...Bachelor of Science in Nursing Hospital Pakar Sultanah Fatimah Muar 3rd September- 23 November 2012 Clinical Planning BSN July 09- Clinical Practice VI Roster | Clinical Learning Outcome | Clinical Plan Activity | 3rd-Sept- 12 OctoberGroup 3: - 4 BSN with 7 DIN studentsWeek 13rd -7th Sept Week 210th-14th SeptGroup 1: - 4 BSN with 7 DIN studentsWeek 317th- 21st Sept Week 424th-28th SeptGroup 2 : - 4 BSN with 7 DIN studentsWeek 51st-5th Oct Week 68th-12th Oct15 October-23 NovemberBSN July ‘09Ward 5 Surgical/Eye/ENT Clinic15 Octo-26 OctGroup 1-7 StnGroup 2- 8 StnWard 10 Medical /Hemodialysis29 Oct-9NovGroup 1-7 StnGroup 2- 8 StnOrtho Clinic/Physio Clinic12 Nov-16 Nov ( Holiday)19 Nov-23 NovGroup 1-7 StnGroup 2- 8 Stn | Hospital OrientationWARD 17Pediatric WardBSN Clinical Practice VI AN 3320 * Clinical Learning Objective: 1. Provide individualized quality care to all assigned clients following the nursing process 2. Perform management and organizational ability during the provision of nursing care 3. Apply critical appraisal skills to evaluate the available evidence which underpins practice 4. Plan health promotion activities for clients and family to maintain appropriate behaviors to attain or maintain health 5. Integrate significance of research in clinical practice to achieve best patient outcomesSpecific Objectives: * Plan timely execution of nursing task in the ward * Perform independent learning through self-study and reflective practice *...
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...SUMMARY…………………………………………………………………..3 INTRODUCTION……………………………………………………………………………4 CASE STUDY 1: OFFER AND ACCEPTANCE…………………………………………5 CASE STUDY 2: CONSIDERATION……………………………………………………..6 CASE STUDY 3: INTENTION TO CREATE LEGAL RELATION……………………..7 CASE STUDY 4: contractual terms……………………………………………...……7-8 CASE STUDY 5: exclusion clause……………………………………………………8-9 CASE STUDY 6: Tort of negligence …...……………………………………………9-11 CASE STUDY 7: vicarious liability……………………………………………………12. REFERENCE LIST………………………………………………………………………..13 EXECUTIVE SUMMARY CASE STUDY 1: OFFER AND ACCEPTANCE This case involves term such as: offer, acceptance offer, difference between offer and treat, invitation of treat and acceptance of an offer by post. CASE STUDY 2: CONSIDERATION This case of study involves terms such as: part payment, principle of promissory estoppel Pinnels case (1602) and foakes beer (1884). CASE STUDY 3: INTENTION TO CREATE LEGAL RELATION This case of study involves terms such as: intention to create legal relation, domestic contract, social contract and commercial contracts. CASE STUDY 4: contractual terms This case of study involves terms such as: meaning of contractual terms, representation, types of contractual terms. CASE STUDY 5: exclusion clause This case of study involves terms such as: meaning of exclusion clause and legal rules governing the legality of the exclusion clause. CASE STUDY 6: Tort of negligence This case of study involves terms such as: Hedley Byne and Co ltd Heller...
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...ConvaTec Moldable Technology™ Skin Barriers Case Studies Proven safety and effectiveness for use with colostomies, ileostomies and urostomies1 ConvaTec Moldable Technology™ Skin Barriers and Your Practice Rationale for Using ConvaTec Moldable Technology™ Skin Barriers 1. Ease of teaching patients/transitioning to independence 2. Eliminates complications from incorrect flange sizing/preparation 3. Ease of teaching staff how to use product and care for patients 4. Positive change in nursing staff’s attitude due to ease of use/simplicity of application 5. Minimizes need for accessories (such as paste) 6. Works well in the presence of complications (ie, stomal prolapse) Actual Benefits for Practice Experience from the patient: 1. acilitates care - removes complexity of care, allowing F for some patient independence and confidence to occur sooner in post-op teaching period 2. inimizes concerns about peristomal/stomal M complications, particularly in the new ostomy patient. Skin barrier will evolve with the patient as stoma decreases in size over the initial post-operative period. Preparation of a Non-Moldable Skin Barrier 3. inimizes worry about transitioning patient to M home and varying levels of skill offered by home support services 4. imple to teach any patient, regardless of language S barriers or patient having poor hand/strength/dexterity 5. otentially minimizes amount of product needed to be stocked P Demonstrated...
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...Levi, 2013). For reductions of infections on any surgical site, this skin will need to be cleaned (or prepped) and covered with a sterile towel or drape. The site of the incision is prepped so that bacteria or microbes that cause the infection are found on the skin surface. Due to these microbes, prepping a patient’s skin will be the most important step prior to any surgery. Different hospitals throughout the United States use many different products for the cleaning or prepping stage. At the hospital of my place of employment, there are three different agents that can be used. This list includes Chlorhexidine gluconate, chlorhexidine alcohol, and povidone iodine. Any type of infection involving the incision site can cause complications that could be long term for any patient to deal with and may have financial consequences to any hospital. This particular hospital is considering a change to standardize the prepping solution and needs to determine the cost factor if it were to change to a new product or to add premixed applicators of particular type of surgical prep solution. At this hospital, the current standard is using a surgical prep cleanse that the primary surgeon chooses to use. The hospital’s policy has no set standard for a particular prep solution being used. The CDC, in 1999, listed guidelines for prevention of infections at the incision site, including the use of an antiseptic cleanser for prepping of skin (Jarral, McCormack, Ibrahim, & Shipolini, 2011). There...
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...Access the most recent version at DOI: 10.1192/bjp.176.3.266 Suicide in psychiatric hospital in-patients : Risk factors and their predictive power References This article cites 0 articles, 0 of which you can access for free at: http://bjp.rcpsych.org/content/176/3/266#BIBL To obtain reprints or permission to reproduce material from this paper, please write to permissions@rcpsych.ac.uk http://bjp.rcpsych.org/cgi/eletter-submit/176/3/266 http://bjp.rcpsych.org/ on April 6, 2012 Published by The Royal College of Psychiatrists Reprints/ permissions You can respond to this article at Downloaded from To subscribe to The British Journal of Psychiatry go to: http://bjp.rcpsych.org/site/subscriptions/ B R I T I S H J O U R N A L O F P S YC H I AT RY ( 2 0 0 0 ) , 1 7 6 , 2 6 6 ^ 2 7 2 Suicide in psychiatric hospital in-patients Risk factors and their predictive power JOHN POWELL, JOHN GEDDES, JONATHAN DEEKS, MICHAEL GOLDACRE and KEITH HAW TON Background Psychiatric hospitalinpatients are knownto be at high riskof highriskof suicide, yetthereislittlereliableknowledge of risk factors or their predictive power. Aims To identify risk factors for suicide in psychiatric hospital in-patients and to evaluate their predictive power in detecting people at risk of suicide. Method Using a case ^ control design, 112 people who committed suicide while in-patients in psychiatric hospitals were compared with112 randomly selected controls.Univariate analysis and multivariate analyses...
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...Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Baker, J. J., & Baker, R. W. (2011). Health care finance: Basic tools for nonfinancial managers (3rd ed.). Sudbury, MA: Jones & Bartlett Publishers. All electronic materials are available on the student website. Week One: Overview of Health Care Finance Details Objectives 1.1 Define basic health care finance terms. 1.2 Describe the four segments that comprise a financial management system. 1.3 Identify financial reporting practices & ethical stds of conduct. Read the Week One Read Me First. Due Self Study Points N/A Reading Self Study Self Study Self Study N/A...
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...I. Is a hospital liable for patients who fail to be compliant with discharge instructions? II. No. A hospital cannot be held liable for patients who fail to be compliant with their discharge instructions. III. Facts 1. In order to prove negligence or medical malpractice, the plaintiff must prove the: A. The requisite standard of care. B. A deviation from the standard of care C. A causal connection between the deviation and the claimed injury. 2. The hospitals rules, regulations, and policies do not establish a standard of care. However, a hospital’s failure to follow its own rules, regulations, and policies is evidence of negligence. 3. Discharge instructions can be construed to be part of a hospital’s rules, regulations and policies. 4. Unclear, or ambiguous discharge instructions can place the hospital at risk for increased liability for negligence if a casual connection can be made to a patient’s injury. Therefore, to protect itself, hospitals should be proactive in establishing clear discharge protocols and individualized discharge instructions. IV. Review of the Law In the case of Earline Therry, et al v. State of Louisiana, through the Department of Health and Hospitals and University Medical Center of Lafayette, Louisiana, a summary judgment was granted for the defendants based upon the plaintiff’s inability to establish a causal connection between a breach of the standard of care and any resultant injuries. In this case, Mrs. Therry accused...
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...CHAPTER I INTRODUCTION A. Background of the study According to Jordan, childbearing is universally treated as a life crisis event. In most societies birth and the immediate post partum period are considered a time of vulnerability for mother and child. It is a time of ritual danger for the entire family. Most societies tend to have certain sets of practices and beliefs in childbirth. Practices and beliefs of each society have common goals namely, the maintenance of well-being and preservation of life of a new mother and her newborn. Confinement is the period after the birth and is perceived as a critical condition for a mother. At this period, women are considered to be in a weakened state due to the loss of blood during the delivery of the baby. Because a woman is weak, she is susceptible to all sorts of all illnesses and diseases. Therefore, there are a number of cultural practices which must be observed in order to gain strength and to avoid illness.[i] The puerperium is a time of great change which spans a period of transition from the pinnacle of experience of birth to the assumption of the joys and responsibilities of family life. Well-integrated post-natal care has an important role to play in assisting this transition and launching the family in their new life together. The puerperium is a period of 6 weeks which begins as soon as the placenta has been expelled. During this time a number of physiological and psychological changes take place: ...
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...Health Nurses’ Evaluation of Pre-Operative Teaching and Post-Operative Outcomes Ruth E. Harvath Liberty University The Journal of Nursing Education. Abstract A non-experimental, descriptive, quantitative, pilot study was conducted to explore the home health nurses’ perceptions about their patient’s pre-operative and post operative outcomes. Patient education is a major concern among healthcare providers in the surgical and home health settings. Patients’ have distinct levels of understanding, learning styles, and comprehension of materials in which need to be addressed in preparing a patient for surgery. Research has shown that complications can be prevented by efficient pre-operative education. It is suggested that patients and caregivers are given evidence based pre-operative education that meets the needs of the individual patient. The findings from this pilot study suggested that the perceptions of the home health nurses’ were that patient education should be designed to embrace patients at all levels of learning. Keywords: pre-operative, surgical, education, post-operative, outcomes, complication Home Health Nurses’ Evaluation of Pre-Operative Teaching and Post-Operative Outcome Introduction The purpose of this descriptive study was to evaluate the effectiveness of pre-operative education from a post-operative standpoint from home health nurses’ perspectives when caring for post-operative patients Individualized evidence based pre-operative...
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...elective surgery following clinical assessment and secondly the date of hospital admission1The 2005 edition of the Fraser Institute Report on Hospital Waiting Lists in Canada indicates that wait times for plastic surgery are the second lengthiest of all specialties2The objective of our study was to study the relation between various types of patients admitted in the department of plastic and re-constructive surgery at Sher-i- Kashmir Institute of Medical Sciences,J&K and their respective waiting times.The study was conducted for a period of one year from 1st October 2013 to 30th September 2014.It was a prospective observational study carried out on the patients admitted in the ward of plastic and re-constructive surgery. The study was done based on the interviews from relevant informants, study of records .Out of the total of 2238 patients admitted 495 cases were that of RTA(road traffic accidents), 162 bear mauls, 135cleft palate, 117 cleft lip,99 tin cut injuries,90 PBC(Post burn contracture) hand,72 cases of...
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...resulting tissue necrosis eventually leads to heart attacks, cardiac arrests, and heart failure. Moments after the patient will stop breathing and become unresponsive. Emergency maneuvers to maintain perfusion in these cardiac emergencies are key to favorable post-emergency outcomes. Out-of-hospital cardiac emergencies historically have been associated with poor post emergency health outcomes (Nichol & Kim, 2015). Initiation of the chain of survival, activation of the EMS system, use of an automated cardiac defibrillator (AED), and CPR all have been shown to improve patient outcomes (Drager, 2012; Vadeboncoeur, Richman, Darkoh, Chikani, Clark, & Bobrow, 2008). Many cardiac emergency victims look to be in...
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...RESEARCH Proposing a carpal tunnel treatment centre: The Shouldice model revisited Hazim Sadideen, Faddy Sadideen ABSTRACT The Shouldice Hospital prides itself with excellent hernia repair outcomes. The Shouldice concept exhibits a unique, successful business model, and is a clear example of the concept of a highly innovative value proposition. Exploring Shouldice's fundamental principles and extrapolating them to other settings might help healthcare professionals offer improvements to patient care. Carpal tunnel syndrome (CTS) is the most common elective hand disorder, which can be debilitating for patients. Surgical intervention is extremely effective when necessary. It would be prudent to develop efficient pathways for the treatment of CTS, and other common disorders in the future. This review aims to explore the successes behind the Shouldice model, cross-fertilise surgical and management grounds by familiarising surgeons with the Shouldice model to help generate key ideas for the future, and extrapolate key information to postulate the 'carpal tunnel treatment centre' as a potential enterprise that can be designed on the basis of the Shouldice model. Optimal healthcare delivery while improving the patient journey, in a cost-effective manner, requires careful planning and execution. It is important to further explore and capitalise on this knowledge, to improve our service to patients and the multidisciplinary healthcare workforce, particularly in light of restructuring...
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...Modern Medicine RACHNA BAJAJ INTRODUCTION Human dissection has historically been carried out in search for humours, worms, miasmas and divine spells to explain what caused illness and death. However, as ‘scientific’ thinking advanced, there was a desire to understand disease based on the empirical evidence obtained from post-mortem examinations.1 This gave birth to one of the most important gold standards of diagnosis, a great tool for medical audit and probably the best teaching method of medicine – the autopsy. The words ‘autopsy’, ‘necropsy’ and ‘post-mortem examination’ are synonymous with each other and refer to the investigation of the human body involving an external examination followed by the dissections of the head, thorax and the abdomen. The word autopsy literally means ‘to see for oneself’. Autopsy rates in the United Kingdom (UK) currently stand at 21.9%, out of which only 0.4% are not requested by a coroner and the most common request for an autopsy occurs in cases of unexpected deaths where the cause is not apparent. Autopsies are also carried out for determination of manner of death, evaluation of ante-mortem and post-mortem diagnosis, epidemiological purposes, survey outbreaks, medical audit, research, teaching, forensic purposes and to enlighten/reassure families or inform then of hereditary diseases. Despite the well-recognised importance of autopsies in twenty-first century medicine, there has been a huge decline in autopsy rates across...
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...Managing Human Resources for Health in India A case study of Madhya Pradesh & Gujarat 2007 Central Bureau of Health Intelligence Directorate General of Health services Ministry of Health & Family Welfare Nirman Bhawan, New Delhi – 110011 Website: www.cbhidghs.nic.in, www.prodindia.nic.in Email: dircbhi.nb.nic In collaboration with WHO - India Country Office Managing Human Resources for Health in India A case study of Gujarat & Madhya Pradesh October 2007 Central Bureau of Health Intelligence, Dte.GHS, MoHFW, GOI In collaboration with World Health Organisation - India Country Office The Report on Managing Human Resources in India may be freely reviewed, abstracted, reproduced or translated, in part or whole, but is not for sale or for use in conjunction with commercial purposes. Any relevant enquiry may be addressed to the office of Director, Central Bureau of Health Intelligence, Directorate General of Health Services, 401, A-wing, Nirman Bhavan, New Delhi 110011(India). © Central Bureau of Health Intelligence, Dte. General of Health Services, Ministry of Health & Family Welfare, Govt. of India. 2007 Technical Support: Advent Healthcare Group 102, Tribhuvan Complex, Mathura Road, New Delhi 110065 (India) Tel: 91-11-65689631, 26312631 Email: info@adventhcg.com 2 Table of Contents Foreword ............................................................................................................. 5 Preface ........................................
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... Business research can be described as a study in which a business or company gather data and analyzes it in order for better decision making and output. There are several steps in executing a research the first step is data collection process. There are several ways to collect data like interviews, surveys, questionnaires and databases. I’m currently employed at the Weed Army Community Hospital in the Medical Evaluation Board Department. We evaluate soldier’s medical diagnoses and process cases for medical discharge. Over the years I have counseling numerous mental health patients that are returning from deployment. Our goal is to advise and refer soldiers and family members to the appropriate sources to include, Social Work Service. Cases with extreme mental disability are soldiers with Post Traumatic Stress Disorder (PTSD) with major sleep disorders. The problem is regardless of the psychotherapy and medication the soldiers are given they continue to have extreme nightmares of death and fear. Soldier that are diagnose with PTSD normally gets two to four hours of sleep a night. Beginning with the first step in the research process is to identifying the problem. Our dilemma was soldier Behavioral Health Care beyond Army life. Data was gathered from our Mental Health Department and Traumatic Brain Injury database. After we identify the problem a Case Review Committee meeting was conducted with the hospital Behavioral Health Providers to discuss and analyze...
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