4. geriatric nursing future opportunity
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This document discusses geriatric nursing and policy in Nepal. It begins by defining geriatric nursing and outlining future opportunities in the field due to rising elderly populations. There will be increased demand for nurses working in acute, long-term, and home care settings. The document then outlines Nepal's Senior Citizen Act of 2006 which provides economic benefits like allowances, healthcare facilities including priority treatment and discounts, and social security measures like identification cards and transportation concessions. It discusses the roles of government agencies and organizations in supporting elderly healthcare and concludes by mentioning the growth of old age homes in Nepal.
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The document provides an overview of India's healthcare system, including its evolution, organization, primary healthcare structure, and key statistics. It discusses the three levels of government involved - central, state, and local - and describes the primary healthcare centers, subcenters, and community health centers that make up the primary healthcare system in rural India. It also outlines the roles of village health guides, Anganwadi workers, and ASHA workers in connecting communities to healthcare services.
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Paradigm shift in nursing research by RS MEHTA
This document discusses the need for a paradigm shift in nursing research. It notes that while efforts have been made to promote evidence-based nursing, there remains a gap between research findings and clinical practice. The document outlines different research paradigms and factors that can drive paradigm shifts, such as technological advances. It argues that paradigm shifts are important for developing up-to-date knowledge and meeting human and social needs. Some examples of potential paradigm shifts in clinical nursing after COVID-19 include increased telehealth, home-based care, and focus on infection prevention and digital health technologies.
Jiwani of RS Mehta book.pdf
This document provides an overview of an autobiographical book written by Dr. Rordzor Dhital describing his life journey from childhood to the present. The book details his upbringing, family background, educational experiences, career struggles and successes as a medical professional. It is intended to inspire youth by sharing his challenges and perseverance in achieving his goals through hard work and dedication.
Ph.D. Thesis on HBC by RS Mehta.pdf
This dissertation examines home-based care for people living with AIDS in rural Nepal. The study had two parts: 1) Analyzing aspects of home-based care through interviews with 125 caregivers of people with AIDS, case studies of 14 people with AIDS, and focus groups/key informant interviews. 2) Implementing an 8-week education intervention program on home-based care and evaluating its impact using pre- and post-testing. The study found many caregivers lacked training and knowledge. Caregiving was burdensome and affected caregivers' health, social life, and finances. The education program significantly improved caregivers' knowledge and outcomes related to caregiving.
M. Sc. Nursing Thesis by RS Mehta.pdf
The document discusses the benefits of exercise for both physical and mental health. Regular exercise can improve cardiovascular health, reduce stress and anxiety, boost mood, and enhance cognitive function. Staying physically active for at least 30 minutes each day is recommended for significant health benefits.
Ph.D. Thesis on HBC by RS Mehta.pdf
This dissertation examines home-based care for people living with AIDS in rural Nepal. The study had two parts: 1) Analyzing aspects of home-based care for 125 caregivers of people with AIDS through interviews, case studies, and focus groups. 2) Implementing an 8-week education intervention program on home-based care and evaluating its impact using pre- and post-testing. The study found many caregivers lacked training and knowledge about HIV/AIDS. Caregivers reported high burdens and many faced health issues, social problems, and financial difficulties due to caregiving. The education program significantly improved caregivers' knowledge and preparedness for home-based care.
bsc pancreatitis 8.pptx
This document provides an overview of pancreatitis including:
- Defining pancreatitis and describing the types as acute or chronic.
- Stating the common causes as biliary disease, alcohol, ERCP, trauma, and drugs.
- Explaining the pathophysiology as premature activation of digestive enzymes in the pancreas causing autodigestion.
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12-lead EKG Interpretation1.pdf
This document provides an overview of 12-lead EKG interpretation. It describes the normal P wave, QRS complex, ST segment, T wave, and QT interval. It discusses abnormalities such as bundle branch blocks and signs of myocardial infarction including ST elevation, T wave inversion, and Q waves. Lead placement and determining the cardiac axis are also covered. The document outlines coronary anatomy and describes common infarction locations such as inferior, anterior, and lateral walls.
4. Advocacy in Nursing.pdf
This document discusses patients' rights and advocacy in nursing. It outlines various patients' bills of rights which guarantee patients access to information, treatment, and medical decision making. Specific rights mentioned include the right to privacy, informed consent, and making complaints. The role of nurses as advocates who help patients understand and exercise their rights is described. Nurses act as advocates by developing relationships with patients and making decisions with them. They may also be whistleblowers by calling attention to unethical or illegal actions. The document is authored by Prof. Dr. Ram Sharan Mehta on the topics of patient rights and advocacy in nursing.
3. Legal Aspects in Nursing.pdf
This document discusses various legal aspects related to nursing practice, including medico-legal issues, terminology, common medico-legal cases, torts, and legal safeguards for nurses. It provides definitions for terms like bill, law, constitution, negligence, and malpractice. It also outlines legal provisions in Nepal, common medico-legal cases seen in hospitals, intentional and unintentional torts, the functions of law in nursing, potential legal issues nurses may face, and the legal processes followed for medico-legal cases in hospitals.
1. Ethics and Values.pdf
This document discusses ethics and values in nursing. It defines ethics as concerning right and wrong based on knowledge rather than just principles. It also defines morals as private standards of right and wrong, while ethics reflect commitments beyond personal preferences. The document outlines ethical principles like autonomy, non-maleficence, beneficence, and justice. It discusses how a code of ethics provides guidance for decision making and lists primary nursing values. Finally, it provides steps for processing an ethical dilemma in nursing practice.
2. ICN Code for Nursing Ethics.pdf
The document outlines the International Council of Nurses (ICN) Code of Ethics, which provides ethical guidance for nurses. It discusses four main sections - Nurses and Patients/People Requiring Care, Nurses and Practice, Nurses and the Profession, and Nurses and Global Health. Each section contains a number of points that define ethical nursing responsibilities in those areas. For example, section one emphasizes person-centered care and maintaining patient dignity, while section two stresses nurse accountability and maintaining competence through continuous learning. The full code aims to establish standards and accountability for ethical nursing practice globally.
RS MEHTA Photos 24 yrs in BPKIHS.ppsx
This document appears to be a presentation by Prof. Dr. RS Mehta about his 23 year history working in ERH & BPKIHS from 2048-2071. It includes some pictures from his time there and lists him as a participant and resource person for a Research Methodology Training from March 3-7, 2013. It also mentions an HBC session and thanks Robert from CGH Singapore for an example of innovations and development.
9. Experiences of Singapore CGH.ppsx
The document discusses Singapore and Chengi General Hospital (CGH). It provides details about Singapore, noting its cleanliness, security, and transportation services. It then summarizes information about CGH, an 800-bed government-funded hospital in Singapore. Key details about CGH include its facilities, staff of 2000 including 1200 nurses, nurse to patient ratio of 1:6, and services like home care teams and celebration of special days for patients. The document also compares CGH to BPKIHS hospital in some aspects like bed numbers and duration of establishment, but notes CGH provides better quality and services.
International Visit by RS MEHTA.ppsx
This document summarizes international visits by Prof. Dr. Ram Sharan Mehta between 2000 and 2022. It lists visits to various cities in India as well as other countries in Asia, Europe, North America, and Australia. The visits involved presentations on healthcare topics. The document concludes by thanking the audience.
Ram Sharan Mehta Jiwani
This document provides an overview of an autobiographical book written by Dr. Rajendra Dhakal titled "From Birth to Retirement". The book describes key events and experiences from the author's life, from childhood through his professional career as a medical doctor. It covers his upbringing in rural Nepal, education journey, career experiences including hardships faced, professional achievements, and reflections on life lessons learned. The author hopes the book will inspire youth to work hard through perseverance despite challenges.
4. advocacy in nursing
This document discusses patients' rights in healthcare. It begins by defining a patient's bill of rights as a list of guarantees for those receiving medical care, including the right to information, fair treatment, and autonomy over decisions. The document then outlines specific rights in more detail, such as the right to receive respectful and safe care, provide informed consent, privacy and confidentiality, refuse treatment, and make complaints. It discusses patients' rights during medication and treatment. Overall, the document aims to clearly define the rights and protections that should be afforded to all patients.
3. legal aspects in nursing
This document discusses various legal aspects related to nursing practice, including medico-legal issues and cases. It defines key terminology like tort, negligence, malpractice. Common medico-legal cases involve deliberate self-harm, accidents, and criminal cases. Nurses must properly document and handle medico-legal cases, obtain informed consent, and understand their legal duties and liabilities to practice safely and avoid litigation. Maintaining standards of care, competence, and keeping accurate records are important legal safeguards for nurses.
2. icn code for nursing ethics
The document outlines the International Council of Nurses' (ICN) Code of Ethics for nurses. It discusses four main sections of the code: 1) Nurses and patients or other people requiring care or services, 2) Nurses and practice, 3) Nurses and the profession, and 4) Nurses and global health. For each section, it lists the guiding principles that nurses should uphold in their relationships with patients, in their nursing practice and professional responsibilities, and in promoting global health as a human right. The code aims to define ethical nursing practice and decision-making to meet high professional standards.
1. ethics and values
1. The document discusses ethics and values in nursing, defining key terms like ethics, morals, and values. It outlines ethical principles like autonomy, non-maleficence, and beneficence.
2. Six standards of nursing practice are discussed, including accountability, continuing competence, and professional relationships. Methods of ethical decision making and processing ethical dilemmas are also presented.
3. Primary values for ethical nursing practice are outlined, including providing safe care, maintaining privacy, and promoting justice. The relationship between ethics, values, and the nursing code of ethics is explored.
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5. ECG in Medical Practice by ABM Abdullah, 4th edition
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4. geriatric nursing future opportunity
- 2. Learning Objectives At the end of the session students will be able to: – Discuss future opportunities of geriatric nursing – State about geriatric policy in Nepal 2
- 3. Geriatric Nursing – specialty of nursing pertaining to older adults to support healthy aging, maximum functioning, and quality of life. 3
- 4. Future Opportunities – As evident, the aged population continues to rise and is the population group who require and use the greatest amount of health services. – Geriatric nursing within institutions provides acute, sub-acute and long term care. 4
- 5. Work Settings – Acute Care Setting: Fifty percentage of the elderly age 75 and over account for 21% of all inpatient days. – Private homes – Day Care Units 5
- 6. Nurses’ Role – Geriatric Nurse Practitioner – Gerontologic Clinical Nurse Specialist – In-Service Educator/ Staff Developer – Counsellor and Health Educator – Home Care Case Management Nurse – Researcher 6
- 7. In Nepal – Elderly nursing care and assisted living home. For e.g. – Ageing Nepal – Orchid Home care – Saar Nepal – Day care and Lifelong Learning Center – Health Home Care Nepal 7
- 8. Shristi Shrestha, M.Sc Nursing8
- 9. Geriatric policy in Nepal Senior Citizen Act, 2063 (2006) and Regulations 2065 (2008) Economic benefit Social security Health service facilities Honor, participation and involvement, Education as well as entertainment aspects 9
- 10. Economic Benefits – Initially government provided an old age allowance of Rs.100/month to senior citizens aged 75 years and above in 2052 (1995) as social security in the eighth five year plan. – In the International Year of Elderly Persons (1999), Nepal govt. raised the old age allowance (OAA) from Rs.100 to 150/month. 10
- 11. Economic Benefits – In 2063 (2006) the amount was raised to Rs.200/month from 150/month. – In fiscal years 2065/2066 (2008/2009) the government increased the amount to Rs.500/month and reduced the age of senior citizen from 75 to 70 years and above (except Karnali zone and dalit citizen-60years). 11
- 12. Economic Benefits – From fiscal Year 2015/16 Nepal govt. has declared to allocate Rs.1000 OAA to the senior citizens adding 500 rupees to its previous amount. – The fiscal year 2073/74 (2016/17) increased OAA from Rs.1000 to Rs.2000 (Rs.1000 as medical allowance) 12
- 13. 13
- 14. Social Security – Senior citizen welfare committee and fund in each district. – Senior citizen identity card – The Senior Citizens Act, 2063 (2006) stipulates that every public vehicle reserve two seats for people aged 60 or above and grant them 50 percent concession in fare. 14
- 15. Social Security – Other organizations providing public services including drinking water, electricity and telephone shall give priority to the senior citizens while providing such services. 15
- 17. Health Facilities – Each organization providing health services shall provide health services by giving priority to the senior citizens. – The poverty affected elderly people are provided free medicine and treatment up to NRs.2000 at a time in all 75 districts under MWCSW. – Fiscal year 2007/8(2064/65) allocated 25% free beds for senior citizen. 17
- 18. Health Facilities – From the fiscal year 2067/68 (2010/11) Govt. of Nepal has been provided concession of at least 50% on the fees chargeable on the treatment. – Senior citizen get free treatment up to Rs.1,00,000 in some chronic illness: cancer, heart disease, hemodialysis, Alzheimer's disease etc. 18
- 19. Institutional Mechanism – MoWCSW, MoHP, the National Planning Commission, and the MoF are the main agencies responsible for taking care of the health needs of the ageing people. – According to the directory of elderly people related institutions in Nepal, There are about 70 organizations registered with the govt. of Nepal. Most of them are charity organizations. 19
- 20. Old age Home 20
- 21. 21