Indian citizens possessing foreign nursing qualification are examined individually & after examination the syllabi and conformation from concerned foreign authorities, the nurses are granted approval for registration in India with the recommendation of equivalence committee under Section 11(2)(a) INC Act. 1947.
Indian citizens possessing foreign nursing qualification are examined individually & after examination the syllabi and conformation from concerned foreign authorities, the nurses are granted approval for registration in India with the recommendation of equivalence committee under Section 11(2)(a) INC Act. 1947.
it explain about definition of supervisior, faculty and dual position. role of faculty and supervisior and characteristics of faculty and supervisior. different hospital who started concept of dual position. advantages and disadvantages of dual position.
“Let us never consider ourselves as finished nurses….. We must be learning all our lives”
-Florence Nightingale
The idea of continuing education in nursing is as old as organized nursing, but the concept of lifelong learning for the practitioner has developed slowly.
Nursing Education programs can include one or two practicum courses in nursing education and leadership. In a typical practicum, you might be expected to work with a nurse educator or administrator in an educational setting and help design, implement, and evaluate nursing education programs. Ed.D. practicums are built to accommodate working nurses.
The biopsychosocial model reflects the development of illness through the complex interaction of biological factors (genetic, biochemical, etc.), psychological factors (mood, personality, behavior, etc.) ... A person may have a genetic predisposition for a disease, but social and cognitive factors must trigger the illness.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
it explain about definition of supervisior, faculty and dual position. role of faculty and supervisior and characteristics of faculty and supervisior. different hospital who started concept of dual position. advantages and disadvantages of dual position.
“Let us never consider ourselves as finished nurses….. We must be learning all our lives”
-Florence Nightingale
The idea of continuing education in nursing is as old as organized nursing, but the concept of lifelong learning for the practitioner has developed slowly.
Nursing Education programs can include one or two practicum courses in nursing education and leadership. In a typical practicum, you might be expected to work with a nurse educator or administrator in an educational setting and help design, implement, and evaluate nursing education programs. Ed.D. practicums are built to accommodate working nurses.
The biopsychosocial model reflects the development of illness through the complex interaction of biological factors (genetic, biochemical, etc.), psychological factors (mood, personality, behavior, etc.) ... A person may have a genetic predisposition for a disease, but social and cognitive factors must trigger the illness.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
Oxygen therapy
Definition:
Oxygen is a colorless, odorless, tasteless gas that is essential for the body to function properly and to survive.
Oxygen therapy is a treatment that delivers oxygen gas to breathe. The oxygen therapy is received from tubes resting in nose, a face mask, or a tube placed n your trachea, or windpipe. This treatment increases the amount of oxygen in lungs to receive and deliver to blood.
What is meaning of O2 therapy
Oxygen therapy is the administration of oxygen at a concentration of pressure greater than that found in the environmental atmosphere
The air that we breathe contain approximately 21% oxygen
the heart relies on oxygen to pump blood.
Purpose
Oxygen therapy is a key treatment in respiratory care.
The purpose is to increase oxygen saturation in tissues where the saturation levels are too low due to illness or injury.
What are the signs that a person needs oxygen
shortness of breath.
headache.
restlessness.
dizziness.
rapid breathing.
chest pain.
confusion.
high blood pressure.
Contd…..
Pulmonary hypertension
Acute myocardial infarction (heart attack)
Short-term therapy, such as post-anesthesia recovery
Oxygen may also be used to treat chronic lung disease patients during exercise .
Methods of oxygen administration:
1- Nasal cannula
Face mask
The simple Oxygen mask
The partial rebreather mask:
The non rebreather mask:
The venturi mask:
The partial rebreather mask:
The mask is have with a reservoir bag must romaine inflated during both inspiration & expiration
It collection of the first parts of the patients' exhaled air.
It is used to deliver oxygen concentrations up to 80%.
The non rebreather mask
This mask provides the highest concentration of
oxygen (95-100%) at a flow rate6-15 L/min.
It is similar to the partial rebreather mask
except two one-way valves prevent conservation of exhaled air.
The bag is an oxygen reservoir
Venturi mask
It is high flow concentration of oxygen.
Oxygen from 40 - 50%
At liters flow of 4 to 15 L/min.
T-piece
Used on end of ET tube when weaning from ventilator
Provides accurate FIO2
Provides good humidity
Documentation:
Date and time oxygen started.
Method of delivery.
Oxygen concentration and flow rate.
Patient observation.
Add oronasal care to the nursing care plan
O2 DELIVERY DEVICES
i have prepared this ppt. from various Books as a refrences as well as uses of web pages and explain and modify in simplify language which are easily understand by medical or para medical personnel..thank you..
HUMAN BEHAVIOUR IS THE POPULATION OF BEHAVIORS EXHIBITED BBY HUMANS AND INFLUENCED BY CULTURE, ATTITUDE, EMOTIONS, VALUES, ETHICS, AUTHORITY, RAPPORT,ETC.................................................
- 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
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
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!
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.
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.
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
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
4. Introduction:
Oxygen insufficiency means “deficient in oxygen”.
The normal range of oxygen in the external blood should
be 80-100mm of Hg.
For treating oxygen insufficiency effectively early
diagnosis and correct cause should be ruled out.
The only management for oxygen insufficiency is oxygen
administration.
6. Causes:
Decreased hemoglobin
High altitude
Inability of the tissue to extract oxygen from the blood
Decreased diffusion of oxygen from the alveoli to the
blood
Poor tissue perfusion with oxygenated blood
Impaired ventilation
15. HYPOXIA:
Inadequate supply of oxygen to the cells.
TYPES OF HYPOXIA:
HYPOXICHYPOXIA ANAEMICHYPOXIA
CIRCULATORYHYPOXIA HISTOTOXIC HYPOXIA
TYPES OF
HYPOXIA
16. HYPOXEMIC HYPOXIA:
Hypoxemic hypoxia is a decreased oxygen level in the
blood resulting in the decreased oxygen diffusion into the
tissue
It may be caused by hypoventilation , high attitude ,
ventilation- perfusion mismatch (as in pulmonary
embolism) , shunts in which the alveoli are collapsed and
cannot provide oxygen to the blood.(commonly caused by
atelectasis ) , and pulmonary diffusion defects. It is
corrected by increasing alveolar ventilation or providing
supplement oxygen.
17. CIRCULATORY HYPOXIA:
Circulatory hypoxia is hypoxia resulting from capillary
circulation.
It may be caused by decreased cardiac output, local
vascular obstruction , low- flow states such as shock, or
cardiac arrest.
Although tissue partial pressure of oxygen (PO2) remains
normal.
Circulatory hypoxia is corrected by identifying and
treating the underlying cause.
18. ANAEMIC HYPOXIA:
Anemic hypoxia is a result of decreased effective
hemoglobin concentration, which caused a decreased in
the oxygen carrying capacity of the blood.
It is rarely accompanied by hypoxemia.
Carbon monoxide poisoning , because it reduce the
oxygen – carrying capacity of hemoglobin produced
similar effects but is not strictly anemic hypoxia because
hemoglobin levels may be normal.
19. HISTOTOXIC HYPOXIA:
Histotoxic hypoxia occurs when a toxic substance, such as
cyanide, interferes with the ability of tissues to use
availability oxygen.
20. OXYGEN INSUFFICIENCY:
Shortness of breath
Clubbing of finger
Impairment if judgment
Visual impairment
Oliguria anuria
Nausea
Vomiting
Headache
Dizziness
Irritability
Memory loss
Anxiety
Tired
21. INDICATION:
Anemia
Lung disease [COPD, emphysema, bronchitis , pneumonia
, pulmonary edema]
Strong pain medicines and other drugs that hold back
breathing.
28. Breathing exercise
Breathing slowly and rhythmically to exhale completely
and empty the lungs completely.
Inhale through the nose to filter, humidify and warm the
air before it enters the lungs.
If you feels out of breath, breathe more slowly by
prolonging the exhalation time.
Keep the air moist with a humidifier.
29. Nebulization
The nebulizer is a handheld apparatus that disperses a
moisturizing agent or medication such as bronchodilator
or mucolytic agent, into microscopic particles and delivers
it to the lungs as the patient inhales.
30. Chest physiotherapy
POSTURAL DRANAGE:
Postural drainage allows the force of gravity to assist in
the removal of bronchial secretions.
The secretions rain from the affected bronchioles into the
bronchi and trachea and are removed by coughing or
suctioning.
Postural drainage is used to prevent or relive bro0nchial
obstruction caused by accumulation of secretions.
31. CHEST PERCUSSION AND VIBRATION:
Percussion is carried out by cupping the hands and lightly
stacking the chest wall in a rhythmic fashion over the lung
segment to be drained.
The wrist are alternatively flexed an extended so that the
hest is cupped or clapped in a painless manner.
Vibration is the technique of applying manual
compression and tremor to the chest wall during the
exhalation phase of respiration.
33. Nasal cannula:
It is the most common in expensive method used to
administer oxygen to client.
It delivers a relatively low concentration of oxygen9
24% to 45%) at flow rate of 2-6 l/min.
But this is not use these days.
Now a day’s nasal prongs are used.
34. Face mask:
The simple face mask delivers oxygen concentration
from 40% to 60% at flowrate of 5 to 8 l/min
respectively.
The partial rebreather mask delivers oxygen
concentrations of 60%% to 90% at flow of 6 to
10l/min respectively.
In rebreather mask the oxygen reservoir bag that is
attached allows the client to rebreath about first third
of the exhaled air in conjunction with oxygen. This it
increases FiO2 by recycling expired oxygen.
35. Non breather mask:
It delivers the highest oxygen concentration possible
95% to 100% by means other than intubation or
mechanical ventilation at liter flow of 10 to 15% l/min.
36. Venture mask:
It delivers oxygen concentration varying from 24% to
40% at flow rate of 4 to 5 l/min.
The venture mask has wide bore tubing and colour
coded jet adapters that correspond to a precise oxygen
concentration and flow rate.
Nurse should take care while selecting the mask as it
should fit to the face of patient snuggly.
37. Trans tracheal oxygenation:
This is used for oxygen dependent client.
Oxygen is delivered through a small narrow plastic
cannula surgically inserted through the skin directly
into trachea.
A collar around the neck holds the catheter in place.
38. PEDIATRICS:
IN CASE OF INFANTS:
Oxygen hood:
It is a rigid plastic dome that encloses on infant head.
It provided precise oxygen levels and high humidity.
Special consideration:
The gas should not be allowed to blow directly into the infants
face and hood should not rub against the infants face, neck,
chin or shoulder.
IN CASE OF CHILDREN:
It is made up of rectangular clear plastic canopy with outlets
that connect to an oxygen source. Flow rate is adjusted at 10 to
15 l/min after flooding the tent for 5 min .At rate of 15l/m.
41. MECHANICAL
VENTILATION:
It is a positive or negative pressure breathing
device that can maintain ventilation and
oxygen delivery for a prolonged period.
INDICATION
Continuous decrease in PaO2
Increase in arterial CO2 levels.
Persistent acidosis.
42. TYPES:Negative pressure ventilation:
This exerts negative pressure on the external chest; which
in turn decrease intra- thoracic pressure during inspiration
and allows the air o flow to lungs, filling its volumes.
These are mainly used in case of client with
neuromuscular conditions.
Advantages:
Easy to use and do not require intubation.
Disadvantages:
Unsuitable for patients who requires frequent ventilator changes.
43. Positive pressure ventilation:
These inflate the lungs by exerting pressure on the
airways, forcing the alveoli to expand during inspiration.
Expiration occurs passively which further includes time
cycled ventilators, pressure cycled ventilators and volume
cycled ventilators.
44. Modes of mechanical ventilation:
Continuous mandatory volume (CMV):
Means continuous mandatory volume, without allowances
for spontaneous breathing.
Assist control ventilation(ACV):
Where assisted breaths are facsimiles of controlled
breaths.
Intermittent mandatory ventilation(IMV):
Which mixes controlled breaths and spontaneous breaths.
45. Pressure support ventilation(PSV):
Where the patient has control over all aspect of his/her
breathe expect the pressure limits.
High frequency ventilation:
Where mean airway pressure is maintained constant and
hundreds of tiny breaths are delivered/ minutes.
46. Continuous positive airway pressure(CPAP):
Spontaneous ventilation with continuous positive airway
pressure(CPAP). The ventilator adjunct is used only with
spontaneous ventilations.
The patient breathes spontaneously through the ventilator
at an elevated baseline pressure throughout the breathing
cycle.
47. Synchronized intermittent mandatory
ventilation(SIMV):
Gas flow in the synchronized intermittent mandatory
ventilation (SIMV) mode. A present minimum number of
breaths are synchronously delivered to the patient but the
patient may also take spontaneous breaths of varying
volume.
Note how inspiratory and expiratory pressure between
spontaneous and ventilator breaths.
48. Positive end expiratory pressure:
Airway pressure with varying levels of positive and
expiratory pressure
Note that at end expiration the airway is not allowed to
return to zero.
49. NURSING CARE OF PATIENT
ON VENTILATOR:
The nurse has a vital role in assessing the patient status
and functioning of the ventilator.
The nurse evaluates the patients physiologic status and
how he or she is coping with mechanical ventilation.
In physical assessment includes systematic assessment of
all body system, with an in depth focus on the respiratory
system.
50. Respiratory assessment includes vital signs respiratory
rate and pattern breath sounds, evaluation of spontaneous
ventilator effort and potential evidence of hypoxia.
Increased adventitious breath sound may indicates a need
for suctioning.
The nurse also evaluates the sittings and functioning of the
mechanical ventilator as described previously.
51. Assessment also addresses the patient neurologic status
and effectiveness of coping with the need for assisted
ventilation and the changes that accompany it.
The nurse should assess the patient comfort level and
ability o communicate as well.
Finally, weaning from mechanical ventilation requires
adequate nutrition. Therefore, it is important to assess the
function of the gastro-intestinal system and nutritional
status.