The CNL is a master's prepared nurse responsible for 10-16 patients in an acute care setting. They coordinate patient care, ensure quality outcomes, advocate for patients, educate staff and patients, and analyze the unit microsystem to improve safety. The CNL integrates care, manages resources, and leads the nursing team while retaining accountability for patient outcomes.
PAS150 sets unified standards for all rehabilitation services. This presentation examines the existing standards for rehabilitation services, and looks at how PAS 150 works with them and it's application in a clinical perspective.
The client classification system or patient classification system is the cluster of clients that has been categorized on the specific characteristics, needs ,requirements and their severity of the disease conditions based on which patient assignment is made to provide nursing care.
It is defined as the specification of roles and functions of the nature of job of each individual who has to deliver effectively in order to be retained in the institution.
PAS150 sets unified standards for all rehabilitation services. This presentation examines the existing standards for rehabilitation services, and looks at how PAS 150 works with them and it's application in a clinical perspective.
The client classification system or patient classification system is the cluster of clients that has been categorized on the specific characteristics, needs ,requirements and their severity of the disease conditions based on which patient assignment is made to provide nursing care.
It is defined as the specification of roles and functions of the nature of job of each individual who has to deliver effectively in order to be retained in the institution.
Critical care nursing or intensive care nursing, is a specialty focused on the care of unstable, chronically ill or post surgical patients and those at risk from life threatening diseases and injuries.
The Hospital Skills Program (HSP) Aged Care Curriculum is a framework which identifies the capabilities or competencies required of doctors working in clinical areas relating to the care of older people in NSW. Doctors participating in the HSP will be expected to have greater than two years of clinical postgraduate experience and not be currently participating in a specialist vocational training program.
What can a Clinical Nurse Leader do for your critical care nursing unit? Plenty! Consider this new nursing role as one that can improve patient outcomes and increase satisfaction for both clients and staff. Successful microsystems begin with empowering patients, families and front line nurses.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
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.
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Examplejobdescription
1. Example of a CNLsm Job Description for
An Acute Care Setting
Clinical Nurse Leadersm
Required Competencies & Role Responsibilities
NOTE: This job description was developed using the broad areas of the role and required competencies identified in the working paper
on the Role of the Clinical Nurse Leader. Role responsibilities were identified by focus groups of clinical staff to identify the work of the
CNL in the care delivery process in an acute care setting. This job description is only one example of how the role can be actualized.
Adaptation of the role will vary in different settings.
ROLE DESCRIPTION
The Clinical Nurse Leader (CNL) sm is a generalist prepared at the Master’s degree level. The major thrust of the CNL role is knowing
the patient, communication and lateral integration of care. The CNL has specialized knowledge in horizontal leadership is accountable
for the management of care and the care environment. In addition to generalist preparation in nursing with enhanced clinical skills, the
CNL is primarily unit or setting based and is responsible for a specified cohort of patients. The number of patients for which the CNL is
responsible depends on the health care setting and patient nature and complexity. The mix of nursing personnel required in acute care
is a function of the nature and quantity of work that must be accomplished on a particular unit. Therefore, the number and ratios of
CNLs, staff nurses, and nursing assistants are likely to vary from unit to unit. In a medical surgical setting, 10-16 patients may be
appropriate. For the CNL to be effective and accountable for patient safety and quality outcomes, the cohort of patients must be
adapted to the setting. In his or her day to day practice, the CNL develops an overall view of patients, families and caregivers and
establishes strong partnerships with them to deliver optimal care. The CNL has 24-hour accountability for the care provided by self and
others to whom care is delegated.
REPORTING RELATIONSHIP
The Clinical Nurse Leader (CNL) is a full-time salaried employee who reports directly to the Nurse Manager.
MINIMUM REQUIREMENT
Registered Nurse (RN) license in the State of Practice, a Master’s degree in Nursing with an emphasis on the Clinical Nurse Leader
role and required competencies. Extensive clinical knowledge of the patient population is preferred but may be acquired over time
under mentorship of senior staff.
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
2. CLINICAL NURSE LEADER ROLE sm
Area of Focus Competencies Responsibilities in an Acute Care
Setting
Clinical Care -Critical thinking skills -Performs or oversees the collection of
holistic assessment and the development
-Clinically competent to care for patients,
and implementation of a plan of care
knowledgeable about disease processes and can
identify symptoms of complications. -Carries a caseload of patients. The
number of patients in the caseload is
-Skilled in psycho-social evaluation of patient and
dependent upon the setting and nature of
family
the patients.
-Effective in identification of the need for
-Oversees the management of patient
consultation services of Advanced Practices Nurses
care:
and other allied health providers
*Assesses the patient population daily
-Knowledgeable about pharmacologic therapies
and drug interactions *Rounds with clinicians daily to discuss
patients progress
-Able to integrate care of multiple disciplines to
achieve highest outcomes *Provide direct care when appropriate
to complex patients
*Follows patients through other unit
settings and communicates care needs
to nurses/CNLs
*Calls or directs clinical staff to call
consultants/specialists
*Leads and participates with the
interdisciplinary team in planning
delivery and evaluation of patient-
focused care. Conducts daily
interdisciplinary rounds
-Trouble shoots complex problems in
patient care, documents findings and
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
3. Area of Focus Competencies Responsibilities in an Acute Care
Setting
progress in patient record
-Provides briefings to new care providers
and reviews pertinent information for
provision of care
-Ensures patient/family preparation for
care across continuum
Outcomes Manager
Patient Specific:
Able to synthesize multiple data elements to
evaluate and achieve optimal patient outcomes. -Reviews all patient information, including
lab & other test results and progress notes
in patient health record daily
Able to assimilate and apply research-based
information to design, implement and evaluate -Reviews consultation notes and or
patient plans of care. speaks directly with consultants to discuss
care
-Assesses patient’s response to treatment
and care through other care provider
information or by examining patient
directly
-Consults with physicians and other
healthcare providers to communicate
patient progress
Population Based:
-Knowledgeable about nurse sensitive indicators -Collects data on patient outcomes on the
and national benchmark data unit i.e. pressure ulcers, medication
errors, falls etc.
-Knowledgeable about performance improvement
methodology to improve quality of care to unit -Member/chair of unit or setting based
population Quality Committee
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
4. Area of Focus Competencies Responsibilities in an Acute Care
Setting
-Current in evidence-based practice in clinical area -Disseminates & implements latest
of focus to facilitate quality outcomes. evidence-based practices to nursing
colleagues
-Writes or revises unit-based procedures,
protocols to reflect latest evidence
-Serves as a liaison with institution-based
quality committees
Resource Management:
-Competent to serve as a steward of resources, -Identifies resources needed for optimal
fiscal, personnel, materials and time patient care, substantiates the need for
resources and recommends items for
budget
-Analyzes cost effectiveness of planned
care
-Implements research findings
determining costs and client benefits
Patient Advocate
-Able to clearly articulate patient needs, concerns,
perspective to physician and other care providers -Develops a partnership with care
providers and patient and patient’s family
-Assertive on behalf of the patient’s perspective of
care issues and needs -Ensures that patient goals are set with
patient and patient’s family involvement
-Able to negotiate within the health care system to
meet the needs of the patient -Negotiates healthcare resources on
behalf of the patient
-Competent in principles of ethics, end of life care
and use of Advanced Directives. -Educates patient/patient family regarding
available options for care through the
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
5. Area of Focus Competencies Responsibilities in an Acute Care
Setting
continuum
-Educates patient and family about
Advanced Directives
-Supports patient’s right to make decisions
about care and treatment
-Facilitates full team discussions including
patient and family when ethical dilemmas
arise
Educator Patient/Family Specific:
-Utilizes appropriate teaching principles and
strategies to teach patient and family members
-Adept at using technology as a tool to support -Provides or oversees the education of the
education patient and family to understand illness
and self care concepts
-Can present information that is easily understood
by learner. Materials provided to patient are -Utilizes the most current tools to access
selected and modified to the learners ability information for teaching
-Ensures appropriate assessment of
learner needs
-Creates or coordinates the development
of patient educational pathways and
patient education materials
-Provides input as committee member or
clinician to patient education material
Clinicians: development
-Supports the clinical and professional development
of nursing colleagues through mentoring and role
modeling -Consciously provides opportunities for
less experienced nursing staff to observe
and participate in physical assessment,
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
6. Area of Focus Competencies Responsibilities in an Acute Care
Setting
data review and evaluation of individual
outcomes provided by the CNL
-Engages the staff in clinical rounds
-Provides formal and informal educational
opportunities on the unit to improve
-Adept at utilizing traditional and developing clinical skills of all staff
Information Manager
methods of discovering, retrieving and using
information in nursing practice.
-Ensures effective communication and
- Utilizes current use of information technologies to flow of information to all appropriate care
meet patient needs and provide evidence-based providers by obtaining appropriate
knowledge at the point of care to improve health comprehensive patient story and
outcomes transmitting that effectively to care
-Utilizes technology to document, evaluate and providers
manage patient outcomes -Utilizes information technology to obtain
evidence-based practices and the latest
research to provide current best practice
information to care providers on the unit
-Develops and utilizes tools available to
effectively evaluate, summarize and
communicate patient’s progress toward
outcomes to members of the healthcare
team and patient and family
-Knowledgeable in the use of quality improvement
MicroSystems Analyst/Risk
methodologies including but not limited to PDCA,
Anticipator
Failure Mode Evaluation analysis, root cause -Monthly, reviews available data on nurse
analysis to evaluate system failures and patient sensitive outcomes and incident reports
safety practices for the unit/cohort to compare to system
wide and national data. Seeks
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
7. Area of Focus Competencies Responsibilities in an Acute Care
Setting
opportunities to make improvements to
reduce risk.
-Works with team members, other leaders
and physicians to develop and trend
performance improvement indicators
based on national standards and best
practices
-Reports results on a quality report card
as well as storyboard and other forums
-Conducts unit-based performance
improvement initiatives to provide a safe
environment for patients
-Provides information to staff on nationally
recommended safety practices
-Reviews compliance with regulatory
agencies related to patient safety
including JCAHO, OSHA, CMS, and
others
-Is involved in safety initiatives at the
department and interdepartmental levels
to improve care outcomes within the
microsystem of care.
-Demonstrates leadership skill and is able to
Team Manager organize, manage and evaluate function of a team
-Skilled at delegation, supervision and evaluation of -On a daily basis delegates, supervises
care given and evaluates the nursing care given by
others while retaining accountability for
-Promotes interdisciplinary cohesion through the
the quality of care given to the patients
use of task-oriented convergent and divergent
group process skills -Provides input to nursing leadership on
the evaluation and competency of nursing
-Adept at supporting and assisting the patient to
staff
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc
8. Area of Focus Competencies Responsibilities in an Acute Care
Setting
effectively navigate through the continuum of care -Recommends specific programming to
build clinical skill set of staff
-Coordinates the delivery of care of the
multiple disciplines actively involved in the
patient’s care
-Ensures the effective education of the
patient and patient’s family to prepare for
discharge
-Ensures effective communication through
the continuum to support ongoing
progress toward identified outcomes
Knowledgeable and articulate in the professional
Member of a Profession scope and standards of practice.
-Able to advocate for professional standards of -Creates opportunities to advocate for the
practice using organizational and political role of the professional nurse as a key
processes member of the interdisciplinary team
-Skilled in mentoring, coaching and a role model of -Holds membership in professional
the profession organization(s)
-Participates in continuing education for
self and the development of colleagues
and future generations
C:DOCUME~1apathakLOCALS~1TempC.Lotus.Notes.DataCNL role description acute care 1-25-05.doc