A Tooth's Story.
A Tooth's Story - by Shekhar Shastri 11f Statement of intention - A visit to the dentist is often greeted with much trepidation for most of us. Many of us are absolutely terrified. But how would such a visit feel like for our teeth? In the form of a creative essay, this piece humorously attempts to describe a visit to the dentist from a tooth's perspective. The intended audience is young, fearful dental patients in surgery waiting rooms. It's a hard life, crushing and breaking down food, and all for what? So Shekhar can enjoy all those scrumptious flavours. I believe we teeth don't get enough credit for our actions. To add to this flagrant rort, - we're not even looked after properly! I mean, the least Shekhar could do would be to keep us clean. A bit of a brush, floss and mouthwash wouldn't hurt every once in a while, now would it? Once sparkling white molars, now I and my colleagues have been reduced to a discoloured mess of cavities. And now look where this has come to - a dreaded visit to the dentist, Dr. Burr. Sitting there inside the dental surgery's waiting room, I anxiously anticipated the grim fate that lies before me. Looking for consolation, I turn to the innocent smiles from children beaming at me from posters (or should they be a plaque or two) adorning the walls. Yet my gaze is soon interrupted by the shrill motorized buzz of dental drills reverberating from
HIGH DEPENDENCY CARE OF THE NEW BORN. The following discussion will analyse the care of a baby who I have recently looked after in the high dependency who developed necrotising entero colitis(NEC) and consequently had to be re admitted to the NICU.
HIGH DEPENDENCY CARE OF THE NEW BORN (CASE HISTORY) PREDISPOSING CAUSES OF NECROTISING ENTEROCOLITIS Registration NO: 100252125 Module NO : SNM3115 Unit Leader : Angela Thurlby Word Count : 2022 The following discussion will analyse the care of a baby who I have recently looked after in the high dependency who developed necrotising entero colitis(NEC) and consequently had to be re admitted to the NICU. According to Sankaran (2004) NEC is an inflammatory disease of the bowel, predominantly affecting premature infants but it sometimes occurs in 'cohorts'. Whilst caring for the baby he became ill with a profound bradycardia and on turning him over he looked pale, cyanosed with a mottled skin and distended abdomen. He weighed only 1050g, and had previously been moved from ITU to high dependency because he was tolerating full feeds of expressed breast milk (EBM). According to Boxwell (2010) NEC is characterised by transmural intestinal inflammation, ischaemia, necrosis and sometimes perforation which affects one to eight per cent of infants admitted to NICU. As a result of his condition the baby was transferred back to intensive care unit for close observation and further investigation. He had been born at 24 weeks +5 days gestation with a birth weight of 590g but was now 42 days old. He had also had a blood transfusion the previous day and his
Surgical face mask in modern operating room
South Bank University Course: Operating Department Nursing in Perspective (Level-3) Session: 2002-03 Student Name : Renuka Arora Student Number : 9856030 Assignment : Surgical face mask in modern operating room Tutor : Marie Culloty Submission Date : 24 June 2002 SURGICAL FACE MASK IN THE MORDERN OPERATING ROOM Introduction This essay will critically analyze the use of surgical face mask in the modern operating room. It will also provide an overview study on the effectiveness of the surgical masks and the author's experiences will also be highlighted. Norman (1995) states that surgical face masks are used as physical barriers to prevent nurses, patients and visitors from touching their own noses and mouths to reduce or prevent contact transmission of infection agents. Face masks could have two functions, firstly to protect the patient from the healthcare worker and secondly, to protect the healthcare worker from the patient (Norman 1995). The surgical face mask has become an integral part of the uniform for theatre personnel since introduction in an attempt to reduce the rate of the chemical wound infections (von Mikulicz 1897), it is only recently that people have asked if the masks do actually protect the patient from infection in the operating theatre. In 1990's the necessities for mask have turn full circled, but this time to protect
Teamwork is an integral part of Accident and Emergency care and if it is jeopardized problems tends to occur. Looking at communication, consent and teamwork I will explore and reflect the ways in which the patient I observed was treated.
Words 4251 Introduction Teamwork is an integral part of Accident and Emergency care and if it is jeopardized problems tends to occur. Looking at communication, consent and teamwork I will explore and reflect the ways in which the patient I observed was treated and what could be done in the future care and practice of others in order to reach maximum potential with further clients. First Part An emergency call went out for a Chest pain in resuss one, Chest Pain Team required. As I was the student nurse in resuss for that particular shift. I was urged to join the medical team to see what was happening with this patient. As I stood and observed what I was witnessing was Myocardial Infarction. As I was observing the situation, I was surprised to see how calm everybody was. The Resuss room is a room which consists of six bays which have specialist equipment in, if an emergency with a patient was to happen. The patient I was observing was put into the first bay, as this bay has much more space so the team of medics and nurses can work around the patient quite easily. As I was watching I noticed that the nursing staff used the ECG machine. As I was watching the patient's relative seemed concerned with what was happening to the patient. I took it upon myself to reassure the relative by explaining what was happening and why the medics where doing this procedure. The ECG showed
The Reflectice Mental Health Practitioner
Module code: DF215004S SID: 0402654 THE REFLECTIVE MENTAL HEALTH PRACTITIONER INTRODUCTION The purpose of this essay is to reflect upon an aspect of my professional practice I have encountered as a student nurse during my placement on an elderly (mental health) ward. I will begin by defining the term 'reflection' followed by the rationale for the change that l want to take place. The part of nursing care that can benefit from change will then be identified. An explanation of how to involve management in the changes being implemented will be explored. I will also write on my identified area that l felt needed change which is "handover". The actual change will be looked at by looking at resources, prioritising needs, whether this is within the nurse's influence or not. Both short term and long term objectives will be identified. Motivation and reinforcement will be analysed using the model. The writer will also examine and adopt Lewin's change theory to implement this change, then go on to draw an action plan to emphasize on how the change was executed and finally sum with a sound conclusion. REFLECTION What is reflection? Reflection is a process of gradual self-awareness, critical appraisal of the social world and transformation. These are not particularly comfortable
Elderly abuse. The six group members created a stall whose sole intent was the creation of awareness regarding the problem of elderly abuse. The target audience was nursing students.
Table of Contents Introduction 2 2 Project Objectives 2 3 Project Assessment 3 4 Elderly Abuse 4 4.1 Physical Abuse 4 4.2 Psychological Abuse 5 4.3 Fiduciary Abuse 5 4.4 Neglect 5 5 Etiology and Risk Factors of Elder Abuse 6 6 Health Promotion Model 7 7 Conclusion 9 8 Bibliography 11 Introduction The abuse of the elderly is a pressing societal problem but its confrontation is rendered quite complex as a consequence of its subtle nature. Indeed, in its report on the phenomenon, the House of Commons referred to it elderly abuse as "an extremely hidden topic" (Harding cited House of Commons, 2004, p. 6). Prevalence figures can hardly be quoted for their accuracy as reported incidents are minor in comparison to the unreported ones (House of Commons, 2004). Policies have, of course, tried to address this problem, whether through the criminalisation of the phenomenon or the provision of the necessary support to the abused. Further to that, both governmental and non-governmental organisations have sought to create societal awareness of the problem and, importantly, to provide the elderly with the relevant information regarding their options (House of Commons, 2004). Despite the stated, and possibly because they abusers are quite often relatives or close family friends, the abused elderly tend to remain silent. It is precisely because of this that it is imperative
INTENSIVE CARE OF THE NEWBORN - Neonatal thermoregulation at delivery
INTENSIVE CARE OF THE NEWBORN (SUPPLEMENTARY EVIDENCE) Neonatal thermoregulation at delivery Registration NO: 100252125 Module NO : SNM2137/3114 Unit Leader : Angela Thurlby Word Count : 1632 Neonates, especially the premature and small for gestational age are at increased risk of hypothermia (Blake and Murray 2006). Whilst working in the NICU, I have recently cared for a very preterm baby born at 23+6 weeks gestation who was born by caesarean section. The baby was admitted to NICU because of her extreme prematurity and was transferred in a plastic bag on the resuscitaire. At the time of admission of the baby, the core temperature was 36.7 °C. Her skin looked very gelatinous and fragile and was beginning to peel because of the handling required for intubation and line insertions. She was placed in incubator with 80% humidity. The parents were very young and this was their first baby. When they saw her in the incubator for the first time with humidity they seemed very upset and frightened. I tried to explain to them that her baby's skin needed time to mature, and a doctor also explained about the skin and use of humidity. Following this they seemed to settle down. From this incident, I knew I wasn't up to date on the current techniques of thermoregulation, as I didn't know what the purpose of the bag was. Consequently, I studied the use of plastic
Burns Case Study. The pathophysiology involves both local and systemic responses which Klein et al. (2009) explains affects skin or other tissue and is dependent on the cause of the injury and extent.
BURNS SPC BELL, ALEXANDRA BURNS Christenson and Kockrow (2011) states that a burn can be defined as an injury to the tissue which results from thermal, chemical, radiation, or electrical. Thermal burns are caused by a flame, hot fluids or gases, friction, or exposure to extremely cold objects. Flame burns are most often associated with smoke or inhalation injury. Chemical burns occur when there is contact with a caustic substance. This substance can be acidic or alkaline. The degree of injury is relative to the type and content as well as the concentration and temperature of the injuring agent. Electrical burn is when a current travels through the body along the pathway of least resistance. This pathway often includes nerves, as they offer the least resistance, while the greater resistance is through bones. The resistance from bones can generate heat. The amount of injury is dependent on the type and voltage of current. Electrical burns often have underlying injury which is sometimes more severe than the observable injury. Doenges, Moorhouse, and Murr (2010) explains that radiation burns result from an exposure to an ionizing radiation, most commonly is an overexposure to ultraviolet rays from the sun, sunlamp, tanning booths, or high exposure to x-rays. Doenges et al. (2010) suggests that there are several risk factors predispose a person to burns including substance
Evaluating Methods This has been a very stressful year for me. My parents separated last summer, I had to move out, and my sister is moving out. The family despite my feelings about the situation also disowned my Uncle. Even through all of those events there were a lot of lessons learned, but those life lessons could not have prepared me for what came next. My Grandfather became severely ill. My Grandfather, and I have never really gotten along. We would always butt heads about silly little issues, nothing important, but we were never the best of friends the way that he was with my other cousins. Although we never got along nothing could have prepared me for the phone call I received from my Grandmother this past June. I had just come in from taking my little cousin Adam to see Harry Potter when the phone rang "Hello?" I answered. "Hi Erin is your father there?" said my Grandma. "No he isn't he has gone out with my mom for dinner. Why what's wrong?" " Your Grandfather has had a stroke! Get your father over here as soon as possible we are at Ajax General" To hear those words was not as horrible as the terror in my Grandmother's voice. I will never forget it. I left a message on my dad's cell phone. Then raced over to the hospital to comfort my Grandmother. I walked through the emergency room doors, and she ran to me where is your father she asked. I told her that I had
Psychology and Chronic Pain in the elderly: A brief discussion (level 1)
Psychology and Chronic Pain in the elderly: A brief discussion. Chronic pain is a complex condition which psychologists and other health professionals continue to attempt to understand. This essay will attempt to address: how chronic pain is defined; both the Gate control theory of pain (Melzack and Wall 1965a) and how it relates to the behaviourist models understanding of chronic pain; a short discussion on how chronic pain affects the elderly population and Cognitive behaviour therapy as an alternative to pharmacological and surgical treatment of chronic pain in this age group. To illustrate the discussion of Gate control theory Melzack and Wall 1965b) and the behaviourist model theory, this essay will include a brief reflection on two patients A and B who both presented with different kinds of chronic pain, and whom I cared for while I was working on a student nurse placement. This placement was undertaken in an acute medicine for the elderly ward. Melzack and Wall (1965c) assert that chronic pain is independent of acute pain in diagnosis. According to Morrison and Bennett (2006) chronic pain lasts for more than three to six months and usually begins as acute pain caused by injury. Chronic pain may or may not have an identifiable cause. Chronic pain may be: intractable where pain is consistently present though intensity varies; periodic or progressive where pain