A ROJoson lecture in the University of the Philippines College of Medicine Learning Unit 3 class. ROJoson - one of the 5 resource persons invited by Dr. Delen de la Paz for her class on 5-Star Physician.
Trends and issues in medical surgical nursing pptseema dhiman
current trends and issues in medical surgical nursing is quite important on the basis of improvement of care based on new technologies and situation.
Trends and issues in medical-surgical nursing
What do you mean by issues?
What do you mean by trends?
INTRODUCTION- Nursing has been called the oldest of the art, and the youngest of the profession. As such, it has gone through many stages and has been an integral part of social movements. Nursing has been involved in in the existing culture, shaped by it and yet beeping to develop it. The trend analysis and future scenarios provide a basis for sound decision making through mapping of possible futures and aiming to create preferred futures.
The world health organization (who) has been considering the future and predicts that by 2000 the world experiences:
Major growth in the elderly population
Decline in birth rate, especially in western counteries
Increase in chronic illness
Continuing social unrest
AIDS a major problem
Many infectious diseases under control
Mental health a key issue
Poverty continuing to plague mach of the world
TRENDS IN NURSING: Education changes due to changes in demographics
2. Embracing of technology
3. Advancements in communication and technology
4. Working with more educated consumers
5. Increasing complexity of patient care
. Increased cost of health care
7. Changes in federal and state regulation
8. Interdisciplinary skills
9. Nurses working beyond retirement age
10. Advances in nursing and science research.
TRANSITIONS TAKING PLACE IN HEALTH CARE: Curative - Preventive approach
Specialized care - Primary health care
Medical diagnosis - Patient emphasis
Discipline stovepipes - Programme stovepipes
Professional identity - Team identity
Trial and error - Evidence based practice
Self – regulation - Questioning of professions
Focus on quality - Focus on costs
IN THE WORKPLACE: High tech - Humanistic
Competition - Cooperation
Need to supervise - Caching, mentoring
Hierarchies - Decentralized approach
IN NURSING: Continued competencies - Competencies a condition
Hospital environment - Community environment
Quality as excellence - Quality as safe
Clear role - Blurring roles
A ROJoson lecture in the University of the Philippines College of Medicine Learning Unit 3 class. ROJoson - one of the 5 resource persons invited by Dr. Delen de la Paz for her class on 5-Star Physician.
Trends and issues in medical surgical nursing pptseema dhiman
current trends and issues in medical surgical nursing is quite important on the basis of improvement of care based on new technologies and situation.
Trends and issues in medical-surgical nursing
What do you mean by issues?
What do you mean by trends?
INTRODUCTION- Nursing has been called the oldest of the art, and the youngest of the profession. As such, it has gone through many stages and has been an integral part of social movements. Nursing has been involved in in the existing culture, shaped by it and yet beeping to develop it. The trend analysis and future scenarios provide a basis for sound decision making through mapping of possible futures and aiming to create preferred futures.
The world health organization (who) has been considering the future and predicts that by 2000 the world experiences:
Major growth in the elderly population
Decline in birth rate, especially in western counteries
Increase in chronic illness
Continuing social unrest
AIDS a major problem
Many infectious diseases under control
Mental health a key issue
Poverty continuing to plague mach of the world
TRENDS IN NURSING: Education changes due to changes in demographics
2. Embracing of technology
3. Advancements in communication and technology
4. Working with more educated consumers
5. Increasing complexity of patient care
. Increased cost of health care
7. Changes in federal and state regulation
8. Interdisciplinary skills
9. Nurses working beyond retirement age
10. Advances in nursing and science research.
TRANSITIONS TAKING PLACE IN HEALTH CARE: Curative - Preventive approach
Specialized care - Primary health care
Medical diagnosis - Patient emphasis
Discipline stovepipes - Programme stovepipes
Professional identity - Team identity
Trial and error - Evidence based practice
Self – regulation - Questioning of professions
Focus on quality - Focus on costs
IN THE WORKPLACE: High tech - Humanistic
Competition - Cooperation
Need to supervise - Caching, mentoring
Hierarchies - Decentralized approach
IN NURSING: Continued competencies - Competencies a condition
Hospital environment - Community environment
Quality as excellence - Quality as safe
Clear role - Blurring roles
P0 interdisciplinary introduction to slideset on exercise medicine & chronic ...Ann Gates
Announcing the development of an INTERDISCIPLINARY, undergraduate, spiral curricula, in exercise medicine and: non communicable diseases, surgical care and health promotion. By Ann Gates, WHF Emerging Leader Programme 2014/15
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
P0 interdisciplinary introduction to slideset on exercise medicine & chronic ...Ann Gates
Announcing the development of an INTERDISCIPLINARY, undergraduate, spiral curricula, in exercise medicine and: non communicable diseases, surgical care and health promotion. By Ann Gates, WHF Emerging Leader Programme 2014/15
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
NAACP polling data looks at the impact of the Black vote on the 2012 Presidential Election and targeted issues, political affiliations and civil rights issues.
Kim jest konsument, potencjalny nabywca nieruchomości premium? Kim jest osoba, którą stać na apartament w najlepszej lokalizacji w centrum dużego, polskiego miasta? Kto nie musi martwić się kredytem dla „swojego małego M”?
Kto mieszka w najdroższych 100-metrowycyh apartamentach w drapaczach chmur w centrum miasta? Kogo stać na kupienie apartamentu za ponad milion złotych?
Jak komunikować takie inwestycje?Jak rozwiewać stereotypy? Jak badać, żeby zbadać.
Presentation of our curricular integration, Interprofessional approaches and Student Leader Training strategies in the second year of our 3 year SBIRT Training Grant.
1. Dr. BOLLAMPALLI BABU RAO, MBBS., D.G.O., MD
PUBLIC HEALTH (COMMUNITY MEDICINE, PREVENTIVE MEDICINE) SPECIALIST, EPIDEMIOLOGIST,
GYNAECOLOGIST, PRIMARY HEALTH CARE PHYSICIAN & GENERAL PRACTITIONER, W.H.O FELLOW.
e-mail: baburao33@gmail.com mobile: +1 617 319 4270.
EDUCATION.
2016- Sept. Currently Graduate student of MS Health Informatics, Northeastern
University, Boston, USA.
2004-2007 M.D. (Doctor of Medicine) in Community Medicine (Public Health/Social
and Preventive Medicine) Osmania Medical College, NTR Health
University, Andhra Pradesh, India.
1996-1999 D.G.O. (Diploma in Gynecology and Obstetrics)
Osmania Medical College, NTR Health University, India
1985-1991 M.B.B.S. (Bachelor of Medicine and Bachelor of Surgery)
Kakatiya Medical College, Warangal, Telangana, India.
(Additional)
2014 W.H.O Fellowship in Strategic Management Harvard School of Public
Health. Boston, USA.
2008 W.H.O Fellowship in Drug and Alcohol De Addiction from South wales
Hospital, Australia.
PROFESSIONAL EXPERIENCE
2007-2016 Professor and Head - Department of Public Health, Osmania Medical
College India. Health Officer Rural and Urban Health Center. Liaison
Officer
• Teaching to Medical Post Graduate, Undergraduates Medical
Students, Nurses, Paramedical health workers in Public Health
mainly in Epidemiology, clinical trials RCT, Bio statistics, Urban
and Rural Health, Non Communicable diseases, Maternal & Child
care,
• Running Primary Health care clinics,
• Conducting Health related survey in community,
• Implementation of National Health Programs in Immunization,
Maternal Child Health care, Non Communicable disease
• Research study in population like Hypertension, Diabetes,
obesity, managing seasonal epidemics.
• Research work in Observational studies, guiding Post graduate
students in their thesis work, participating Government health
related policies, advising regarding health delivery care system.
• Running Primary Preventive and clinical services to Urban and
Rural Population through primary and secondary care.
• In charge of 7 Primary Health centers & Urban Health Center.
• Guiding External agencies in Health Research in community.
• Worked as Liaison officer in between students and Faculty, in
between Faculty to Government Officials,
• Awareness programmes in Community on different Health issues.
2. • Worked as Rapid Response Team RRT member in W.H.O
sponsored Polio surveillance project in BIHAR, NEPAL, India o
monitor the pulse polio programme as Govt. of India
representative
2011-2014 Officer on Special Duty to Deputy Chief Minister advising Government in
administration on Social Community issues.
2000-2004 Chief Gynecologist & Obstetrician in 100 bedded Secondary Care
Hospitals in India.
• Independent in charge of Gynecology & Obstetrics unit.
• Independently Performed many Hysterectomies,
• Emergency caesarian sections (L.S.C.S), Abortions,
• Infertility treatment,
• High-risk pregnancy maintenance,
• conducting Normal & abnormal deliveries.
• Daily ward rounds and bedside discussions, training Junior
medical doctors and Internees.
• Conducting Autopsies, Post Mortem to give expert opinion to the
court of Law.
2000 - Clinical Assistant ship in Gynecology at 6 months. New Hams
general hospital, East ham, London, U.K.
• Observed management of all types of Obstetrics cases
• Treatment protocols of Obstetrics and Gynecology patients.
1994-1996 Private practitioner as Primary Health Care Physician.
• Treated patients for their all common disorders and emergency
• care dealing conducted several Normal deliveries assisted all
types of surgeries.
• Maternal and Child Health care
• Treating all Medical emergencies including poisoning, Road traffic
accident cases.
• Counselling and referral services.
1992-1994 Medical Officer in Singareni Collieries Company Ltd Hospitals for One
lakh coal mine employees
• Worked as Emergency Department (Causality) in charge, diagnosing,
treating the all-acute emergency cases like M.I, poisonings,
Occupational Diseases & Control, Medico Legal Cases.
• Independently performing Tapping plural fluid, Lumbar Punctures,
Liver biopsy, ascetic fluid aspiration endotracheal tube intubation,
Venous section life saving CRR,
• Assisting the specialists in wards and surgeries in the departments
like Medicine, surgery, Gynecology, Orthopedics.
• Bedside teaching for nurses.
• Learnt the importance of working as a team & method of organizing
patients.
• Learnt the importance and effectiveness of clinical audit, clinical
governance in safe guarding the quality of patient care.
3. • Participated actively in trauma meetings and monthly audits.
Community Projects/ Research/Surveys Involved
• National Polio Surveillance Project W.H.O sponsored
• High risk mapping HIV-AIDS – UNICEF sponsored.
• National Rural Health Mission Government of India
• National Tuberculosis control program W.H.O program
• National Vector Born Disease controlling program.
• National Tribal Health study.
• Reproductive and Child Health program
• National Nutrition survey
• Non-Communicable disease surveillance program
Scientific Paper Presented:
• 16 th Annual HIV/AIDS conference South Padrae Island Texas- USA
• International Conference on HIV /AIDS at Chennai.
• International conference on Leptospirosis.
National Conference of IAPSM/IAPHS at Tirupathy A.P. India
Courses and workshops attended
• Short course in Health Management- P.G.I Chandighad/Punjab University.
• Principles of Epidemiology. - W.H.O. collaboration center. C.M.C. Vellore
• Short course in Clinical trials.
• Short course in Case Control studies.
• H.I.V / AIDS /PPTCT IMA Hyderabad. /Chennai.
• ICD 10 Disease coding Chendighar
• Short courses in Bio Statistics New Delhi
Professional and Extra Leadership Organization activities.
• President Indian Public Health Association Telangana state chapter
• Member of Academy of Preventive and Social Medicine
• Past General Secretary of Indian Medical Association State chapter
• Member of Gynecology Society of India
• Secretary of Indian Adolescent association Telangana state Chapter
• Member of Rabies association of India
• General Secretary SC/ST Officers Forum
• General Secretary Pre and Para Clinical Association
• Past General Secretary Telangana Government Doctors Association.
• Vice President All India SC/ST employee’s welfare association
• Sports adviser.
• Government Special observer for student admission counselling at NTR Health
University, India.
International travel.
• UK, U.S.S.R, PARIS, PAKISTHAN, U.A.E DUBAI., NEPAL, Thailand
REFERENCES:
1. Jay Spitulnik, EdM, CP Program Manager Health Informatics Graduate
Program Meserve 329 j.spitulnik@northeastern.edu 617-373-6507
office 508-769-2416 mobile
4. 2. Dr. B Nirmala Devi, Professor Community Medicine Kakatiya Medical
College, Warangal, Telangana India. E mail ndevirrt@yahoo.com.
SCIETIFIC RESEARCH PUBLICATIONS.
Sl.No. TITLE JOURNAL PUBLISHED
1.
A case control study on risk
factors of breast cancer among
women attending MNJ Cancer
Hospital, Hyderabad
International Journal of
Biomedical and
Advance Research
Vol.7.No. 2 (2016)
Feb P.ISSN: 2455-
0558 Page Nos.
79 to 82
2.
Study on Reproductive Health
Awareness among Adolescent
Girls in Urban and Rural Field
Practical areas of Osmania
Medical College
International Journal of
Current Research and
Review Internationally
indexed, Peer
Reviewed,
Multidisciplinary
Scientific Journal
ISSN: 2231-2196
(Print) Page
Volume 7 issue 18
September 2015
Nos. 15 to 18
3.
Study of Prevalence and
Response to Needle Stick
Injuries among Health Care
Workers in a Tertiary Care
Hospital in Hyderabad, India
Journal of Evolution of
Medical and Dental
Sciences
Volume 2/Issue 23
/June 10,2013
pISSN-2278-4748
Page Nos. 4199 to
4204
4.
Factors Associated with
Adherence to Antihypertensive
Treatment Among
Hypertensive Persons in a
Urban Slum area of Hyderabad
Indian Journal of Basic
and Applied Medical
Research
December 2014;
Volume: 04,
Issue: 01
P ISSN:2250-284X
Page Nos. 471 to
473
5.
Epidemiological study of road
traffic accident cases visiting
emergency department of
Osmania general hospital,
Hyderabad, Telangana, India
International Journal of
Community Medicine
and Public Health
Baburao B et al. Int J
Community Med Public
Health. 2016 Apr;3(4):
875-877
http://www.ijcmph.com
International
Journal of
Community
Medicine and
Public Health |
April 2016 | Vol 3
| Issue 4
6.
A Clinical and Epidemiological
study of H1N1 cases at a
Tertiary Care Hospital in
Hyderabad , Telangana.
International Journal of
Contemporary Medical
Research
Vol 3/Issue
9/September
2016/icv 50.43/
ISSN( online)
2393-915X, Print
2454-7379