This topic contains Meaning and definitions of midwifery, obstetrics, obstetrical nursing, midwife, scope of midwifery, basic competencies of a midwife, history of midwifery in nursing and development of maternity services in India.
This topic contains Meaning and definitions of midwifery, obstetrics, obstetrical nursing, midwife, scope of midwifery, basic competencies of a midwife, history of midwifery in nursing and development of maternity services in India.
this document includes all the essential headings under which physical examination of the patient is done. it helps in collecting the objective information from the patient
medical surgical nursing , nursing care of elderly patient with disease conditions and different care given to them,it contain introduction , definition, nursing care, patient teaching, diet management, research.
Disaster nursing and role of nurse in disaster managementAnthonyGuvvala
disaster, definition,causes and types of disaster,principles of disaster, phases and management and team members, supplies during disaster, emergency care and role of nurse.
It is the process of transferring the research knowledge into practice, thus facilitating an innovative change in practice of protocols. Research utilization is the use of the findings from a disciplined study or a set of studies in a practical application that is unrelated to the original research.
In 2002, NANDA changed its name to NANDA International (NANDA-I) to further reflect the worldwide interest in nursing diagnosis. In the same year, Taxonomy II was released based on the revised version of Gordon’s Functional health patterns.
As of 2018, NANDA-I has approved 244 diagnoses for clinical use, testing, and refinement.
this document includes all the essential headings under which physical examination of the patient is done. it helps in collecting the objective information from the patient
medical surgical nursing , nursing care of elderly patient with disease conditions and different care given to them,it contain introduction , definition, nursing care, patient teaching, diet management, research.
Disaster nursing and role of nurse in disaster managementAnthonyGuvvala
disaster, definition,causes and types of disaster,principles of disaster, phases and management and team members, supplies during disaster, emergency care and role of nurse.
It is the process of transferring the research knowledge into practice, thus facilitating an innovative change in practice of protocols. Research utilization is the use of the findings from a disciplined study or a set of studies in a practical application that is unrelated to the original research.
In 2002, NANDA changed its name to NANDA International (NANDA-I) to further reflect the worldwide interest in nursing diagnosis. In the same year, Taxonomy II was released based on the revised version of Gordon’s Functional health patterns.
As of 2018, NANDA-I has approved 244 diagnoses for clinical use, testing, and refinement.
The term diagnosis is a statement or conclusion regarding the nature of phenomenon.
A nursing diagnosis is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.
this is the detailed contents of various steps in nursing process, make use of my content.regards.R.BABU.
PROF & HOD,THE OXFORD COLLEGE OF NURSING -BANGALORE
Nursing Diagnosis is second step of Nursing Process.which is very important and depend on your good assessment.you must make nursing diagnosis skillfully to meet patient's need.
Similar to Formulation on Nursing Diagnosis pptx (20)
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
6. Cont.....
• Diagnosis is the second phase of nursing process. it is often
referred to as analysis as well as problem identification or nursing
diagnosis .
• Diagnosing - Refers to the reasoning process .
• Diagnosis - A statement or conclusion regarding the nature of
phenomenon .
8. • A nursing diagnosis is a clinical judgement about individuals of community
responses to actual or potential health problem.
• Nursing diagnosis provides the basis for selection of nursing interventions to
achieve outcomes for which the nurse is accountable. - ‘NANDA’ 1990.
• A clinical judgement about individuals of community responses to actual or
potential health problem.
• Nursing diagnosis provides the basis for selection of nursing interventions to
achieve outcomes for which the nurse is accountable.
CONT......
9. CHARACTERISTICS OF NURSING DIAGNOSIS
Characteristics are the cluster of signs and symptoms
that indicate the presence of a particular diagnostic label.
i ) For Actual Nursing Diagnosis
ii) For Risk Nursing Diagnosis
10. CONT......
It states a clear and concise health problem.
It is derived from existing evidences about the client.
It is the basis for planning and carrying out nursing care.
It is potentially amenable to nursing therapy.
12. FORMULATION OF NURSING DIAGNOSTIC STATEMENT
The basic format for a diagnostic statement is problem related
to etiology" however nurses must be able to write one, two
and three part diagnostic statement, as well as some variation
of each.
13. CONT.......
• Derived from physiological, sociocultural, developmental, and
spiritual dimensions of client.
• Derived from actual and potential problem.
15. Components of a Nursing Diagnosis
Acute Pain Related to tissue As evidenced by statement of
a Ischemia "I feel severe pain on my chest
(P)roblem (E)tiology (S)igns and symptoms
16. PROBLEM FOCUSED NURSING DIAGNOSIS
A problem-focused diagnosis is a client problem that is present at the time of the nursing
assessment.
An actual diagnosis is a statement about a health problem that the client has, and could
benefit from nursing care.
These diagnoses are based on the presence of associated signs and symptoms.
17. Problem-focused nursing diagnoses have three components:
1. Nursing diagnosis
2. Related factors
3. Defining characteristics
An example of an actual nursing diagnosis is:
Ineffective airway clearance related to decreased energy and manifested by an
ineffective cough.
18. A risk nursing diagnosis describes human responses to health conditions/life processes that
will possibly develop in a vulnerable individual, family, or community.
These are clinical judgment that a problem does not exist, but the presence of risk factors
indicates that a problem is likely to develop unless nurses intervene. The individual (or group)
is more susceptible to develop the problem than others in the same or a similar situation
because of risk factors.
RISK NURSING DIAGNOSIS
19. Examples of risk nursing diagnosis are:
Risk for Infection related to surgical side incension.
Components of a risk nursing diagnosis include:
Risk diagnostic label
Risk factors
20. HEALTH PROMOTION NURSING DIAGNOSIS
• Health promotion diagnosis is a clinical judgment about motivation and desire to
increase well-being.
• Health promotion diagnosis is concened in the individual, family, or community
transition from a specific level of wellness to a higher level of wellness.
21. Examples of health promotion diagnosis:
Readiness for Enhanced Spiritual Well Being
Readiness for Enhanced Family Coping
Readiness for Enhanced Parenting
22. SYNDROME NURSING DIAGNOSIS
A syndrome nursing diagnosis statement is a clinical judgment, which is
associated with a cluster of predicted high-risk or actual nursing diagnosis,
related to a certain situation or event.
A syndrome diagnosis is a clinical judgment concerning with a cluster of
problem or risk nursing diagnoses that are predicted to present because of a
certain situation or event.
It is a diagnosis that is associated with a cluster of other nursing diagnosis .
26. NURSING DIAGNOSIS V/S MEDICAL DIAGNOSIS
NURSING DIAGNOSIS MEDICAL DIAGNOSIS
Care focused Etiology focused
Identifies risk and problems of the patient Identifiesas nearly possible the specific clinical entity
that is causing illness
Focused on the signs and symptoms on the patient and
his/her care givers
The medical diagnosis specify the pathology
Focused on the person and their physiological/
psychological all responses to illness
Focuses on illness
Example ;-ineffective denial related to difficulty coping
with new diagnosis of “heart attack” .
Example ;- Myocardial infarction ( MI )
30. CONCLUSION
Nursing diagnosis is a diagnosis that is based upon the response of the patient to the medical
condition. This is why it is called a ‘nursing diagnosis' because these are things that have a
specific action that is related to what nurses have autonomy to take action about. Nurses treat
the patient with everything that is related to human response to a specific disease. This
includes anything that is a physical, mental, and spiritual type of response. Simply put, a
nursing diagnosis is care focused.
31. • POTTER AND PERRYS fundamentals of nursing 7th edition , Pg No - 253 - 258.
• D Elakkuvana Bhaskara Raj EMMESS first edition 2022 Nursing foundation - II pg no. 26-30 .
• JAYPEE I Clement test book of nursing fundamental JAPEE BROTHERS Medical publishers (p) Ltd .
• Gordon, M. (1982). Nursing diagnosis: Process and application. New York: McGraw-Hill.
• Ackley, B. J., & Ladwig, G. B. (2010). Nursing Diagnosis Handbook-E-Book: An Evidence-Based Guide to Planning
Care. Elsevier Health Sciences.
• NANDA-I Nursing Diagnosis: Herdman, H. T., & Kamitsuru, S. (Eds.). (2017). NANDA International Nursing
Diagnoses: Definitions & Classification 2018-2020. Thieme.
• NANDA. International. (2014). Nursing Diagnoses 2012-14: Definitions and Classification. Wiley.