOPADHYAY, DEBJIT, ET AL 9 - 21 Rpt. 25736145 01-Apr-2015 SAREPTA THERAPEUTICS INC CANACCORD GENUITY - RESEARCH DEPARTMENT 22 - 28 Rpt. 25736256 01-Apr-2015 SAREPTA THERAPEUTICS INC PIPER JAFFRAY - COMPANY REPORT - TENTHOFF, EDWARD, ET AL 29 - 32 Rpt. 25733910 01-Apr-2015 SAREPTA THERAPEUTICS INC COWEN AND COMPANY - BARAL, RITU, ET AL 33 - 37 Rpt. 25736405 01-Apr-2015 SAREPTA THERAPEUTICS INC CREDIT SUISSE - NORTH AMERICA - SHEPARD, JEREMIAH, ET AL 38 - 56 Rpt. 25732665 01-Apr-2015 SAREPTA THERAPEUTICS INC RBC CAPITAL MARKETS (CANADA) - SIMEONIDIS, SIMOS, ET AL 57 - 62 Rpt. 25732827 01-Apr-2015 SAREPTA THERAPEUTICS INC JMP SECURITIES LLC - COMPANY REPORTS - BAYKO, LIISA 63 - 67 Rpt. 25735100 01-Apr-2015 SAREPTA THERAPEUTICS INC OPPENHEIMER AND CO - RESEARCH DEPARTMENT 68 - 72 Rpt. 25736008 01-Apr-2015 SAREPTA THERAPEUTICS INC RBC CAPITAL MARKETS (CANADA) - SIMEONIDIS, SIMOS, ET AL 73 - 78 These reports were compiled using a product of Thomson Reuters www.thomsonreuters.com 1 Table of Contents Rpt. 25736195 01-Apr-2015 SAREPTA THERAPEUTICS INC WILLIAM BLAIR & COMPANY - LUGO, TIM, ET AL 79 - 83 Rpt. 25736196 01-Apr-2015 SAREPTA THERAPEUTICS INC LEERINK PARTNERS LLC - SCHWARTZ, JOSEPH, ET AL 84 - 87 Rpt. 25684726 24-Mar-2015 SAREPTA THERAPEUTICS INC COWEN AND COMPANY - BARAL, RITU, ET AL 88 - 97 Rpt. 25676066 23-Mar-2015 SAREPTA THERAPEUTICS INC...
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...ACUTE GLOMERULONEPHRITIS DISCLOSED _________________________ A Case Study Presented to The Clinical Instructors AUP College of Nursing Adventist University of the Philippines __________________________ In Partial Fulfillment of the Requirements for the Course NMCN 244, Care of Mother, Child, Family and Population at Risk ___________________________ TABLE OF CONTENTS I. Introduction Significance of the Study II. Patient DataBase A. Demographic Data B. Nursing History 1. Developmental Tasks 2. Health History 3. Medical Diagnosis & Chief Complaints III. The Disease Entity A. Review of Normal Physiology B. Theoretical Background C. Statistical Report D. Risk/Aggravating Factors E. Pathophysiology Narrative w/ Documentation F. Pathophysiology Diagram G. Prognosis of Disease IV. Assessment A. Gordon’s or Head to Toe Assessment B. Book Picture vs Patient’s Manifestations V. The Management A. Diagnostic Test Result and Significant B. Therapeutic/Medical Interventions 1. Surgeries/Treatment 2. Drugs C. Nursing Initiated Interventions 1. Nursing Care Plan 2. Discharge Plan VI. General Evaluation of the Study A. Summary B. Recommendation VII. Bibliography I. Introduction Acute glomerulonephritis is a disease that affects glomerular capillaries. Etiologic factors are many and varied; they include immunologic reactions, vascular injury, metabolic...
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...Nursing Program CLIENT INFORMATION FORM Student's Name Date of Care: Client Initials Room Number Sex: Age : Admission Date: Admitting Diagnosis: Rt. Lobe infiltrate, Breast & Bone Cancer Secondary Diagnosis if any): Respiratory Distress Surgery Type/Date (if any): Lumpectomy on Rt. Foot at 2002 Working Medical Diagnosis/Etiology (describe definition, pathophysiology, and sign/symptoms) Metastatic Breast Cancer Metastatic breast cancer is the term used to describe cancer that has spread from the original site in the breast to other organs or tissues in the body. Cancer cells can break away from the original cancer in the breast and the cancer cells that break away can spread to other parts of the body via blood vessels or lymphatic vessels. The original site where the cancer cells came from is called the primary cancer. When cancer cell travels from the breast around the body they can lodge themselves in various body organs or tissues. These cells can begin to form breast cancer in new place and this new cancer is called secondary or a metastasis. Breast cancer most commonly spreads to one or more sites: bone, liver, brain and lungs. The sign or symptoms that may experience will depend on where the cancer is in the body and the extent of the cancer. If its spread to the: Bone- pain is fairly constant, aching pain. It may...
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...Subjective data Identification: K.G. is a pregnant 23 year-old Caucasian female. Chief complaint: Ms. G. enters the clinic today for a routine obstetric exam. History of present illness: Ms. G. is 34 weeks pregnant and is a G1 P0. Last menstrual period was 10/23/13. Past Medical History: The patient has a history of gestational thrombocytopenia. Past Surgical History: Ms. G. had a benign cyst removed from her anterior neck in 2013. Family History: Ms. G. states that her mother and father both alive and her father has a history of asthma. Ms. G. states that her mother has rheumatoid arthritis. Ms. G. is an only child. Social History: Ms. G. is single. Ms. G. does not smoke or drink alcohol. Ms. G. does not use or has never used illicit drugs. Ms. G. works full-time in the banking industry. Ms. G. does not participate in any form of exercise on a regular basis. Current medications: Ms. G. states that she does take prescription medications. The patient takes prenatal vitamins. Allergies: Ms. G. states she has no medication allergies. Review of Systems General: Ms. G. has gained 30 Lbs. with this pregnancy. Ms. G denies any fever or chills. Ms. G. does have normal pregnancy fatigue. Skin: The patient denies any rashes or lesions. The patient denies any changes in moles or skin growths. Head, eyes, ears, nose and throat: The patient denies any sore throat, cough, congestion. The patient does not wear contact lenses or glasses. The patient denies any...
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...ADM3360A [THE FINE PRINT: THE HIDDEN AGREEMENT] [For Professor Gilles LeVasseur] Table of contents 1. Executive Summary ……………...……………………………………………… 3 2. Introduction ……...……………………………………………………………… 4 3. Clause-by-Clause Analysis ……………………………………………………… 8 4. Discussion ……………………………………………………………………….. 18 5. Recommendation ………………………………………………………………… 21 6. Legal Corrective Measures ………………………………………………………. 23 7. Conclusion ……………………………………………………………….............. 24 8. Appendices ………………………………………………………………………. 25 9. Works Cited ……………………………………………………………………….. 31 10. Contract…………………………………………………………………………… 32 2 1. Executive summary This paper will study a contract, common in business law; but more specifically, this report will analyze a credit card agreement from CIBC Visa. In studying this contract, it will show what a contract is and the legal framework that it implies. In studying the clauses of this contract, one will familiarize oneself with the legal terms and jargon that all contracts consist of. In explaining these clauses, one might be able to divide them into twelve main principles that a contracting agreement should consist of. This paper will then analyze the clauses and any potential flaws or problems, and later suggest changes that should be applied. These can be considerable change, for instance, adding or...
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...| ADM3360A | | | [the fine print: the hidden agreement] | [For Professor Gilles LeVasseur] | Table of contents 1. Executive Summary ……………...……………………………………………… 3 2. Introduction ……...……………………………………………………………… 4 3. Clause-by-Clause Analysis ……………………………………………………… 8 4. Discussion ……………………………………………………………………….. 18 5. Recommendation ………………………………………………………………… 21 6. Legal Corrective Measures ………………………………………………………. 23 7. Conclusion ……………………………………………………………….............. 24 8. Appendices ………………………………………………………………………. 25 9. Works Cited ……………………………………………………………………….. 31 10. Contract…………………………………………………………………………… 32 1. Executive summary This paper will study a contract, common in business law; but more specifically, this report will analyze a credit card agreement from CIBC Visa. In studying this contract, it will show what a contract is and the legal framework that it implies. In studying the clauses of this contract, one will familiarize oneself with the legal terms and jargon that all contracts consist of. In explaining these clauses, one might be able to divide them into twelve main principles that a contracting agreement should consist of. This paper will then analyze the clauses and any potential flaws or problems, and later suggest changes that should be applied. These can be considerable change, for instance, adding or removing clauses or can be simply a small change, such as changing a few words in a clause or fixing a spelling error. This...
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...clinical area that hone our knowledge skills and attitude to be a competent, caring, Christian nurses. Ms. Ma. Lourdes Galima, Clinical Instructor, for continually guiding and supporting us throughout our duty at the Surgery ward, for helping us in enhancing and improving our skills in the area. For the patience that she showed us despite of our attitude and mistakes. Ms. Loreto Vicarme, School Librarian, for allowing us to utilize the library books and references for our case study. To the staff nurses on duty at the Surgery Intensive Care Unit and Ward of Mary Johnston Hospital for the support and providing us with enough information about the routines in the area which we were able to apply. To our fellow group members for their continuous support and sharing their knowledge and experiences for polishing this case study. To the patient, as well as her family members, for being cooperative and compliant to our nursing care and health teachings, which enabled as to dig deeper in knowing and studying the patient’s case. Above all, we want to give our deepest gratitude to the Lord God Almighty, who gave us the opportunity to be with our patient and have the experience of sharing every bit of quality...
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