The code and Ethics is the very important for nursing practice. The various problem and crisis are create during practice so for support to right situation.
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice.
Professional etiquette is critical for presenting yourself as a polished, confident, and professional nurse.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice.
Professional etiquette is critical for presenting yourself as a polished, confident, and professional nurse.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. The nurse's education, license and nursing standard provide the framework by which nurses are expected to practice.
The objective of this presentation is to make you aware of issues which are generally confronted during medical practice.
SOURCES OF LAWS:
PRIMARY SOURCES
Laws passed by the Parliament or the State Legislative
Ordinances passed by the President and the Governor
Subordinate legislation: Rules and regulations made by the executive through the power delegated to them by the Acts.
SECONDARY SOURCES:
Judgments of the Supreme Court, High Court and Tribunals (The ratio decedendi is a binding precedent)
Judicial legislation
Judgment of Foreign Courts
International Treaty
Describes Functions of IMC, SMC, NMC, Professional Misconduct, Rights and Duties of a Doctor, Professional Secrecy, Privilidged Communication, Professional Medical Negligence, consent and its types, Consumer Protection Act
This is topic to know that the group therapy in short in psychology. actually is the therapy we are using to mental stability and develop good kind of behaveviour.
so I am just try to explain the various types of mental illness. In the psychiatry the mental illness is the big challenge to find out the cause behind that and solve the problem. Today the depression cases is very common in society, so i am just introducing the Mental Illness. I hope its essay to understand and if any query plz comments.
Thanq so much.
Dear students its a simple presentation of substance abuse or alcoholic withdrawal and treatment. the substance abuse its a common problem of Young generations today, so health prevention and what is the cause of substance abuse in day today life. its only knowledge purpose.
i am just trying to essay child related psychiatric problems in community. At child age there have many problems and its converted into changing behavior of child towards the community. so the child problem its create the child behavior.
Dear students i am just trying to explain the equipment and supply of material in hospital easy way. Its really helpful for studding and those who are studding to hospital supply.
Dear students we many times problems with Advance research theory application so i am just explain by my PPT slides to help the students and application of theories.
CRITICAL PATHWAY FOR NURSING ADMINISTRATION.VIKRANT KULTHE
Respected,
all Administration and Nursing Management student its very helpful for a critical planing and critical care plan for the patients those who are hospitalize. The critical pathway means a plan of care to the patients or plan for project. I hope its helpful for all student.
thanking you!!!!!!!
the lecture method is a most perfect method to essay understand the topic. the lecture method is the usually to used in education and demonstration, its help to modify the difficult information in essay.
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
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
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
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
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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
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ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
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2. INTRODUCTION :
INTERNATIONAL CODE OF NURSING ETHICS THE ICN CODE OF
ETHICS FOR NURSES An international code of ethics for nurses
was first adopted by the International Council of Nurses (ICN) in
1953.
Ethics is an integral part of the foundation of nursing. Nursing
has concern for the welfare of the sick, injured, and vulnerable
and for social justice. Individuals who become nurses are
expected to adhere to the ideals and moral norms of the
profession. A code of ethics makes explicit the primary goals,
values, and obligations of the profession.
22/04/2020MR.VIKRANT KULTHE 2
3. DEFINITION OF ETHICS:
“It is branch of knowledge that deals with moral
principles.”
OR
“Ethics or moral philosophy is a branch of philosophy that
involves systematizing, defending and recommending
concepts of right and wrong conduct.”
Moral principle that govern a persons behaviour or the
conducting of an activity.
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4. Definition :-
“A code of ethics is a set of ethical principles,
ideals and values shared by members of the group,
and serves as a standard for their professional
actions.”
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5. Purposes of Nursing Ethics :
To identify the ethical obligations
and duties for every individual
who enters the nursing profession.
To determine the ethical standard.
To express understanding of
nursing commitment to society.
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8. 1. Professional Responsibility and accountability
Appreciates sense of self-worth and nurtures it.
Maintains standards of personal conduct reflecting credit
upon the profession.
Carries out responsibilities within the framework of the
professional boundaries.
Is accountable for maintaining practice standards set by
Indian Nursing Council
Is accountable for own decisions and actions
Is compassionate
22/04/2020MR.VIKRANT KULTHE 8
9. 2. Nursing Practice
Provides care in accordance with set standards of practice
Treats all individuals and families with human dignity in
providing physical, psychological, emotional, social and spiritual
aspects of care
Respects individual and families in the context of traditional and
cultural practices and discouraging harmful practices
Presents realistic picture truthfully in all situations for facilitating
autonomous decision-making by individuals and families
22/04/2020MR.VIKRANT KULTHE 9
10. 3. Communication and Interpersonal
Relationships
Establishes and maintains effective interpersonal
relationship with individuals, families and
communities
Upholds the dignity of team members and maintains
effective interpersonal relationship with them
Appreciates and nurtures professional role of team
members
Cooperates with other health professionals to meet
the needs of the individuals, families and
communities
22/04/2020MR.VIKRANT KULTHE 10
11. 4. Valuing Human Being
Takes appropriate action to protect individuals from
harmful unethical practice
Consider relevant facts while taking conscience
decisions in the best interest of individuals
Encourage and support individuals in their right to
speak for themselves on issues affecting their health
and welfare
Respects and supports choices made by individuals
22/04/2020MR.VIKRANT KULTHE 11
12. 5. Management
Ensures appropriate allocation and utilization of
available resources
Participates in supervision and education of
students and other formal care providers Uses
judgment in relation to individual competence
while accepting and delegating responsibility
Facilitates conducive work culture in order to
achieve institutional objectives
Communicates effectively following appropriate
channels of communication
22/04/2020MR.VIKRANT KULTHE 12
13. 6. Professional Advancement
Ensures the protection of the human rights
while pursuing the advancement of knowledge
Contributes to the development
Participates in determining and implementing
quality care
Takes responsibility for updating own
knowledge and competencies
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15. Autonomy & Accountability :
Autonomy means that individual
are able to act themselves to the level of
their capacity Accountability is the process
that mandates that individuals are
answerable for their actions and have an
obligation to act. Attributes of
accountability: answerability& responsibility
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16. Accountability Of Nursing Personnel :
Provide safe & therapeutic environment Deliver
competent & personalized care Maintaining
adequate supplies of material in the ward
Maintaining accurate and up to date records
Maintaining good IPR Protect client’s legal rights&
privacy Work within ethical& legal boundaries
Keep pace with changing health needs& developing
technology Delivering
care as per standards Delegating responsibility
appropriately Contribute to development of
profession
22/04/2020MR.VIKRANT KULTHE 16
17. Techniques For Being Assertive:
Identify your personal rights, wants and
needs. . Identify how you feel about a
particular Situation Be direct Own your
message Avoid assumptions about others
thinking Avoid statements that begins with
"why", "you". Ask for feedback Stop
apologizing all the time Learn to take a
compliment Act confident even if you don't
feel confident Feel free to say no Evaluate
your expectation
22/04/2020MR.VIKRANT KULTHE 17
18. Visibility Of Nurses
A quality or fact of , degree of being
visible Degree of exposure to public
notice Nurses themselves are responsible
when they don't take a stand neither to
correct the distorted images not for the
visibility of the roles they have performed
in their health care.
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20. Legal Considerations :
1st nursing law : Nursing registration- 1903 Indian
nursing council act: enacted in 1947 Amended in
1957 LEGAL IMPLICATIONS: Torts: Torts are when
others interfere in individuals' privacy Assault:
Assault occurs when a person puts another person in
fear of a harmful or offensive contact Battery: It is
an intentional touching of another's body without
the other's consent Negligence: it is described as
lack of proper care and attention carelessness.
22/04/2020MR.VIKRANT KULTHE 20
21. Malpractice:
Failure to meet the standards of acceptable care
which results in harm to another person. Fraud:
It results from a deliberate deception intended to
produce unlawful gains. False imprisonment: It
occurs when a client is not allowed to leave a
health care facility when there is no legal
justification to detain the client or when
restraining devices are used without an
appropriate clinical need. Invasion of privacy: It
includes violating confidentiality intruding on
private client or family matters, and sharing
client information with unauthorized persons.
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22. Legal documents:
Advance directive: Written document recognized by law
that provides directions concerning the provision of care
when a person is unable to make his or her own treatment
choices.
Do not resuscitate orders: Written order by a physician
when a client has indicated a desire to be allowed to die if
the client stops breathing or the client's heart stops
beating.
Informed consent: It is clients' approval [or that of the
clients' legal representative to have his or her body touched
by a specific individual.
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23. Nursing Liabilities And Preventive Measures
All nursing observations should be noted
carefully, describing accurately Patients
complaints should be recorded as accurately and
specifically Nurse must report through proper
channels Authorities must be informed regarding
any kind of equipment, materials or supplies, which
for any reasons less than safe for use in the patient's
care Insurance protection
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24. LEGAL RESPONSIBILITY :
Registration Licensing is a mandatory procedure for practice of
nursing. Registration aims at protecting patients by providing
qualified nurses. The nurse is responsible to obtain registration in
the respective State Nursing Registration Council Legal
Liability/Act Of Negligence License of a nurse can be suspended
or cancelled for any act of negligence or mal practice, following a
specified procedure. Medico — Legal case (M.L.C.) A medico)
legal case is a patient who is admitted to the hospital with some
unnatural pathology and has to be taken care of in concurrence
with the police and/or court. Types of clients which are
categorized as MLC in a hospital are. Road traffic accidents.
Injuries inflicted during brawls/fights, shooting, bomb blasts etc.
Suicide. Burns. Poisoning. Rape victim. Assault.
22/04/2020MR.VIKRANT KULTHE 24
25. NURSES ROLE IN A MEDICO-LEGAL CASE:
Obtain complete history from patient or significant others
Inform the police officer/constable on duty in the hospital and the
CMO.
When it is made a MLC, then record it on the patient's case sheet with
red ink at right hand top corner.
Do not give any statement about patient's condition to police,
magistrate or media. Only a doctor has to give information.
When a patient has to be discharged, inform the CMO only. After
clearance from them, he/she can be discharged.
If a MLC patient absconds, inform the CM0 and the treating doctor
immediately
No patient can leave against medical advice.
22/04/2020MR.VIKRANT KULTHE 25
26. Correct identity
A nurse/midwife is responsible to make sure that all
babies born in hospital are correctly labeled at birth
and handed over to right parent.
Unknown/unconscious patients must be labeled as
soon as their identity is known. Patients who have to
undergo surgery should be appropriately identified
and labeled. Site of operation to be correctly
marked particularly where symmetrical sides or
organs are there: Operation theatre (O.T.): scrub
nurse has to see all the instruments/ swabs are
returned. She has to say OKAY' before closure by the
surgeon
22/04/2020MR.VIKRANT KULTHE 26
27. Left Against Medical Advice (L.A.M.A.):
Inform medical officer in charge. Signatures of both
patients and witness to be taken as per institutional
policy. Patient's Property Inform patient on admission
that hospital does not take responsibility of his
belongings.
All related documents should be kept confidential and
safe.
Poison case
Do not give either verbal or written opinion.
Do not allow to take photos unless special permission is
granted by appropriate authority.
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28. Nurses role to prevent complications :
Review nursing practice periodically. Update knowledge and improve
skill by attending short term courses, in- service education and
continuing education programmes.
Should have complete knowledge of all rules and regulations of
hospital and know their descriptions {duties and responsibilities).
Follow nursing practice standards/protocols.
Be a keen observer.
Written instructions must have rules and code of practice laid down to
ensure the safety and well-being of patients and nurses.
All hospitals must have rules, a code of practice laid down to ensure
the safety and well-being of patients and nurses.
Maintain records and reports of the unit properly.
22/04/2020MR.VIKRANT KULTHE 28
29. Nurses role to prevent complications :
Review nursing practice periodically. Update knowledge and improve skill by
attending short term courses, in- service education and continuing education
programmes.
Should have complete knowledge of all rules and regulations of hospital and
know their descriptions {duties and responsibilities).
Follow nursing practice standards/protocols.
Be a keen observer.
Written instructions must have rules and code of practice laid down to ensure
the safety and well-being of patients and nurses.
All hospitals must have rules, a code of practice laid down to ensure the
safety and well-being of patients and nurses.
Maintain records and reports of the unit properly.
22/04/2020MR.VIKRANT KULTHE 29