... prioritization in health promotion programs and resources allocation Also there is further need to improve and strengthen formal care in the nursing home and reorienting health services both in the community ... present values Residents in homes scored better in all domains This means residents living at homes possessed better HRQoL than nursing home residents For elderly residents in nursing home, role physical ... geographical and socio-cultural meanings of elder care at local, regional, and national levels in Iran In general, based on the findings of the present study we might conclude that HRQoL in participants,...
Ngày tải lên: 22/03/2014, 14:20
... an increase in access to counselling and testing through task shifting and the up-training of clinic staff [33-37] In Botswana, the training of nurses to prescribe and dispense medication increased ... cost-savings, and will require strong government leadership to ensure an enabling regulatory framework, and adequate training and financing [80] In conclusion, our literature review finds that ... Mpunga J, Chazel E, Jeannin A, Szumilin E, Kamoto K, Harries A: Nurses and medical assistants taking charge: task-shifting HIV care and HAART initiation in resource-constrained and rural Malawi Oral...
Ngày tải lên: 18/06/2014, 17:20
Emergencies and Complications in Gastroenterology - part 1 docx
... (affecting the feasibility of sucking of the vessel into the Dig Dis 2003;21:6–15 cylinder), and the capability to obtain a good view in the distal esophagus during active bleeding, etc In patients ... stay in the intensive care unit, and hospital stay Side effects were similar, but less frequent in the terlipressin group [33] Terlipressin Terlipressin is an N-triglycyl-8-lysine-vasopressin, ... pressure in hepatic veins but also the intravariceal pressure [24] The dose of mg of terlipressin significantly decreases portal flow and flow in the azygos veins in a 4-hour interval and the...
Ngày tải lên: 10/08/2014, 15:20
Emergencies and Complications in Gastroenterology - part 2 potx
... choice in diagnosing the cause of lower gastrointestinal bleeding, and it offers the opportunity to treat patients suffering from lower gastrointestinal bleeding Endoscopic procedures must be integrated ... point, but bleeding of the small intestine is a rare condition (3–5%) Acute bleeding is arbitrarily defined as bleeding of !3 days’ duration resulting in instability of vital signs, anemia, and/ or ... bleeding from stomal varices in patients after external enteric diversion [60], bleeding from colonic variceal veins and intestinal varices [61] and traumatic bleeding from cirrhotic liver [62] Indications...
Ngày tải lên: 10/08/2014, 15:20
Emergencies and Complications in Gastroenterology - part 3 pdf
... trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding Endoscopy 2002;34:685–689 15 Laine L: Acute and chronic gastrointestinal bleeding; in Feldman ... Gastroenterology Bleeding Registry: Preliminary findings Am J Gastroenterol 1997;92:924–928 Zuckerman GR, Prakash C: Acute lower intestinal bleeding I Clinical presentation and diagnosis Gastrointest Endosc ... medication and endoscopist’s experience influence the postpolypectomy hemorrhage risk Although the use of NSAID did increase the incidence of minor self-limited bleeding, an increase in the rate...
Ngày tải lên: 10/08/2014, 15:20
Emergencies and Complications in Gastroenterology - part 4 pdf
... new promising candidate probably effective in experimentally induced pancreatitis in rats, as well as in an initial pilot study in humans showing reduced pancreatic and extrapancreatic inflammation ... effective in prevention of the infection as well as of extrapancreatic infections than pefloxacin [47] However, the latest and largest randomized controlled multicenter study finished in 2002 including ... A, Mensi N, Grau G, Vermeulen B, Morel P: Serum profiles of interleukin-6, interleukin-8 and interleukin-10 in patients with severe and mild acute pancreatitis Pancreas 1999;18:371–377 22 Appelros...
Ngày tải lên: 10/08/2014, 15:20
Emergencies and Complications in Gastroenterology - part 5 pdf
... surgical interventions and morbidity including gastrointestinal fistula, stomach outlet stenosis, incisional hernia, and local bleeding have frequently been observed Both the open packing technique ... serological testing Initial Assessment Patients with fever, tachycardia, abdominal pain and profuse diarrhoea usually require inpatient management, at least in the initial stages A plain abdominal radiograph ... predicted on the plain film by an assessment of the mucosal line as outlined by intraluminal gas The usually smooth margin becomes indistinct with ulceration and progresses to irregularity and disruption,...
Ngày tải lên: 10/08/2014, 15:20
Emergencies and Complications in Gastroenterology - part 6 potx
... responses in individual patients may be idiosyncratic and it therefore worthwhile beginning in a hierarchical way with the acid inhibitors and then moving on to octreotide to determine whether ... Investigations A detailed patient’s history and clinical examination, including rectal examination, are mandatory The whole gastrointestinal tract should be examined thoroughly to evaluate all sites ... typical Clinical Symptoms and Complications Bloody and mucous diarrhea, high stool frequency and day and night urgency, abdominal pain and cramps and subfebrile temperatures are common clinical...
Ngày tải lên: 10/08/2014, 15:20
Emergencies and Complications in Gastroenterology - part 7 pps
... obstruction and timing of the intervention performance from the viewpoint of the patient’s survival is explicitly the principal and life-saving concern In acute intestinal obstructions developing in patients ... enteroscopy in small intestine disorders is only suitable in cases where air must be aspirated from the region of the stomach and mainly small intestine as it happens, for example, in acute intestinal ... (Henoch-Schönlein purpura) Intussusception and Congenital Defect A leading segment of the bowel invaginates into an accepting segment Intrinsic bowel lesion – e.g Meckel diverticulum or tumor – usually initiates...
Ngày tải lên: 10/08/2014, 15:20
Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"
... medications discontinued in the ABC trial, thereby resulting in a blunted stress response during sedation interruption and minimizing the symptoms of withdrawal during sedation interruption [32] ... critical illness and shorter intensive care unit and hospital lengths of stay and interpretation, and drafting of the manuscript WIJ participated in data acquisition and drafting of the manuscript ... sedation was interrupted and again when sedation was resumed Clinicians involved in the care of study patients did not initiate sedation interruption, nor were they involved in the decision to resume...
Ngày tải lên: 25/10/2012, 10:35
Tài liệu Nutrition and Nutritional Care of Elderly People in Finnish Nursing Homes and Hospitals pptx
... in studies I and V in dementia wards, and in study IV in long-term care hospitals All nursing homes and long-term care hospitals for elderly people in Helsinki city administrative area were included ... SUBJECTS AND METHODS 4.1 SUBJECTS All the elderly individuals in the studies of this thesis were living in institutional care settings In studies II and III residents were living in nursing homes, ... resulted in an increase in the mean energy intake in elderly nursing home residents with AD (Young et al, 2005) 30 2.9.3 Meal time and meal ambiance in nursing homes Collective mealtimes in nursing...
Ngày tải lên: 13/02/2014, 18:20
Top 100 Health-Care Careers Your Complete Guidebook to Training and Jobs in Allied Health, Nursing, Medicine, and More SECOND EDITION ppt
... Cataloging -in- Publication Data Wischnitzer, Saul Top 100 health -care careers : your complete guidebook to training and jobs in allied health, nursing, medicine, and more / Saul Wischnitzer and Edith ... 9:14 AM Page i 100 Top Health -Care Careers Your Complete Guidebook to Training and Jobs in Allied Health, Nursing, Medicine, and More SECOND EDITION Dr Saul Wischnitzer and Edith Wischnitzer frontmatter.qxp ... where and how you can get the education and training you need for your chosen career—from finding the best program to financing your schooling xi frontmatter.qxp 2/4/2005 9:14 AM Page xii Introduction...
Ngày tải lên: 15/03/2014, 09:20
Nursing students perceptions and attitudes about spirituality and spiritual care in practice
... spirituality in nursing involves caring for the person within and not primarily on providing physical care or information Catanzaro and McMullen (2001) referred to this as blending the art of nursing ... spiritual care, and nursing role Themes relating to factors influencing spiritual care in practice were personal attributes, system factors, and patient factors x In Phase 2, the Spiritual Care- Giving ... specifically investigating students’ perspectives of barriers influencing spiritual understanding and spiritual care in practice (McSherry et al., 2008; Chism & Magnam, 2009) 10 In 1990, nursing education...
Ngày tải lên: 10/09/2015, 15:52
Báo cáo y học: " Regional coordination in medical emergencies and major incidents; plan, execute and teach"
... responsibility for staff training by conducting disaster and disaster-related courses and training The involvement of the same people in both planning for emergencies and disasters, training the staff for ... agencies/services, institutions and individuals [3] The lack of, or deficiencies in understanding, coordination, communication and a jointly trained organization have been recognized as important factors in ... the duration and intensity of consequent activities varied The data concerning the increase in mass-gatherings and sport events in the region are vital for planning and distributing the regional...
Ngày tải lên: 25/10/2012, 09:56
Báo cáo y học: "The epidemiology of intensive care unit-acquired hyponatraemia and hypernatraemia in medical-surgical intensive care unit"
... of care Full care 1.00 Full care, but no CPR 1.23 (1.09 to 1.39) 0.001 Comfort care 1.35 (1.07 to 1.70) 0.010 *Time-independent (age, baseline creatinine, random glucose) and time-dependent (minimum ... sodium disturbances acquired in hospital are preventable and indicative of substandard care [9,10] Sodium disturbances in the ICU according to our study appear to develop insidiously, present a median ... disturbances, and could potentially be used to help clinicians identify patients at increased risk An elevated baseline creatinine was associated with a 50% increased risk of ICU-acquired hypernatraemia and...
Ngày tải lên: 25/10/2012, 10:31
Báo cáo y học: "2009 H1N1 Influenza and Experience in Three Critical Care Unit"
... delivery, microbiologic findings, and chest radiologic findings at ICU admission Intubation and mechanical ventilation requirements, adverse events during ICU stay and laboratory findings at ICU admission ... antibiotics included moxifloxacin (in 19 patients), linezolid (in 14 patients), ampicilline-sulbactam (in 13 patients), clarithromycin (in 13 patients), piperacillin-tazobactam (in 12 patients), ... H1N1 novel swine origin influenza virus Crit Care Med 2011; in press [Internet] CDC Interim Guidance on Specimen Collection, Processing, and Testing for Patients with Suspected Novel Influenza A...
Ngày tải lên: 25/10/2012, 11:04
Tài liệu Health and Safety in the Child Care Setting: Prevention of Infectious Disease pdf
... their child care setting Assist providers in establishing, developing and promoting written policies regarding health and safety in their child care setting Help providers to understand and follow ... person •Toileting, diapering and assisting a child in the toilet •Handling body fluids such as blood, urine, stool, vomit, saliva, mucus, etc (including wiping noses) •Cleaning up or handling garbage ... child care regulations require 15 hours of health and safety training—eight hours for CPR and First Aid and seven for prevention of infectious disease and injuries The training in prevention of infectious...
Ngày tải lên: 12/02/2014, 12:20
Tài liệu Men’s knowledge and awareness of maternal, neonatal and child health care in rural Bangladesh: a comparative cross sectional study pptx
... Decision-making Most men reported joint decision-making with their wives regarding family planning Fewer reported joint decision-making with regard to ANC, delivery and postnatal care Joint decision-making ... labour and other markets and their income and assets [18,19] This affects women’s health and health-seeking behaviour in several ways, firstly, by Page of controlling behaviours and decision-making ... districts (Rangpur, Gaibandha and Mymensingh) in 2008 There is limited literature to inform our understanding of what happens at a micro level in terms of men’s knowledge and practice in relation to antenatal,...
Ngày tải lên: 12/02/2014, 19:20
Tài liệu Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes docx
... decrease the incidence of immunosuppression reported in homologous blood transfusions, in gynecologic oncology [4] Finally, in the hands of well-trained interventional radiologists, uterine artery ... the 2006 International Gynecologic Cancer Society Meeting and the 2006 Society for the Advancement of Blood Management Meeting [32] In the interest of simplicity, interventions used in bloodless ... been efficient in controlling blood loss postoperatively and decreasing allogenic transfusion requirements [28,29] Epoietin Alpha has been associated with hemoglobin increase in gynecologic cancer...
Ngày tải lên: 13/02/2014, 06:20
Tài liệu Eating well for older people: Practical and nutritional guidelines for food in residential and nursing homes and for community meals doc
... cancer includes choosing a diet rich in plant-based foods, eating plenty of vegetables and fruits and choosing foods low in salt and fat In addition, maintaining a healthy body weight, drinking ... accommodation – including both residential homes and nursing homes – and an increased demand for care in people’s own homes The Community Care Act which came into force in 1993 had, as one of its main objectives, ... content in the planning and preparation of food for older people • Local authorities should adopt these nutritional guidelines and insist on them being maintained in residential and nursing homes...
Ngày tải lên: 13/02/2014, 18:20