Essays on Complications

Milestones in Public Heath Informatics

There are several milestones in public health informatics history and one of them is specialization. The health field is vast and has many fields of concern to help the patients recover from various health complications and illnesses. Initially a doctor was supposed to be able to handle any health complications regardless of any aspects. Currently, the various areas that medical practitioners can specialize are such as disease prevention, epidemiology, laboratory health informatics, epidemiology among others (Yasnoff, O'carroll, Koo, Linkins & Kilbourne, 2000). With specialization in different fields and progress in information technology, the various areas of health concern can be ...

Critical analysis of The Influence of a Post discharge Intervention on Reducing Hospital Readmissions in a Medicare Population by Costantino, M. E., Frey, B., Hall, B. & Painter, P. October 2013 16(5), 310-316.

Interventions Reducing Readmissions

Abstract Discharging patients from a hospital is a complex and intricate process that should be handled with a lot of attention and care to avoid the unnecessary readmission of patients. The study states that some reasons cause hospital readmission in Medicare patients between 30 days of discharge and they may include failure to follow the physician’s directions, reoccurrence of the condition, lack of follow-up care ...

In countries around the world, children are suffering and dying from malnutrition, disease, and poverty secondary to drought or flooding. Changes in climate create many risks to the lives of children and their families as they struggle to survive in areas where food is difficult to grow and workers are poorly paid. Due to the increase in temperature and extreme weather conditions brought on by climate change, many communities are expected to suffer scarcity of clean water with the result of perilous diseases and health complications. Disasters and humanitarian crises may bring long-term displacements and disruption to educational, health, ...

Abstract

Scholars across the board have been persistent on the need for the near perfection of the concept of vital signs monitoring. Prior contributions to this field of knowledge all seem to bend towards correcting the wrongs that at times overwhelm the nursing practice, while at the same time constructing updates and ingenious suggestions towards the bettering of methods of monitoring vital signs. This paper cuts across the dimensions of nursing practice as applied in a reflective situation, and the evaluative outlook into the perks of vital signs monitoring as a physiological assessment process, its outcomes, and its repercussions both ...

Post-stroke dysphagia, a potentially fatal complication, affects an estimated 23-50% of all stroke survivors. It is associated with a seven fold increase in the risk for aspiration pneumonia. Aspiration pneumonia increases the catabolic demands of the body and in the settings of impaired swallowing leads to a vicious cycle of malnutrition, dehydration, and further infections (Shaker & Geenen, 2011). Dysphagia affects a significant number of patients with hemispheric stroke which is the main subtype of ischemic stroke in the general population (Kumar et al., 2011). The functions of swallowing are subserved by a vast brain network. The inferior peri-rolandic sensorimotor ...

Introduction

Contraception as a method of population control has elicited mixed reactions from different quotas of the society. A section of religious conservatives still hold onto it that abstinence and not contraception should be the only approach to population control. On the opposing side, modernists believe that contraception allows is not only effective but also people freedom to reproduce when they wish. Canada is among the few countries on the globe where contraception has been implemented as a legal approach towards population control. In Canada, legalization of contraception was not solely done to curb population explosion but also as a ...

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Introduction Cirrhosis is caused by liver injury that results in fibrogenesis and inflammation. These problems result in collapse of liver structures and significant distortion of hepatic vascular structure. This distortion leads to elevated resistance to portal blood flow as well as portal hypertension. Moreover, hepatic synthetic dysfunction is also caused as a result of these problems. Clinically, liver cirrhosis is considered as an end-stage disease that could result in death until liver transplantation is performed (Tsochatzis, Bosch, & Burroughs, 2014). Liver cirrhosis is an important cause of morbidity and mortality in most of the developed countries. In ...

Climate change poses many risks to the lives of children. Because of the increase in temperature and extreme weather conditions brought by climate change, many communities are expected to suffer from food and water scarcity and perilous diseases and health complications. More disasters and humanitarian crises would bring long-term displacements and disruption to educational and economic activities (UNICEF, p.8). Given this situation, the future of children at the worldwide scale remains under peril. Governments and other agencies concerned on the welfare of children must do something to address this worsening situation, or the children will pay the price. Climate ...

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‘Institution’ Emphysema is an irreversible condition, wherein air spaces in the lungs are enlarged, specifically those beyond the terminal bronchioles and most notably in the alveoli resulting in alveolar wall damage and airflow obstruction. This is most common among chronic smokers. (Braun, 2007) The development of an inflammation in the small airways is mainly the source of obstruction. In moderate to severe emphysema, the primary cause of obstruction is the loss of elastic recoil in the alveoli. Along with the airway obstruction, vascular changes in the lungs can be noted that will make the lining of the arteries and ...

Overview

Pro Service is a service provider that mainly emphasizes on outsourced resources to facilitate the handling of aspects related to human resources. The services are fixated on small and mid-sized organizations which are incapable or reluctant to handle these aspects internally. Pro Service handles matters concerning health insurance, payrolls, orientation of new staff, and retirement funding. Pro Service as a company has well over 250 permanently employed workers to variably suit client needs. Our mode of service provision is split twofold, into two localities, where most of our staff are situated. 20 of our staff members spend their time ...

The concept of free trade has indeed presented some industries as more appealing to the consumer than others. For instance, the standard practice is that most agricultural food processing and manufacturing industries are liked and loved by the public while the agricultural non-food processing industries such as the tobacco industry have been continuously subjected to criticism and unjustified treatment from the larger public. The tobacco industry, in particular, has been subjected to excessive taxation, stringent operational rules and regulations and publicly portrayed as a health hazard primarily because tobacco smoking and usage is associated with liver cirrhosis and some ...

Pathophysiology of Rheumatic Fever

Introduction Rheumatic Fever (RF) is the type of inflammatory disease that can develop due to untreated or inadequately treated throat infection (scarlet fever or strep throat) caused by a type of bacteria known as streptococcus (Carapetis, McDonald & Wilson, 2005). This paper is going to cover pathophysiology of the Rheumatic Fever. It will begin with the symptoms associated with RF. A description of mechanisms or processes that take place in a person infected with RF will be described. This will be followed by a discussion of the causes of RF. There is a section dedicated to the pathophysiology of RF ...

Diabetes in America: Research Proposal

Given the recognition and on-going research into the disease of diabetes, there has probably been thousands and perhaps millions of books and articles written on the subject. The most commonly recognized types are type 1 and types 2 diabetes, but others include gestational, monogeneic, and cystic-fibrosis related diabetes (NIDDK, 2017). It is impossible to determine how many people in the world have diabetes or how many will develop it. The estimates of the amount of money spent in patient care and research are only guesses, and the suffering by diabetes and their loved ones is incalculable. However, this paper ...

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‘Institution’ Definition: Substance abuse disorder or substance use disorder (SUD) refers to repeated use of alcohol or drugs causing significant damage to health, and disability (SAMHSA, 2015) Epidemiology: A 2013 national survey among Americans 12 years and older revealed that 17.3 million were either dependent or abusing alcohol and 4.2 million Americans were found to be dependent or abusing marijuana. (NIH, 2015) Risk factors: There are many risk factors for SUDs. The risk of developing certain disorders can be traced from family history. The psychological dysregulation including cognitive, behavioral, and emotional domains are also considered risks. Environmental risks include ...

Neurodegenerative Disorder

Introduction Neurodegenerative disorders refer to debilitating health care complications that occur because of slow degeneration of nerves cells. Neurodegeneration process is the progressive deterioration of structure and functionality of neurons in human body systems (Kovacs, 2016, 189). Ideally, neurodegenerative disorders represent the long-standing challenges in the field of basic science and clinical medicine. This is because of the persistence showed by the illnesses despite the unending attempts to adopt solutions to mitigate their health effects and severity on patients. The diseases affect the neurons in the human brain. As a result, it causes instabilities in the brain and spinal ...

Where are the normal pacemaker and the backup pacemaker of the heart located?

Answer: The normal pacemaker of the heart is known as Sino- atrial (SA node) which is located in the right atrium of the heart, whereas, the backup pacemaker of the heart is known as Atrio- ventricular and it is situated in the centre of the heart along the right atrim (AV node) (Rhodes, 2008).

Why does this patient have a bradycardia?

Answer: The patient has bradycardia as a result of occlusion in the right coronary artery (Serrano Jr et al., 1999). Infarction in the right coronary artery is known to give rise to bradycardia.

What parts of the heart have the fastest and slowest conduction velocities?

Answer: The Purkinje fibres have the fastest conduction velocities whereas the AV ...

A total of 57 million deaths were reported worldwide in 2008, and the majority of those deaths were caused by either non-cardiovascular diseases (36 million; 63%) or cardiovascular diseases (17.3 million; 30%) according to the World Health Organization (WHO, 2011). The highest mortality rates are associated with ischemic heart diseases and cerebrovascular diseases, which account for 45% and 29% of the cardiovascular-related deaths in men and 37% and 33% of cardiovascular-related deaths in women, respectively (see Figure 1). Ischemic heart disease is considered the most common cardiovascular cause of death as it accounts for 7.6 million deaths worldwide (Institute ...

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‘Institution’ This document is a review of the article Cannulation Strategies and Pitfalls in Minimally Invasive Cardiac Surgery by Ramchandani, Jabbari, Abu Saleh, and Ramlawi (2016). The article provided informative discussions on minimally invasive cardiac surgery (MICS) and presented the different cannulation techniques. MICS is a very important development in the field of cardiothoracic medicine. It eliminates the inconveniences experienced during the median sternotomy and bypass circuit placement. The key in the success of MICS is the cannulation technique employed. Options for arterial cannulation in MICS include ascending aorta, femoral artery, and axillary artery. Each has its own advantages ...

Diabetes is a chronic metabolic disorder, which is based on the formation of insulin deficiency and an increase in blood glucose levels. Among metabolic disorders the diabetes occupies a second place after obesity. In the world about 10% of the population suffer from diabetes, however, when one considers hidden form of the disease, this figure can be 3-4 times higher. Diabetes develops due to chronic deficiency of insulin and it is accompanied by disorders of carbohydrate, protein and fat metabolism. By interfacing with other diseases endocrinology highlights symptomatic (secondary) and true diabetes. Symptomatic diabetes accompanies diseases of the endocrine ...

I. Introduction The ubiquitous presence of mobility devices, including most notably smartphones, highlights how mobility has come to be integral to everyday life at workplace, college and home. The major focus on mobility is, given current coverage, is on applications and cloud platforms. Less reported still but is, probably, of much more significance, as shown later, is wireless licenses and applications which enable much of current mobility operational efficiency, if not operability at all. As is always common in ICT innovations, user interface applications and platforms more often than not draw ICT community's attention, a community focused more new ...

Abortion is a controversial issue. However, despite of vigorous criticism, it has positive sides. In some cases abortion is a necessary procedure to save mother’s health (or even life) or prevent a birth of a child with a severe form of disability. Medical conditions, which are dangerous for mother, include impending miscarriage and cancer. In the first case there is a high risk the pregnancy will end up with a miscarriage because of the weak womb (Barari). Cancer diagnose often makes mother to choose between child’s health and own treatment. Cancer therapies can be toxic and affect ...

Abstract

This report discusses the strategies that can be employed by companies in improving data quality methods. It is important to work on data quality management because businesses cannot thrive without correct data. Today, it is data related to all businesses that stores all the information which is essential for the business. Without proper and correct data, it is probable that the business might suffer from quality issues and the customers and clients would have a hard time working with the business. It can build a bad reputation because incorrect data will lead to mistakes in the system which can ...

Introduction

Migraine is a common type of headache disorder which is characterized by moderate to severe recurrent headache. Migraine headaches are generally severe and could last up to 3 days, wherein the pain affects half of the head but the pain is pulsating in nature. People with acute migraine headache may have suffer from sensitivity to light, vomiting, nausea, and sensitivity to smell and sound. In some cases, the pain may become severe and worsen after physical activity. In 1/3rd of patients with migraine, a short period of visual disturbance or aura occurs which is an indication that the pain ...

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‘Institution’ The World Health Organization (WHO) defines diabetes as a serious and chronic disease that occurs either when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces. Diabetes is considered to be a major public health problem as its prevalence steadily increases over the past few decades. This disease can result to several complications affecting different parts of the body, which can consequently result to an increased risk for premature death. Among the possible complications of diabetes are vision loss and kidney failure. (World Health Organization, 2016) Ophthalmic complications are ...

Lord Gardiner’s statement is a wonderful example of legislators recognizing that precedent may stifle the appropriate outcome in a legal dispute. Comparisons can be made between other Western countries; for example, the US Supreme Court has reversed precedent that it set itself decades prior, such as the landmark case Brown v. Board of Education. Just like these countries, Lord Gardiner believed that Britain should not limit itself to decisions based solely on decisions in the past because the modern day situations that arise often require a more complex and systematic methodology for determining justice. In addition, but not ...

Effectiveness of Supported Angel Heel Treadmill Rehabilitation on hip fractured patients

Physiotherapist DECLARATION I, the undersigned Fatih Serkan YILDIRIMER (print name), a student of the Faculty of Public Health of Debrecen University, being fully aware of my legal liability, do thereby declare and certify with my signature that my thesis, entitled

EFFECTIVENESS OF SUPPORTED ANGEL HEEL TREADMILL REHABILITATION ON HIP FRACTURED PATIENT

is my own original work and that the printed and electronic literature referred to in it was used in accordance with the international rules of copyright. I understand that in the case of a thesis, it is considered plagiarism when: ● quoting word for word without quotation marks and referring to literature without proper citation. ● referring to content without citing ...

Status of the document.

This document is a project proposal for the development of starch-based hemostatic products. Acknowledgement. Much thanks to the project supervisor who offered guidance in every step of the development of this proposal. Developing starch based hemostatic products Project summary. Purpose: This proposal is envisioned to develop a hemostatic agent from purified plant starch. In this case, the product of the reaction should be developed by the formation of microporous hemosphere particles after etherification, esterification and crosslinking of glucose molecules to form ethyl propanetriol (glycerol-ether links (1-3 deoxy propanol)). The second intention of this study is to investigate the properties ...

According to Healthy People 2020 (2017), DM tends to occur when the body fails to produce sufficient insulin or fails to respond effectively to insulin. Insulin is responsible for the release of sugar required to energize the body’s cells. Therefore, when the insulin signaling system is affected, the body suffers from elevated levels of blood glucose, leading to metabolic abnormalities. Healthy People 2020 (2017) identifies three types of DM as expounded below: Type 1 Diabetes- This condition is commonly found in children and young adults. Affected individuals experience extremely high blood sugar levels as a result of the ...

Choosing the most appropriate business approach within a firm presents a very delicate process owing to the ever-transforming business world. Discovery-driven teams operate on the basis that business firm assumptions regarding business models are appropriately tested and stated (McGrath, 2010). Execution driven teams, on the other hand, incorporate the breaking down of strategies into objectives, hierarchically incorporating the objectives, evaluating the achievement of the laid down objectives, and excellent performance (Sull, Homkes, & Sull, 2015). Discovery-driven planning calls for chronology in handling business ideas from their conception. The executive teams are expected to steer the business towards success by pursuing ...

Application– Chronic Kidney Disease

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Chronic Kidney Disease Chronic kidney disease is related to a decrease in kidney function or damage to the kidney function for a minimum of 3 months. Actually, it is an ongoing process in which nephrons’ functioning decrease, glomeruli are destroyed, and glomerular stress is increased as a result of more work by surviving glomeruli to increase glomerular filtration rate (GFR); thereby, resulting in predictable steady decline of the function of kidneys (Buttaro, 2013). Chronic kidney disease is usually difficult to detect or grasp, and symptoms may not appear with a GFR more than 35%. However, when ...

Childhood obesity is a huge problem nationally because the number of obese and overweight kids is alarming and there are signs that it is increasing instead of decreasing (CDC, 2016). First, it is paramount to define this problem. Childhood obesity, according to (CDC, 2016), denotes the condition in which children and adolescents have a weight that is higher than the normal weight that is clinically defined as healthy at their age. Consequently, the children develop overweight-associated problems that initially were thought to affect only the adults. It is important to note that childhood obesity has both immediate and long-term ...

The human body is wired to function normally by maintaining a certain optimum functional state. Homeostatic mechanisms ensure that the body remains viably stable by maintaining the internal atmosphere within the functional limits. Alteration of the cells functionality brings about an unusual state in the body system. Interruption of homoeostasis causes the body to respond by correcting the state in a bid to restore the normal functionality. Lifestyle decisions such as nutrition and physical exercises directly affect homoeostasis which in most cases leads to a state of disease such as anaemia. Nutrition is a major factor that affects the ...

The diagnosis of a severe brain injury or traumatic brain injury (TBI) is made by a team of medical professionals. A person who has had a lapse of memory after an injury and has experienced a loss of consciousness that lasted for more than 6 hours has a severe TBI (Traumatic). An interdisciplinary team often decides on the course of treatment; the team may include social workers, physical therapists, speech therapists, doctors, and nurses (Traumatic). The three leading causes of TBI are falling, car accident, or firearms. Additionally, young adults and the elderly at higher risk of sustaining a ...

Abstract

Regretfully, diagnosis of diabetes is very common nowadays. Diabetes has become a worldwide epidemic and one of the leading causes of premature morbidity and mortality because it often leads to amputation of limbs, loss of sight, kidney failure and provokes cardiovascular disease. However, it is not that hard to suspect a high risk of developing diabetes or the disease itself before the analysis of blood sugar levels. Many of the signs of diabetes are visible to the naked eye. Paying attention to them in timely manner can avoid the severe consequences of the disease. Patients with diabetes can lead ...

Approaches in configuring Clinical Decision Support (CDS) System

The development of an effective CDS system to facilitate the healthcare delivery of a chain of hospitals and outpatient clinics warrants the systematic incorporation of clinical guidelines, documentation templates, patient summaries, HPI and medication history recording tools, condition-specific orders and diagnostic support system across the electronic health record (EHR) (CMS, CLINICAL DECISION SUPPORT:More Than Just ‘Alerts’ Tipsheet, 2014). The association of these approaches in EHR is warranted in the context of incorporating the entire aspects of patient care to facilitate the patient outcomes across the clinical settings. The EHR across clinical settings requires the effective incorporation of the research ...

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Introduction

Pain is an unpleasant sensory and an emotional experience which is associated with the potential damage of tissues (Gregory & Haigh, 2008). There are various factors that contribute to the pain psychology such as psychological and environmental. Acute pain is associated with the actual tissue damage which is associated with the surgical incidence and tissue damage. When the pain is experienced for a longer period due to unknown reasons or any underlying problem, it’s called chronic pain which illustrates the pain of Mr. John Smith due to ...

Diabetes has become a major health problem in the 21st century and this is something that is majorly blamed on the rise of unhealthy lifestyles that annotated by increased inclination to unhealthy diets (fast foods) and lack of physical activity/exercise (Haas et al., 2013). The risk of developing diabetes increases with aging due to the physiological alterations that accompany the aging process. While genes and aging constitute the pathophysiology of diabetes, unhealthy diets and lack of physical exercise play a major role in increasing the overall risk of predisposition. Elderly people form a unique health group in as far ...

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Question 1: Pathophysiology of Mr. Jensen’s post-operative hypovolemia

Hypovolemia is a surgical condition that indicates the rapid fluid loss that may result in organ failures. The outcomes of the hypovolemia are mostly due to insufficient circulating volume or scarce perfusion. Often hypovolemia is secondary to hemorrhage the reason of which includes severe internal or external blood loss and GI, thoracic and abdominal bleeding maladies (Devitt, 2001). Hypovolemia involves significant fluid loss other than blood that can be further accompanied by refractory gastroenteritis and widespread burns. Hypovolemia may develop in post-surgical incidence, bone fracture, due to ...

Peripheral vascular disease is a term to describe the phenomenon of narrowed veins or arteries outside of those that supply the heart, brain, or lungs (Gardner, 2012). The most common form of peripheral vascular disease occurs in the legs and feet, and can be a side-effect of diabetes. The main symptoms of peripheral vascular disease are blue skin, the development of skin ulcers, cold skin, and poor growth of hair and nails in the affected area (Gardner, 2012). Although peripheral vascular disease is treatable, particularly if caught early, complications include infections and tissue death that can require amputation (Lockhart ...

a)  In your professional or personal experiences, provide ONE SPECIFIC example in which you have observed/assessed a functional communication process with a "functional sender" and a "functional receiver." I observed a functional communication process between a functional receiver and a functional sender when my parents implored me to change my eating habits to achieve a healthy lifestyle. Specifically, I was suffering from issues related to being overweight. In response, I started eating healthily, and my health eventually improved. b)  Then, in your professional or personal experiences, provide ONE SPECIFIC example regarding your observation/assessment of a dysfunctional communication process with ...

Introduction

Zika virus also termed as ZIKV is a known to have gained worldwide attention, especially in the USA, South East Asia, and Australia. The Zika belongs to the Flaviviridae family which comes under the genus Flavivirus (Wikan & Smith. 2016). The Zika virus is spread though day time mosquitoes belonging to the Aedes family. Some of the most common mosquitoes to contain and spread Zika include A. aegypti and A. albopictus. The name of Zika originated in 1947 where it was first isolated from the Zika forest in Uganda. Based on evidence, the Zika virus was associated with varying viral ...

Q1: Prioritizing patient care will help to complete nurse’s shift duties without any adverse patient complication. Prioritizing will help to plan out the day and in managing the cases in the most effective way (Alfaro-LeFevre 2014). The best path to plan care for the patient with different medical and surgical priorities is to set timed objectives and meet the discharge goals based on the urgency of the medical or surgical condition. The handover from the staff of the previous shift provided the information for 4 patients, of which Lucy’s condition is more of an emergency that will ...

Introduction

This literature review examines the patterns in female involvement and under-representation in the world of information technology and information systems. This will be the application of elements and aspects of a structured literature review and will cover three main areas:

Barriers to career development of women in information technology; Methods of promoting the inclusion of women in information technology. This literature review will focus on scholarly academic journals and articles. This will include the critical analysis and assessment of peer-reviewed journals that focus on the elements of women and their involvement in information technology and the attempts to build ...

Nantsupawat, A., Nantsupawat, R., Kulnaviktikul, W., & McHugh, M. D. (2015). Relationship between nurse staffing levels and nurse outcomes in community hospitals, Thailand. Nursing & health sciences, 17(1), 112-118. The study examines the relationship that exists between the staffing levels of nurses and the subsequent nurse outcomes whereby the study was conducted in various community hospitals in Thailand. According to the author understanding the various factors that influence nurse outcome especially job dissatisfaction as well as emotional exhaustion could enable policy makers as well as hospital administrators in developing strategies to enhance the satisfaction of nurses and minimize emotional exhaustion ...

Introduction

Sub- capital fracture of the femoral neck is a common injury among the ageing population and is regarded as “unsolvable fractures”. This is a growing health concern in every country as the healthcare expenditure is very high. The surgical options, especially for elderly population, highly depend on the patient’s profile, their preference and the experience of the surgeon . Mrs. Pollard, 75- year- old, sustained a left sub- capital fractured neck of femur. Due to her age and her other complications such as hypertension and Type- 2 diabetes, a total hip replacement might be a better surgical option as ...

Rapid Appraisal

The impacts of nursing inputs on the quality care provided in nursing homes was investigated and found that mix staffing process can effectively optimize the organization standard and reduce the patient adverse outcomes (Hendrix, 2001, para.25). The statistical outcomes of this study present valuable data that is relevant to the proposed issue. The study outcomes demonstrated that the costs of care for decubitus ulcers significantly reduces with the presence of RNs and NAs while it increases with the LPN presence, indicating the significance of delegating appropriate staff for appropriate work as it can effectively improve patient outcomes and reduce ...

Although the alcohol is a legal drug while the consumption of cannabis is illegal in many countries, alcoholism has enormous effects on the health and the life of the consumer. Lewis et al. (2011) portend that consumption of large quantities of alcohol leads to addiction. Primarily, addiction leads to a medical condition whereby an individual develops difficulties in controlling the consumption of the alcohol even if he is well aware of the inherent effects of excessive consumption of alcohol. According to Lewis et al. (2011) alcoholics are at a high danger of many health related complications some of which ...

Abstract

There are limited or no effective interventions for recurrence of coronary heart diseases among the patients who smoke. Smoking cessation interventions has been suggested to have little benefit; however, there is little evidence on its cost- effectiveness and efficacy of such programs for cardiac inpatients. This study describes the efficacy and cost- effectiveness of intensive smoking cessation methods for cardiac patients admitted in the hospital cardiac unit. The experimental design assesses the efficacy and cost- effectiveness of the intervention that includes face- to- face counselling in combination with the nicotine replacement therapy using 8 cardiac wards of hospitals in ...

During my past few years as a nursing student and as a trainee nurse at this institute, I have come across different situations and experiences that have molded my thought process, my goals, and my whole personality. I have chosen the question: What do you feel you can contribute to the patient, for this assignment. Though I have chosen the nursing career with my own goals in mind, clinical experience has made me realize the extent to which patients are reliant on the nurse. I can confidently state that it would be impossible for hospitals to function without nurses. ...

Introduction

The degree that digital terrorism is a threat to people’s safety is amongst the most challenging of themes in the twenty first century. To a limited extent, this is a result of terminological question . More far reaching originations of digital terrorism as any type of online terrorist action obviously have a tendency to be connected with a higher evaluated likelihood of the risk's emergence than accomplish more prohibitive records (Cassim, 2012). In the meantime, as itemized further underneath, contending risk evaluations stay regardless of the fact that we limit our centre to smaller understandings of this idea (portrayed, ...

Childhood Obesity: An Overview

The rate of childhood obesity remains to be high in the past years. According to the Centers for Disease Control and Prevention (2015b), 17 percent of children and teenagers or 12.7 million young individuals in the United States are affected by obesity during the past decades. Childhood obesity in children is determined by the child’s body mass index (BMI). Compared to children of the same weight and gender, a child is considered obese if his or her BMI is in the 95th percentile (Anderson & Butler, 2006). This is a serious condition. Obesity increases mortality and morbidity and presents ...

Multiple choice questions

Multiple Choice Questions

Increased erythropoietin production Increased heart rate Increased cardiac output Enhancement in oxygen extraction The answer for this question is b. increased heart rate. A reduction in tissue oxygenation as happens in anemia stimulates increased production of erythropoietin through a complex feedback mechanism. Increased production of erythropoietin enhances erythropoiesis in anemia. Increased extraction of oxygen in anemia is a compensatory mechanism that is mediated by an increase in 2, 3-diphosphoglycerate concentrations. Increased cardiac output is the main hemodynamic compensatory mechanism in anemia that aims to increase blood flow to the body organs. An increase in heart rate ...

Age: 34 Yrs

LMP: October 28, 2015 EDC: August 10, 2016 Gestation: 40 weeks Obstetric History: Elena is a 34-year-old female who presents to the maternity clinic with labor pains. The client is a G3 P3 T3 A0 L2. The previous children were delivered by normal vaginal birth. She had a pre-pregnant weight of 137 lbs and a current weight of 176 lbs.

First Stage of Labour

The patient reports that contractions started seven hours ago at home. The contractions are regular occurring after approximately five minutes with a duration of 45 to 60 seconds. The cervical dilation is at 6cm. After two hours, the contractions ...

Off the label, drugs are defined as the drugs that are not legally put in the chemistries or the market for official consumption. These are drugs whose administration to patients is not completely legalized by the Food and Drugs Administration (FDA). Lack of labeling of the drugs in is mainly to show that the drug is not safe for experimentation, especially for children. However, the drugs can be prescribed appropriately for usage. This only happens after a thorough investigation and numerous tests on the drugs to determine the possible outcomes on the particular drug when used on children. An ...

INTRODUCING EMERGENCY SEVERITY INDEX (ESI) FOR BETTER PATIENT OUTCOME

Introducing Emergency Severity Index (ESI) for Better Patient Outcome Introduction to ESI The core objective of various triage tools across the emergency department attributes to the systematic prioritization of the patients in accordance with the severity of their clinical conditions in the context of determining the period until which the patient might wait in the emergency department before his/her evaluation by the healthcare professionals (Gilboy et al., 2011). The nurse professional after executing a focused assessment of the patient determines the waiting time and accordingly provides a triage acuity level of the patient in the emergency department. The patient ...

CRITICAL REVIEW OF THE ROLE OF CRISIS IN INDUCING POLICY CHANGE

Introduction Most nations make policies after they enter serious crisis. There is a general notion that a critical problem requires a critical solution. Thus, nations that came under Nazi or Japanese attack in the eve of the Second World War declared a state of emergency and made sweeping changes to their national policies. These changes had far-reaching impacts on the functioning of the arms of governments and the entire nation had to suspend various activities to implement the policies in response to the crises. However, after World War II, significant events have been considered as turning points in national ...

Diabetes is a chronic disease that requires continuous medical care, ongoing patient self-management education and support to prevent its advancement and the occurrence of acute complications. It also requires evidence-based recommendations and management to reduce the risk of long-term complications. Of importance to note is that diabetes care is a complex endeavor that revolves around many issues that go beyond the glycemic control management. Research has shown that other interventions are required to support the improvement of diabetes outcomes (Burant, 2012). These are caring standards provided by patients, researchers, payers, and clinicians. These standards address how children suffering from ...

Introduction

Osteoarthritis of the knee also known as the degenerative arthritis is a major and growing problem for the elder population all over the globe. Approximately, 27 million individuals have been reported to suffer from osteoarthritis by the Arthritis Foundation in United States (US). Women have been more commonly reported to suffer from osteoarthritis as compared to men. The prevalence of developing arthritis has been found to increase after the age of 45 . Although, mostly elderly population are most affected yet there are few evidences of young people suffering from it. Osteoarthritis is also commonly defined as wear- and- tear ...

Introduction

Globally, clean air is a critical resource for the general public health while a clean environment is one of the essential elements required for the establishment of sustainable societies. Human beings breathe the air around them and thus air pollution or any pollution manifested in any other form to the environment directly affects their overall health and wellbeing. This has the implication that public authorities at international, national and local levels have the responsibility of protecting the quality of the air through development of regulations that regulate the use of products and materials that have the potential of causing ...

Influenza Vaccine on the Elderly

Introduction Based on current evidence, there is an overwhelming response with respect to the clinical efficacy, safety, and feasibility of influenza vaccine in the elderly. The impact of the vaccine is observed in elderly patients with chronic diseases with an influence on reduced mortality and hospital admissions. Based on a recent publication, the influence of the vaccine is also observed among health elderly population around the globe. Researchers and healthcare providers state that the declining age is associated with poor antibody response coupled with various confounding factors. However, these factors have not been clearly stated in literature. On the ...