Category Archives: Nursing

Nursing Now crusade to raise medical attendants’ voices and profiles

14Nursing Professionals are the forefront for the health care center of the care they work among all the specialties and patients’ group. They play   vital jobs in quality consideration arrangement and in addition malady avoidance, wellbeing and wellbeing advancement attempting to propel care, lead change, have a voice and have any kind of effect.

The present and developing pattern to think about patients out in the network is an imperative section in our calling’s progressing change. Nursing professionals help care models advance and help increment access to mind at home and over the globe.

Nursing Now trusts medical attendants who cooperate in networks can be the start of worldwide changes in human services that will develop to profit more individuals. They see difficulties to face and work to be done, however their battle objectives are to achieve both.

In the accompanying extract from the crusade’s vision, we see an unmistakable invitation to take action: “The changing needs of the 21st century mean medical attendants have a significantly more prominent task to carry out later on. New and inventive kinds of administrations are required — greater network and locally established, more comprehensive and individuals focused, with expanded spotlight on counteractive action and improving utilization of innovation. These are on the whole regions where medical caretakers can assume a main job. In any case, boosting medical caretakers’ commitments will necessitate that they are legitimately conveyed, esteemed and incorporated into strategy and basic leadership.”.

We as a whole should be included. As pioneers, we can talk with our Nurses about the Nursing Now battle and how they can take an interest. The battle is asking nurses to:

  • Promise your help and make a move.
  • Demonstrate your help by means of internet-based life.
  • Build up a territorial or national Nursing Now gathering.
  • Remain avant-garde on Nursing Now news.

How about we spread the news about Nursing Now and consider how we can help declare its data in our offices, schools and networks. Include your thoughts how attendants can get included to the remarks area underneath and urge your staff to remain educated and take a gander at approaches to be a piece of this energizing and moving new activity. We should prop the discourse up and the Nursing Now battle moving.

ME Conferences take tremendous delight and feels regarded in welcoming the benefactors over the globe to 30th World Nurse Practitioners & Healthcare Congress going to be held in Istanbul, Turkey during April 25-26, 2019 with the fundamental subject “Discovering the New Era of Healthcare & Nursing”. The conference invites all the participants across the globe to attend and share their insights and convey recent developments in the field of Nursing and Nursing Practice.

End‐stage liver disease patient is treated with Palliative care

Symptomatology in patients with palliative cirrhosis according to (revised) Edmonton Symptom Assessment System and the debilitating complications of the end‐stage liver disease (ESLD) is associated with substantial symptom burden. These symptoms are often sub-optimally controlled, resulting in poor quality of life among those with ESLD.

The Palliative care (PC) means it is a patient and family‐centered care that optimizes the quality of life by anticipating, preventing, and treating suffering and should be considered for patients with advanced chronic illness, at any point in disease trajectory. In contrast, hospice, which is a component of PC, is appropriate for those whose life expectancy is less than 6 months. Addressing end‐of‐life issues through PC or hospice referral provides improved communication between patients, their caregivers, and their healthcare team; reduces symptom burden; and enhances the quality of life. In other diseases (non–small cell lung cancer, pancreatic cancer, and congestive heart failure), PC and hospice can prolong life as well. From an institutional perspective, PC consultation can also be cost‐saving. Despite all of this, end‐of‐life issues for patients with cirrhosis are often not addressed until too late, if at all.

Utilization of PC in ESLD

A recent study demonstrated that, among patients with decompensated cirrhosis with no curative options (i.e., removed from the liver transplantation < waiting list or declined for transplant), only 11% were referred for PC.2 Of those; only 28% had documented do not resuscitate (DNR) status. It is demonstrated a similarly low utilization rate of PC services among veterans with cirrhosis who died within 1 year of cirrhosis diagnosis: only 7.5% received PC services and, when they did, it was very late in their disease trajectory (median of 32 days from PC consultation to death).

Disease Factors

It is unlike the progressive decline that occurs with cancer, ESLD is characterized by periods of relative stability interposed with episodes of hepatic decompensation that can result in rapid decline and death.medical doctor comforting senior patient

Patient Factors

Patients may have a poor understanding of liver disease severity and prognosis, due to inadequate physician communication or poor health literacy. When faced with life‐limiting illness, some patients may also refuse to accept prognosis. For some patients and their families, the prospect of a life‐saving intervention such as LT precludes consideration of any treatment focus that does not offer prolongation of life or cure. Misperception of PC and its association with giving up may also contribute to underutilization. All of these issues may be further exacerbated by hepatic encephalopathy and the associated uncertainty about decisional capacity.

Physician Factors

In a web‐based survey of intensive care nurses, house officers, and attending’s at a large liver transplant center, 84% of respondents indicated that the greatest barrier to PC involvement in patients with ESLD was the attending physician.10 Potential physician‐related barriers are multiple and well described in other diseases: overestimation of life expectancy, misperception of or unfavorable attitudes towards PC services, discomfort with end‐of‐life discussions. This discomfort with end‐of‐life discussions can be particularly challenging for a hepatologist who is working with their patient toward a mutual curative goal such as LT. Suboptimal end‐of‐life physician communication can result in patients being unaware of their prognosis as well as physicians were unaware of their patient’s end‐of‐life preferences. Uncertainty and confusion about how and when to integrate PC into standard ESLD management may also result in under‐referral, indicating the need for guidelines to help guide timely and appropriate referral.

Robot-Assisted Therapy for Autistic Children

4Social semi-humanoid robots are rapidly gaining ground in the education and health care industry. The rapid advancement of artificial intelligence (AI) along with new developments in robotics have resulted in the creation of super-friendly semi-humanoid robots that are perfect for helping the elderly and children alike in countless therapy and rehabilitation settings. Robot-assisted therapy is a type of therapy that helps increase traditional human therapy and is considered a game changer. In recent years, robot-assisted therapy with children suffering from autistic spectrum disorder (ASD) has been extremely successful. This has opened an area within robotics that promises to make a difference in the future of health and education. Artificial Intelligence (AI) in combination with advanced robotics can now be used as an educational and therapeutic tool to stimulate cognition, mental health and also to help the elderly in rehabilitation centres.

There is no cure for autism. However, scientific studies suggest that intensive therapies at an early stage of a child’s development produce lasting and significant improvements in a child’s ability to adapt and thrive in social situations.

Robot therapy:

QTrobot is a semi-humanoid social robot developed by a company, to increase the efficiency of autism therapy by attracting the attention of children in order to teach them new life skills.

Milo is a humanoid robot designed to be used as a tool in therapy for autistic children. Milo seems to be interesting and accessible for students with ASD, helping them to adjust emotions, learn to express empathy, learn about social situations and how to better integrate with them. Milo can walk, talk and model human facial expressions. So, every autistic child can be successful with a little support and the help of a hugging machine or a friendly robot.

Rehabilitation for Breast cancer

The decrease in the level of estrogen during breast cancer treatments leading to decrease in bone density, thus effecting the physical functioning of the body is one of the major reasons for Oncology rehabilitation for breast cancer. Breast Cancer rehabilitation is recommended for those who have undergone lumpectomy, mastectomy, or breast reconstructive surgeries, who are undergoing or finished radiation and or systemic chemotherapy, who are dealing with after effects of treatments, who are at the end of life and their family members want to find easier ways to help care for them etc… Cancer treatments affect each individual differently, and so rehabilitation therapists individualized treatment methods to regain one’s highest level of functioning by analysing their current functional abilities.

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Rehabilitation becomes an inevitable part of treatment when it comes to breast cancer patients who had mastectomy. Swelling in the arm, Lymphedema, due to fluid filling in the lymph nodes, on the same side as the surgery had done cause pain and patients feel effected arm heavier making it more burdensome.  Studies suggest that structured strengthening exercises can help to improve this condition.

Rehabilitation can fix the pains and aches and helps to prevent and face problems with lymphedema, weakness and neuropathy and thus brings them back to their normal healthy life.

Importance of Holistic care Nursing

Holistic nursing is “all nursing practice that has healing the whole person as its goal. “Illness has the power to strike down the mightiest of individuals; no one is immune. The nurses they must be knowledgeable about how diseases affect the patients. Due to the high patient load and often intense time constraints placed on nurses, it can be easy to simply treat the physical being and move on to the next patient, resident, or client. It is important to care for the whole person and to see them as just that; a whole person, not just a patient or diagnosis. Holistic nursing care involves healing the mind, body, and soul of our patients. It involves thinking about and assisting patients with the effects of illness on the body, mind, emotions, spirituality, religion, and personal relationships. Holistic care also involves taking into consideration social and cultural differences and preferences.nurse_meditating-1-e1462758986145

Holistic care is a philosophy; it’s a method to ensure care for all parts of a patient. Holistic nurses are those that recognize and treat each individual differently. Holistic nurses are often described by patients as those nurses that “truly care.” While there is nothing inherently wrong with being task-oriented or goal-oriented in nursing care, if a nurse is overly task-oriented or appears severely rushed, it can leave patients feeling like they are just a number or a diagnosis or worse, a burden. Every nurse is guilty of having to rush at some point; we all know the dilemma of too many patients and not enough time; too much charting and not enough time; too many family members to deal with and not enough time. Things like patient needs, fellow nurses, doctors, charting, dealing with family members, and more, nurses have a lot to worry about. As a nurse they must find a way to balance all of the duties and responsibilities that come with the title. Once they do their duties and responsibilities it becomes their privileges and success.

Nurses are not using only holistic nursing care to enrich the lives of patients, but to enrich their lives as well. Nursing is a tough profession. It is physically, mentally, and emotionally draining at times. Other times they experience a patient or moment that reminds the nurses why they became a nurse. One way to increase these experiences and provide better overall care to patients is through holistic nursing care. The key is not necessarily about how long they spent interacting with a patient, but how used the time they had with them. Nurses should strive to always make the most of the short time they have with each patient. Nurses need to promote a patients psychological and emotional wellbeing in order to facilitate physical healing. When they do this their relationship with the patient changes and grow into something more positive than before. It will increases the better patient outcomes and also fulfilled the happiness and purpose in work as a nurse.

Innovations to treat Colorectal cancer

colorectal cancerColorectal cancer is the second leading cause of cancer death in women, and the third for men. For The advances and improvements in treatments are leads to fall the death rate.

Colorectal cancer may be benign, or non-cancerous, or malignant. A malignant cancer can spread to other parts of the body and damage them.

Symptoms

  • Anatomy of the large intestine
  • The large intestine is also called the colon or large bowel.

Symptoms of colorectal cancer include:

  • changes in bowel habits
  • diarrhea or constipation
  • a feels that the bowel does not empty properly after a bowel movement
  • blood in feces that makes stools look black
  • bright red blood comes from the rectum
  • pain and bloating in the abdomen
  • fatigue or tiredness
  • weight loss
  • a lump in the abdomen or the back passage felt by our doctor’s
  • iron deficiency in men, or in women after menopause
  • Most of these symptoms may also indicate other possible conditions. It is important to see a doctor if symptoms persist for 4 weeks or more.

 Treatment

Treatment will depend on several factors, including the size, location, and stage of the cancer, whether or not it is recurrent, and the current overall state of health of the patient.

Treatment options include chemotherapy, radiotherapy, and surgery.

Surgery for colorectal cancer

This is the most common treatment. The effect malignant tumors and an lymph nodes will be removed, to reduce the risk of the cancer spreading.

The bowel is sewn back together, In some cases the rectum is removes completely and a colostomy bag is attached for drainage. The colostomy bag collects stools. This is a temporary measure, but it may be permanent if it is not possible to join up the ends of the bowel.
If the cancer is diagnoses, surgery may successfully remove it. If surgery does not stop the cancer, it will ease the symptoms.

Chemotherapy

This involves using a medicine or chemical to kill the cancerous cells. It is commonly used for colon cancer treatment. It may help to shrink the tumor.
Chemotherapy that specifically targets the proteins that encourage the development of some cancers. They may have fewer side effects than other types of chemotherapy. Drugs that may be used for colorectal cancer include bevacizumab (Avastin) and ramucirumab (Cyramza).

Radiation therapy

This therapy uses high energy radiation beams to kill the cancer cells and to prevent them from multiplying. It is more commonly used for rectal cancer treatment. Therapy is able to be used before surgery in an attempt to shrink the tumor.
Both radiation therapy and chemotherapy may be given after surgery to assist lower the chances of recurrence.

QuickStart Distraction Screws

So many of cervical spine surgeries are taking place in every year and it shows that this number is growing. With increasing numbers of procedures performed each year, it is easy to continue using product without realizing there may be room for innovation.Locking Mechanism

The innovations in surgically is enhancing the cervical distraction standard by addresses that unmet needs linked to distraction screw breakage, distractor dislodgment and screwdriver maintenance with the QuickStart Distraction System.

QuickStart Distraction Screw is designed for to quick and easy bone penetration. Combined with compatible Phantom CS distraction instruments, it Screws offer new advantages over standard distraction screws in the market. Different sizes of screws are available i.e 12, 14, and 16 mm lengths, Screws are accommodate diverse patient anatomies.

QuickStart Distraction Screws enable faster deployment with a sharp tip and three cutting flutes. The screw will contain the dual threading which achieves bone penetration in half the turns of standard distraction screws.

For example, standard 14 mm distraction screws require 14 turns to properly secure. While the QuickStart Distraction Screws require only 7 – cutting install time in half.

Then that the locking mechanism on the Phantom CS™ locking distractor will engages with the double ring design at the head of the QuickStart Distraction Screw. It proprietary interface will prevent the distractor from riding out of the incision and no distractor dislodgment it mean fewer surgical disruptions, enabling streamlined access to the disc space.

QuickStart Distraction Screws will work efficient and it is with the Phantom CS Spring less Screwdriver. The spring found in commercially available distraction screwdrivers are associated with frequent breakage. By eliminating the use of the spring, the Phantom CS Spring less Screwdriver reduces instrument repair costs.

Future of Nurses in the Digital Era

Nursing care is provided at an individual level with the aim to provide the best and safest care possible. The nurse-patient encounter forms the basis of a person-centered care. eHealth is a tool that can be employed to support person-centered care. To this end, it needs to be integrated into nurses’ professional practice, irrespective of role, function, and area of activity. eHealth can support healthcare processes in order to ensure quality, patient safety, a person-centered approach and continuity in the care process. Nurses frequently have a coordinating function in the organization, which among other things includes the handling of health-related information. This information should be available in the right format, on the right occasion and to the right person in the care process as a basis for decision-making, provision, and evaluation of health care. A prerequisite for eHealth to develop in that direction and to meet the patient’s care needs is that nurses, irrespective of their role, contribute with their knowledge and commitment.

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eHealth influences many aspects of healthcare such as structure, processes, and outcome, encompassing prerequisites, delivery, follow up and development. The Swedish Society of Nursing’s eHealth Strategy is divided into target areas based on nurses’ perspective and the National eHealth Strategy. These areas are Information management, Communication and collaboration, Core ethical values, Learning and Competence, Leadership and management, Technical support and Research and development. Each area contains a number of specified targets within nurses’ areas of responsibility that must be met to benefit patients and their significant others. This, in turn, requires that politicians, decision-makers, and care providers contribute with the necessary eHealth infrastructure and other support.

Nurses are responsible for ensuring that nursing information is of such extent and quality that it contributes to a holistic picture of the patient’s health status and care needs. Ensuring high-quality and person-centered care requires that nursing documentation is an integrated part of the information that is systematically registered and compiled. Nurses’ interventions and nursing care constitute a substantial part of health care services but are seldom reported.

Primary care: Biopsychosocial model of illnesses

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Primary care doctors are first provided to persons with undiagnosed health concerns as well as continuing care of varied medical conditions. Clinicians in primary care offer integrated and accessible health-care services. They are accountable for addressing a large majority of personal health care needs, and become the first resort for basic medical services among people with health problems. Patients, who visit their primary care doctors or family physicians, often complain undifferentiated illnesses. Understanding symptoms expressed by patients only based on bodily concepts, such as pathophysiology of diseases and derangement of tissues or organs (biomedical model) is considered as reductionist and unscientific. The biopsychosocial model is developed and based on general systems theory extended to include a living system of human interest. It assumes in that biopsychosocial model that disease or illness outcome is attributed to the intricate blend of biological, psychological, and social factors described in systems hierarchy from molecules to the universe with the patient at the central interfaces in the hierarchy. Family medicine has served as champion of the biopsychosocial model as part of the worldview of the discipline.

The biopsychosocial model is an ideal representation of science and humanism in medical practice, although many argue that the model is hard to implement. Mind, body, and social environment are difficult to integrate seamlessly in patient care. Patient’s experiences are unique biopsychosocial realities, and hence adopting biopsychosocial model in every single patient is a formidable task. The dominant model of disease is still biomedical, with molecular biology as the main scientific discipline.

The purpose of this to identify prospects to implement biopsychosocial model or approach in clinical encounters, to enhance the quality of patient care and to improve clinical outcome. This biopsychosocial model needs multidisciplinary approach, the dyadic relationship between a physician and her or his patient requires better interactive skills cultivating empathy and compassion, as small changes in the interaction may be cause a big impacts in biopsychosocial outcomes. It explains that biopsychosocial determinants of illnesses and their treatment should illuminate the implementation of the biopsychosocial model in conditions where it is needed most.

Role of Nurses in Health Promotion

Public health nurses are a link between the government and population concerning public health. With children, young people, and families as their main target groups, PHNs can contribute to changing and improving the quality of life and reducing inequality in population. The concept of public health, which can be understood as “collective action for sustained population-wide health improvement”, has traditionally had a narrow view of public health. This biomedical disease model is based on a pathogen-risk focus, with attention given to problem-solving strategies.

Local communities are considered as arenas for health promotion. The population can be divided into two groups: a population-at-risk group, with a focus on disease prevention; and a population-of-interest group, with an emphasis on health-promotion strategies. This form of thinking was recognized in the former regulations for public health nursing and in the successor, a recent national professional directive for health promotion and disease-prevention work in public health nursing. It highlights the goals of PHNs’ work in child health clinics and school health services: to promote mental & physical health, good social & environmental conditions, and to prevent disease & injury.

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As early as possible, the service shall screen children and young people, conduct an assessment, and make a referral if needed. This universal service shall target both individuals and the population. PHNs’ social mandate with an increased emphasis on population-based work and particularly health-promotion strategies, such as empowerment stimulated by meeting with service users in an open and respectful way and engaging in dialogue, thereby revealing their own resources has become more complex. However, a review of the international literature shows that nurses often misunderstand the concept of health promotion.

Their focus has been on changing individual behaviours; meanwhile, the population focus has been somewhat ignored. The role of expert as the traditional nursing position is a view shared not only by patients and service users but also by PHNs. The more complex PHN role may still be unclear and, thus, hard to manage and define. Drawing clear jurisdictional boundaries with other professions is of importance in establishing an autonomous profession; however, these professional borders can be renegotiated which might be the current case in public health nursing.