International Nurses Day is celebrated annually on May 12th to commemorate Florence Nightingale's birthday and honor nurses' contributions to healthcare. It was first established in 1953 in the US and adopted globally by the International Council of Nurses in 1965. Nurses play a vital role in caring for patients' physical, mental, and social health needs. Nursing associations aim to support nurses and strengthen healthcare systems so nurses can better serve their communities. The 2019 theme is "Nurses: A Voice to Lead - Health for All," emphasizing nurses' ability to advocate for accessible, high-quality care for all people worldwide.
Chinmaya Institute of Nursing is one of the pioneering Nursing Institutions in Bangalore, with an attached hospital i.e. Chinmaya Mission Hospital, seeking to provide quality education and training to those interested in pursuing a Nursing Career.
This profession that is significant for a nation’s health, we at The Knowledge Review, have come up with a special edition - The 10 Most Leading Institutes in Nursing, 2021, dedicated exclusively to nurses
THESE SLIDES ARE PREPAREED TO UNDERSTAND about nursing IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #PEM, #codeofethics,#for ,#nurses,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICER
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
Chinmaya Institute of Nursing is one of the pioneering Nursing Institutions in Bangalore, with an attached hospital i.e. Chinmaya Mission Hospital, seeking to provide quality education and training to those interested in pursuing a Nursing Career.
This profession that is significant for a nation’s health, we at The Knowledge Review, have come up with a special edition - The 10 Most Leading Institutes in Nursing, 2021, dedicated exclusively to nurses
THESE SLIDES ARE PREPAREED TO UNDERSTAND about nursing IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #PEM, #codeofethics,#for ,#nurses,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICER
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
Improve quality and increase access to family planning and maternal health care services
Educate couples to ensure they have the best chance for a wanted and safe pregnancy
Safe motherhood is one of the important components of Reproductive Health. It means ensuring that all women receive the care they need, to be safe and healthy throughout pregnancy and childbirth. It is the ability of a mother to have safe & healthy pregnancy & child birth.
Running head EVOLVING PRACTICE OF NURSING AND PATIENT CARE DELIVE.docxcowinhelen
Running head: EVOLVING PRACTICE OF NURSING AND PATIENT CARE DELIVERY MODELS 1
8
EVOLVING PRACTICE OF NURSING AND PATIENT CARE DELIVERY MODELS
Evolving Practice of Nursing and Patient Care Delivery Models
Ishwari Basnet
Grand Canyon University: NRS-440V
February 27th, 2016
Evolving Practice of Nursing and Patient Care Delivery Models
Hello everyone! I Ishwari Basnet,I am a registered nurse and work in medical \surgical\mental health unit for more than ten years. I would like to welcome you all in this informal education session. Today, I would like to discuss about the changing role of nurses and concept of continuum of care and the new health care delivery models such as Accountable Care Organizations (ACOs), medical homes, and nurse -managed health clinics.
Evolving practice of Nursing and Health Care Models
Health care system is changing; it is not just focused on the curative care but the disease prevention and wellness. Also, the new healthcare reform has approach to the development of healthcare delivery models with the changes in nursing role from acute care settings to community health care. Patient Protection and Affordable Care Act (PPACA) formed at 2010 support the establishment of ACOs, medical homes and nurse-managed health clinics; also new payment policies. With the formation of Affordable Care Act (ACA), health has transformed from traditional treating approach to the preventive and wellness. Nurse’s role has also changed from front-line caregiver to the care integrators and coordinators and help in providing the health services to the underserved people. All the health models are focused on the concept of continuity of care which is defined as “a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity of care” (Evashwick, 1989). It covers the delivery of healthcare over a period of time and for all levels and stages of care. Let’s talk about the three types of health care delivery model.
Accountable Care Organizations (ACOs)
In accordance to the Center for Medicare and Medicaid services, “Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (Cms.gov, n.d.). The ACO is the new unit built by the ACA; the health reform law 2010 which take care of the cost and quality of the care received by the patients. The main aim of ACO is to deliver flawless and high-quality care at the right time to the patients, especially the chronically ill patients. The ACO include the specific group of providers and suppliers assigned by the ACA and they encourage the active participation of nurse practitioners (NPs), clinical nurse specialists (CNSs) etc with physicians and physician assistants. As nursing leadership is encouraged in ACO, registered nurses can ...
The delivery of these services require adequate and competent health and care workers with optimal skills mix at facility, outreach and community level, and who are equitably distributed, adequately supported and enjoy decent work.UHC strategies enable everyone to access the services that address the most significant causes of disease and death and ensures that the quality of those services is good enough to improve the health of the people who receive them.
Protecting people from the financial consequences of paying for health services out of their own pockets reduces the risk that people will be pushed into poverty because unexpected illness requires them to use up their life savings, sell assets, or borrow – destroying their futures and often those of their children.
Many countries are already making progress towards UHC, although everywhere the COVID-19 pandemic impacted the availability the ability of health systems to provide undisrupted health services. All countries can take actions to move more rapidly towards UHC despite the setbacks of the COVID-19 pandemic, or to maintain the gains they have already made. In countries where health services have traditionally been accessible and affordable, governments are finding it increasingly difficult to respond to the ever-growing health needs of the populations and the increasing costs of health services.
Moving towards UHC requires strengthening health systems in all countries. Robust financing structures are key. When people have to pay most of the cost for health services out of their own pockets, the poor are often unable to obtain many of the services they need, and even the rich may be exposed to financial hardship in the event of severe or long-term illness. Pooling funds from compulsory funding sources (such as government tax revenues) can spread the financial risks of illness across a population.
UHC emphasizes not only what services are covered, but also how they are funded, managed, and delivered. A fundamental shift in service delivery is needed such that services are integrated and focused on the needs of people and communities. This includes reorienting health services to ensure that care is provided in the most appropriate setting, with the right balance between out- and in-patient care and strengthening the coordination of care. Health services, including traditional and complementary medicine services, organized around the comprehensive needs and expectations of people and communities will help empower them to take a more active role in their health and health system.
Value, protect, respect and invest in our nuses for a sustainable future for ...Christina Parmionova
Nurses provide care and leadership to address global health challenges everywhere, often at great personal risk. They are the essential life force for health, yet our healthcare systems worldwide have fallen
short and failed to value, protect, respect and invest in this precious resource. The world has mistakenly
taken nurses for granted, treating them as an invisible and inexhaustible resource. That must now stop for
the sake of nurses and global health.
Nurses are key to healthier communities, responsive societies, thriving economies and powerful nations.
Now is the time for policy makers, national and local decision-makers to take decisive steps to build and
optimise an enduring, strong and sustainable nursing workforce. The International Council of Nurses’
Charter for Change presents 10 policy actions that governments and employers must take to create and sustain health care systems that are safe, affordable, accessible, and responsive and shift nurses from
being invisible to invaluable
Rosie Jean Louis Discussion 7COLLAPSETop of FormCommunity N.docxhealdkathaleen
Rosie Jean Louis: Discussion 7
COLLAPSE
Top of Form
Community Nursing Practice Model
The prevalence of illness among poor urban and rural populations increase the demand for critical care services. However, there is a shortage for physicians who can take up responsibilities in the community health sector. Among the efforts in place to strengthen the human resource is the growing interest to have nurses in advance practices participate inpatient care at the community health level. By applying the community, nursing practice model advanced practice nurses are better prepared to deliver care and outcomes to patients in poor communities.
The Community Nursing Practice Model
The community nursing model plays an essential role in ensuring that less privileged communities can access better healthcare by providing a framework for community nurses to focus on entire populations that have similar health concerns or characteristics. For example, a society where there are reproductive health issues, nurses applying this model in such a community will be able to know what the needs of the community are as far as reproductive health is concerned (Maclaine, 2014).
The model considers all levels of prevention, which include primary prevention whereby the advanced practice nurses promote health and protect against threats to health in the community. For example, carrying out awareness in the community on sexually transmitted diseases and distributing latex condoms in the community (Maclaine, 2014). Another level of prevention is secondary prevention, which involves the community nurses’ practitioners detecting and treating problems at the early stage of detection so that the health problem does not cause serious problems or affect others. The last level of prevention involves the community nurse practitioner preventing existing problems from getting worse.
The MSN Essential
Clinical prevention and population health are one of the MSN essential that is relevant to the community nursing practice. The underlying notion of this MSN essential is recognizing that masters prepared nurse applies and integrates a good organizational, patient-centered and culturally appropriate idea in planning to deliver and managing of clinical prevention and community care services to individuals and families (AACN, 2011). Under this essential, it is well elaborated that a master’s degree level nurse should be able to synthesize broad social determinants of health and data from epidemiology to design and deliver clinical interventions to the communities in need while using relevant strategies.
In summary,the model has transcended values of respect, care, and wellness, which are essential in primary health care. The CNP and MSN essential provide a framework for nurses who want to practice in the community health sector and especially for advanced care nurses. The model depicts community health nursing practitioners as an essential part of an interdisciplinary team that includes phys ...
World health day celebration report april 7th 2019anjalatchi
world international health day celebration April 7th 2019 celebrated with awareness about individual health , promotion, prevention, maintenance, palliative care , universal health coverage everyone, every where, involvement of access to primary health care service at door step to make the public more awareness about their own health .
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
1. ind 2019 article rs mehta
1. International Nurses Day: 12th
May 2019
Prof. Dr. Ram Sharan Mehta
Head, Medical-Surgical Nursing Department
Former President: NAN Unit BPKIHS
International Nurses Day (IND) is celebrated every year all around the world on 12th
of May to commemorate the birth
anniversary of the Florence Nightingale and to mark the nurses’ contributions towards people’s health. International
Nurses Day 2019 will be celebrated by the nurses all across the world on 12th
of May, at Sunday. Nurses Day was first
proposed by the Dorothy Sutherland (an officer from the U.S. Department of Health, Education and Welfare) in the year
1953 and first proclaimed by the President Dwight D. Eisenhower. And it was first celebrated by the International Council
of Nurses (ICN) in the year 1965.
In the month of January in 1974, the 12th
of May was declared to be celebrated as the birthday anniversary of the founder
of modern nursing, the Florence Nightingale. International Nurses Day Kit (having educational and public information
materials to be used by the nurses among public) is prepared and distributed every year by the International Council of
Nurses while celebrating the nurses’ day. Florence Nightingale (the foundational philosopher of the modern nursing)
became an important figure of the nursing since Crimean War during 1850s. She, stationed at the Barrack Hospital,
Scutari, reformed the health care services and nursing and opened “the Nightingale School of Nursing” at the St. Thomas
Hospital, London in 1860.
Promotional and educational activities are organized while celebrating the International Nurses Day annually to address
lots of nursing issues. The theme of celebration is selected based on nurses and environment, handling poor, poverty
issues and many more. It is celebrated as a week long event, referred as National Nurses Week, in many countries like
Australia, United States, Canada and etc.
Whole week celebration is planned to commemorate the nurses’ significant role in caring patients. Activities are held such
as educational seminars, variety of community events, debates, competitions, discussions and etc. Nurses are appreciated
and honored at this day by distributing gifts, flowers, organizing dinners and etc by the friends, family members,
coworkers (doctors, administrators, and patients).
Nurses are well trained and educated for maintaining the health and wellness of the patients through all the aspects like
psychosocially, socially and etc. Nurses have deep practical knowledge of delivering best health care services. National
nurses associations (NNAs) play an important role in making nurses well informed, advised, encouraged and supported to
deliver better work. NNAs works with the governments and non-government organizations to strengthen the health care
systems as well as create conditions maximizing the nurses’ contribution.
International Council of Nurses celebrates this event aiming to increase the public awareness about the nursing and nurses
contribution towards the health care innovation. Nurses are the fast and first point of contacting for health services. Nurses
are innovatively practiced to provide free health checkup to the industries indicating their willingness of improving the
health of staffs, to meet all the local needs, to improve the physical, mental and well-being of the patients and etc.
Some of the theme of the International Nurses Day celebration from 1988 are: Safe Motherhood, School Health, Nurses
and Environment, Mental Health – Nurses in Action, Healthy Aging, Quality Costs and Nursing, Healthy Families for
Healthy Nation, Women’s Health: Nurses Pave the Way, Better Health through Nursing Research, Healthy Young People
= A Brighter Future, Partnership for Community Health, Celebrating Nursing’s past, claiming the future, Nurses – Always
there for you, United against Violence, Caring for Families, Nurses: Fighting AIDS stigma, working for all, Nurses:
Working with the Poor; Against Poverty, Nurses for Patients’ Safety: Targeting counterfeit medicines and substandard
medication, Safe staffing saves lives, Positive practice environments: Quality workplaces = quality patient care,
Delivering Quality, Serving Communities: Nurses Leading Primary Health Care, Closing the Gap: Increasing Access and
Equity, Millennium Development Goals, Nurses: A Force for Change–A Vital Resource for Health, Care Effective, Cost
Effective, Improving health systems’ resilience, Nursing: A voice to lead – Achieving the Sustainable Development
Goals, Nurses: Inspire, Innovate, Influence and the theme for 2019 is, “ Nurses: A Voice to lead-Health for All”.
Health for all means that health is brought into reach of everyone in a given country. Health in this context means not just
the availability of health services, but a complete state of physical and mental health that enables a person to lead a
socially and economically productive life.
2. In world 44400 people a day are forced to flee their homes because of conflict and persecution; there are 244 million total
numbers of migrants worldwide, 175.5 million Number of migrants have moved voluntarily, 68.5 million Migrants
forcibly displaced due to risk of persecution, violent conflict, food insecurity or human rights violations. 90% of current
war casualties are civilians. 68.5 million People have been forcibly displaced. One in 3 Syrian refugees suffers from
depression, anxiety and symptoms of post traumatic stress disorder (PTSD). Over 40% In the Kutupalong settlement in
Bangladesh, over 40% of children are stunted. 1.1 billion People with any mental disorder or substance use disorder; 275
million People suffering from anxiety disorder. In 23 countries due to conflict there have been attacks on health workers
and 8-38% of health workers suffer physical violence.
As the largest health profession across the world, working in all areas where health care is provided, nursing has vast
potential and value if appropriately harnessed to finally achieve the vision of Health for All.
Nursing association of Nepal (NAN) is the national nursing association which leads to celebrate the IND in Nepal. In
Nepal till 29th
March as per NNC there is 87748 Nurses’ (i.e. 55009 Nurse + 31897 ANMs + 842 Foreign Nurses) trained
from existing 196 nursing colleges (i.e. 123 PCL + 45 BN/BNS +51 BSN + 11 MN/MSN). Most of the nursing colleges
(about 77) are in province 3 and only 3 colleges are in province 6 and 11 in province 7, which is mal-distribution, needs to
correct as per population distribution of the states.
College of Nursing, BP Koirala Institute of Health Sciences (BPKIHS) is one of the Pioneer nursing college of Nepal,
where first time B.Sc. Nursing Programme was started. About 600 nurses’ are working in BPKIHS in different positions.
It is high time to think about decentralization of the power and activities of Nursing Association of Nepal (NAN) and
Nepal Nursing Council (NNC) so that equal development in nursing and health care will be possible in all the provinces
and regions. Quality Education, Quality Service, Proper Monitoring and Supervision, Standard Setting and proper
Evaluation are the urgent demand of the nursing profession. Nursing Leaders, Nursing Educators and Nurse Researcher
can play role in these issues.
Nurses are essential in transforming health care and health systems such that no person is left behind, without access to
care or impoverished because of their need for health care. As one of the most trusted and respected health professions,
nursing has a pivotal role to addressing the multiple health challenges that are being faced all over the world. Nurses are
the engine room of the health system and are required to respond to the health needs of individuals, communities and the
world.
Nursing needs to achieve autonomy in controlling and maintaining the integrity of its professional education and united
membership has to be recognized. The importance of the knowledge of nursing and contributions to health care will have
to be recognized and esteemed to a greater extent by the public as well as by the government if autonomy and control over
nursing practice is to be achieved. New nurses have to understand how nursing trends and issues synthesize the technical,
ethical and organizational issues in the ever evolving health care arena of nursing. Becoming a voice to lead means talking
to governments, community leaders, policy makers and investors.
Effective clinical leadership has been linked to a wide range of functions. It is a requirement of hospital care, including
system performance, achievement of health reform objectives, timely care delivery, system integrity and efficiency, and is
an integral component of the health care system. Their role involves policy setting and overseeing quality measures;
dealing with regulatory compliance, certainly taking on fiscal responsibilities and more. They have responsibility and
accountability for the overall quality of patient care delivery, patient and staff satisfaction, and organizational outcomes.
Strong leadership is critical if the vision of a transformed health care system is to be realized. Yet not all nurses begin
their career with thoughts of becoming a leader. The nursing profession must produce leaders throughout the health care
system, from the bedside to the boardroom, who can serve as full partners with other health professionals and be
accountable for their own contributions to delivering high-quality care while working collaboratively with leaders from
other health professions.
“WISH YOU ALL HAPPY NURSES’ DAY 2019”
Contact address: College of Nursing, BP Koirala Institute of Health Science, Dharan. Email: ramsharanmehta@hotmail.com