Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Is Home Really Best? Private Home Care Agencies and Technology Can Make Home ...BCCPA
This presentation is about how technology can increase family involvement in person-centred care planning in home care. The Conference will be the first time the results from this UBC Masters Research project will be presented.
In a 2017 UBC survey of home care agencies in greater Vancouver the study aimed to determine
1) what are these home care agencies challenges in providing quality person centred care to their clients
2) home care agencies perceived benefits and barriers in using health information technologies.
Survey findings will help both public and private care providers understand how to better collaborate in caring for aging seniors.
Presented by: Christina Chiu, CEO, CareCrew, MHA Candidate
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
Seniors Quality Leap Initiative: Using Data to Drive Improvements in Resident...BCCPA
The Seniors Quality Leap Initiative (SQLI) is collaborative of 12 nursing homes across Canada and US whose vision is to become North Americas leading provider consortium for benchmarking clinical quality standards. The presentation will share the methods used (both the key success factors and challenges) to administer the survey to residents in long term care and how the results are being used within each SQLI organization to drive improvements.
Presented by: Jo-Ann Tait, Program Director, Elder Care and Palliative Services, Providence Health Care
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Presentation by Lucy Jestin and Richelle Seales. Womens Health and Family Services, Be Well program. Presented at the Western Australian Mental Health Conference 2019.
Presentation by Dr Sheila Mortimer Jones - Staff Perspectives of the Innovative Open Borders Program. Presented at the Western Australian Mental Health Conference 2019
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Is Home Really Best? Private Home Care Agencies and Technology Can Make Home ...BCCPA
This presentation is about how technology can increase family involvement in person-centred care planning in home care. The Conference will be the first time the results from this UBC Masters Research project will be presented.
In a 2017 UBC survey of home care agencies in greater Vancouver the study aimed to determine
1) what are these home care agencies challenges in providing quality person centred care to their clients
2) home care agencies perceived benefits and barriers in using health information technologies.
Survey findings will help both public and private care providers understand how to better collaborate in caring for aging seniors.
Presented by: Christina Chiu, CEO, CareCrew, MHA Candidate
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
Seniors Quality Leap Initiative: Using Data to Drive Improvements in Resident...BCCPA
The Seniors Quality Leap Initiative (SQLI) is collaborative of 12 nursing homes across Canada and US whose vision is to become North Americas leading provider consortium for benchmarking clinical quality standards. The presentation will share the methods used (both the key success factors and challenges) to administer the survey to residents in long term care and how the results are being used within each SQLI organization to drive improvements.
Presented by: Jo-Ann Tait, Program Director, Elder Care and Palliative Services, Providence Health Care
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Presentation by Lucy Jestin and Richelle Seales. Womens Health and Family Services, Be Well program. Presented at the Western Australian Mental Health Conference 2019.
Presentation by Dr Sheila Mortimer Jones - Staff Perspectives of the Innovative Open Borders Program. Presented at the Western Australian Mental Health Conference 2019
Evidence-Informed Guidelines for Recreation Therapy programs to Enhance the M...BCCPA
This presentation will provide an overview of the BCCPA Mitacs-SFU project to develop a best practices guide for recreational therapy (RT). OLTCA and ACCA are also partners in this project. Along with reviewing the results of a survey on recreational therapy in LTC that was undertaken in BC, Alberta and Ontario it will present the final RT best practices guide.
Presented by:
- Dr. Kim van Schooten, Centre for Hip Health and Mobility, University of British Columbia
- Dr. Yijian Yang, Centre for Hip Health and Mobility, University of British Columbia
- Brenda Kinch, President, BC Therapeutic Recreation Association
Presentation by Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers. Presented at the Western Australian Mental Health Conference 2019.
Enhancing Efficiency and Best Outcomes in Community Care: CBI’s Transitional ...BCCPA
In October 2016, CBI opened its first transitional and residential care in Burnaby, BC. Led by a multidisciplinary team that includes nurses, physiotherapists, occupational therapists, social workers, speech therapists, dieticians, behavioural interventionists and personal support workers, the facility provides specialized health care to support patients leaving hospital who are not yet able to return to their own home. This unique service also decreases hospital length-of-stay, admission and readmission to the hospital and wait times in emergency rooms. Join us and learn more about how our Transitional Care model helped patients, hospitals and funders to achieve excellent health and financial outcomes.
Presented by: Poonam Jassi, Director of Operations BC, CBI Health Group
Aggregated report from a series of meetings with citizens across the 28 counties of Region 8 in Texas pertaining to the recovery oriented systems of care.
Facilitating Discussions on Future and End of Life Care With People who have ...Irish Hospice Foundation
Workshop presentation on Irish Hospice Foundation Dementia guidance document 1 "Facilitating Discussions on Future and end of life care with a person with dementia"
A care home 'is' someone's home, one day it could be yours too … best practice in end of life care in care homes. Presentation from Eleanor Sherwen, Elaine Owen and Caroline Flynn from England's National End of Life Care Programme as part of the Department of Health's QIPP end of life care workstream seminar series at Healthcare Innovation Expo 2011
The route to success in end of life care - achieving quality in care homes
16 June 2010 - National End of Life Care Programme
This guide follows the six steps of the pathway laid out in the national End of Life Care Strategy.
It includes questions staff and managers should ask about end of life care provided in their care home and the employees' role in that care.
The guide is linked to the End of Life Care Strategy Quality Markers.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
This presentation on working bi-culturally and providing culturally competent social work practice was given by Mano a Mano co-founder Joan Velasquez, Ph.D. to a Twin Cities-area clinic. Joan's social work background has had a huge influence on Mano a Mano's community-based partnership model; as Joan says: "Mano a Mano's model is just good social work."
Evidence-Informed Guidelines for Recreation Therapy programs to Enhance the M...BCCPA
This presentation will provide an overview of the BCCPA Mitacs-SFU project to develop a best practices guide for recreational therapy (RT). OLTCA and ACCA are also partners in this project. Along with reviewing the results of a survey on recreational therapy in LTC that was undertaken in BC, Alberta and Ontario it will present the final RT best practices guide.
Presented by:
- Dr. Kim van Schooten, Centre for Hip Health and Mobility, University of British Columbia
- Dr. Yijian Yang, Centre for Hip Health and Mobility, University of British Columbia
- Brenda Kinch, President, BC Therapeutic Recreation Association
Presentation by Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers. Presented at the Western Australian Mental Health Conference 2019.
Enhancing Efficiency and Best Outcomes in Community Care: CBI’s Transitional ...BCCPA
In October 2016, CBI opened its first transitional and residential care in Burnaby, BC. Led by a multidisciplinary team that includes nurses, physiotherapists, occupational therapists, social workers, speech therapists, dieticians, behavioural interventionists and personal support workers, the facility provides specialized health care to support patients leaving hospital who are not yet able to return to their own home. This unique service also decreases hospital length-of-stay, admission and readmission to the hospital and wait times in emergency rooms. Join us and learn more about how our Transitional Care model helped patients, hospitals and funders to achieve excellent health and financial outcomes.
Presented by: Poonam Jassi, Director of Operations BC, CBI Health Group
Aggregated report from a series of meetings with citizens across the 28 counties of Region 8 in Texas pertaining to the recovery oriented systems of care.
Facilitating Discussions on Future and End of Life Care With People who have ...Irish Hospice Foundation
Workshop presentation on Irish Hospice Foundation Dementia guidance document 1 "Facilitating Discussions on Future and end of life care with a person with dementia"
A care home 'is' someone's home, one day it could be yours too … best practice in end of life care in care homes. Presentation from Eleanor Sherwen, Elaine Owen and Caroline Flynn from England's National End of Life Care Programme as part of the Department of Health's QIPP end of life care workstream seminar series at Healthcare Innovation Expo 2011
The route to success in end of life care - achieving quality in care homes
16 June 2010 - National End of Life Care Programme
This guide follows the six steps of the pathway laid out in the national End of Life Care Strategy.
It includes questions staff and managers should ask about end of life care provided in their care home and the employees' role in that care.
The guide is linked to the End of Life Care Strategy Quality Markers.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
This presentation on working bi-culturally and providing culturally competent social work practice was given by Mano a Mano co-founder Joan Velasquez, Ph.D. to a Twin Cities-area clinic. Joan's social work background has had a huge influence on Mano a Mano's community-based partnership model; as Joan says: "Mano a Mano's model is just good social work."
Chapter 6 Preparation for Generalist Practiceuafswk
Chapter 6 addresses the roles of social workers in generalist practice at the exo- (community) and macro- (societal) levels of the environment, including agency administration, community organization, policy development, and research.
Communities of practice have become an accepted part of organizational development. One should pay attention to domain, membership, norms and rules, structure and process, flow of energy, results, resources, and values.
This was the slides I researched for sometime to help my organization to build a Community of Practice to support Innovation culture. I will be very pleased if you can share your experience relate on how to build a successful CoP.
Learning resources compiled by S.Rengasamy for Social Group Work for the students doing their graduation course in Social Work in the colleges affiliated to Madurai Kamaraj University
"putting patients at the heart": the workforce implicationsJeremy Taylor
Slides I presented at the NHS Employers autumn workforce summit on 13 October 2015. They set out National Voices' perspective on what good person centred, community-focussed care looks like, and the implications for the healthcare workforce of making it real.
Jeremy Taylor presentation to FT governorsJeremy Taylor
Presentation to Foundation Trust governors in April 2015 explaining National Voices' take on person centred and community focussed care and inviting governors to reflect on their role in making it happen
Good family engagement in NHS death investigations George Julian
Some thoughts and evidence about good family engagement in NHS death investigations - questions for reflection, what families experience, what good looks like and some practical ideas for improvement
Why Families of Kids With Mental Illness Don’t Attend Church - And How Counse...Stephen Grcevich, MD
In this presentation from the 2019 American Association of Christian Counselors National Conference Dr. Grcevich examines the relationship between the presence of mental health conditions in children and adolescents and family church attendance, reviews seven common barriers to church attendance and ministry participation for families of children with common mental health disorders and introduces a range of approaches counselors might employ in supporting clients with church participation and churches in their ministry with families impacted by mental illness.
My presentation at the kick off event for the 29 vanguards who will be testing new models of care as part of the NHS Five Year Forward View. This highlights key issues for vanguards in making a reality of the commitment to a "new relationship with patients and communities", and explains the role of the People & Communities Board which I chair.
Summary from the very first Capital C event held at Impact Hub Kings Cross on Saturday 29th November.
Capital C is a collaboration to improve cancer care for the people of London hosted by Macmillan Cancer Support and Swarm. The goal for the group is to put patient's voice at the heart of a long-term strategy to improve patient experience in London.
The Schizophrenia Society of Canada and its provincial partners revised its mission to focus on “improving the quality of life for people affected by schizophrenia and psychosis.” In May 2008, the SSC commissioned a Canada-wide survey to learn how it can support people living with schizophrenia and their families to recover the best quality of life possible. Through a qualitative and qualitative survey and cross Canada focus groups, 1,086 people shared what QOL means to them.
The focus of this module is to explore patient/family centered care and how it links to incident analysis and management to will help to make care safer. Guest speakers and patient representatives will highlight what the patient needs are at different points during the incident analysis and management process. During small group discussions, participants will tap in to their own experiences and apply the “Checklist for Effective Meetings with Patients/ Families”.
In 2015, at the NAFSA Region I conference, Apinant Hoontrakul (from International Student Insurance), Ayumi Giampietro (from Pacific International Academy) and Christy Babcock (from Boise State University) presented on the topic of "Increasing Mental Health Awareness Among International Students"
History taking and examination in Palliative careruparnakhurana
Palliative medicine is a specialized branch of medicine dealing with the the care of patients and their families who are suffering with serious life limiting illnesses, impeccable assessment of pain and other distressing symptoms, management of social, psychological and spiritual domains
Including Students with Common Mental Health Conditions at ChurchStephen Grcevich, MD
In this presentation from the 2020 Together Conference, Dr. Grcevich reviews research demonstrating the need for an intentional approach to mental health inclusion at church,
recognizes common barriers to inclusion at church for children, teens and adults with common mental health conditions, explores how a set of mental health inclusion strategies might be applied to potential obstacles in your church and identifies five attributes of a mental health-friendly church
Transitions: How can we help?
Wendy Duggleby
Persons receiving palliative care services and their families experience multiple, complex and concurrent significant changes which impact their hope and quality of life. This presentation will focus on the findings from several research studies on transitions and quality of life. An online “Changes Toolkit” developed for persons receiving palliative care and their families will also be presented.
Transitions: How can we help?
Wendy Duggleby
Persons receiving palliative care services and their families experience multiple, complex and concurrent significant changes which impact their hope and quality of life. This presentation will focus on the findings from several research studies on transitions and quality of life. An online “Changes Toolkit” developed for persons receiving palliative care and their families will also be presented.
How do we deliver on palliative care aspirations at the end of life in the acute setting?
Jean Clark, Karen Sheward, Joy Percy, Celine Collins, Simon Allan
Syringe driver medications: A study of combinations and clinical stability
Derryn Gargiulo, Jeff Harriso, Emma Griffiths, Bruce Foggo, Lauren Doherty, Sana Khan, Kate Kilpatrick, Guangda Ma, Caitlin Renouf, Susan Wilson
Whanau and personalising end-of-life care: Translating research for practice
Lesley Batten, Maureen Holdaway, Marian Bland, Jean Clark, Simon Allan, Bridget Marshall, Delwyn Te Oka, Clare Randall
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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
- 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
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
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
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.
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
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!
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
B4 - Community Practice
1. Hospice Waikato Rural Outreach
Service: Working in Partnership
Jenni Bell RN
Emma Furlonger-Jones RN
Joan Keucke RN
Catherine Wolicki RN
2. Rural Outreach Service
….is an inter-disciplinary model of care
providing specialised medical, nursing and
family support, in collaboration with
District Nurses, General Practitioners and
other health providers.
3.
4.
5. History of the Service
A collaborative nursing role was established at Hospice Waikato
in November 2003, in response to contractual obligations and
the organisation’s commitment to the vision described in the
New Zealand Palliative Care Strategy (2001)
“All people who are dying and their family/whanau who could
benefit from palliative care have timely access to quality
palliative care services that are culturally appropriate and are
provided in a co-ordinated way”
6. History of the Service
The service originally consisted of a Registered Nurse and
a Co-ordinator and provided:
• Emotional support for patients and families
• Access to social work services
• Equipment
• Inpatient beds in a local Rest Home
• Grief and bereavement counselling
• Access to support for children where a family member
has a life-limiting or life threatening illness
7. Facts and Figures
• Rural Outreach services received 464 new
referrals in the 12 months to 30th June 2014
(This represents approximately half of all
referrals to Hospice Waikato)
• The outreach nursing team carried out 2,270
home visits
• Travelled approximately 3000 kms each per
month
8. How we receive referrals
• Oncology and other specialist services at
Waikato Hospital
• GP Practices
• District Nurses
• Residential Care Facilities
• Self-referral
• Out of region
9. Working in Partnership
• As Palliative Care Nurses in the Rural Outreach
Team our focus is on psychosocial support
• We work closely with other healthcare
professionals in the local communities
• Most importantly we are working in
partnership with our patients and whanau
• Our Hospice Family Services team may work
alongside us, adding to this partnership
12. Our Challenge
How do we?
• Capture this psychosocial information and
document/convey it to others
• Identify how it is for people – their main issues
• Identify clinical issues while focusing on impact on
quality of life and not management of these
• Build a picture of how people are, “where they are at”
• Meet the professional and organisational requirements
in terms of documentation
• Remain free to practice in the way we choose
13. Our Challenge
• Beginning of 2014 we set ourselves the task of reviewing the
assessment process and documentation we use
• Purpose: Inform ourselves and others
Clarify and validate the role
Provide a framework for the work we do
Highlight the work and make it more visible
Ensure the service is effective and sustainable
• Where to start?........looked at the assessment tools we
already had to work with ie: on PalCare
14. PalCare and SES
• Hospice Waikato is one of 19 in NZ using PalCare
• Potential assessment tools already decided upon
• Social/Emotional/Spiritual (SES) chosen as most
relevant to our work
• Not validated but peer reviewed by Hospices in
Australia
• 8 domains – chosen as a combination of areas where
important psychosocial information can be recorded
15. Awareness of Diagnosis
Awareness of Diagnosis/Illness/Death
Circumstances around diagnosis
Physical Symptoms
Treatment plan
Awareness of prognosis /palliative care
Communication style
When/how diagnosed?
What led up to this? What has been happening since?
Thoughts/feelings around this?
Current problems? Symptoms experienced?
Past /present treatments? Hospital appointments?
What do you understand about your illness/treatment?
What do you want/not want to know?
Do you mind talking about /prefer not to talk about your
illness?
16. Concurrent Crisis and
Past Issues
Concurrent Crises or
Past Issues
Co-morbidities
Family Issues
Life events
Other losses or concerns
Other health worries?
Problems with hearing/eyesight?
Is your family close/not close/supportive?
Do you have concerns about family members?
Are there special events/anniversaries/occasions coming
up?
Do you have financial worries?/concerns about where
you live?
Are you working/unable to work?
17. Relationships
Relationships
(GENOGRAM))
Family
Close friends
Who do you live with? Who else is at home?
Who else visits/supports you/lives locally?
What is your role in the family? How has this changed?
Where do you get other support from? Who else do you
talk to?
Who else is supporting your husband/wife/children etc?
Have relationships changed as a result of your health
problems?
18. Social Supports
Social Supports
Friends
Community groups
Volunteers
General support etc.
Who else do you have to call on if needed?
Do you attend/belong to: support group/ church
group/craft or music group?
What else would you like to be involved with?
Who else visits/helps with shopping/housework etc?
What other areas of your life do you have help
with/would like help with?
19. Wishes and Goals
Wishes and goals
“Milestones”/Anniversaries
Short term goals
End of Life care
What do you hope / plan/ need to do in this time?
Special occasions to look forward to?
Have you discussed end of life care?
(funeral/Will/POA/resuscitation)
Where would you like to spend your last few
weeks/days?
Where would you like to die?
Who would you like around you?
Fears/concerns?
(Use ACP documents)
20. Spiritual Beliefs
Spiritual Beliefs
Beliefs/values
Meaning/purpose
Religion
What is important to you?
What gives your life meaning/purpose?
Values/beliefs around end of life?
What gives you strength/courage/peace?
Who do you talk to about this?
Do you belong to a church/faith community? How is this
helpful?
Has your illness helped/hindered your ability to connect
with these things?
(Use HOPE questions)
21. Cultural/Religious/Spiritual
Are there any specific cultural/religious/
spiritual needs?
Needs
Practices
What do I need to know?
Are there things you are needing to do/not been able to
do/not comfortable with?
How can they happen?
Rituals/practices to be observed prior to/at death
(cultural/religious/within family)
Who would you like/needs to be present?
Who is aware of this?
22. Expectations of the Service
Expectation of support service
Knowledge/expectations
Fears and concerns
Other services involved?
What do you know about hospice?
Previous experience/involvement?
What would you like/not like?
What are you most concerned/worried about at this
time?
24. “The very best of Hospice care considers these aspects of well-being
and tailors the care that it provides to match the
individual”
25. Questions and Challenges
• Practical challenges of using SES ie: reviewing
and updating
• Overlapping of issues into several domains
• Ethical concerns of including family
• Process is one of relationship-building and not
outcome driven
• Time
26. Questions and Challenges
• Do we have the necessary knowledge and skills?
• Are we prepared and supported to do the work?
• Are we practicing in a culturally safe way?
• Are we assuming our patients are willing and able
to engage in in-depth conversations about the
psychosocial aspects of their care?
• How do we measure the value of our work?
Implications for funding?
27. Our Learning
• Valuable process in demonstrating the scope
of the work and how much involved
• Potential to highlight what we do know/don’t
know/need to know
• Encourages us to look at current and future
partnerships to help us meet increasingly
complex needs and manage workloads
e.g.: Te Korowai, Te Kohao Health, Hauraki PHO,
Mental health services, Cancer Society, LBC
28. To Summarise
• “Work in progress” – ongoing process of
reviewing and improving the work we do and
how it is recorded
• Continue to look for new tools to strengthen
assessment process
• Be open to developing new partnerships
• Continue to use a flexible, patient/whanau
focused, enquiring approach, gathering
information using a narrative style of assessment
29. “By working in partnership, hospices augment
their own skills and services to meet the needs
of those in their care. They can learn much from
colleagues in other specialties and can provide
more holistic and seamless care when they work
closely together to support individuals with
multiple needs”
(Help the Hospices Commission into the Future of Hospice Care,
2013)
30. References
• Anandarajah, G. & Hight, E. (2001) Spirituality and Medical Practice:
Using the HOPE Questions as a Practical Tool for Spiritual
Assessment. Am. Fam. Physician, 63 (1), 81-89
• Fitzsimmons,D; Ahmedzai, S. (2004) Approaches to Assessment in
Palliative Care. In S. Payne, J. Seymour & C. Ingleton (eds) Palliative
Care Nursing: Principles and Evidence for Practice (pp163-185)
Berkshire, OUP
• Help the Hospices Commission into the Future of Hospice Care.
(2013) Future ambitions for hospice care: our mission and our
opportunity. The final report of the Commission into the Future of
Hospice Care. UK
• Gardener,D. (2005) Ten Lessons in Collaboration. Online Journal of
Issues in Nursing, 10 (1)
Editor's Notes
Given the theme of conference we are here to talk about our service and how we work in partnership
The team includes a NP, CNS, four palliative care nurses and a visiting consultant doctor.
Taking hospice out to rural areas
We get to travel around the Waikato and to some of the best beaches in NZ
Hospice Waikato services the largest single DHB geographical region of any Hospice in NZ. One of the highest rural populations.
Area divided into four and shared between four of us
As the needs have grown the service has evolved. It continues to do so but has stuck close to the original vision/purpose of the service from 2003
2013-2014 financial year: WDHB 72%, GPs 18%, Rest Homes 2%, Family or other health services 8%
Complement, not replace, these services. Not taking over….. Come alongside and work in partnership
Hospice care is a choice
Meet patients and families, introduce self and Hospice services
Invite them to share their story, identify their concerns, work out how and where these can be best addressed
Approach is patient/family focused. Each RN will have their own style of working. Aim is to build trust, understanding, gather information to inform, not determine end point
Resources needed are time, energy and petrol! Good communication and observation skills.
Of course other Hospice nurses doing this work but this is our core business. Point of difference = time
Examples?
Examples?
In doing this work the challenge is how we….
Referrals increasing, frequent questions “What do you do ?”, some confusion around role
Without a clinical task what do we do?
Who else uses this?
SES: Where had it come from? Research/guidelines around use? – a starting point to be expanded upon? So this is what we did……
Looked at each domain in turn. This is where we have got to
Discussed under which heading certain information could be included – some overlapping but offers guidelines
Identifies/records clinical information but full assessment by GP & DNs – not wanting to repeat or confuse role
Prompts, but avoid asking a series of questions, to explore/open up discussion
Gain idea of the journey so far
Identify tools which may add to/enhance assessment eg: ECOG
What else is going on for them? Health and otherwise
What else do people identify as problems/concerns in their life?
Who else is around?
Who else may need support?
What other sources of support can be accessed?
Genogram
Other sources of support outside of family/locally?
Who else could be helpful?
Hopes/fears
“Bucket list”
Wishes and goals around ongoing health and well-being as well as end of life care
Use ACP?
Perhaps the most difficult one
Nurses traditionally poorly prepared
How do we raise the subject/explore with patients?
Spirituality may be expressed through religion but not always
Tool: HOPE questions = teaching tool for med. Students to begin process of spiritual assessment, covers basic area of inquiry ie: organised religion, practices, sources of comfort
Explored further
Identifying important factors for staff to be aware of.
Therefore SES used to reflect our work, identify issues and needs according to patient and from there a plan of care made in partnership with pt. ?Who else is involved or could be
We think of our SES as a 3D framework, like a tree, on which to organise and record/ “hang” information. Uses patient narratives
Something which is living and growing, moving through the seasons, feeding from its environment etc
A dynamic process, being added to, not a “snapshot”
Rather than a series of boxes containing/restricting the information
May look something like this…..
Quote from Help the Hospices Commission into the Future of Hospice Care (2013)
Plan of care comes from patient/family frame of reference ie: planned in partnership
Some of the questions raised.
Also highlighted:
Areas to upskill, when to refer on
Supervision, Family Services team
Adhere to Treaty of Waitangi 3P’s, practice similar to Te Whare Tapa Wha model – same philosophy different words
Listen and learn from others as well as…
Included Family Services Team in our meetings, recently completed F of S programme, connecting with new services ……
Te Korowai = Kaupapa Maori Services for the community/Oranga Wairua
Hauraki PHO = Pilot programme – Long term conditions Whanau Ora Programme
Avoid working in “silos”