Employees have rights including equal pay, refusing to participate in care they disagree with, freedom from harassment, and privacy. They also have responsibilities like patient advocacy, maintaining confidentiality, adhering to safe practices, and reporting unethical behavior. The document provides helpful advice for employees including taking responsibility, including patients in decisions, explaining risks/benefits, and honoring patient wishes. It stresses compassion, non-judgement, and avoiding bias.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
3. Employee Rights - I
• Equal pay
• Refuse to participate in care
– pharmacist refusal to fill a prescriptions
• Question patient care
– paving her way to heaven
• Freedom from sexual harassment
• Suggest changing physicians
4. Employee Rights - II
• Treated with dignity and respect
• Privacy and confidentiality
• Blow the whistle
• Freedom from intimidation
• Noninterference with employee activities
5. Employee Responsibilities - I
• Patient advocacy
• Compassion
• Honor patient wishes
• Maintain confidentiality
• Maintain employee privacy and confidentiality
• Adhere to safe practices
– Comply with sterile technique protocols
6. Employee Responsibilities - II
• Exercise appropriate judgment
• Adhere to professional standards
• Maintain professional relationships
• Report unethical behavior
• Protect patients from harm
• Report patient abuse
7. Helpful Advice - I
• Do not blame others for your mistakes.
• Do not say “We are short staffed”; solve the problem.
• Do not say that the physician is not present when he
or she is.
• Do not say that the physician will soon be here when
he or she has already left the building.
• Do not say that this will not hurt, when you know it
will.
8. Helpful Advice - II
• Do not say that you are busy when you are not.
• Take responsibility for caring and communicating.
• Include the patient in the decision-making process.
Encourage, do not discourage, the patient to
participate in his or her healthcare decisions.
• Take the time to explain to patients the
risks, benefits, and alternatives to each course of
treatment.
• Avoid the paternalistic approach to medical care. Do
not withhold information from the patient in an
attempt to sway the patient to accept your point of
view.
9. Helpful Advice - III
• Be careful not to get anxious, for example, because of
time constraints and thus push the patient into making
hasty and sometimes regretted decisions.
• Show respect and sensitivity to a patient’s needs.
• Show that you value the patient’s decisions.
• Accept and honor the fact that the patient has his or
own needs and desires.
• Assure the patient that you will honor his or her care
decisions in compliance with law.
10. Helpful Advice – IV
• Listen to what the patient is saying without
interruption.
• Do not make fun of a patient’s decision-making
capacity. Patients are human and have the frailties
that we all must someday endure.
• Concentrate on the patient’s wishes and instructions.
• Be firm but polite when others attempt to speak for
the patient.
11. Helpful Advice - V
• Hold strong by honoring the patient’s wishes.
• Prohibit those who would demean and criticize a
patient’s wishes because of his or her frail condition.
• Remember that your feelings and those of the family
may be different than the feelings of the patient.
However, it is the patient who faces the consequences
of his or her decisions. You
are, therefore, responsible for considering the
patient’s wishes sacred and protecting the patient
from those who would disregard them.
12. Helpful Advice - VI
• Avoid the pitfalls of prejudice and bias.
• Ensure that medical information is only
accessed as required for treatment and
facilitating payment claim.
13. THE CAREGIVER’S PLEDGE
• I will be compassionate.
• I will not neglect my duties and responsibilities.
• I will read instructions and follow protocols.
• I will seek verification of questionable orders.
• I will report concerns for patient safety (e.g., staffing
concerns).
• I will not assume responsibilities beyond my
capabilities.
• I will call for help when a patient’s medical needs
suddenly change.
• I will continuously improve my skills and participate
in continuing education opportunities.
14. Review Questions
1.Describe why it is sometimes difficult to
balance the rights of both employees and their
employers. Take into consideration the
material in Chapters 21 and 22.
2. Why was the Equal Pay Act of 1963 enacted?
3. Describe the rights of employees.
4. Describe the responsibilities of employees.