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.
Utilize the 8 "Vital Behaviors" to integrate Purposeful Hourly Rounding into our daily clinical practice. Anticipated to improve our current practice of hourly rounding to be more purposeful with intention.
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.
Utilize the 8 "Vital Behaviors" to integrate Purposeful Hourly Rounding into our daily clinical practice. Anticipated to improve our current practice of hourly rounding to be more purposeful with intention.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
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
2. Introduction
There are several methods that can be used
effectively in clinical teaching. Nursing rounds
are conducted by the head nurse or nurse
teacher with the members of her staff or
students for a clear understanding of the
disease and the effect of nursing care for
each patient.
3. Types of nursing rounds
1.rounds with doctors.
2. rounds with discuss psychological problem of
patient.
3.social service rounds
4.medical round for nurses.
5.round with the physical therapist.
6.nursing rounds
4. Purpose of nursing rounds
To observe the physical and mental condition
of the patient and the progress made from
day to day.
To observe work of staff.
To specific observation of the patient and give
report to doctor regarding., for example-
wounds,drainage,bleeding.
To introduce patient to personnel and vice
versa.
5. Cont..
To carry out plan made for care of patient.
to evaluate result of treatment and patient
satisfaction.
To ensure that safety measures are employed
for patient and personnel.
To orient the nurse /student in taking charge
of the patient’s treatment and status of the
patient.
6. Cont..
To teach nursing students or hospital staff regarding
specific condition.
To check any preventable condition in patient such as
bedsore, foot drops etc.
To check emergency equipment near the patient for
safety and working order.
To compare C/F of disease in a patient so that the
students gains better insight.
To prescribe any modification in nursing action.
7. Ways of conducting rounds
When ward rounds are conducted , the
teacher goes to the patient’s room with the
group of nurses.
Outside of the door, out of his hearing ,they
discuss the objectives , after which they go in
to see the patient and talk for a few moments
with him.
They than move on to the next patient.
8. Cont..
The discussion must necessarily by brief
including only the outstanding points if the
purpose is to visit all the patient in the ward.
Nursing rounds are done in a reporting style
regarding the patient’s condition , nursing
care, medical care and prognosis.
9. Advantage of nursing rounds
This method is a mean of testing the
knowledge of students and their acquaintance
with all the patient on the floor.
The students, who are informed prior to
rounds, benefit the maximum in a real life
teaching method.
No other type of round is subtitute for nursing
rounds.
10. Cont..
It is very valuable for the head nurses to go
on regular nursing rounds with a clinical
instructor.
An intelligent nurse with creative abilities may
find many other ways of successfully assisting
students nurses to develop nursing skills.
Round helps in orienting a new nurse /
student to the patient.
11. Cont..
Rounds are interesting strategies involving
the students, teacher and the patient.
They offers a real life learning situation.
Through rounds , evaluation of nursing activity
hurdles faced by nurse in nursing care can be
appraised.
12. Disadvantage of nursing rounds
The confidentiality of the patient is hampered.
The patient may overhear the discussion and may
not like the thought that he is being talked about.
If group is large the teacher may not able to speak
loudly enough to be heard in which case the
attention of individuals who are on the fringes is
lost.
Distractions are present in the ward.
13. Cont..
An unprepared nursing round has little
teaching learning value.
The value of nursing rounds depends on the
quality and presentation of the nurse teacher
head nurse.
15. It is a good practice to compile all the rules/guidelines
concerning the management and procedure in a manual
that can be made available for reference. These
directives generally fall under the following 3 headings.
1. Procedure issued by the administrative office and
referring mainly to regulations. This is essential for
maintaining discipline.
2. Procedure manuals, e.g.lab procedure manuals,
nursing procedure manuals.
3. Unit procedure outline the procedure to be used in unit.
16. The contents of the manual , particularly in relation to the
specific procedure, will be more acceptable if compiled
following a group discussion. It is important that manual
should be keep up to date and old procedure should be
removed when new materials is issued.
18. Standing orders are specific instruction regarding
treatment for condition that nurses and other health
workers may encounter in home, school and industries
where a doctor is not readily available. The standing
order are intended to provide treatment only in
emergencies and temporarily in the absence of a doctor,
they should be limited.
19. Purpose of standing order
To meet emergency situation in rural area.
To deliver care at home, school, community.
To provide temporary treatment in the
absence of a doctor.
To promote health services in community.
20. General standing order
instruction
Standing order instructions should be issued
jointly by an authorized medical office and a
nurse or a committee with a nurse
representative.
The community health nurse working in rural
areas may be only qualified professional
person readily available to the family , so
standing instruction must be used with caution
and discretion.
21. Standing orders are these to promote health services in
the community.
The medical officer is legally responsible for issuing
standing orders, and he should have faith in the sound
judgment of his staff.
They reduce danger in acute condition.
They create the feeling of responsibility among the
members of the health team.
Every health service should issue standing instruction to
meet the health need of the areas.
22. Role of the nurse in standing
order
The community health nurse should be skillful
in recording the history and in physical
examination in order to detect abnormality.
The community health nurse should be
prompt in detecting appropriate action for
particular situation.
The nurse should maintain a record of vitals
and other care given to the patient.
23. Cont..
The nurse should have thorough knowledge to identify
the actual problem of the patient and to plan appropriate
nursing intervention.
The nurse should intervene with services according to
the given community standing orders.
The nurse should develop a good therapeutic
relationship with the individual and family.
The nurse should use referral system if it is possible.
24. Cont..
The nurse should inform the health officer immediately if
there is a communicable disease.
He/she should keep the medication safe and ready to
follow standing orders.
He/she should ensure a safe and healthy environment
for patient.
Recording and reporting is a essential part of community
health services.
25. Types of standing order
1.Institutional standing orders:-
They are meant keeping in mind available
resources ,staff position and the objectives of
a medical institution or hospital
Ex-standing order of PHC can be differat from
those of district hospital.
26. Cont..
2.Specific standing order:-
These orders are meant for trained medical personnel,
mainly the nurses , technical knowledge and specific
skills are require to implement these orders.
Ex-giving care at home ,injections , oxygen therapy.
27. Cont..
3.General standing orders:-
Owning to a large population , vast
geographical area and the shortage of
resources , some standing order are used to
propagate health care messages to the
masses.
Ex-preventive measures against AIDS.
28. Advantages of standing order
Community standing orders provides timely treatment
during emergencies.
They enhances the quality and activity of health
services.
They provide a feeling of confidence and responsibility in
the nursing staff and other health workers.
They help to decentralize the health responsibilities.
They help to strenthn the primary services in the
community.