At the end of the class, students will gain in depth knowledge regarding ECT, develop positive attitude and skill in providing care to clients undergoing ECT
At the end of the class, students will gain in depth knowledge regarding ECT, develop positive attitude and skill in providing care to clients undergoing ECT
Advanced Adult Health Nursing II syllabus (1).docxRebiraWorkineh
This document provides the course syllabus for Advanced Adult Health Nursing II. The following key points are included:
- The course aims to provide students with knowledge and skills to provide advanced nursing care for adults with chronic medical and surgical conditions.
- Students will learn about chronic conditions, diagnostic modalities, management strategies, and developing individualized care plans.
- Teaching methods include lectures, student seminar presentations, reading assignments, and evaluations including exams, seminars, and a scholarly paper.
- Students are responsible for seminar presentations on assigned chronic conditions and writing a scholarly paper on a topic related to chronic illnesses.
- Course content will cover chronic conditions of various body systems and palliative care.
Docmode is a global online learning platform that aims to provide outcome-based medical education for health professionals through short courses created by leading medical institutions. The courses run for 6-8 weeks and cover topics like critical care, ophthalmology, diabetes, heart diseases, mechanical ventilation, and more. Some example courses discussed are ones on acute coronary syndrome offered by Cleveland Clinic, diabetes offered by Royal College of Physicians of Edinburgh, and open angle glaucoma offered by the International Council of Ophthalmology. Upon completion, participants receive a certificate of participation from the partner institution.
This document provides background information on a research paper about nursing teaching toward cardiovascular disease patients. It includes:
1. An acknowledgment thanking the research supervisor and others for their support.
2. An abstract stating that the study aims to analyze communication between nurses and patients about lifestyle changes for cardiovascular disease and identify factors that limit or promote nursing teaching.
3. An introduction providing context on cardiovascular disease as a leading cause of death and the importance of lifestyle counseling by nurses to reduce risk factors and complications.
1. The document discusses the diagnosis and treatment of acute ischemic stroke. It outlines the time windows for treatment with intravenous thrombolysis, which is most effective within 4.5 hours of symptom onset.
2. Early diagnosis is critical in stroke care due to the concept of "time is brain". Delays in treatment can lead to further neuronal damage and worse outcomes. The goals are to perform a CT scan within 20 minutes of arrival and initiate thrombolysis within 60 minutes.
3. Post-thrombolytic management focuses on monitoring for hemorrhagic complications and providing supportive care to reduce disability from the stroke.
Undergraduate level presentation on head injury
Includes:
Physiology & Pathophysiology
Epidemiology
Initial evaluation and management
History
Examination
Classification
Management
Outcomes
regarding head injury.
This document provides an agenda for the 10th Annual Symposium on Mild Cognitive Impairment and the 1st Early Alzheimer's Diagnostic Workshop being held January 14-15, 2012 in Miami Beach, Florida. The symposium and workshop will focus on advances in the clinical diagnosis and progression of Alzheimer's disease and related disorders, with an emphasis on the early stages of the disease. Over the two-day event, there will be keynote speeches and panel discussions on topics such as atypical presentations of Alzheimer's, the prion-like progression of the disease, and new concepts in pathogenesis. The goal is to help clinicians more accurately diagnose Alzheimer's and related conditions earlier.
At the end of the class, students will gain in depth knowledge regarding ECT, develop positive attitude and skill in providing care to clients undergoing ECT
Advanced Adult Health Nursing II syllabus (1).docxRebiraWorkineh
This document provides the course syllabus for Advanced Adult Health Nursing II. The following key points are included:
- The course aims to provide students with knowledge and skills to provide advanced nursing care for adults with chronic medical and surgical conditions.
- Students will learn about chronic conditions, diagnostic modalities, management strategies, and developing individualized care plans.
- Teaching methods include lectures, student seminar presentations, reading assignments, and evaluations including exams, seminars, and a scholarly paper.
- Students are responsible for seminar presentations on assigned chronic conditions and writing a scholarly paper on a topic related to chronic illnesses.
- Course content will cover chronic conditions of various body systems and palliative care.
Docmode is a global online learning platform that aims to provide outcome-based medical education for health professionals through short courses created by leading medical institutions. The courses run for 6-8 weeks and cover topics like critical care, ophthalmology, diabetes, heart diseases, mechanical ventilation, and more. Some example courses discussed are ones on acute coronary syndrome offered by Cleveland Clinic, diabetes offered by Royal College of Physicians of Edinburgh, and open angle glaucoma offered by the International Council of Ophthalmology. Upon completion, participants receive a certificate of participation from the partner institution.
This document provides background information on a research paper about nursing teaching toward cardiovascular disease patients. It includes:
1. An acknowledgment thanking the research supervisor and others for their support.
2. An abstract stating that the study aims to analyze communication between nurses and patients about lifestyle changes for cardiovascular disease and identify factors that limit or promote nursing teaching.
3. An introduction providing context on cardiovascular disease as a leading cause of death and the importance of lifestyle counseling by nurses to reduce risk factors and complications.
1. The document discusses the diagnosis and treatment of acute ischemic stroke. It outlines the time windows for treatment with intravenous thrombolysis, which is most effective within 4.5 hours of symptom onset.
2. Early diagnosis is critical in stroke care due to the concept of "time is brain". Delays in treatment can lead to further neuronal damage and worse outcomes. The goals are to perform a CT scan within 20 minutes of arrival and initiate thrombolysis within 60 minutes.
3. Post-thrombolytic management focuses on monitoring for hemorrhagic complications and providing supportive care to reduce disability from the stroke.
Undergraduate level presentation on head injury
Includes:
Physiology & Pathophysiology
Epidemiology
Initial evaluation and management
History
Examination
Classification
Management
Outcomes
regarding head injury.
This document provides an agenda for the 10th Annual Symposium on Mild Cognitive Impairment and the 1st Early Alzheimer's Diagnostic Workshop being held January 14-15, 2012 in Miami Beach, Florida. The symposium and workshop will focus on advances in the clinical diagnosis and progression of Alzheimer's disease and related disorders, with an emphasis on the early stages of the disease. Over the two-day event, there will be keynote speeches and panel discussions on topics such as atypical presentations of Alzheimer's, the prion-like progression of the disease, and new concepts in pathogenesis. The goal is to help clinicians more accurately diagnose Alzheimer's and related conditions earlier.
The executive summary provides a concise overview of the key changes and innovations in the 9th edition of the Antithrombotic Therapy and Prevention of Thrombosis guidelines. To minimize length, the printed version includes this summary, an introduction, methods article, and recommendations from each article embedded in the table of contents. The full online version contains narrative summaries and evidence tables supporting over 600 recommendations across 9 articles. The executive summary successfully highlights the efforts taken to balance brevity with comprehensive coverage of antithrombotic therapy.
This document provides information about the Mild Cognitive Impairment (MCI) Symposium that will take place from April 13-14, 2007 in Miami Beach, Florida. The symposium, directed by Dr. Ranjan Duara, will focus on developing earlier diagnosis of Alzheimer's disease and feature experts in fields related to dementia. Over two days, speakers will present on topics such as the pathology of aging and prodromal Alzheimer's, diagnosis of early Alzheimer's in clinical and research settings, and algorithms for integrating elements to achieve earlier diagnosis. The goal is to promote better understanding of diagnosing Alzheimer's disease earlier in its progression.
This document provides an outline for the Adult Health Nursing I course, which aims to equip students to care for adult patients with medical and surgical disorders using the nursing process approach. The 3 semester course includes 6 credits of theory, 1 credit of lab/skills lab, and 6 credits of clinical placement. Students will learn to assess, diagnose, treat, and manage patients with various medical-surgical conditions. Key topics covered include the nursing care of patients with respiratory, gastrointestinal, cardiovascular, hematological, endocrine, integumentary, musculoskeletal, and communicable disorders. Students will develop competencies in areas such as wound care, pre/post-operative care, and caring for patients undergoing various medical and surgical treatments.
Globally, about 17 million strokes occur every year. Stroke is the second leading cause of death and the third most common cause of disability worldwide. The presentation of stroke includes sudden onset of focal neurological deficits such as numbness, weakness, confusion, trouble speaking or understanding, or trouble with vision, walking, balance or coordination. Timely treatment is critical, as more time elapsed means greater brain damage. Prehospital evaluation involves using stroke scales to identify high-risk patients who require rapid transport to certified stroke centers for emergency evaluation and treatment within strict time windows in order to minimize disability or death from stroke.
1 introduction to the course first aid armbasit1404
This document outlines a first aid medicine course for pharmacy and dentistry students at King Khalid University in Abha, KSA. The 15-session course aims to teach students the principles of first aid and basic resuscitation procedures. It will cover topics like vital signs, snake bites, poisoning, bleeding, shock, burns, wounds, foreign body swallowing, trauma, and CPR. Students will be evaluated through formative and summative assessments. The course coordinators are Dr. A. Rauoof Malik and Dr. Husain Al-Khaldy.
Sleep apnea is a common disorder where breathing pauses or becomes shallow during sleep. These pauses can last from a few seconds to minutes and occur 30 or more times per hour. The main causes of sleep apnea are blockages in the throat muscles that keep the airway open, such as relaxed throat muscles, enlarged tongue or tonsils, or weight issues that narrow the airway. Left untreated, sleep apnea can lead to high blood pressure, heart failure, stroke, and other health issues. It is categorized into obstructive, central, and complex types.
Today's lecture discussed cerebral palsy. It covered the definition, causes, types, clinical features and management of cerebral palsy. Specifically, it defined cerebral palsy as a non-progressive motor dysfunction caused by brain damage. The main causes were identified as genetic factors, complications during birth, infections and trauma. The types and clinical features of spastic, ataxic, athetoid and mixed cerebral palsy were explained. Management involves physical, occupational and speech therapy as well as surgery. Nursing management focuses on mobility, development, protection and education.
The executive summary introduces the 9th edition of the American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis guidelines. This edition aims to provide concise recommendations and minimize length based on feedback. Key innovations include a systematic review of patient values and preferences, and strategies to estimate reductions in symptomatic events. However, limitations in publishing the full evidence rationale led to an abbreviated print version, with the full online version recommended for detailed information.
This document provides an overview of the fifth year medicine course at the University of Sulaimani College of Medicine. It lists the course coordinator, participating lecturers, and contact information. The course covers hematology, endocrinology, neurology, nephrology, toxicology, and psychiatry through 5 hours of lectures per week. Lectures aim to provide basic medical knowledge and information on recent advances to prepare future doctors. Exams include compositions and multiple choice questions evaluating students' understanding of disease causes, diagnoses, investigations, treatments, and referrals. Sample exam questions and answers are provided to help students prepare.
Anticoagulación, actualización chest 2012 resumenAnderson David
The executive summary provides concise overviews of several key changes and innovations in the 9th edition of the Antithrombotic Therapy and Prevention of Thrombosis guidelines. To minimize length, the printed version includes this executive summary and select articles while directing readers to the online version for full evidence reviews and recommendations. The summary highlights efforts to balance brevity with comprehensive coverage of new topics, including evaluating patient values and preferences regarding anticoagulation.
This document provides an introduction to the thesis which examines several aspects of delirium in elderly hip fracture patients. The thesis aims to:
1) Examine predisposing and precipitating risk factors for delirium, such as the effects of anesthesia technique and inflammatory markers.
2) Study the phenomenology and trajectory of delirium symptoms over time, including motor subtypes and their stability.
3) Investigate the long-term outcomes of delirium on cognitive and affective functioning after resolution of delirium symptoms.
The thesis utilizes a homogeneous group of elderly hip fracture patients to conduct longitudinal and follow-up studies on delirium risk factors, symptoms, and consequences.
A group of nursing students presented a case study on subarachnoid hemorrhage. The presentation covered: an introduction to subarachnoid hemorrhage including causes and risk factors; a specific patient case including demographics, medical history, physical assessment findings and diagnostic test results; anatomy and physiology of the central nervous system; medical management including medications, interventions and treatment; nursing care and interventions; and a conclusion with recommendations. The presentation was outlined and included references.
Learning Objectives
1. Identify strategies for Clinical Reasoning Strategies.
2. Identify the RIME Framework for Clinical Competency.
3. Identify how to facilitate Bedside Teaching (according to Cox Model).
The document provides information about strokes (cerebrovascular accidents), including signs and symptoms, treatments, and nursing care considerations. It discusses medications and procedures that can stop a stroke from progressing if administered within 3 hours, such as tissue plasminogen activator (TPA). It also outlines nursing diagnoses, goals, and interventions for issues like impaired physical mobility and chronic confusion that may result from a stroke.
This study aimed to assess the knowledge of cardiac patients regarding complications and lifestyle modifications. A quantitative approach with a descriptive research design was used. 30 cardiac patients attending a hospital cardiology OPD in Nellore, India were sampled. Data was collected using a questionnaire and analyzed using descriptive and inferential statistics. The results found moderate knowledge among patients. There was a significant association between knowledge and food habits. The study concluded there is a need for interventions to improve patient knowledge on cardiac complications and lifestyle changes.
Debra K. Katzman, MD ABSTRACT The purpose of the current article .docxedwardmarivel
Debra K. Katzman, MD* ABSTRACT The purpose of the current article is to summarize the evidence-based medical complications and treatments that are both common and unique to adolescents with anorexia nervosa (AN). Recent literature relating to the cardiovascular complications,refeedingsyndrome, alterations in linear growth, impaired bone mineralaccretion,and structuralandfunctional brain changes was reviewed. The literature suggests that the medical complications in adolescents with AN are different from those reported in adults. The unique clinical presentation, the early onset, and the unknown impact of these
complications underscore the need for early identification and treatment of AN in adolescents. AN is a serious disorder with significant and often life-threatening medical complications. The increasing growth of evidence highlights the importance of early identification and treatment by an interdisciplinary team of health care providers who have expertise in managing adolescents with AN and their medical sequelae. ª 2005 by Wiley Periodicals, Inc.
Keywords: medical complications; adolescents; anorexia nervosa
(Int J Eat Disord 2005; 37:S52–S59
Introduction
Anorexia nervosa (AN) in adolescents can cause significant medical complications in every organ system in the growing and developing body.1 Critical to the ongoing advancement of our understanding of AN in adolescents is the steady growth of evidence on the identification and management of the multitude of medical complications. Although many of these medical complications improve with nutritional rehabilitation and recovery from the eating disorder, some are potentially irreversible. As such, the long-term implications of these medical complications that typically begin in the formative years of adolescence are unknown. The current article summarizes the evidence-based literature on common medical complications that have been specifically studied in adolescent populations with AN over the past 20 years. We will focus on the cardiovascular and metabolic complications with a particular emphasis on refeeding syndrome, alterations in linear growth, impaired bone mineral accretion, and reference to structural and functional brain
changes, all of which have been studied in adolescents with AN.
Cardiovascular Complications
AN is a life-threatening condition, with significant risk of death due to cardiac complications. One third of the deaths in adults with eating disorders are due to cardiac complications.2 There are no such data regarding adolescents with AN. Cardiac involvement is present in the early stages of the disorder in adolescents with AN.3,4 In fact, even with a short duration of illness, there are both functional and structural cardiac abnormalities that appear to be reversible with early identification and treatment.3 Upon reviewing the adolescent eating disorder literature, the most common reported cardiovascular complications include electrocardiographic abnormalities such as.
The document discusses stroke, including risk factors, signs and symptoms, and the importance of rapid treatment. It outlines the "Stroke Chain of Survival and Recovery" which includes early detection, emergency dispatch, pre-hospital transport and management, emergency department triage, evaluation and specific therapies, and fibrinolytic drug therapy. Rapid recognition of stroke, emergency medical response, and treatment are critical to limiting neurological damage and improving patient outcomes.
Experts decision making schemes 2018 tababa ytb 2 ss1Imad Hassan
This document discusses expert clinical decision making and the use of diagnostic schemes. It begins by outlining the steps experts take: 1) gathering comprehensive information, 2) summarizing the case concisely using technical language, 3) proposing a diagnosis using pattern recognition and other schemes, 4) considering differential diagnoses, 5) rationally ordering tests using pre-test probability and test characteristics, 6) ordering therapeutic interventions, and 7) preparing for discharge. It then discusses specific schemes and heuristics experts employ at each step, such as the BESD scheme for diagnosis labeling and use of sensitivity, specificity, and likelihood ratios to guide test selection.
Effectiveness of Nurse Led Heart Failure Management Program on Quality of Lif...ijtsrd
Background Heart failure HF is characterized by poor quality of life QOL with high hospitalization rates, and poor prognosis. Younger age groups are more affected in developing countries like India. HF can be very disabling, and QOL of patients can be severely affected Objectives 1. To assess the Quality of Life of Heart Failure patients in Experimental and Control Group. 2. To Compare the effectiveness of Nurse Led Heart Failure Management Program on Quality of life of heart failure patients in Experimental and Control Group. Method The study was conducted for 3 months from 1 Dec to 1 March 2019, in cardiology OPD, at KGMU, U.P, based on simple random sampling the groups were divided into control group and experimental group in which the control group received no intervention and Interventions of Nurse led Heart failure management program was given in experimental group with a Log book which they have to fill once a week for 3 months. Post test questionnaire for Quality of life and log book data will be collected from both the groups after 3 months. Results The result showed significant difference between Quality of life P 0.002 as measured by KCCQ, mean Quality of life was found to be significantly higher among the subjects of Experimental group 60.50±12.10 than control group 46.73±16.23 at post intervention. Conclusion Simple systemic educational intervention that was targeted towards patient to provide a tailored educational intervention through an holistic Perspective, focused on preserving or enhancing health and Self management goal achievement has improve quality of life of heart failure patients those who received NLP i.e, Experimental group, Their Quality Scores were High as Compared to Control group. Conclusion The study concluded that, structured information brochure is an effective way to improve the knowledge and reduce the anxiety among the patient planned for angioplasty. The study recommended that structured information brochure about the post procedural care about the angioplasty should be implemented to improve the knowledge and reduce the anxiety among the patient for providing a better care. Richi Lal | Rashmi P. John | Sharad Chandra "Effectiveness of Nurse-Led Heart Failure Management Program on Quality of Life of Heart Failure Patients in Cardiology OPD, at KGMU, U.P" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd48046.pdf Paper URL: https://www.ijtsrd.com/medicine/cardiology/48046/effectiveness-of-nurseled-heart-failure-management-program-on-quality-of-life-of-heart-failure-patients-in-cardiology-opd-at-kgmu-up/richi-lal
Heart failure is a clinical syndrome characterized by dyspnea, fatigue, and clinical signs of congestion leading to frequent hospitalizations, poor quality of life, and shortened life expectancy. It is a final common pathway to various cardiac conditions. It is a growing problem worldwide with serious consequences in Sub-Saharan Africa where it occurs at a younger age with limited resources to manage the condition. The incidence and prevalence vary worldwide. In this mini-review, we looked at the definition, classification, and pathophysiology of the condition.
The executive summary provides a concise overview of the key changes and innovations in the 9th edition of the Antithrombotic Therapy and Prevention of Thrombosis guidelines. To minimize length, the printed version includes this summary, an introduction, methods article, and recommendations from each article embedded in the table of contents. The full online version contains narrative summaries and evidence tables supporting over 600 recommendations across 9 articles. The executive summary successfully highlights the efforts taken to balance brevity with comprehensive coverage of antithrombotic therapy.
This document provides information about the Mild Cognitive Impairment (MCI) Symposium that will take place from April 13-14, 2007 in Miami Beach, Florida. The symposium, directed by Dr. Ranjan Duara, will focus on developing earlier diagnosis of Alzheimer's disease and feature experts in fields related to dementia. Over two days, speakers will present on topics such as the pathology of aging and prodromal Alzheimer's, diagnosis of early Alzheimer's in clinical and research settings, and algorithms for integrating elements to achieve earlier diagnosis. The goal is to promote better understanding of diagnosing Alzheimer's disease earlier in its progression.
This document provides an outline for the Adult Health Nursing I course, which aims to equip students to care for adult patients with medical and surgical disorders using the nursing process approach. The 3 semester course includes 6 credits of theory, 1 credit of lab/skills lab, and 6 credits of clinical placement. Students will learn to assess, diagnose, treat, and manage patients with various medical-surgical conditions. Key topics covered include the nursing care of patients with respiratory, gastrointestinal, cardiovascular, hematological, endocrine, integumentary, musculoskeletal, and communicable disorders. Students will develop competencies in areas such as wound care, pre/post-operative care, and caring for patients undergoing various medical and surgical treatments.
Globally, about 17 million strokes occur every year. Stroke is the second leading cause of death and the third most common cause of disability worldwide. The presentation of stroke includes sudden onset of focal neurological deficits such as numbness, weakness, confusion, trouble speaking or understanding, or trouble with vision, walking, balance or coordination. Timely treatment is critical, as more time elapsed means greater brain damage. Prehospital evaluation involves using stroke scales to identify high-risk patients who require rapid transport to certified stroke centers for emergency evaluation and treatment within strict time windows in order to minimize disability or death from stroke.
1 introduction to the course first aid armbasit1404
This document outlines a first aid medicine course for pharmacy and dentistry students at King Khalid University in Abha, KSA. The 15-session course aims to teach students the principles of first aid and basic resuscitation procedures. It will cover topics like vital signs, snake bites, poisoning, bleeding, shock, burns, wounds, foreign body swallowing, trauma, and CPR. Students will be evaluated through formative and summative assessments. The course coordinators are Dr. A. Rauoof Malik and Dr. Husain Al-Khaldy.
Sleep apnea is a common disorder where breathing pauses or becomes shallow during sleep. These pauses can last from a few seconds to minutes and occur 30 or more times per hour. The main causes of sleep apnea are blockages in the throat muscles that keep the airway open, such as relaxed throat muscles, enlarged tongue or tonsils, or weight issues that narrow the airway. Left untreated, sleep apnea can lead to high blood pressure, heart failure, stroke, and other health issues. It is categorized into obstructive, central, and complex types.
Today's lecture discussed cerebral palsy. It covered the definition, causes, types, clinical features and management of cerebral palsy. Specifically, it defined cerebral palsy as a non-progressive motor dysfunction caused by brain damage. The main causes were identified as genetic factors, complications during birth, infections and trauma. The types and clinical features of spastic, ataxic, athetoid and mixed cerebral palsy were explained. Management involves physical, occupational and speech therapy as well as surgery. Nursing management focuses on mobility, development, protection and education.
The executive summary introduces the 9th edition of the American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis guidelines. This edition aims to provide concise recommendations and minimize length based on feedback. Key innovations include a systematic review of patient values and preferences, and strategies to estimate reductions in symptomatic events. However, limitations in publishing the full evidence rationale led to an abbreviated print version, with the full online version recommended for detailed information.
This document provides an overview of the fifth year medicine course at the University of Sulaimani College of Medicine. It lists the course coordinator, participating lecturers, and contact information. The course covers hematology, endocrinology, neurology, nephrology, toxicology, and psychiatry through 5 hours of lectures per week. Lectures aim to provide basic medical knowledge and information on recent advances to prepare future doctors. Exams include compositions and multiple choice questions evaluating students' understanding of disease causes, diagnoses, investigations, treatments, and referrals. Sample exam questions and answers are provided to help students prepare.
Anticoagulación, actualización chest 2012 resumenAnderson David
The executive summary provides concise overviews of several key changes and innovations in the 9th edition of the Antithrombotic Therapy and Prevention of Thrombosis guidelines. To minimize length, the printed version includes this executive summary and select articles while directing readers to the online version for full evidence reviews and recommendations. The summary highlights efforts to balance brevity with comprehensive coverage of new topics, including evaluating patient values and preferences regarding anticoagulation.
This document provides an introduction to the thesis which examines several aspects of delirium in elderly hip fracture patients. The thesis aims to:
1) Examine predisposing and precipitating risk factors for delirium, such as the effects of anesthesia technique and inflammatory markers.
2) Study the phenomenology and trajectory of delirium symptoms over time, including motor subtypes and their stability.
3) Investigate the long-term outcomes of delirium on cognitive and affective functioning after resolution of delirium symptoms.
The thesis utilizes a homogeneous group of elderly hip fracture patients to conduct longitudinal and follow-up studies on delirium risk factors, symptoms, and consequences.
A group of nursing students presented a case study on subarachnoid hemorrhage. The presentation covered: an introduction to subarachnoid hemorrhage including causes and risk factors; a specific patient case including demographics, medical history, physical assessment findings and diagnostic test results; anatomy and physiology of the central nervous system; medical management including medications, interventions and treatment; nursing care and interventions; and a conclusion with recommendations. The presentation was outlined and included references.
Learning Objectives
1. Identify strategies for Clinical Reasoning Strategies.
2. Identify the RIME Framework for Clinical Competency.
3. Identify how to facilitate Bedside Teaching (according to Cox Model).
The document provides information about strokes (cerebrovascular accidents), including signs and symptoms, treatments, and nursing care considerations. It discusses medications and procedures that can stop a stroke from progressing if administered within 3 hours, such as tissue plasminogen activator (TPA). It also outlines nursing diagnoses, goals, and interventions for issues like impaired physical mobility and chronic confusion that may result from a stroke.
This study aimed to assess the knowledge of cardiac patients regarding complications and lifestyle modifications. A quantitative approach with a descriptive research design was used. 30 cardiac patients attending a hospital cardiology OPD in Nellore, India were sampled. Data was collected using a questionnaire and analyzed using descriptive and inferential statistics. The results found moderate knowledge among patients. There was a significant association between knowledge and food habits. The study concluded there is a need for interventions to improve patient knowledge on cardiac complications and lifestyle changes.
Debra K. Katzman, MD ABSTRACT The purpose of the current article .docxedwardmarivel
Debra K. Katzman, MD* ABSTRACT The purpose of the current article is to summarize the evidence-based medical complications and treatments that are both common and unique to adolescents with anorexia nervosa (AN). Recent literature relating to the cardiovascular complications,refeedingsyndrome, alterations in linear growth, impaired bone mineralaccretion,and structuralandfunctional brain changes was reviewed. The literature suggests that the medical complications in adolescents with AN are different from those reported in adults. The unique clinical presentation, the early onset, and the unknown impact of these
complications underscore the need for early identification and treatment of AN in adolescents. AN is a serious disorder with significant and often life-threatening medical complications. The increasing growth of evidence highlights the importance of early identification and treatment by an interdisciplinary team of health care providers who have expertise in managing adolescents with AN and their medical sequelae. ª 2005 by Wiley Periodicals, Inc.
Keywords: medical complications; adolescents; anorexia nervosa
(Int J Eat Disord 2005; 37:S52–S59
Introduction
Anorexia nervosa (AN) in adolescents can cause significant medical complications in every organ system in the growing and developing body.1 Critical to the ongoing advancement of our understanding of AN in adolescents is the steady growth of evidence on the identification and management of the multitude of medical complications. Although many of these medical complications improve with nutritional rehabilitation and recovery from the eating disorder, some are potentially irreversible. As such, the long-term implications of these medical complications that typically begin in the formative years of adolescence are unknown. The current article summarizes the evidence-based literature on common medical complications that have been specifically studied in adolescent populations with AN over the past 20 years. We will focus on the cardiovascular and metabolic complications with a particular emphasis on refeeding syndrome, alterations in linear growth, impaired bone mineral accretion, and reference to structural and functional brain
changes, all of which have been studied in adolescents with AN.
Cardiovascular Complications
AN is a life-threatening condition, with significant risk of death due to cardiac complications. One third of the deaths in adults with eating disorders are due to cardiac complications.2 There are no such data regarding adolescents with AN. Cardiac involvement is present in the early stages of the disorder in adolescents with AN.3,4 In fact, even with a short duration of illness, there are both functional and structural cardiac abnormalities that appear to be reversible with early identification and treatment.3 Upon reviewing the adolescent eating disorder literature, the most common reported cardiovascular complications include electrocardiographic abnormalities such as.
The document discusses stroke, including risk factors, signs and symptoms, and the importance of rapid treatment. It outlines the "Stroke Chain of Survival and Recovery" which includes early detection, emergency dispatch, pre-hospital transport and management, emergency department triage, evaluation and specific therapies, and fibrinolytic drug therapy. Rapid recognition of stroke, emergency medical response, and treatment are critical to limiting neurological damage and improving patient outcomes.
Experts decision making schemes 2018 tababa ytb 2 ss1Imad Hassan
This document discusses expert clinical decision making and the use of diagnostic schemes. It begins by outlining the steps experts take: 1) gathering comprehensive information, 2) summarizing the case concisely using technical language, 3) proposing a diagnosis using pattern recognition and other schemes, 4) considering differential diagnoses, 5) rationally ordering tests using pre-test probability and test characteristics, 6) ordering therapeutic interventions, and 7) preparing for discharge. It then discusses specific schemes and heuristics experts employ at each step, such as the BESD scheme for diagnosis labeling and use of sensitivity, specificity, and likelihood ratios to guide test selection.
Effectiveness of Nurse Led Heart Failure Management Program on Quality of Lif...ijtsrd
Background Heart failure HF is characterized by poor quality of life QOL with high hospitalization rates, and poor prognosis. Younger age groups are more affected in developing countries like India. HF can be very disabling, and QOL of patients can be severely affected Objectives 1. To assess the Quality of Life of Heart Failure patients in Experimental and Control Group. 2. To Compare the effectiveness of Nurse Led Heart Failure Management Program on Quality of life of heart failure patients in Experimental and Control Group. Method The study was conducted for 3 months from 1 Dec to 1 March 2019, in cardiology OPD, at KGMU, U.P, based on simple random sampling the groups were divided into control group and experimental group in which the control group received no intervention and Interventions of Nurse led Heart failure management program was given in experimental group with a Log book which they have to fill once a week for 3 months. Post test questionnaire for Quality of life and log book data will be collected from both the groups after 3 months. Results The result showed significant difference between Quality of life P 0.002 as measured by KCCQ, mean Quality of life was found to be significantly higher among the subjects of Experimental group 60.50±12.10 than control group 46.73±16.23 at post intervention. Conclusion Simple systemic educational intervention that was targeted towards patient to provide a tailored educational intervention through an holistic Perspective, focused on preserving or enhancing health and Self management goal achievement has improve quality of life of heart failure patients those who received NLP i.e, Experimental group, Their Quality Scores were High as Compared to Control group. Conclusion The study concluded that, structured information brochure is an effective way to improve the knowledge and reduce the anxiety among the patient planned for angioplasty. The study recommended that structured information brochure about the post procedural care about the angioplasty should be implemented to improve the knowledge and reduce the anxiety among the patient for providing a better care. Richi Lal | Rashmi P. John | Sharad Chandra "Effectiveness of Nurse-Led Heart Failure Management Program on Quality of Life of Heart Failure Patients in Cardiology OPD, at KGMU, U.P" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd48046.pdf Paper URL: https://www.ijtsrd.com/medicine/cardiology/48046/effectiveness-of-nurseled-heart-failure-management-program-on-quality-of-life-of-heart-failure-patients-in-cardiology-opd-at-kgmu-up/richi-lal
Heart failure is a clinical syndrome characterized by dyspnea, fatigue, and clinical signs of congestion leading to frequent hospitalizations, poor quality of life, and shortened life expectancy. It is a final common pathway to various cardiac conditions. It is a growing problem worldwide with serious consequences in Sub-Saharan Africa where it occurs at a younger age with limited resources to manage the condition. The incidence and prevalence vary worldwide. In this mini-review, we looked at the definition, classification, and pathophysiology of the condition.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
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.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
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
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
3. 3
Course : DGNM
Subject : Medical Surgical Nursing
Unit : XII-Nursing management of patients with neurological disorders
Topic : Cerebrovascular Accident
Level of students : II DGNM
No. of students : 17
Venue : Classroom
Date and time :
Duration of class : 1 Hour
Methods of teaching : Lecture cum discussion
Audio visual aids : Power point slides, Black board, Chart
Review of previous knowledge : Students may have acquired some knowledge about medical
surgical nursing and develops skills to provide care to the
patient.
4. 4
Central Objective
At the end of the class students will gain in-depth knowledge regarding
CVA, develop positive attitude and skill in providing care to stroke patients
Specific Learning Objectives
At the end of the class, students will be able to:
• define CVA
• explain the etiology and risk factors of CVA
• describe the pathophysiology of CVA
• list out the clinical manifestation
• describe the diagnostic evaluation
• explain the management of CVA
5. 5
INTRODUCTION
Cerebro vascular accident is otherwise called stroke or brain attack. It occurs when there is
ischemia that is inadequate blood supply to a part of brain or haemorrhage into the brain that results in death
of brain cells.
6. 6
SLO Time Content Teacher’s
Activity
Learner’s
Activity
Evaluation
Define
CVA
5 DEFINITION
Cerebrovascular accident or brain attack is a term used
to describe neurologic changes caused by an
interruption in the blood supply to a part of the brain.
Explain
with the
help of
blackboard
Listening and
taking notes
What is CVA
List
the
etiolog
y of
CVA
5 ETIOLOGY
• Ischemia
• Thrombosis
• Embolism
• Haemorrhage
Other causes
• Irritation
• Protein c and Protein s deficiency
• Tumor
• Large blood clot
• Brain abscess
Explain
with the
help of
blackboard
Listening and
taking notes
What are
the
etiological
factors
7. 7
SLO Time Content Teacher’s
Activity
Learner’s
Activity
Evaluation
List
the
risk
factors
of
CVA
10 RISK FACTORS
Non modifiable risk factors
Age
Gender
Race
Family history
Modifiable risk factors
Hypertension
Heart disease
Smoking
Excessive alcohol consumption
Obesity
Sleep apnoea
Lack of physical exercise
Poor diet
Drug abuse
Explain
with the
help of PPT
Listening and
taking notes
List down
the risk
factors
8. 8
SLO Time Content Teacher’s
Activity
Learner’s
Activity
Evaluation
Descri
be the
pathop
hysiolo
gy of
CVA
10 PATHOPHYSIOLOGY
Ischemia
Energy failure
Acidosis
Decreased intra cellular calcium
Cell membranes and proteins break down formation of
free radicals, protein production decreased
Cell injury and death
Explain
with the
help of PPT
Listening and
taking notes
Explain
about the
pathophysio
logy
List
down
the
types
of
stroke
5 TYPES OF STROKE
• Ischemic stroke
• Non ischemic stroke
• Haemorrhagic
• Thrombotic stroke
• Intracerebral haemorrhage
Explain
with the
help of
blackboard
Listening and
taking notes
List down
the types of
stroke
9. 9
SLO Time Content Teacher’s
Activity
Learner’s
Activity
Evaluation
List
down
the
clinical
manife
station
s of
CVA
5 CLINICAL MANIFESTATION
Right brain damage
Left side brain damage
Motor function
Communication
Intellectual function
Elimination
Explain
with the
help of
blackboard
Listening and
taking notes
List down
the clinical
manifestatio
n
Descri
be the
diagno
stic
evaluat
ion of
CVA
10 DIAGNOSTIC EVALUATION
• History collection
• Physical examination
• CT scan
• Computed tomographic angiography
• MRI
• Magnetic resonance spedrography
• PET
• SPECT
• Cerebral angiography
Explain
with the
help of
blackboard
Listening and
taking notes
Describe the
diagnostic
evaluation
10. 10
SLO Time Content Teacher’s
Activity
Learner’s
Activity
Evaluation
• X Rays
• Brain scan
• EEG
• Lumbar puncture
Explai
n the
manag
ement
and
compli
cation
of
CVA
10 MANAGEMENT
Medical management
• Identify stroke early
• Maintain cerebral oxygenation
• Restore cerebral blood flow
SIDE EFFECTS
Intracranial bleeding
PREVENT COMPLICATION
o Bleeding
o Cerebral oedema
o Aspiration
Explain
with the
help of
blackboard
Listening and
taking notes
Explain in
detail about
the
managemen
t of CVA
11. 11
SLO Time Content Teacher’s
Activity
Learner’s
Activity
Evaluation
SURGICAL MANAGEMENT
Aneurism and haemorrhage; surgical interventions for
stroke include immediate evaluation of aneurism
induced hematomas larger than 3cm.
14. Insert pictures of AV aids used
Audio Visual Aids used
Power point slides, Black board, Chart
14
15. Assignment
Prepare a nursing care plan for stroke patients.
Date and time of submission: 10/05/2022 at
10:00am
Place of submission: Department of Medical
Surgical Nursing
Evaluation(Assessment of Knowledge)
Short answer (5X2=10)
1. Define CVA
2. List any three types of shock
3. Describe the pathophysiology of CVA
4. List any 3 clinical manifestations
5. State any 3 possible nursing diagnosis of stroke
patient
15
16. 16
Summary
Till this time we have discussed about definition, etiology, risk factors,
pathophysiology, clinical manifestation, diagnostic evaluation and management of. I think you
have thorough about this disease condition.
Conclusion
Cerebro vascular accident is the third leading cause of death. In US 1.5-4 million
individual have a history of stroke. So this disease condition is very helpful to know about
etiology, clinical manifestation, and management. While following this management we can
prevent cerebro vascular accident.
17. 17
References
• LINTON: The text book of MEDICAL SURGICAL NURSING 11th edition, Elsevier
publishers, page no.: 1065- 1067
• LEWIS, HEITKEMPER, DRIKSON: The textbook of MEDICAL SURGICAL NURSING
7th edition, mosby publishers, page no.: 1360-1367
• BLACK M JOYCE: The text book of MEDICAL SURGICAL NURSING 7th edition,
mosby publishers, page no.: 1143-1147