Long term care facilities
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Long term care facilities provide ongoing health services and support for people with chronic illnesses or disabilities. Long term care pharmacists work in these facilities in both consulting and dispensing roles. As consultants, they optimize medication regimens, manage diseases, and educate staff. As dispensers, they ensure patients receive the correct medications by packaging, delivering, and recording them. Overall, long term care pharmacists aim to improve health outcomes for vulnerable long term patients through specialized pharmacy services.
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“I solemnly pledge myself to consecrate my life to service of humanity.” This is the first sentence a doctor utters while taking an oath when s/he enters into the medical profession. They are considered as God by people despite knowing the fact that they are human, as the profession gives ‘hope’ to live to a patient and his family. But due to the increasing number of medico legal issues in the country, there is a serious concern about the doctor-patient relationship. To raise awareness among the patients about their rights and responsibilities as patients and to build up a strong, safe and healthy doctor patient relationship, the Dr. Anamika Ray Memorial Trust observes June 25 as Patients’ Rights Day under the “STOP MEDICAL TERRORISM” movement for better and transparent healthcare services in India.
The Trust, in consultation with a panel of medical professionals of national and international repute, drafted the Patients’ Rights in 10 points and the responsibilities in another 10 points. The Rights and Responsibilities of the patients available at http://smt.armt.in in many Indian languages. It's a two page document. The Trust requests everyone to support the cause by downloading the document in their preferred language, printing it out and distributing it among patients in any hospital in India. The Trust believes that this initiative may save hundreds of lives and will be a great contribution for better and more transparent healthcare services in India.
The rights mentioned in the draft include the right to get the best possible medical care without discrimination; right to prompt, life-saving treatment; right to take part in all decisions relating to one’s health care; right to privacy; right to know the identity and role of people involved in treatment; right to dignity and to have caregivers’ respect; right to appropriate assessment and management of pain; right to receive visitors; right to refuse treatment and to leave the medical centre; and right to get necessary information related to the line of treatment as well as all health records.
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The document discusses several key aspects of professional nursing concepts and practices:
- Nursing aims to promote health and well-being by caring for individuals, families, and communities. It focuses on care of the physical, mental, social, and spiritual aspects of a person.
- Professional nursing encompasses autonomous and collaborative care across all ages and settings. It includes health promotion, illness prevention, and care of those who are ill, disabled, or dying.
- Several models of nursing are described, including the health-illness continuum model, health belief model, health promotion model, Maslow's hierarchy of needs, and holistic health model. These provide theoretical frameworks for understanding health and delivering nursing care.
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The document discusses guidelines for proper documentation and reporting in healthcare, including maintaining accurate, complete records for communication, education, and legal purposes. It also outlines the different types of reports like change of shift reports, incident reports, and legal reports that are important for monitoring quality of care. Proper documentation in medical records is essential for continuity of care, research, and evaluating health programs.
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Evidence-based practice in nursing involves providing holistic, quality care based on the most up-to-date research and knowledge rather than traditional methods, advice from colleagues, or personal beliefs.
Nurses can expand their knowledge and improve their clinical practice experience by collecting, processing, and implementing research findings. Evidence-based practice focuses on what's at the heart of nursing — your patient. Learn what evidence-based practice in nursing is, why it's essential, and how to incorporate it into your daily patient care.
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• Domiciliary services
• Rational Use of Drugs
• Individualization of Drug
• Community Pharmacists Play Key Role in Improving Medication Safety
• Pharmacists as a Community Resource
• Conclusion
“Unlocking Wellness: The Impact of Pharmacy Wellness Programs on Overall Health“
pharmacy wellness programs are designed to complement traditional healthcare services by providing personalized support and guidance to individuals seeking to improve their health. From managing chronic conditions to promoting preventive care, these programs offer a range of services tailored to meet the unique needs of each patient.
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The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
THE SPECIAL SENCES- Unlocking the Wonders of the Special Senses: Sight, Sound...
Title: Unlocking the Wonders of the Special Senses: Sight, Sound, Smell, Taste, and Balance
Introduction:
Welcome to our captivating SlideShare presentation on the Special Senses, where we delve into the extraordinary capabilities that allow us to perceive and interact with the world around us. Join us on a sensory journey as we explore the intricate structures and functions of sight, sound, smell, taste, and balance.
The special senses are our primary means of experiencing and interpreting the environment, each sense providing unique and vital information that shapes our perceptions and responses. These senses are facilitated by highly specialized organs and complex neural pathways, enabling us to see a vibrant sunset, hear a symphony, savor a delicious meal, detect a fragrant flower, and maintain our equilibrium.
In this presentation, we will:
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Auditory System (Hearing): Examine the structures of the ear and the process of sound wave transduction, from the outer ear to the cochlea and auditory nerve. Learn about hearing loss, auditory processing, and the advances in hearing aid technology.
Olfactory System (Smell): Discover the olfactory receptors and pathways that enable the detection of thousands of different odors. Explore the connection between smell and memory and the impact of olfactory disorders on quality of life.
Gustatory System (Taste): Uncover the taste buds and the five basic tastes – sweet, salty, sour, bitter, and umami. Delve into the interplay between taste and smell and the factors influencing our food preferences and eating habits.
Vestibular System (Balance): Investigate the inner ear structures responsible for balance and spatial orientation. Understand how the vestibular system helps maintain posture and coordination, and explore common vestibular disorders and their effects.
Through engaging visuals, interactive diagrams, and insightful explanations, we aim to illuminate the complexities of the special senses and their profound impact on our daily lives. Whether you're a student, educator, or simply curious about how we perceive the world, this presentation will provide valuable insights into the remarkable capabilities of the human sensory system.
Join us as we unlock the wonders of the special senses and gain a deeper appreciation for the intricate mechanisms that allow us to experience the richness of our environment.
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Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
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Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Long term care facilities
- 1. Long term care facilities Long-term care is broadly defined as an array of health care, personal care, and social services generally provided over a sustained period of time to persons with chronic conditions and with functional limitations. Long term care patients and level of care Long term care provides continuity of care and ongoing assessment and follow-up of patient’s condition and response to therapy to achieve the highest practical, mental, and psychosocial well-being. It is characterized by various care services and setting including medical, social, personal, and supportive and specialized housing for individual who have lost some capacity to care themselves. Examples of long term care facilities are: Adult Day care (adults with functional and cognitive impairment) Respite care (for disabled individual for purpose of providing relief) Assisted living Other institutionalized pharmacy setting( eg; psychiatric hospital) Nursing home care Sub-acute care Long term care pharmacist A long-term care pharmacist is engaged by a long-term care pharmacy to provide pharmacy, infusion, education, consulting, and related services for a specific patient population. Pharmacist perform two type of function for long term care pharmacy: dispensing/management operations and consultant services. Long-term care pharmacists practice in a variety of settings, including hospitals that own skilled nursing facilities, long-term care pharmacies, nursing homes, and rehabilitation facilities, or they may practice as independent consultants. A. Consultant functions The consultant pharmacist is specially trained to assist with long-term care patients with their special medication needs. Consultant pharmacists can influence a prescriber’s decisions
- 2. regarding senior patients based on their expert recommendations and personal interaction with the patients. Seniors are at a greater risk for medication-related problems than other populations, chiefly because of the various physiological impacts of aging, a higher rate of multiple chronic diseases, and a greater consumption of both prescription and OTC medications. The consultant pharmacist is vital in making sure this population receives the proper care for any adverse events that might occur due to a medication mishap. Although the majority of long-term care patients are elderly, consultant pharmacy is not limited to this population. Consultant pharmacists also work in mental institutions, hospice care facilities, correctional institutions, and acute care hospitals. Since most of the settings where consultant pharmacists practice are predominantly populated by older adults, however, a broad understanding of geriatrics, especially geriatric pharmacotherapy, is important for the potential consultant pharmacist. Roles of consultant pharmacist Drug regimen review Drug research programs Pharmacokinetic dosing service Pain management consults Intravenous therapy services TDM Pharmaceutical care plan Disease management Medication utilization review Policy and procedure Quality assurance programs Drug information In-service education programs Medication delivery system
- 3. Computer generated forms and reports Adverse drug reaction reports B. Dispensing/ distribution function The distributive/service pharmacist is responsible for ensuring that patients receive the correct medicines that were ordered. The services pharmacist is expected to label drugs and biological used in the facility in accordance with currently accepted professional principle, including appropriate accessary and cautionary instructions, and expiration dates, when applicable; in accordance with laws. Role of service pharmacists Initial screening of medication orders Drug packaging and labeling Drug delivery( routine and emergency) Medication recording Audit system of controlled medicine Emergency medication supply Monitoring of proper storage of medication Computer generated patient medication profile Medication administration record Automatic stop order Billing statements