Nursing management of patient with cardiac surgeries.PrashantSalve10
It will be helpful to overview cardiac surgeries like CABG, Valvular surgeries and heart transplant. It also enumerates the nursing diagnoses and its brief description.
Do we suction neonates properly or not?
Evidance based practice is essential in professional practice.
*Literature review for respiratory therapists and nurses*
Nursing management of patient with cardiac surgeries.PrashantSalve10
It will be helpful to overview cardiac surgeries like CABG, Valvular surgeries and heart transplant. It also enumerates the nursing diagnoses and its brief description.
Do we suction neonates properly or not?
Evidance based practice is essential in professional practice.
*Literature review for respiratory therapists and nurses*
This presentation is on Mental Health Act, Indian Lunacy Act and Rights of Patient. Mental Health Nursing one of core subject of B.Sc. Nursing Third Year.
BIBILIOGRAPHY
R SREEVANI “A Guide to Mental Health &
Psychiatric Nursing” 3rd Edition
Jaypee Medical Publisher Pp: 345 to 350
Shelia L Vedibeck “Psychiatric Mental Health
Nursing” 5th Edition Lippincott & Williams.
Mary C Townsend “Essential of Psychiatric health
nursing” 7th Edition F A Devis 2013.
ANTONY JAMES T (2000): “A decade with the
mental health act, Indian Journal
of Psychiatry, 42(4)
Kothari, Jaya “Moving towards autonomy &
equity an analysis of mental health care
bill 2013”
Mental health act drafted in 1987 and came into india in 1993. It includes need, objectives, act etc. it includes 10 chapters and mental health care act 2017 included.
In India, the Mental Health Care Act 2017 was passed on 7 April 2017 and came into force from 29 May, 2018. An act to consolidate and amend the law relating to the treatment and care of mentally ill persons, to make better provision with respect to their property and affairs and for maters connected therewith or incidental thereto
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Mhn practice teaching
1. GUJARAT INSTITUTE OF MENTAL HEALTH
DEPARTMENT OF PSYCHIATRIC (MENTAL HEALTH NURSING)
HOSPITAL FOR MENTAL HEALTH, DELHI DARWAJA,
SHAHIBAUG-380004 ,GUJARAT
MENTAL HEALTH ACT
PREARED BY:
MR.JRENISAN CHRISTIAN
M.SC NURSING
GUJARAT INSTITUTE OF MENTAL HEALTH
DEPARTMENT OF PSYCHIATRIC NURSING
4/6/2022 1
2. INTRODUCTION
Mental health legislation is essential for protecting the rights and dignity of persons with mental
disorders, and for developing accessible and effective mental health services.
Indian mental health act (MHA) was drafted by the parliament in 1987, but it came into
effect in all the states and union territories of India in April 1993. This act replaces the
Indian lunacy Act of 1912.
3. DEFINITION OFTHEACT
An act to consolidate and amend the law relating to the treatment and care of mentally ill
persons, to make better provision with respect to their property and affairs and for matters
connected therewith or incidental thereto”
7. ACT
The act is divided into 10 chapters consisting of 98 sections.
8. CHAPTER I – PRELIMINARY
It contains definition included :-
• Psychiatric hospital/nursing homes :-
A hospital/ nursing home established or maintained by the government or any other person for
the case of mentally ill persons.
• Mentally ill person :-
A person who is in need of treatment by reason of any mental disorder other than mental
retardation.
9. CHAPTER-I : CONT…
Psychiatrist –
a medical practitioner
possessing postgraduate
degree or diploma in
psychiatry recognized by
the MCI (medical council
of India)
Reception order:-
An order made under
the provision of this
Act for the admission
and detention of
mentally ill person in a
psychiatric hospital /
nursing home
NEW TERM PREVIOUSLY
USED TERMS:
Psychiatric hospital/
Nursing Home
Asylum
Mentally ill person Lunatic
Mentally Ill Prisoner Criminal
Lunatic
10. CHAPTER II - MENTAL HEALTH AUTHORITIES
Deals with the procedures for establishment of mental health authorities at central and state levels
11. CHAPTER III - PSYCHIATRIC HOSPITALSAND PSYCHIATRIC
NURSING HOMES
It lays down the guidelines for
• Establishment and maintenance of psychiatric hospitals and nursing homes
• Provision for licensing authorities to process applications for license
1. The Central Government may established or maintain psychiatric hospitals or psychiatric nursing homes
for
2. Separate psychiatric hospitals and psychiatric nursing homes may be established or maintained for
12. CHAPTER IV : ADMISSION AND DETENTION IN PSYCHIATRIC
HOSPITAL
ADMISSION ON
VOLUNTARY
ADMISSION
UNDER
AUTHORITY
Reception on
application sec
20
Reception on
production
before
magistrate
Reception after
se-26
ADMISSION UNDER SPECIAL
CIRCUMSTANCE SEC 19:
Admission and
detection of mentally
ill
13. Admission on voluntarybasis
Requestby a major/ guardian of the minor for admission to medical
officer
Medical officer makes enquires within 24hrs
If the medical officer is satisfied for
admission Voluntary admission is made
14. Admission under special circumstances(Involuntary)
Patient is unwilling or unable to make a request for admission , a
relative /friend makes an application to the medical officer on
behalf of the patient
Medical officer makes enquires within 24hours
If the medical officer is satisfied for
admission
Involuntary admission is
made
15. Admission under authority ororder
Mentally ill person can be admitted to
psychiatric nursing hospital by court of law or
an approved authority .
The authority can pass an order for reception
and detention mainly under four different
categories.
17. Reception order onapplication
Only a relative not other
than husband ,wife
,guardian or a friend can
make out an application
for admission of client
Two
official
certificate
needed
Being a minor or one
has not seen the
mentally ill patient in
the last 14 days can
make such application
With the application a
medical officer can
extend inpatient
treatment to more than
6 month
18. Reception order on production of a mentally ill person before a
magistrate
19. Reception order afterInquest
Inquest of
mentally
ill patient
by district
court
In the
interest of
such
person
district
court
directs for
admission
Admissio
n is
made
20. CHAPTER V - INSPECTION, DISCHARGE, LEAVE OFABSENCE AND
REMOVAL OF MENTALLY ILL PERSONS
Discharge by medical officer
Discharge on application
Discharge on request
Discharge of person subsequently found on inquisition to be of sound mind
21. LEAVE OFABSENCE
An application for leave of absence may be made to the medical officer-incharge:-
By the husband or wife of the mentally ill
Relative of the mentally ill person duly authorized by the husband or wife or
By the person on whose application the mentally ill person was admitted
The medical officers-incharge may grant leave of absence for such period as deemed necessary
The total number of days shall not exceed sixty days
22. ChapterVI
Judicial Inquisition RegardingAlleged Mentally Ill Persons Possessing Property, Custody of His
Person & Management of his Property
• Consist of legal customary actions towards the property possess by mentally ill persons.
• Under sections 54(1) a guardian may be appointed by court of law on behalf of an alleged
mentally ill person incapable of looking after self and property.
23. ChapterVII
Liability To Meet Cost of Maintenance of Mentally Ill Persons Detained in Psychiatric Hospital
Or Nursing Home
• Deals with ways and means to meet the lost of maintenance of mentally ill
persons detained in psychiatric hospital.
• Under section 78 when a mentally ill patient is detained as an inpatient and does not
have property to bear the cost of treatment , in such cases this expenses shall be borne
by the government of the state.
24. CHAPTER VIII
PROTECTION OF HUMAN RIGHTS OF MENTALLY III PERSONS
No mentally ill person shall be subjected during treatment to any indignity (whether physical or mental) or
cruelty
No letters or other communications sent by or to a mentally illpersons under treatment shall be intercepted,
detained or destroyed
No mentally ill person under treatment shall be used for purposes of research, unless
25. CHAPTER IX
PENALTIES & PROCEDURE
• Penalty in contravention of Chapter III
Any person who establishes or maintains a psychiatric hospital or nursing home in contravention of the
Chapter III shall be punishable with :
o imprisonment for a term which may extend to three months, or
o with fine which may extend to two hundred rupees, or
o with both
26. Penalty for improper reception of mentally ill person
Any person who receives or detains or keeps a mentally ill person in a psychiatric hospital or nursing
home otherwise than in accordance with the provision of this Act, shall be punishable with
o imprisonment for a term which may extend to two years or
o with fine which may extend to one thousand rupees, or
o with both.
27. CHAPTER X
MISCELLANEOUS
It Deals With Clarification Pertaining To Certain Procedures To Be Followed The Medical
Officer –In-charge Of The Psychiatric Hospital / Nursing Home.
Matters WhichAreNot CoveredIn Above Chapters
29. MENTAL HEALTH CARE ACT 2017
In India, the Mental Health Care Act 2017 was passed on 7 April 2017 and came into force
from 29 May 2018.The act effectively decriminalized attempted suicide which was
punishable under Section 309 of the Indian Penal Code.
30. An Act to provide for mental health care and services for persons with mental illness
To protect, promote and fulfil the rights of such persons during delivery of mental health care and
services
Convention on Rights of Persons with Disabilities : 13th December, 2006 at United Nations Headquarters
16 chapters / 126 sections
31. REVISIONS MADE FROM THE MENTAL HEALTH ACT 1987
The Mental Healthcare Act 2017 aims at decriminalising the Attempt to Commit Suicide by
seeking to ensure that the individuals who have attempted suicide are offered opportunities for
rehabilitation from the government as opposed to being tried or punished for the attempt.
The 2017 Act recognises the agency of people with mental illness, allowing them to make
decisions regarding their health, given that they have the appropriate knowledge to do so.
32. The Act has restricted the usage of Electroconvulsive therapy (ECT) to be used only in cases of emergency,
and along with muscle relaxants and anaesthesia. Further, ECT has additionally been prohibited to be used
as viable therapy for minors.
The responsibilities of other agencies such as the police with respect to people with mental illness has been
outlined in the 2017 Act.
33. CHAPTERS
CHAPTER CONTENT
CHAPTER I Preliminary
CHAPTER II Mental illness and capacity to
make mental healthcare and
treatment decisions
CHAPTER III Advance directive
CHAPTER IV Nominated representative
CHAPTER V Rights of persons with mental illness
CHAPTER VI Duties of appropriate government
CHAPTER VII Central mental health authority
CHAPTER VIII State mental health authority
CHAPTER IX Finance, accounts and audit
34. CHAPTERS
CHAPTER CONTENT
CHAPTER X Mental health establishments
CHAPTER XI Mental health review boards
CHAPTER XII Admission, treatment and discharge
CHAPTER XIII Responsibilities of other agencies
CHAPTER XIV Restriction to discharge functions
by professionals not covered by
profession.
CHAPTER XV Offences and penalties
CHAPTER XVI Miscellaneous
37. 2) Leave of Absence means:-
a) Mentally ill patient is detained in the hospital
b) Mentally ill patient is permitted for hospital
c) Mentally ill patient is given time limited leave
d) Mentally ill patient is given permission for any therapeutic procedure
38. 4)How many chapters are there in Mental health care act-2017:-
a) 10
b) 12
c) 16
d) 15
39. 4)Which of the following chapter(MHA-1987) deals with the cost maintenance of Mentally
ill patient in Psychiatric Hospitals:-
a) CHAPTER-IV
b) CHAPTER-VI
c) CHAPTER-VII
d) CHAPTER-VIII
40. 5) Which chapter of MHA-1987 deals with the Provides the guidelines for establishment and
maintenance of psychiatric hospitals:-
a) CHAPTER-I
b) CHAPTER-II
c) CHAPTER-III
d) CHAPTER-IX
