This document discusses efforts to improve delirium awareness, prevention, and management in a trauma and orthopedic unit. It defines delirium and its relationship to dementia. It also provides statistics on dementia prevalence and delirium risk factors. The project aims to educate staff and patients/families about delirium risks and reduce delirium incidence through a person-centered approach. Initial results show staff have increased delirium awareness and are identifying it earlier to provide prompt treatment. Delirium episodes are now being better documented, raising community awareness.
Dementia care during COVID: Suggestions using infographicsSwapna Kishore
Four infographics presenting tips for caring for someone with dementia during COVID times. Includes protecting the person from COVID infection, adjusting dementia care for COVID, getting medical support, and ways caregivers can get more help, do self- care and reduce stress.
Detailed discussions on these topics are available at the site https://dementiacarenotes.in
Dementia care during COVID: Suggestions using infographicsSwapna Kishore
Four infographics presenting tips for caring for someone with dementia during COVID times. Includes protecting the person from COVID infection, adjusting dementia care for COVID, getting medical support, and ways caregivers can get more help, do self- care and reduce stress.
Detailed discussions on these topics are available at the site https://dementiacarenotes.in
What could we all learn from a recent scandal in healthcare?scanFOAM
A presentation by Hans Rutberg at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
What could we all learn from a recent scandal in healthcare?scanFOAM
A presentation by Hans Rutberg at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Gerontological Nursing Research in a Time of Changeanne spencer
Keynote presentation given by Dr Catriona Murphy, School of Nursing and Human Sciences, Dublin City University at the 5th Annual Nursing Showcase at St Mary's Hospital, Phoenix Park, Dublin. September 6th 2017.
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...anne spencer
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Presentation from 31st August 2017 at Forever Autumn COP Meeting
The Development of the Falls Prevention Service 2014-17 Older Persons Service...anne spencer
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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.
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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 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
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.
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
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.
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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.
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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
Deliriium in Acute Care F Sharkey and A McCloskey
1. Delirium in Acute Care - Could we do better?
Aisling McCloskey
Trauma & Orthopaedic Fracture Outcomes Nurse
Florence Sharkey
Lead Nurse Research and Development
2. Project Aim:
Improve delirium awareness, prevention and
management
Educate staff, inform patients and families
about the risks
Reduce incidence of delirium in the Trauma
and Orthopaedic Unit
4. Dementia Prevalence
In Northern Ireland approximately 19,000 people
are living with dementia, a number projected to rise
to almost 60,000 by 2051 (DHSSPS 2010 & Age
NI, 2015)
A quarter of all hospital beds in Northern Ireland
are occupied with dementia patients
5. What is Delirium?
Delirium is sometimes called ‘acute confusional state’
– Types of delirium
Hyper-active delirium, Hypoactive delirium & Mixed delirium
– 4 risk factors of delirium
Dementia
Over 65
Years Old
Acutely
Unwell
Fractured
Femur
6. Delirium
• It is common and is associated with poor health
outcomes with increases in:
• Length of stay in hospital
• In-hospital complications
• Risk of admission to long-term care
• Risk of dementia
• Risk of death
• Delirium can be preventable and treatable if dealt with
urgently.
14. 10,000 More Voices
Although Dad has Parkinson's he was very able &
sound of mind before the operation. Although we
were warned by staff and friend that delirium can
set in after surgery we were very shocked and
upset by how much it affected Dad. He was like a
different person and not himself at all which was
very frightening especially for my mother. Staff in
the hospital were very reassuring but days passed
into weeks and Dad still had delirium.
15. 10,000 More Voices
Never heard the
word before until my
relative came into
hospital, then staff
spoke about it but I'm
not much wiser
what it is.
He gets muddled up
when he is brewing
an infection. The staff
were very attentive and
Caring. I was allowed
to stay as long as
I wanted.
17. Conclusion
Staff are more aware of
Delirium in providing Person-
centred care
Delirium identified at an early
stage
Underlying causes treated
promptly
Less Pharmalogical
interventions used to treat
Delirium
Delirium episodes being
recorded on discharge
letters
Raising awareness in the
community settings & for
future admissions.
Prevalence of Delirium
reducing in the ward
Patients and their families
have much more positive
experiences in hospital
18. Education and training needs to continue to extend
application of the tool to other clinical areas
Support from management and clinical professionals
Evidence of the impact of this innovation will be
assessed through audits & feedback
The Lead Nurse for Research & Development will
provide updates & reports to the ward
managers/Assistant Director for Nursing
Discussion