1.2 PROBLEM STATEMENT Care of critically ill patient in the ward is a challenging process especially in the low resource countries. This is due to deficiency/ inadequate specialized or competent skilled personnels and absence of monitoring of patients closely. As the nurses are in constant contact with patients, they are in prime position to identifying problems at an early stage with the use of systematic patient assessment According to the standard of care, systematic assessment framework is
Many of them exhibits low self-esteem, undesirable habits and history of abuses from chaotic and dysfunctional households and war-torn communities. No one should give up in changing and improving the lives of children especially those who have trodden the wrong path. People
them to quickly learn new words and discriminate among them. Another effect poverty can have on the education of a child is an unfinished academic degree. Children who watch their parents not finish school are more likely to not finish themselves. “Low-income children are at increased risk of leaving school without graduating,” (Engle & Black). Without an education, it is less likely a child will get a job earning enough to support themselves, therefore, continuing the problem of poverty. Poverty
To what extent is Education responsible for poverty and misery? Education is one of the few things a person is willing to pay for and not get. William Lowe Bryan (1860–1955) 10th president of Indiana University (1902 to 1937). Education is one of the chief obstacles to intelligence and freedom of thought. Bertrand A. Russell (1872-1970) English philosopher, mathematician, and writer. People who lack education are the people who are not been taught. The
Deep Venous Thrombosis Prophylaxis; Lovenox vs Heparin On June 30, 2011, the Centers for Medicare and Medicaid Services (CMS) presented their final ruling on non-payment policies for provider preventable conditions (PPCs). One of the other provider preventable conditions includes the development of deep vein thrombosis (DVT) prophylaxis in any health care setting (Federal Register, 2011, p. 32817). Due to the significant cost of providing care for preventable conditions that are now not reimbursed
Aspirin as DVT Prophylaxis in Rehabilitation Inpatients Christin Porro University of Michigan Aspirin as DVT Prophylaxis in Rehabilitation Inpatients Introduction Blood clots are one of the leading causes of preventable hospital deaths in the United States. Blood clots (DVT and PE) affect upwards of 600,000 Americans each year and cause more deaths each year than the more well-publicized conditions of breast cancer, AIDS, and motor vehicle accidents ("DVT awareness," 2013, para. 1). An
deep vein thrombosis, pulmonary embolism, coronary artery disease, myocardial infarction and ischemic stroke). 36-37There is no definitive treatment for PVT however prophylaxis using a combination of low molecular weight heparin and/or warfarin and/or thrombolytic agents is the cornerstone of managing the
Present the Evidence: Anticoagulation Management Anticoagulants are considered to be among the most commonly implicated medications to cause adverse drug events in hospitalized patients (Piazza et al., 2011). As a result, there has been an increased focus on preventing medication errors in relation to anticoagulant therapy. The purpose of this paper is to demonstrate how the current Anticoagulation Management policy, used at Advocate Medical Centers, is supported by or needs revision according to
consideration: monitor for internal and external bleeding and allergies. Heparin: heparin prevents conversion of fibrinogen to fibrin and prothrombin to thrombin. IV bolus of unfractionated Heparin or Subcutaneous injection of low molecular weight heparin (LMWH) may be used to prevent the formation of new blood clots. Nursing consideration: Require regular monitoring of activated partial thromboplasitn time (aPTT) and needed frequent heparin dose changes (Brunner and Suddarth’s, et al, 2010: 765). Fibrinolytic
composition, and/or interaction between molecules in the composition and/or tissue. Low molecular weight, small chain polysaccharides require higher concentrations to produce viscous, gel-like materials, and tend to be less desirable. One of the preferred polysaccharides is hydroxypropylmethylcellulose which is preferably used in a sterile aqueous solution. As a sterile solution it may be formulated to have a molecular weight exceeding 80,000 daltons and a viscosity of at least about 4,000 centipoise. See
However, it has high cost and difficult to prepare as well as low availability. It has the ability to accumulate in spleen with blood-half clearance time of 7 hours which reduce the time needed for imaging and diagnostic procedure (Datz, 1996). By the way, it brings out inconvenience when several parts of inflammation
Steven Johnson and toxic Epidermal Necrolysis the over lapping syndrome Steven Johnson Syndrome and toxic Epidermal Necrolysis SJS is also known as Steven Johnson Syndrome it is one of the rarest and painful skin disorder anyone can encounter it is mainly triggered by Drugs and medications. The diagnosis is suspected clinically and classified based on the skin surface area detached at maximum extent. This syndrome attacks the skins and mucosa membranes in the following ways. The skin
Abstract Angiogenesis is a physiological process that causes the growth of new blood vessels from pre-existing vessels. This process is regulated both by activating molecules and inhibitors of angiogenesis and also played a key role in physiological processes such as organ growth and development, wound healing and reproduction and in the pathological process of tissue destruction including tumor growth, metastasis, arthritis, etc. Generally, process of angiogenesis is influenced by several factors