The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
AUTUMN OF LIFE-A LAST GASP-LOSS, GRIEF AND
END- OF- LIFE
MASLOW'S HIERARCHY, ANTICIPATORY GRIEF, DIMENSION OF GRIEVING, GRIEF AWARENESS, Five Wishes, NEEDS OF DYING PERSONS AND SURVIVORS
fon Unit xv-care of terminally ill patientAtul Yadav
Unit:xv-Care of terminally ill patient
It contain ---
1.Concepts of Loss, Grief, Grieving process
2. Signs of clinical death
3. Care of dying patient
4. Special considerations
5. Advance Directive
6. Euthanasia ,willdying declaration,organ donation etc.
7.Medico-legal issues
8. Care of dead body
9.Equipment, procedure and care of unit
10. Autopsy
11.Embalming
Terminal illness and death during childhoodNEHA MALIK
A terminally ill child is a child who has no expectation of a cure for his or her disease or illness. this study material will help the medical professionals to learn more about caring for a terminally ill child.
YOUTUBE CHANNEL LINK :- https://www.youtube.com/results?search_query=medic+o+mania
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
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
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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!
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ocular injury ppt Upendra pal optometrist upums saifai etawah
5. death and dying f
1.
2. CONTENTS
Introduction to death and dying
Stages of dying
Care of death and dying
Meeting the needs of dying individual
Assessing the physiological signs of
approaching death
Physical care
Psychological care
Social care
Spiritual care
3. “As a well-spent day brings happy sleep, so a life well
used brings happy death”
- Leonardo Da Vinci
4. INTRODUCTION
ᴥ Birth and death are two aspects of life, which will
happen to everyone.
ᴥ Dying and death are painful and personal
experiences for those that are dying and their
loved ones caring for them.
ᴥ Death affects each person involved in multiple
ways, including physically, psychologically,
emotionally, spiritually, and financially.
5. DEFINITION
Death is defined as “The irreversible
cessation of all vital functions especially
as indicated by permanent stoppage of the
heart, respiration, and higher brain
function”
Dying means “approaching death”
6. STAGES OF DEATH AND DYING
Although each person reacts to impending death or
loss in his or her own way, there are similarities in
the psychosocial responses to the situation
According to Kubler-Ross, there are 5 stages of dying
Denial
Anger
Bargaining
Depression
Acceptance
“DABDA”
7. STAGE 1: DENIAL
Refusing to believe a probable death will occur.
There is initial reaction of shock
“No I donot belive it”
“An error has been made on the tests”
You can help others face it by being available for
them to talk instead of forcing them to talk about it.
Patient isolates self from source of accurate
information, not to seek treatment or assistance
He never talks about dying and death. He refuses
hospital admission and treatment
Patient appears to be superficially happy to deny the
truth of diagnosis
8. STAGE 2: ANGER
- Recognition of loss or death
- May become angry, frustrated and irritatble that
they are sick
- “Why me”
- Anger at God for not allowing them to see their kids
grow up
- Anger at the doctors, family, self, fate,
- Blame everybody for his misfortunes
- Try not to take it personally. They have a right to be
angry so allow them to express themselves so they
can move on in the grieving process.
9. STAGE 3: BARGAINING
The patient attempts to make deal with someone or
something to prevent loss
They may start to negotiate with God i.e. “I’ll live a healthier
life,” “I’ll be a nicer person,”
They may negotiate with the doctor by saying, “How can I
get more time so I can live in my dream home, and so on.
10. There is a deep sense of yearning at this stage to be
well again.
This is the time when the wishes are so strong that it
seems actually to prolong his her life until his/her wish
is fulfilled
“I know I am going to die, and I am ready to die bu not
just yet”
“If I can live longer to attend my son’s wedding”
11. STAGE 4: DEPRESSION
When reality sets in about their near death, bargaining
turns into depression.
Realises the death
Looks sad by thought, withdraws from important
relationship
Normal part of the process of preparing to die
12. Guilt for demanding so much attention and
depleting the family income occurs.
Patient shows clinical signs of depression-
withdrawal, psychomotor retardation, sleep
disturbances, hopelessness and possibly suicidal
ideation.
Be available to listen instead of cheering them up
Distraction is good but don’t ignore the situation.
13. STAGE 5: ACCEPTANCE
When the dying have enough time and support, they
can often move into acceptance.
Realises the death is inevitable and accepts
universality of experience
Patient begins to make a plan fo his death. Eg. Write
a will, completes financial arrangements for family,
giving up personal possessions etc.
14. The dying person will want someone caring, and
accepting by their side.
People with strong religious beliefs and those
who are convinced of life after death can find
comfort in these belief
15. CARE OF DYING
To provide effective care of dying individual nurse
must have reconciled his or her own feelings about
death and must understand the phases of grieving &
dying and should be able to recognize their
manifestations.
Every person has the right to die with dignity.
16. Caring allows the people to die with dignity.
Nurse must understand the influence of
dignified death and the profound effect it has
on the family and those close to the person
who has died
Ensuring a good death for all is therefore a
major challenge not only for healthcare
professionals but also for society
17. CARE OF DYING…
1.Meeting the needs of dying individual
Physical needs
Psychological needs
Spiritual needs
2. Assessing needs
3. Explaining the clients condition and treatment
4. Maintaining good communication
5. Promoting self care & self esteem
6. Allowing family members to assists in care.
18. Assess the following:
Gather complete set of data regarding state of awareness
manifested by client and family members.
In cases of terminal illnesses, the state of awareness
shared by the client and family affects the nurse’s ability to
communicate freely with the client and other health care
team members and to assist the family in grieving
process.
Care of Dying….
19. CONT…
Assessment of the physiological signs of
approaching death:
Slowed body function
Drowsiness, mental confusion become apparent
Withdrawal and decreased socialisation, sleep
more
20. Loss of bowel and bladder control
Cold skin
Secretions collect in the back of throat and rattle
or gurgle as the patient breathes
Breathing may become irregular with periods of
no breathing
21. CONT…
Involuntary movements called myoclonus, change in
heart rate, loss of reflexes
The patient become restless
He maynot be responsive, vision and hearing may
become somewhat impaired and speech become
difficult to understand
As death nears, the pulse become rapid and weaker,
pale skin, eye stare and pupil donot respond to light
22. PHYSICAL CARE
Providing comfort to the patient and relieving pain.
As patients become weaker they find it increasingly
difficult to take oral drugs
Discontinue drugs that no longer contribute to
patient comfort like withdrawing blood,
measurement of vital signs, continuing Iv fluids,
tube feeding
23. Regular observations should be made and good
symptom control maintained, including control of
pain and agitation
Attention to mouth care is essential in the dying
patient, and the family can be encouraged to give
sips of water or moisten the patient's mouth with
a sponge
Turning the patient, eye care, positioning to
facilitate drainage of secretions
24. PSYCHOLOGICAL CARE
Patients' insight into their condition should be
assessed. Issues relating to dying and death
should be explored appropriately and sensitively
Talk with the dying person and hear them.
Use your mind, eyes and ears to listen them
25. Respond to his concerns
Appreciate the patients. Never force
communication
Honour their wishes even if u don’t agree with
them
Need for privacy
Acknowledge them and provide a caring touch or
hand holding that offer a comforting message
26. SOCIAL CARE
o The family's insight into the patient's condition should be
assessed and issues relating to dying and death explored
appropriately and sensitively.
o Prepare the family for the normal, expected change.
o If they have been prepared for death, families are less
likely to be panic and and better able to be with their
loved ones in a meaningful way
27. o Use therapeutic communication to facilitate
their expression of feeling.
o Allow presence of loved ones and allow time to
share with spouse and children his feeling.
o Allow him to complete his unfinished work
28. o Showing empathetic and caring presence conveys
positive message to the grieving family.
o The nurse must have a calm and patient manner.
o Repeated information may need as the family members
are going through the grieving process. They may not
absorb what they are told
29. SPIRITUAL CARE
Religion is a prime source of strength to many people
when they are dealing with the death
Different religious theories explain the inevitability
and even necessity of death from different perspective.
30. Cultural influences can significantly impact the
patient’s reaction to the dying process and the
decision the family and patient make.
The nurse has a responsibility to ensure that the
client’s spiritual needs are attended to, either
through direct intervention or by arranging
access to individual who can provide spiritual
care.
31. SPIRITUAL…
Specific interventions include facilitating expressions of
feelings, prayer, meditation, reading and discussion with
an appropriate clergy or a spiritual advisor.
It can also be helpful, where possible, to ask the dying
person where they want to die, who they want to be
present at the time of death, and how their
cultural/spiritual/individual needs can be met.
32. REFERENCES
Berman, J., A., Snyder, S., (2014), Kozier and Erb’ s
Fundamentals of Nursing, 9th Edition, Pearson
Potter, A., P., & Perry, G., N., (2011), Fundamentals of
Nursing, 7th Edition, Elsevier
Nursing Reviews [Online] Available from:
http://currentnursing.com/reviews/care_of_dying_and_death.ht
ml [Accessed: 17th November 2015].
Henry, C, Wilson, J. (2012) Personal care at the end of life and
after death. Nursing Times; 108: online issue. Available from
http://www.nursingtimes.net [Accessed: 17th November 2015].
Wilson, J., White, C. (2012). Guidance for staff responsible for
care after death (last offices) Developed by the National End of
Life Care Program and National Nurse Consultant Group
(Palliative Care). RCN. Available from
http://www.nhsiq.nhs.uk/media/2426968/care_after_death_gui
dance.pdf [Accessed: 17th November 2015].