Nursing Assistants Quotes

Obtaining a certificate in nursing assistant trains students to provide quality care to residents in nursing homes.

I work at a retirement home. I'm a CNA.” “What's that?” “It stands for Certified Nursing Assistant.” “That sounds important,” I said. She laughed. “If changing old people's diapers is important.” I thought for a moment, then said, “It is for the old people.

It is often thought that medicine is the curative process. It is no such thing; medicine is the surgery of functions, as surgery proper is that of limbs and organs. Neither can do anything but remove obstructions; neither can cure; nature alone cures. Surgery removes the bullet out of the limb, which is an obstruction to cure, but nature heals the wound. So it is with medicine; the function of an organ becomes obstructed; medicine so far as we know, assists nature to remove the obstruction, but does nothing more. And what nursing has to do in either case, is to put the patient in the best condition for nature to act upon him.

I see.” The nurse nodded. “How can I help you?” “I’m Inspector Mc—” Phineas halted, obviously having second thoughts about using his real name. “Man-boob,” Brynley finished for him. He stiffened. “What can I do for you, Inspector McMan-boob?” the nurse asked. He gritted his teeth. “It’s muscle.” “Inspector Muscle?” the nurse asked. “Yes. Exactly.” He gave Brynley a triumphant look. “And this is my assistant, Nurse—” “Doctor,” Brynley corrected him. “Doctor . . .” He glanced down at her chest. “A-cup.” “B-cup!” He arched a brow. “You’ll have to prove it.

Where's Lori?" he asked when he saw the nurse wasn't there. "She's not avoiding me, is she?" His grandmother slipped off her glasses, put down her book and stared at him. "Amazingly enough, the whole world doesn't revolve around you, Reid. Lori's sister is sick and Lori took her to the doctor. She'll be back in an hour or so. Can you survive on your own until then, or should I call 9-1-1 for emergency assistance?

She beeped rudely at him. "I have noted in your file that you are refusing medical assistance against my advice. If you die during the night, your surviving family will not be able to bring a lawsuit against me." He laughed wildly. "You're my surviving family." "Oh. Well. Engaging Empathy Protocol. That was very nice of you to say. You are wonderful. Disengaging Empathy Protocol. Idiot. I am going to sleep now. Do not bother me unless you are on fire. Even then, I will do little to help you." She plugged herself in next to Rambo and was silent.

You cannot be mother, therapist and healer-assist to six children and expect perfection," Jahir said. "Of course I can," she answered. She snorted. "I'm a nurse. It's what we do.

As a Minnesota agency nurse said, “We are not just bed-making, drink-serving, poop-wiping, medication-passing assistants. We are much more.

As different as Emily Dickinson’s parents’ life in America seems from that of Sitaram Gawande’s in India, both relied on systems that shared the advantage of easily resolving the question of care for the elderly. There was no need to save up for a spot in a nursing home or arrange for meals-on-wheels. It was understood that parents would just keep living in their home, assisted by one or more of the children they’d raised. In contemporary societies, by contrast, old age and infirmity have gone from being a shared, multigenerational responsibility to a more or less private state—something experienced largely alone or with the aid of doctors and institutions. How did this happen? How did we go from Sitaram Gawande’s life to Alice Hobson’s?

What does it take to unwind the unwanted? It takes twelve surgeons, in teams of two, rotating in and out as their medical specialty is needed. It takes nine surgical assistants and four nurses. It takes three hours.

Being a lifetime wife and mother has afforded me the luxury of having multiple and even simultaneous careers: I've been a chauffeur. A chef. An interior decorator. A landscape architect, as well as a gardener. I've been a painter. A furniture restorer. A personal shopper. A veterinarian's assistant and sometimes the veterinarian. I've been an accountant, a banker and on occasion, a broker. I've been a beautician. A map. A psychic. Santa Claus. The Tooth Fairy. The T.V. Guide. A movie reviewer. An angel. God. A nurse and a nursemaid. A psychiatrist and psychologist. Evangelist. For a long time I have felt like I inadvertently got my master's in How To Take Care of Everybody Except Yourself and then a Ph.D. in How to Pretend Like You Don't Mind. But I do mind.

Dr. Gingrich and Mrs. Goodhall had prevailed upon the board of trustees; the board had requested that Larch comply with Dr. Gingrich’s recommendation of a ‘follow-up report’ on the status of each orphan’s success (or failure) in each foster home. If this added paperwork was too tedious for Dr. Larch, the board recommended that Larch take Mrs. Goodhall’s suggestion and accept an administrative assistant. Don’t I have enough history to attend to, as is? Larch wondered. He rested in the dispensary; he sniffed a little ether and composed himself. Gingrich and Goodhall, he said to himself. Ginghall and Goodrich, he muttered. Richhall and Ginggood! Goodring and Hallrich! He woke himself, giggling. ‘What are you so merry about?’ Nurse Angela said sharply to him from the hall outside the dispensary. ‘Goodballs and Ding Dong!’ Wilbur Larch said to her.

made by Nurse Bambi, my private assistant.

Assisted living most often became a mere layover on the way from independent living to a nursing home.

In an interview, the nurse manager explains that a ‘certain level of error will occur’ so a ‘nonpunitive environment’ is essential to deal with this error productively,” Edmondson wrote. “There is an unspoken rule here to help each other and check each other,” a nurse told Edmondson’s assistant. “People feel more willing to admit to errors here, because the nurse manager goes to bat for you.

Assisted living most often became a mere layover on the way from independent living to a nursing home. It became part of the now widespread idea of a “continuum of care,” which sounds perfectly nice and logical but manages to perpetuate conditions that treat the elderly like preschool children. Concern about safety and lawsuits increasingly limited what people could have in their assisted living apartments, mandated what activities they were expected to participate in, and defined ever more stringent move-out conditions that would trigger “discharge” to a nursing facility. The language of medicine, with its priorities of safety and survival, was taking over, again. Wilson pointed out angrily that even children are permitted to take more risks than the elderly. They at least get to have swings and jungle gyms.

I told them how our nurses and Father's assistant were africans. "They don't boil missionaries," I told them, my face red with anger. "They save lives and they are a whole lot smarter than the stupid, silly girls who drew that pictures.

The farmhouse was ample in size and very well kept, the presence of two separate clotheslines and dozens of garments in various sizes the only outward indication that a family of seven lived inside. A smaller home situated slightly to the right was where Esther’s grandparents lived. Claire knew from their many conversations that elderly members of the community did not go into nursing homes. Rather, they turned the family farm over to their children and assisted in ways their increased age allowed.

Being assisted by his son and granddaughter was too embarrassing, so he managed to secure a place at a nursing home. The fee structure there was income-dependent; residents with a lot of property paid more for room, board, and care. Poorer residents lived for free.

Companies spend billions on marketing and public relations campaigns to gain public trust. They award themselves “Best Hospital” prizes by measuring outcomes like “patient experience”—as if a visit to the hospital were a trip to Disney World instead of a life or death endeavor.

All told, approximately 100,000 people were examined in the days and weeks after the accident, 18,000 of whom required hospitalisation. It took the combined efforts of 1,200 doctors, 900 nurses, 3,000 physicians’ assistants and 700 medical students working in shifts to provide round the clock care.185

I learn so much that I previously did not know about the world of the immobile that it is hard to believe it all takes place over a few hours. At random: I learn about the casual indifference of the London cabbie to the wheelchair user and that the clearance on accessible entrances is measured in millimetres less than a knuckle. I learn how intractable it is to push a grown man around for hours and how spontaneity is the privilege of the able-bodied. In solid counterpart to all this grief, I learn about the lengths nurses are prepared to go to assist a purely recreational and ambitious project by one of their patients.

She gazed over at her mother and took a deep breath. Perhaps her mother had never shown Abby affection, not really, but she had given her a knack for solitude, with its terrible lurches outward, and its smooth glide back to peace. Abby would toast her for that. It was really the world that was one’s brutal mother, the one that nursed and neglected you, and your own mother was only your sibling in that world. Abby lifted her glass. “May the worst always be behind you. May the sun daily warm your arms.…” She looked down at her cocktail napkin for assistance, but there was only a cartoon of a big-chested colleen, two shamrocks over her breasts. Abby looked back up. God’s word is quick! “May your car always start—” But perhaps God might also begin with tall, slow words; the belly bloat of a fib; the distended tale. “And may you always have a clean shirt,” she continued, her voice growing gallant, public and loud, “and a holding roof, healthy children and good cabbages—and may you be with me in my heart, Mother, as you are now, in this place; always and forever—like a flaming light.

men worked fifty, sixty, even seventy or more hours a week; the women worked all the time, with little assistance from labor-saving devices, washing laundry, ironing shirts, mending socks, turning collars, sewing on buttons, mothproofing woolens, polishing furniture, sweeping and washing floors, washing windows, cleaning sinks, tubs, toilets, and stoves, vacuuming rugs, nursing the sick, shopping for food, cooking meals, feeding relatives, tidying closets and drawers, overseeing paint jobs and household repairs, arranging for religious observances, paying bills and keeping the family’s books while simultaneously attending to their children’s health, clothing, cleanliness, schooling, nutrition, conduct, birthdays, discipline, and morale.

There’s pushback on the legislative front as well. In 2013, California passed the nation’s only law that year to expand abortion access: Nurses and some other health professionals (midwives, nurse practitioners, and physician assistants) are now permitted to perform first-trimester nonsurgical abortions.30 (This is what can happen when a state is controlled by Democrats.)

I can give no adequate description of the Horror Camp in which my men and myself were to spend the next month of our lives. It was just a barren wilderness, as bare as a chicken run. Corpses lay everywhere, some in huge piles, sometimes they lay singly or in pairs where they had fallen. It took a little time to get used to seeing men women and children collapse as you walked by them and to restrain oneself from going to their assistance. One had to get used early to the idea that the individual just did not count. One knew that five hundred a day were dying and that five hundred a day were going on dying for weeks before anything we could do would have the slightest effect. It was, however, not easy to watch a child choking to death from diphtheria when you knew a tracheotomy and nursing would save it, one saw women drowning in their own vomit because they were too weak to turn over, and men eating worms as they clutched a half loaf of bread purely because they had to eat worms to live and now could scarcely tell the difference. Piles of corpses, naked and obscene, with a woman too weak to stand propping herself against them as she cooked the food we had given her over an open fire; men and women crouching down just anywhere in the open relieving themselves of the dysentery which was scouring their bowels, a woman standing stark naked washing herself with some issue soap in water from a tank in which the remains of a child floated. It was shortly after the British Red Cross arrived, though it may have no connection, that a very large quantity of lipstick arrived. This was not at all what we men wanted, we were screaming for hundreds and thousands of other things and I don't know who asked for lipstick. I wish so much that I could discover who did it, it was the action of genius, sheer unadulterated brilliance. I believe nothing did more for these internees than the lipstick. Women lay in bed with no sheets and no nightie but with scarlet red lips, you saw them wandering about with nothing but a blanket over their shoulders, but with scarlet red lips. I saw a woman dead on the postmortem table and clutched in her hand was a piece of lipstick. At last someone had done something to make them individuals again, they were someone, no longer merely the number tattooed on the arm. At last they could take an interest in their appearance. That lipstick started to give them back their humanity.

Romantic literature often presents the individual as somebody caught in a struggle against the state and the market. Nothing could be further from the truth. The state and the market are the mother and father of the individual, and the individual can survive only thanks to them. The market provides us with work, insurance and a pension. If we want to study a profession, the government’s schools are there to teach us. If we want to open a business, the bank loans us money. If we want to build a house, a construction company builds it and the bank gives us a mortgage, in some cases subsidised or insured by the state. If violence flares up, the police protect us. If we are sick for a few days, our health insurance takes care of us. If we are debilitated for months, social security steps in. If we need around-the-clock assistance, we can go to the market and hire a nurse – usually some stranger from the other side of the world who takes care of us with the kind of devotion that we no longer expect from our own children. If we have the means, we can spend our golden years at a senior citizens’ home. The tax authorities treat us as individuals, and do not expect us to pay the neighbours’ taxes. The courts, too, see us as individuals, and never punish us for the crimes of our cousins. Not only adult men, but also women and children, are recognised as individuals. Throughout most of history, women were often seen as the property of family or community. Modern states, on the other hand, see women as individuals, enjoying economic and legal rights independently of their family and community. They may hold their own bank accounts, decide whom to marry, and even choose to divorce or live on their own. But the liberation of the individual comes at a cost. Many of us now bewail the loss of strong families and communities and feel alienated and threatened by the power the impersonal state and market wield over our lives. States and markets composed of alienated individuals can intervene in the lives of their members much more easily than states and markets composed of strong families and communities. When neighbours in a high-rise apartment building cannot even agree on how much to pay their janitor, how can we expect them to resist the state? The deal between states, markets and individuals is an uneasy one. The state and the market disagree about their mutual rights and obligations, and individuals complain that both demand too much and provide too little. In many cases individuals are exploited by markets, and states employ their armies, police forces and bureaucracies to persecute individuals instead of defending them. Yet it is amazing that this deal works at all – however imperfectly. For it breaches countless generations of human social arrangements. Millions of years of evolution have designed us to live and think as community members. Within a mere two centuries we have become alienated individuals. Nothing testifies better to the awesome power of culture.

Standing as I do in view of God and Eternity, I realise that patriotism is not enough. I must have no hatred or bitterness for anyone.” Nurse Edith Cavell reached deep to find forgiveness just prior to her execution at dawn on 12th October 1915 by the German Army for assisting Allied prisoners. Edith is celebrated for caring for the plight of others, for saving the lives of soldiers from both sides without discrimination and for helping some 200 Allied soldiers escape from German-occupied Belgium during the First World War. For this she was arrested, tried, found guilty under German martial law and shot.

As with all social service projects, a lexicon of terms accumulated around the Housing First movement. Permanent Supportive Housing (PSH) described the movement’s general aim and means, and a model program conducted in the 1990s in New York had shown that housing for chronically homeless people could indeed be long-lasting and beneficial, provided they received adequate support. This trial—The Consumer Preference Supported Housing Model (CPSH)—had involved 242 people who suffered from either mental illness or substance abuse or both. The model had housed them, via various grants and public subsidies, in apartments situated in “affordable locations throughout the city’s low-income neighborhoods.” And they had been supported by Assertive Community Treatment (ACT) teams, somewhat modified from the general prototype, but substantial. These included nurses, social workers, drug counselors, administrative assistants, and “peer counselors,” who directed the support services with the advice and consent of the tenants. Each team had access to psychiatrists and other professionals, and each stood ready to help the tenants every night and day of the week. After five years, 88 percent remained housed—a remarkable result.

For the first time, she enjoyed the freedom of being a thirty-year-old spinster. This was a distinctly compromising situation that no schoolroom virgin would ever have been allowed to witness. However, she could do as she liked by sheer virtue of her age. "I took care of my father during the last two years of his life," she said in response to Devlin's comment. "He was an invalid, and required assistance with his clothes. I served as valet, cook, and nurse for him, especially toward the end." Devlin's face seemed to change, his annoyance vanishing. "What a capable woman you are," he said softly, with no trace of irony.

While the president understood and fully supported this, he remained frustrated, as did I, because his most trusted advisors didn’t fully sign on to a strategic approach to testing. At one point he offhandedly remarked, “You’ll have to convince my son-in-law of that.” Naturally, Kushner and everyone else had been deferring to Fauci and Birx on all things medical. To make matters worse, the Fauci-Birx testing strategy was not merely unfocused; their strategy bizarrely prioritized more testing in the lowest-risk people and the lowest-risk environments—students and schools—while letting the deaths continue in nursing homes and assisted living facilities, where a once-per-week schedule was assumed to be effective.

Code Blue! We’re losing him!” The EMTs hustled the gurney containing Erik Dawson’s broken body into the operating room where the surgical team waited. The nursing staff literally ripped his clothes off as they worked to stabilize him. “What do we have here?” the lead surgeon asked. His assistant didn’t bother to look up as she answered, “Auto accident. An eighteen- wheeler smashed his car into a guardrail.” The lead surgeon whistled through his teeth. “It’s a miracle he’s still breathing. Let’s keep him that way.” As the surgical team moved into action with skill born of practice, Erik drifted on the fringes of consciousness. Erik’s thoughts raced. What? Where? Anesthesia put him under, but as the doctors began their work and his parents prayed fervently in the waiting room, Erik spasmed and stopped breathing. Family Matters, from Home Again

You're right. Many nurses nowadays don't like doing the things that nurses used to have to do. Changing sheets and collecting bedpans - that sort of thing. Nursing has moved on, Bertie.' Bertie was puzzled. 'But if they don't do that,' he said, 'then who does? Do people have to tuck themselves into bed when they're in hospital?' Irene was amused by this and raised her eyes again. 'Dear Bertie, no, not at all. They have other people now to do that sort of thing. There are other wome. . . people who do that.' 'So they aren't nurses, Mummy?' asked Bertie. Irene waved a hand vaguely. 'No. They call them care assistants, or something like that. It's very important work.' 'So what do the nurses do then, Mummy? If they have somebody else to take the bedpans to the patients, what's left for the nurses to do? Do they do the things that doctors do? Can nurses take your tonsils out?' 'I think they'd like to,' said Irene.

Fair trade care webs draw on sick and disabled knowledge about care. Sick and disabled folks have many superpowers: one of them is that many of us have sophisticated, highly developed skills around negotiating and organizing care. Many sick and disabled people have experienced receiving shitty, condescending, “poor you!” charity-based care that’s worse than no care at all—whether it’s from medical staff or our friends and families. Many disabled people also face receiving abusive or coercive care, in medical facilities and nursing homes and from our families and personal care assistants. We’re also offered unsolicited medical advice, from doctors and strangers on the street (who are totally sure carrot juice will cure our MS) every day of our lives. All of those offers are “well meaning,” but they’re also intrusive, unasked for, and mostly coming from a place of discomfort with disability and wanting to “fix” us.

Basic elements of human care underpin how we regard and respond to others—our ethics as people become sicker and more physically dependent: Shelter from the elements. A caring society metaphorically says to the frail or dying person, “We will keep you warm and dry.” Help with personal hygiene. The community reassures the person who is too frail to care for himself or herself, “We will keep you clean.” Assistance with elimination. Family or, on behalf of society, clinicians (typically nurses or nurse aides), say, “We will help you with your bowels and bladder function.” Provision of food and drink. We can say, “We will always offer you something to eat and drink—and help you to do it.” Keeping company. Society can say to people who are dying, especially those who are “unbefriended,” “We will be with you. You will not have to go through this time in your life entirely alone.” Alleviating suffering. Certainly today, society can say, “We will do whatever we can, with as much skill and expertise as available, to lessen your discomfort.” Yet it is only this final element that is dependent on clinical expertise.

The state and the market are the mother and father of the individual, and the individual can survive only thanks to them. The market provides us with work, insurance and a pension. If we want to study a profession, the government’s schools are there to teach us. If we want to open a business, the bank loans us money. If we want to build a house, a construction company builds it and the bank gives us a mortgage, in some cases subsidised or insured by the state. If violence flares up, the police protect us. If we are sick for a few days, our health insurance takes care of us. If we are debilitated for months, national social services steps in. If we need around-the-clock assistance, we can go to the market and hire a nurse – usually some stranger from the other side of the world who takes care of us with the kind of devotion that we no longer expect from our own children. If we have the means, we can spend our golden years at a senior citizens’ home. The tax authorities treat us as individuals, and do not expect us to pay the neighbours’ taxes. The courts, too, see us as individuals, and never punish us for the crimes of our cousins.

To be present at the time of death can be one of the most important moments in life. To see those last, awesome minutes of transition from life into death can only be described as a spiritual experience. And then afterwards, when the body lies still, one gets the strange feeling that the person has simply gone away, as though he has said, ‘I’m just going into the other room. I’ll leave that thing there while I’m gone; I won’t be needing it.’ It’s a very odd experience – the body is there, but the person has gone. No one would say, ‘I am a body’; we say, ‘I have a body’. So what, therefore, is the ‘I’? The ‘I’ or perhaps ‘me’ has just stepped into the other room. It is a strange feeling, and I can’t describe it in any other way. Another thing that is strange is that the body left behind looks smaller, quite a lot smaller, than the living person. The face looks the same, but calm and relaxed, wrinkles and worry lines are smoothed, and a feeling of serenity pervades the entire room. But the person, the ‘I’, has gone. It also greatly helps the process of mourning to see the body after death, and preferably to assist in the laying out. Nurses used to do the job when I was young girl, and we always asked the relatives if they wanted to help. Nurses don’t do it any more, but anyone can ask.

Perhaps the most remarkable elder-care innovation developed in Japan so far is the Hybrid Assistive Limb (HAL)—a powered exoskeleton suit straight out of science fiction. Developed by Professor Yoshiyuki Sankai of the University of Tsukuba, the HAL suit is the result of twenty years of research and development. Sensors in the suit are able to detect and interpret signals from the brain. When the person wearing the battery-powered suit thinks about standing up or walking, powerful motors instantly spring into action, providing mechanical assistance. A version is also available for the upper body and could assist caretakers in lifting the elderly. Wheelchair-bound seniors have been able to stand up and walk with the help of HAL. Sankai’s company, Cyberdyne, has also designed a more robust version of the exoskeleton for use by workers cleaning up the Fukushima Daiichi nuclear plant in the wake of the 2011 disaster. The company says the suit will almost completely offset the burden of over 130 pounds of tungsten radiation shielding worn by workers.* HAL is the first elder-care robotic device to be certified by Japan’s Ministry of Economy, Trade, and Industry. The suits lease for just under $2,000 per year and are already in use at over three hundred Japanese hospitals and nursing homes.21

Romantic literature often presents the individual as somebody caught in a struggle against the state and the market. Nothing could be further from the truth. The state and the market are the mother and father of the individual, and the individual can survive only thanks to them. The market provides us with work, insurance and a pension. If we want to study a profession, the government’s schools are there to teach us. If we want to open a business, the bank loans us money. If we want to build a house, a construction company builds it and the bank gives us a mortgage, in some cases subsidised or insured by the state. If violence flares up, the police protect us. If we are sick for a few days, our health insurance takes care of us. If we are debilitated for months, national social services steps in. If we need around-the-clock assistance, we can go to the market and hire a nurse – usually some stranger from the other side of the world who takes care of us with the kind of devotion that we no longer expect from our own children. If we have the means, we can spend our golden years at a senior citizens’ home. The tax authorities treat us as individuals, and do not expect us to pay the neighbours’ taxes. The courts, too, see us as individuals, and never punish us for the crimes of our cousins.

Romantic literature often presents the individual as somebody caught in a struggle against the state and the market. Nothing could be further from the truth. The state and the market are the mother and father of the individual, and the individual can survive only thanks to them. The market provides us with work, insurance and a pension. If we want to study a profession, the government’s schools are there to teach us. If we want to open a business, the bank loans us money. If we want to build a house, a construction company builds it and the bank gives us a mortgage, in some cases subsidised or insured by the state. If violence flares up, the police protect us. If we are sick for a few days, our health insurance takes care of us. If we are debilitated for months, national social services steps in. If we need around-the-clock assistance, we can go to the market and hire a nurse – usually some stranger from the other side of the world who takes care of us with the kind of devotion that we no longer expect from our own children. If we have the means, we can spend our golden years at a senior citizens’ home. The tax authorities treat us as individuals, and do not expect us to pay the neighbours’ taxes. The courts, too, see us as individuals, and never punish us for the crimes of our cousins. Not

Eight Bells: Robert J. Kane ‘55D died June 3, 2017, in Palm Harbor, Florida. He came to MMA by way of Boston College. Bob or “Killer,” as he was affectionately known, was an independent and eccentric soul, enjoying the freedom of life. After a career at sea as an Officer in the U.S. Navy and in the Merchant Marine he retired to an adventurous single life living with his two dogs in a mobile home, which had originally been a “Yellow School Bus.” He loved watching the races at Daytona, Florida, telling stories about his interesting deeds about flying groceries to exotic Caribbean Islands, and misdeeds with mysterious ladies he had known. For years he spent his summers touring Canada and his winters appreciating the more temperate weather at Fort De Soto in St. Petersburg, Florida…. Enjoying life in the shadow of the Sunshine Bridge, Bob had an artistic flare, a positive attitude and a quick sense of humor. Not having a family, few people were aware that he became crippled by a hip replacement operation gone bad at the Bay Pines VA Hospital. His condition became so bad that he could hardly get around, but he remained in good spirits until he suffered a totally debilitating stroke. For the past 6 years Bob spent his time at various Florida Assisted Living Facilities, Nursing Homes and Palliative Care Hospitals. His end came when he finally wound up as a terminal patient at the Hospice Facility in Palm Harbor, Florida. Bob was 86 years old when he passed. He will be missed….

My Future Self My future self and I become closer and closer as time goes by. I must admit that I neglected and ignored her until she punched me in the gut, grabbed me by the hair and turned my butt around to introduce herself. Well, at least that’s what it felt like every time I left the convalescent hospital after doing skills training for a certification I needed to help me start my residential care business. I was going to be providing specialized, 24/7 residential care and supervising direct care staff for non-verbal, non-ambulatory adult men in diapers! I ran to the Red Cross and took the certified nurse assistant class so I would at least know something about the job I would soon be hiring people to do and to make sure my clients received the best care. The training facility was a Medicaid hospital. I would drive home in tears after seeing what happens when people are not able to afford long-term medical care and the government has to provide that care. But it was seeing all the “young” patients that brought me to tears. And I had thought that only the elderly lived like this in convalescent hospitals…. I am fortunate to have good health but this experience showed me that there is the unexpected. So I drove home each day in tears, promising God out loud, over and over again, that I would take care of my health and take care of my finances. That is how I met my future self. She was like, don’t let this be us girlfriend and stop crying! But, according to studies, we humans have a hard time empathizing with our future selves. Could you even imagine your 30 or 40 year old self when you were in elementary or even high school? It’s like picturing a stranger. This difficulty explains why some people tend to favor short-term or immediate gratification over long-term planning and savings. Take time to picture the life you want to live in 5 years, 10 years, and 40 years, and create an emotional connection to your future self. Visualize the things you enjoy doing now, and think of retirement saving and planning as a way to continue doing those things and even more. However, research shows that people who interacted with their future selves were more willing to improve savings. Just hit me over the head, why don’t you! I do understand that some people can’t even pay attention or aren’t even interested in putting money away for their financial future because they have so much going on and so little to work with that they feel like they can’t even listen to or have a conversation about money. But there are things you’re doing that are not helping your financial position and could be trouble. You could be moving in the wrong direction. The goal is to get out of debt, increase your collateral capacity, use your own money in the most efficient manner and make financial decisions that will move you forward instead of backwards. Also make sure you are getting answers specific to your financial situation instead of blindly guessing! Contact us. We will be happy to help!

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Twas the night before Christmas and in SICU All the patients were stirring, the nurses were, too. Some Levophed hung from an IMED with care In hopes that a blood pressure soon would be there. One patient was resting all snug in his bed While visions—from Versed—danced in his head. I, in my scrubs, with flowsheet in hand, Had just settled down to chart the care plan. Then from room 17 there arose such a clatter We sprang from the station to see what was the matter. Away to the bedside we flew like a flash, Saved the man from falling, with restraints from the stash. “Do you know where you are?” one nurse asked while tying; “Of course! I’m in France in a jail, and I’m dying!” Then what to my wondering eyes should appear? But a heart rate of 50, the alarm in my ear. The patient’s face paled, his skin became slick And he said in a moment, “I’m going to be sick!” Someone found the Inapsine and injected a port, Then ran for a basin, as if it were sport. His heart rhythm quieted back to a sinus, We soothed him and calmed him with old-fashioned kindness. And then in a twinkling we hear from room 11 First a plea for assistance, then a swearing to heaven. As I drew in my breath and was turning around, Through the unit I hurried to respond to the sound. “This one’s having chest pain,” the nurse said and then She gave her some nitro, then morphine and when She showed not relief from IV analgesia Her breathing was failing: time to call anesthesia. “Page Dr. Wilson, or May, or Banoub! Get Dr. Epperson! She ought to be tubed!” While the unit clerk paged them, the monitor showed V-tach and low pressure with no pulse: “Call a code!” More rapid than eagles, the code team they came. The leader took charge and he called drugs by name: “Now epi! Now lido! Some bicarb and mag! You shock and you chart it! You push med! You bag!” And so to the crash cart, the nurses we flew With a handful of meds, and some dopamine, too! From the head of the bed, the doc gave his call: “Resume CPR!” So we worked one and all. Then Doc said no more, but went straight to his work, Intubated the patient, then turned with a jerk. While placing his fingers aside of her nose, And giving a nod, hooked the vent to the hose. The team placed an art-line and a right triple-lumen. And when they were through, she scarcely looked human: When the patient was stable, the doc gave a whistle. A progress note added as he wrote his epistle. But I heard him exclaim ere he strode out of sight, “Merry Christmas to all! But no more codes for tonight!” Jamie L. Beeley Submitted by Nell Britton

Astonishment: these women’s military professions—medical assistant, sniper, machine gunner, commander of an antiaircraft gun, sapper—and now they are accountants, lab technicians, museum guides, teachers…Discrepancy of the roles—here and there. Their memories are as if not about themselves, but some other girls. Now they are surprised at themselves. Before my eyes history “humanizes” itself, becomes like ordinary life. Acquires a different lighting. I’ve happened upon extraordinary storytellers. There are pages in their lives that can rival the best pages of the classics. The person sees herself so clearly from above—from heaven, and from below—from the ground. Before her is the whole path—up and down—from angel to beast. Remembering is not a passionate or dispassionate retelling of a reality that is no more, but a new birth of the past, when time goes in reverse. Above all it is creativity. As they narrate, people create, they “write” their life. Sometimes they also “write up” or “rewrite.” Here you have to be vigilant. On your guard. At the same time pain melts and destroys any falsehood. The temperature is too high! Simple people—nurses, cooks, laundresses—behave more sincerely, I became convinced of that…They, how shall I put it exactly, draw the words out of themselves and not from newspapers and books they have read—not from others. But only from their own sufferings and experiences. The feelings and language of educated people, strange as it may be, are often more subject to the working of time. Its general encrypting. They are infected by secondary knowledge. By myths. Often I have to go for a long time, by various roundabout ways, in order to hear a story of a “woman’s,” not a “man’s” war: not about how we retreated, how we advanced, at which sector of the front…It takes not one meeting, but many sessions. Like a persistent portrait painter. I sit for a long time, sometimes a whole day, in an unknown house or apartment. We drink tea, try on the recently bought blouses, discuss hairstyles and recipes. Look at photos of the grandchildren together. And then…After a certain time, you never know when or why, suddenly comes this long-awaited moment, when the person departs from the canon—plaster and reinforced concrete, like our monuments—and goes on to herself. Into herself. Begins to remember not the war but her youth. A piece of her life…I must seize that moment. Not miss it! But often, after a long day, filled with words, facts, tears, only one phrase remains in my memory (but what a phrase!): “I was so young when I left for the front, I even grew during the war.” I keep it in my notebook, although I have dozens of yards of tape in my tape recorder. Four or five cassettes… What helps me? That we are used to living together. Communally. We are communal people. With us everything is in common—both happiness and tears. We know how to suffer and how to tell about our suffering. Suffering justifies our hard and ungainly life.

Despite all this bad news, there is real-world evidence that groups do confront bullies as a group—and it works! A shining example is the “Code Pink” technique used by surgical nurses. These highly skilled professionals are often berated and belittled by pompous surgeons, both men and women. In some hospitals, whenever a bullying surgeon steps over the line into mistreatment, “Code Pink” is called by the targeted nurse. Immediately, supportive nurses form a circle around the physician. Together, they declare their unwillingness to assist that person with current and future patients, if an apology is not given with a promise to behave in a civil manner. The interdependent nature of surgery makes the surgeon powerless without the help of the team in the operating room. All work stops and the physician is accountable for her or his bullying. It is the physician who is responsible for the patient’s life. “Code Pink” is the group displaying its power to the bully, demanding cooperation instead of controlling games.

Home health care is all about skilled care nursing which is facilitated on a part-time or full-time basis. Generally here caregivers provide all assisted care services.Along with it there are other support services too that can be offered such as physical therapy or occupational therapy,home cooked meals,care management,nursing care,transportation,etc.. You can also ask for other medical social services at royalcare.net .

Chapter 15 Grace One morning, after an uneventful sojourn at the bath house. The ward received a rare visit from the Physician Superintendent. He walked into the day room accompanied by the charge nurse just as me and Art were preparing the patients for lunch. “Do you say Grace before meals?” inquired the Superintendent of the charge. “Yes Sir.” The charge was well aware of the hospital rules and snapped almost to attention in reply. His response was true. Our charge, being a stickler for the rule book of the institution, always insisted on saying grace. The order was; “Stand behind your chairs.” Usually bellowed by the deputy although Art and I occasionally got the chance. The seventy odd patients milling round in the dining gallery would stand behind their chairs in absolute silence. Years of institutional living had taught them that meals would only be served after a period of absolute silence, followed by grace. The charge, not leaving his chair, would open his office door and poking his head out would call. “For whayouare aboutorecieve maythelor mayoutruly thankful.” To which the patients would dutifully chorus “Amen” and sit down to eat. On this day the “Big Chief” was present and Art and I could tell things were going to be different. “Stand behind your chairs.” Was said. Nothing happened.—Louder, “Stand behind your chairs.” Nothing.—Art bellowed “Stand behind your chairs.” The effect was electric and the mass moved into its lunchtime position of silence standing behind their chairs in the dining room. The charge had slipped into his long white nursing coat. He was going to assist with lunch. He moved away from the side of the Physician Superintendent and stood in the centre of the dining room. There he adopted a posture which he adjudged spiritually appropriate. Hands clasped in front of him, eyes lowered, he bowed his head. Not wishing to get on the wrong side of our boss. Art and I stood one either side of him and followed suit. Absolute silence reigned. Before the charge could proceed any further with this charade the ward kitchen door opened to reveal Benny and Jimmy. They were two long standing ward worker patients who’s job it was to prepare the plates on the servery ready for the meal. Patients assisting with serving meals was against the “rules” and Benny realising that the Superintendent was present blurted out. “For Christ’s sake shut that bloody door.” Seventy nine patients solemnly responded with “Amen.” and promptly sat down in eager anticipation of their dinner. “I see.” said the Physician Superintendent and walked poker faced from the dining room with the red faced charge trailing in his wake. We never said Grace again after that.

Our research shows that specialists’ time is often an order of magnitude (10 times) more costly than their assistants’ time. It makes no sense to have physicians and senior nurses perform tasks that could be done just as well by far less expensive personnel.

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We flew into the small airfield in Monrovia where we were met by Jimmy, Captain Duffy’s assistant. It didn’t take long, driving on the back streets to get to the city hospital. Jimmy carefully avoided many of the potholes that pockmarked the wet streets but without seatbelts it was a bumpy ride that I wouldn’t want to repeat! One German and two Liberian doctors along with some orderlies shared the responsibilities of running the hospital. A few local nurses and attendants completed the staff. These few people were all they had to do everything, and I guess the hospital was lucky to have them. One of the attendants wearing a bloodstained shirt accompanied us on our way to the morgue. As he opened the large swinging door I was hit by an unmistakable sweet pungent odor of death that nearly caused me to throw up right there on the spot. Not having as much as a handkerchief to keep out the smell, I simply covered my nose and mouth with my hand and followed the attendant into the metal building. It took a moment for my eyes to adjust from the still bright afternoon sun to the dark interior of the shed, but as they did, I witnessed a sight I can never forget. In the heat of this building were a few bloated, decaying naked cadavers lying on planks, with hundreds of flies swarming around them. If they didn’t have sheets for the living, it couldn’t be expected that there would be any for the dead. Turning on the single lightbulb hanging over a stainless-steel tray table with a corpse on it, allowed us to see the room better. The naked body directly in front of me, with its mutilated head propped up by a block of wood, was startling and is still vivid to this day. Although a part of his skull was crushed in, I could see where crabs had been eating the side of his face. Despite this mutilation I could instantly tell that it was Olaf. His ashen face had a stubble growth on it and the grey, gaping, bloodless wound on his forehead showed that he had either been in a terrible accident or murdered! There was no doubt as to what had happened to Olaf and I knew that it wasn’t an accident. Murder was commonplace in Liberia, especially in Monrovia.

The relationship between obstetric drugs and sometimes ultimately fatal intoxication in adulthood is not accidental. Through amniotic fluid, the foetus develops a taste for the foods his mother prefers; this transmission is thought to assist the transition to nursing and, after weaning, to solids. The same transmission of preference applies to substances, meaning that a pregnant woman who drinks or uses drugs passes the preference to her foetus. Logically, this principle applies to the placental transference of obstetric drugs.

Death will come for us all and yet medicine still sees it as a defeat. No wonder that legal physician-assisted suicide has caused such an uproar within medical circles. Research has shown that even in jurisdictions where it is legal, confusion about its ethics, processes and procedures abound. Why? Because physician-assisted suicide allies the doctor with their enemy, namely death. Health professionals generally don’t seem to have the training and skills to assist in the dying process and most don’t appear to want them. Research has shown a strong connection between the death attitudes of health professionals and the quality of end-of-life care that they provide. For example, nurses low in death acceptance tend to have negative attitudes towards end-of-life care and cultivate poorer relationships with terminal patients. Death anxiety among healthcare providers negatively affects their attitudes towards family members of the dying. Further, death anxiety has been shown to stop relevant health professionals from initiating discussions about advance care directives. This, of course, makes it extremely difficult to ensure that the wishes of the dying are adhered to when the moment comes.

In fact, in 2011, research found that “US nursing staff, including medical assistants, spent 20.6 hours per physician per week interacting with health plans,” costing $82,975 per physician annually.50 And this is

In fact, in 2011, research found that “US nursing staff, including medical assistants, spent 20.6 hours per physician per week interacting with health plans,” costing $82,975 per physician annually.50

We do have better models and evidence of the superiority of these alternative models to nursing homes and other institutionalized living arrangements. People with severe disabilities who are living at home with personal assistance have demonstrated that living in an environment they control is far superior to institutionalized care. But according to the World Institute on Disability, “9.6 million people with disabilities live in the U.S. who need help with daily activities like washing, dressing and household chores. Less than 2 million receive paid assistance. Most rely on family and friends” (WID 1995). All of the 7.6 million people dependent on family or friends for personal assistance are thus vulnerable to future institutionalization.

Another example, one that touches more people, is the nursing home industry. Numerous studies have shown that living at home, in a house or an apartment, is better psychologically, more fulfilling, and cheaper than living in nursing homes.14 Yet these institutions prosper when federal programs that foster living in the community are cut. There are also funding disincentives that the U.S. Congress, through Medicare and Medicaid, has created to ensure the profit bonanza of nursing homes. According to the activist disability journal Mouth (1995), there are 1.9 million people with disabilities living in nursing homes at an annual cost of $40,784, although it would cost only $9,692 a year to provide personal assistance services so the same people could live at home. Sixty-three percent of this cost is taxpayer funded. In 1992, 77,618 people with developmental disabilities (DD) lived in state-owned facilities at an average annual cost of $82,228, even though it would cost $27,649 for the most expensive support services to live at home. There are 150,257 people with mental illness living in tax-funded asylums at an average annual cost of $58,569. Another 19,553 disabled veterans also live in institutions, costing the Veterans Administration a whopping $75,641 per person.15 It is illogical that a government would want to pay more for less. It is illogical until one studies the amount of money spent by the nursing home lobby. Nursing homes are a growth industry that many wealthy people, including politicians, have wisely invested in. The scam is simple: get taxpayers to fund billions of dollars to these institutions which a few investors divide up. The idea that nursing homes are compassionate institutions or necessary resting places has lost much of its appeal recently, but the barrier to defunding them is built on a paternalism that eschews human dignity. As we have seen with public housing programs in the United States, the tendency is to warehouse (surplus) people in concentrated sites. This too has been the history with elderly people and people with disabilities in nursing homes. These institutions then can serve as a mechanism of social control and, at the same time, make some people wealthy.

I’m getting my eyelids surgery done for 2nd session on next Tuesday at 6:30pm in Korea! My eyelids surgery will go well for me in the Raumps Plastic Surgery Hospital! My eyelids surgeon, my eyelids surgery nurses&my eyelids surgery surgeon’s assistant are so amazing to get my eyelids surgery done too! I’m so grateful, so thankful and so lucky to have them in my life as my loved ones too!

Definitely, my double eyelids surgery went well for me on this Tuesday’s night! Thank goodness! I felt a bit painful, felt sick, a lot dizzy, so tired, so sleepy, relieved, peaceful from my double eyelids surgery! My double eyelids surgery’s surgeon doctor, surgeon’s doctor’s assistant, nurse were so amazing to take care of me even though I was feeling sick from last night’s double eyelids surgery! It’s great that I did my double eyelids surgery on yesterday to finish it up! My double eyelids surgery went well for me on this Tuesday night!

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Most frustrating and important, Wilson said, assisted living isn’t really built for the sake of older people so much as for the sake of their children. The children usually make the decision about where the elderly live, and you can see it in the way that places sell themselves. They try to create what the marketers call “the visuals”—the beautiful, hotel-like entryway, for instance, that caught Shelley’s eye. They tout their computer lab, their exercise center, and their trips to concerts and museums—features that speak much more to what a middle-aged person desires for a parent than to what the parent does. Above all, they sell themselves as safe places. They almost never sell themselves as places that put a person’s choices about how he or she wants to live first and foremost. Because it’s often precisely the parents’ cantankerousness and obstinacy about the choices they make that drive children to bring them on the tour to begin with. Assisted living has become no different in this respect than nursing homes.

Having heard so many stories similar to Mrs. Thomas’s, several years ago I decided to study the needs for ministry in the nursing homes of my region. With the help of a local pastor, we interviewed the administrators, activities directors, and residents of twenty-seven nursing homes. We could have stopped after the first interview. We learned almost nothing new in the remaining twenty-six nursing homes. As soon as we began asking our questions, we found almost instant anger against pastors and local churches. Everywhere we went we heard that, with almost no exception, within a few weeks of admission, no representatives from local churches visited their patients. Were it not for the families’ visits, their patients would have been totally abandoned. Few families truly abandon their loved ones who have entered a nursing home or assisted living facility.

The rise of independently practicing non-physician practitioners has everything to do with money, politics, and control—and nothing to do with better patient care.

The parasympathetic nervous system performs seven regulatory functions that have particular relevance to drugs. Specifically, stimulation of appropriate parasympathetic nerves causes the following: • Slowing of heart rate • Increased gastric secretion • Emptying of the bladder • Emptying of the bowel • Focusing the eye for near vision • Constricting the pupil • Contracting bronchial smooth muscle

I was amazed at how expensive economists thought doctors were. They instituted many economic maneuvers—de-skilling medicine onto nurses and physician assistants; computerizing medical decision-making; substituting algorithms for thinking—because they assumed that doctors were such expensive commodities. And yet doctors were not expensive, at least, not the doctors I knew. We cost no more than the nurses, the middle managers, and the information technicians, alas. Adding up all the time I spent with Mrs. Muller, the cost of her accurate diagnosis was about the same as one MRI scan, wholesale. Economists did the same thing with the other remedies of premodern medicine—good food, quiet surroundings, and the little things—treating them as expensive luxuries and cutting them out of their calculations. At Laguna Honda, for instance, while most patients were on fifteen or even twenty daily medications, many of which they didn’t need, the budget for a patient’s daily meals had been pared down to seven dollars, which could supply only the basics. I began to wonder: Had economists ever applied their standard of evidence-based medicine to their own economic assumptions? Under what conditions, with which patients and which diseases was it cost-effective to trade good food, clean surroundings, and doctor time for medications, tests, and procedures? Especially ones that patients didn’t need? Although Mrs. Muller was an impressive example of Laguna Honda’s Slow Medicine, she wasn’t the only one. Almost every patient I admitted had incorrect or outmoded diagnoses and was taking medications for them, too. Medications that required regular blood tests; caused side effects that necessitated still more medications; and put the patient at risk for adverse reactions. Typically my patients came in taking fifteen to twenty-five medications, of which they ended up needing, usually, only six or seven. And medications, even the cheapest, were expensive. Adding in the cost of side effects, lab tests, adverse reactions, and the time pharmacists, doctors, and nurses needed to prepare, order, and administer them, each medication cost something like six or seven dollars a day. So Laguna Honda’s Slow Medicine, to the extent that it led to discontinuing ten or twelve unnecessary medications, was more efficient than efficient health care by at least seventy dollars per day. I

I had full knowledge of the fact that my body had just stopped living. I could hear lots of commotion in the operating room (even though I was completely sedated and with no heartbeat). The nurses that were assisting were quite frantic.

Poverty is pain, physical pain. It is in the backaches of home health aides and certified nursing assistants, who bend their bodies to hoist the old and sick out of beds and off toilets; it is in the feet and knees of cashiers made to stand while taking our orders and ringing up our items; it is in the skin rashes and migraines of maids who clean our office buildings, homes, and hotel rooms with products containing ammonia and triclosan.

VA/DoD Clinical Practice Guideline for the Management of Post-Traumatic Stress—released by the Department of Veterans Affairs and Department of Defense in 2010.

When it was time for blood draws, the tech drawing my blood would be flanked by the nurse, a security guard, and my assistant. Was I a cannibal? Was I a bank robber? Was I a wild animal? Why was I treated as though I were about to burn the place down and murder them all?

Preclinical and clinical trials of new drugs cannot detect all of the ADRs that a drug may be able to cause. In fact, about 50% of all new drugs have serious ADRs that are not revealed during phase 1 and phase 3 trials.

Have the child suck on a frozen treat to decrease taste sensation before administration.

Subdermal Etonogestrel Implants A subdermal system (Nexplanon) for delivery of etonogestrel is available for long-term reversible contraception. As shown in Table 51.1, Nexplanon is among the most effective contraceptives available. Description Nexplanon consists of a single 4-cm rod that contains 68 mg of etonogestrel, a synthetic progestin. The rod is implanted subdermally in the groove between the biceps and triceps in the nondominant arm. Etonogestrel then diffuses slowly and continuously, providing blood levels sufficient for contraception for 3 years, after which the rod is removed. If continued contraception is desired, a new rod is implanted. While currently FDA approved for 3 years, recent studies have shown that Nexplanon continues to be effective for up to 5 years post insertion. Mechanism of Action Etonogestrel suppresses ovulation and thickens cervical mucus. In addition, it causes the endometrium to become involuted and hence hostile to implantation.

This book reveals the complexity of nurses’ motivations for joining. It probes how humanitarian nursing within a Quaker-based organization challenged nurses’ perception of their role as purveyors of Western-based knowledge and standards, even as they confronted questions of medical ethics and unfamiliar cultural practices. The Gadabout nurses’ narratives are not solely about what happened to them and how they reacted to the challenges. Rather, they are about how men and women as categories of identity have been constructed within the gendered mainstream historiography, particularly the international relations discipline.1 The China Convoy suggests that nurses’ voices should be taken more seriously, not only within the scholarly literature but also within the contemporary policy formation process. Nurses have been and will remain key to the delivery of humanitarian assistance. It is my hope that this book will open avenues of scholarly inquiry within the history and practice of humanitarian nursing.

I work for a company called stagecoach when im not at school. I assist teaching 3-8 year olds for a total or 6-8 hours a week and I enjoy this very much. In this role I assist in teaching the children singing, Dancing and acting. I also volunteer at sports clubs at school helping younger years. I also regularly assist in teaching tumbling to children aged 4+ in cheerleading. At the moment I am doing Netball hockey and cheerleading outside of school and I enjoy these a lot. I enjoy working with children very much and I find watching them learn and grow incredible. When I and older I would love to work with children wether that’s teaching or nursing I don’t know.

The language of medicine, with its priorities of safety and survival, was taking over, again. Wilson pointed out angrily that even children are permitted to take more risks than the elderly. They at least get to have swings and jungle gyms. A survey of fifteen hundred assisting living facilities published in 2003 found that only 11 percent offered both privacy and sufficient services to allow frail people to remain in residence. The idea of assisted living as an alternative to nursing homes had all but died. Even the board of Wilson’s own company—having noted how many other companies were taking a less difficult and less costly direction—began questioning her standards and philosophy. She wanted to build smaller buildings,

When I went to Amherst, I valued my pastoral role as dean as part of a complex web of responsibilities to faculty, students, and the long-term integrity of the institution. I had not foreseen that the stereotype of nurturance would be used as a weapon. It is a double-sided blade that is turned only against women: my colleagues were equally ready to condemn faculty women for being too nurturant, and for not being nurturant enough. I also had not anticipated the extra burdens that went with meeting the expectation of nurturance. The president, for instance, had a wife, several secretaries, and a personal assistant, yet he still demanded a disproportionate amount of caretaking. Although he wouldn’t ask me to bring him cups of coffee or perform personal errands, he would ask me to support his morale, cover for him when he was unprepared, prevent his impulsive actions, and listen to him let off steam or think out loud for hours at a time. These were tasks he automatically expected of women, but he also demanded them, to a lesser degree, from the men around him. Yet he appeared to have no sense that he had some caretaking responsibility for his staff, who used to end up in my office, expecting me to nurse them back to self-respect. It took a lot of us to care for the president and keep him in good running order, at the cost of neglecting other responsibilities. Some of his need was a legitimate balance to the strains of his position; some of it was a habit of being indulged that made me wish parents could rear their children without such a core of neediness and without the expectation that others could be used to fill it.

Most people will call Emergency medical helpline/Ambulance service only a few times during their lifetimes. Having the necessary information before calling Emergency Ambulance helpline will help them in sending you the appropriate help say first aid responder, ambulance service, doctor, nurse quickly. It can be a frightening moment, but few prior precautions that might help you to run the process smoothly for both, you and the operator. If you are ever in a life-threatening medical emergency, it is important to have the emergency medical helpline number of your area memorized. Being composed and prepared to assist could save the victim life. Don’t Panic: Obviously, when you are calling the emergency medical helpline, you are in an emergency. But, Panic does not help, it may obstruct your speech (talking too fast, too slow, begin stuttering). Make sure you are far enough away from the emergency to be safe. Call your local ambulance helpline: Call your local ambulance helpline say in Bangalore, Emergency helpline number is 080 67335555 or 108. Be aware that, sometimes, it takes time for the phone to connect to the correct answering point. Do not disconnect the call if you do not connect immediately!! Know what you will be asked from the emergency operator. Make sure you are aware of the following queries: Where is the emergency location? Location is the first question asked by all emergency responders to provide & send the help. Give the dispatcher your name and address. Be aware of emergency location & where you are. Nature/Type of the emergency? Be aware of the type of emergency that you are in & the type of assistance that you want. The assistance includes medical professionals, ambulance service, firefighters or other professionals. A detailed, yet concise, description: Be aware of what happened? What should have the most importance? And why & what type of assistance you need. Have your phone number memorised: The dispatcher may need to call back for further information or to provide some useful instructions or to know where you are. 4. Listen to the dispatcher & be prepared to assist: Listen to the dispatcher & follow their instructions. The faster & better you follow their instructions, the higher the rate of survival will be. The operator/first responder might explain how to do CPR, if the victim is unconscious, while help is on arrival. For example, he can instruct you first aid, or how to help a choking victim guide you on how to stop nose bleeding. 5. Know your local medical emergency number: The emergency number depends on the country that you are living in. So you should know the local emergency number memorised. The Emergency Ambulance number in Bangalore, India is 080 67335555 & 108. 6. Ask for the type of ambulance that you are looking for: The operator wants to know the type of ambulance that you need. The type of ambulance includes Advanced Life support, Air ambulance Service, and Basic life support depending upon the type of emergency. In this case, make it clear about the type of emergency condition or explain the emergency, the victim is suffering from. Call Blood for sure helpline number 080 67335555 immediately for any life-threatening medical Emergency & ambulance services. These include chest pain, choking, car crash or any vehicle accident, difficulty speaking, drowning, numbness, sudden intense pain, severe burns and other serious medical problems.

I knew it was just a suggestion, but the assistant was nursing a toddler at the time and the visible impact of suggestions on her personal life was obscene in an unquantifiable way. What was she trying to prove by nursing a mammal with sharp teeth? At what point do we say the trapeze artist is not courageous but actually quite foolish? I waited for someone to get hurt because things are clearer then.

Teamwork may just be hard in certain lines of work. Under conditions of extreme complexity, we inevitably rely on a division of tasks and expertise—in the operating room, for example, there is the surgeon, the surgical assistant, the scrub nurse, the circulating nurse, the anesthesiologist, and so on. They can each be technical masters at what they do. That’s what we train them to be, and that alone can take years. But the evidence suggests we need them to see their job not just as performing their isolated set of tasks well but also as helping the group get the best possible results. This requires finding a way to ensure that the group lets nothing fall between the cracks and also adapts as a team to whatever problems might arise.

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

Within hours, Governor Fred W. Green had arrived with his wife, Helen. Stunned by the devastation, the governor stripped off his coat, rolled up his sleeves, and threw himself into the rescue work, while his wife hurried to the grassy knoll to assist the nurses attending to the grievously injured children.3

The pattern is the same everywhere. Extremely elderly people are far more likely to die of SARS-COV-2 than anyone else. That is especially true for those living in nursing homes and assisted living facilities. Those people account for about 40 to 50 percent of all deaths from COVID in the United States. A figure of 43 percent has been widely used. It probably understates the real total because in some states, including New York, nursing home residents who die in hospitals are counted as hospital deaths.

It was quite common for households in towns like mine to have BB rifles, commonly called slug guns. These were air rifles that shot very tiny soft lead pellets called slugs. They weren’t that lethal unless you shot at very close range, but they could blind you if you got shot in the eye. Most teenagers had them to control pests like rats, or to stun rabbits. However, most kids used them to shoot empty beer cans lined up on the back fence, practising their aim for the day they were old enough to purchase a serious firearm. Fortunately, a law banning guns was introduced in Australia in 1996 after thirty-five innocent people were shot with a semi-automatic weapon in a mass shooting in Tasmania. The crazy shooter must have had a slug gun when he was a teenager. But this was pre-1996. And my brothers, of course, loved shooting. My cousin Billy, who was sixteen years old at the time – twice my age – came to visit one Christmas holiday from Adelaide. He loved coming to the outback and getting feral with the rest of us. He also enjoyed hitting those empty beer cans with the slug gun. Billy wasn’t the best shooter. His hand-eye coordination was poor, and I was always convinced he needed to wear glasses. Most of the slugs he shot either hit the fence or went off into the universe somewhere. The small size of the beer cans frustrated him, so he was on the lookout for a bigger target. Sure enough, my brothers quickly pushed me forward and shouted, ‘Here, shoot Betty!’ Billy laughed, but loved the idea. ‘Brett, stand back a bit and spread your legs. I’ll shoot between them just for fun.’ Basically, he saw me as an easy target, and I wasn’t going to argue with a teenager who had a weapon in his hand. I naively thought it could be a fun game with my siblings and cousin; perhaps we could take turns. So, like a magician’s assistant, I complied and spread my skinny young legs as far apart as an eight-year-old could, fully confident he would hit the dust between them . . . Nope. He didn’t. He shot my leg, and it wasn’t fun. Birds burst out of all the surrounding trees – not from the sound of the gunshot, but from my piercing shriek of pain. While I rolled around on the ground, screaming in agony, clutching my bleeding shin, my brothers were screaming with laughter. I even heard one of them shout, ‘Shoot him while he’s down!’ Who needs enemies when you have that kind of brotherly love? No one rushed to help; they simply moved to the back fence to line up the cans for another round. I crawled inside the house with blood dripping down my leg, seeking Mum, the nurse, to patch me up. To this day, I have a scar on my leg as a souvenir from that incident . . . and I still think Billy needed glasses. I also still get very anxious when anyone asks me to spread my legs.

Nurses could wear a sensor that detects heart rate and helps them fight off fatigue on long shifts, Bartow said, or manufacturing companies could strap GPS-enabled smart watches on workers to hassle them if their breaks are too long. It's easy to see how this could quickly become annoying. Sixty-six percent of Millennials and 58 percent of all workers said they would be willing to use wearable technology if it allowed them to do their job better, according to a survey last year by Cornerstone OnDemand. That leaves plenty of people uneasy about it. That resistance could hurt productivity, says Ethan Bernstein, an assistant professor of leadership at Harvard Business School. He has studied the "transparency paradox," which says that production in the workplace can slow down if employees know the bosses are watching. "It will be much harder to see if these are actually improving productivity or if, because people change when they're watched, they produce a different outcome," he said.

2012 Continuation of Andy’s Reply   My dearest Young, you never fail to amaze me after these many years. You are still the inquisitive young man I’ve come to cherish and love.☺               It wasn’t easy to nurse and care for Albert during his final days. Being an honourable and independent man, it was extremely difficult for him to be dependent on me or anyone for assistance. He fought me every step of the way; only when his health had deteriorated to within an inch of what it once was did he succour my aid. It was a dark moment, but I slowly manoeuvred my way back from depression after Albert’s passing.               There isn’t a day I do not miss his presence. I’m still getting used to being single again, though my passion for rowing and the camaraderie of my rowing buddies kept me from falling into despondency. The ocean has a healing effect on my desolate soul. Back to your question – I am currently single and enjoying life as a single man. There are a couple of guys I see on and off, nothing serious. I’m not looking for love but allowing the universe to bring forth what is in store for me. I recall the words you wrote to Sam in A Harem Boy’s Saga – book II – Unbridled, during our winter holiday in 1966: “Follow love and it will flee; flee love and it will follow.”So, boy, here I am, waiting for love to find me.☺                 Love,               Andy               XOXOXO

You need to have a diploma from nursing school and be certified as a registered nurse.             Ideally, you should have at least two to three years of clinical experience as an outpatient nurse or as an emergency room nurse.             You should be certified in Basic Life Support and Advanced Cardiac Life Support (ACLS). Some cruise lines request Advanced Trauma Life Support (ATLS) certification as well.             You may need to have experience in dealing with laboratory procedures and basic x-ray procedures as there is not likely to be a lab tech or x-ray tech on duty.             You should have a background in general medicine and/or emergency medicine.             You should have past experience caring for patients in a trauma, cardiac care, emergency care, or internal medicine practice.             Because cruise liners travel to often to foreign lands and have people of all different cultures on board, you may need to have knowledge of other languages besides English.   As

priorities of safety and survival, was taking over, again. Wilson pointed out angrily that even children are permitted to take more risks than the elderly. They at least get to have swings and jungle gyms. A survey of fifteen hundred assisting living facilities published in 2003 found that only 11 percent offered both privacy and sufficient services to allow frail people to remain in residence. The idea of assisted living as an alternative to nursing homes had all but died. Even the board of Wilson’s own company—having noted how many other companies were taking a less difficult and less costly direction—began questioning her standards and philosophy. She wanted to build smaller buildings, in smaller towns where elderly people had no options except nursing homes, and she wanted units for low-income elderly on Medicaid. But the more profitable direction was bigger buildings, in bigger cities,

This was not the average retirement community, but even in an average one rent runs $32,000 a year. Entry fees are typically $60,000 to $120,000 on top of that. Meanwhile, the median income of people eighty and older is only about $15,000. More than half of the elderly living in long-term-care facilities run through their entire savings and have to go on government assistance—welfare—in order to afford it. Ultimately, the average American spends a year or more of old age disabled and living in a nursing home (at more than five times the yearly cost of independent living),

Do the religious texts and exemplars support anymal welfare or anymal liberation? What do religions teach us to be with regard to anymals? A concise formal argument, using deductive logic, rooted in three well-established premises, can help us to answer these questions about rightful relations between human beings and anymals: Premise 1 : The world’s dominant religious traditions teach human beings to avoid causing harm to anymals. Premise 2 : Contemporary industries that exploit anymals—including food, clothing, pharmaceutical, and/or entertainment industries—harm anymals. Premise 3 : Supporting industries that exploit anymals (most obviously by purchasing their products) perpetuates these industries and their harm to anymals. Conclusion : Th e world’s dominant religious traditions indicate that human beings should avoid supporting industries that harm anymals, including food, clothing, pharmaceutical, and/or entertainment industries. It is instructive to consider an additional deductive argument rooted in two well-established premises: Premise 1 : The world’s dominant religious traditions teach people to assist and defend anymals who are suffering. Premise 2 : Anymals suffer when they are exploited in laboratories and the entertainment, food, or clothing industries. Conclusion : The world’s dominant religious traditions teach people to assist and defend anymals when they are exploited in laboratories, entertainment, food, and clothing industries. If these premises are correct—and they are supported by abundant evidence—the world’s dominant religions teach adherents • to avoid purchasing products fr om industries that exploit anymals, and • to assist and defend anymals who are exploited in laboratories and the entertainment, food, and clothing industries. Such industries include, but are not limited to, those that overtly sell or use products that include chicken’s reproductive eggs, cow’s nursing milk, or anymal flesh or hides (fur and leather), as well as industries that engage in or are linked with anymal experimentation of any kind, and entertainment industries such as zoos, circuses, and aquariums.

The world’s great religions provide a moral foundation for anymal liberation. Those who stand within one of the world’s largest religious traditions, if they are sincere in their religious commitment, must not buy flesh, nursing milk products, or hen’s reproductive eggs in any form, or support any industry that profits at the expense of anymals, including zoos, circuses, aquariums, horse and dog racing, rodeos, and movies. Furthermore, those who stand within one of the world’s largest religious traditions must assist and defend anymals who are exploited in any of these industries, as well as anymals who are exploited to gather or disseminate information, whether for medicine, biology, pharmaceuticals, veterinary science, pathology, psychology, sociology, anymal behavior, or weaponry, to name just a few. These requirements are not particularly stringent when we realize that these products and activities not only harm anymals, but also have been proven to harm human health and prevent us from gathering more pertinent information from willing and needy human subjects.

The life of the Nikolaai Ostrovsky was hot and short, only to produce one volume, "How was steel tempered?" Born in 1904 as the son of a poor worker in Urakraina, he joined the Red Army at the age of fifteen in 1919, suffering serious injuries to the abdomen and tofu. After that, he worked as an electrician assistant at Chief and then transferred to Typhus and acute rheumatism to the Minakaru nursing home. In 1924, he was given the qualifications that he had hoped for, but his health deteriorated and he finally became a victim of unrest and blindness. It was 23 years old. Despite his terrible misfortune, in his desire to contribute somehow to socialist construction, he embarked on a task of rescuing the beautiful people who had gone through the cataclysmic epochs and histories of his own from the oblivion through his record. The fruit of four years of hard work is how steel is tempered. Ostrowski died in 1936 at the age of 32.  카톡【ABO331】텔레【KC98K】라인【SPR331】 남성발기제 엠슈타인 정품으로 판매하고있습니다 안전한 배송 서비스 어떠한 제품을 구입하셔도 모든 배송비가 무료 오후 3시이전 입금자에 한해서 서비스 비아 & 시알 택1 서비스 2알 증정까지 있습니다. 그리고 모든 상담원이 24시간 365일 대기중 신뢰성있는 업체 입니다. 회원가입이 필요 없습니다 고객님들의 개인정보는 중요합니다. This book is an autobiographical novel by Ostruffsky, which expresses ideal socialist man through the sub-parchocchakin. In the exploitation of capitalism - at that time Russia was more an agrarian-based feudal society than a capitalist one, so it seems better to be exploited by feudalism-the main content of this book is how boy facebear is reborn as a revolutionary warrior. It is also a historical novel that spans the October Revolution, the Korean War, the New Economic Policy period, Lenin's death, and Stalin's domination of power. Pavel is also striving to realize his struggle for the construction of socialism in the midst of not being normal body due to malicious rheumatism, as Ostrowovskii has lost his sight. I was fascinated by the title when I was a freshman in college a decade ago, but I have not read it yet. I do not know what would have happened if I had read it at the time, but now I feel a bit stuffy. Of course I can not deny that the protagonist is a great human being, and the world he hoped for must be a world I am dreaming of, but I wonder if a human being would be right to serve his ideology while thoroughly abandoning himself. As a result, it is true that the world that many people built at the cost of sacrificing the power of the totalitarian, such as Stalin, eventually ... Well.... The Trotskyists who were described as rebels in this book were wrong

Those who stand within one of the world’s largest religious traditions, if they are sincere in their religious commitment, must not buy flesh, nursing milk products, or hen’s reproductive eggs in any form, or support any industry that profits at the expense of anymals, including zoos, circuses, aquariums, horse and dog racing, rodeos, and movies. Furthermore, those who stand within one of the world’s largest religious traditions must assist and defend anymals who are exploited in any of these industries, as well as anymals who are exploited to gather or disseminate information, whether for medicine, biology, pharmaceuticals, veterinary science, pathology, psychology, sociology, anymal behavior, or weaponry, to name just a few. These requirements are not particularly stringent when we realize that these products and activities not only harm anymals, but also have been proven to harm human health and prevent us from gathering more pertinent information.

7 foods that Naturally cleanse your Liver This article lists the 7 best foods to eat to keep your liver healthy: 1. Garlic Garlic Garlic contains sulfur compounds that are essential for supporting the liver and activating liver enzymes that are answerable for flushing out toxins and waste from the body. Garlic additionally contains element, a very important mineral and nutrient that assists in detoxification and supports the ductless gland. 2. Walnuts These oddly-shaped balmy contain high levels of l-arginine, glutathione, and polyunsaturated fatty acid fatty acids, all of that facilitate to detoxify the liver and support poison elimination. Plus, they're nice for fighting inflammation and supporting the health of the brain. 3. Citrus Fruits Lemons, limes and grapefruits are all natural sources of water-soluble vitamin and contain several potent antioxidants. Like garlic, citrus fruits have the flexibility to spice up the assembly of liver detoxification enzymes. 4. Turmeric This unimaginable herb contains a large indefinite amount of antioxidants that facilitate to repair the liver cells, shield against cellular injury and assist in detoxification. Turmeric is especially smart at serving to the liver hospital ward from serious metals and assist in endocrine metabolism. Turmeric conjointly boosts the assembly of gall and improves the health of the bladder. You can create Associate in nursing array of delectable chuck victimisation turmeric, starting from pumpkin and turmeric soup to “golden ice.” 5. Broccoli Along with alternative genus Brassica vegetables, like Belgian capital sprouts, cabbage and cauliflower, broccoli contains sulfur compounds, similar to garlic, that facilitate to support the detoxification method and also the health of the liver. In fact, these fibrous veggies will facilitate flush out toxins from your gut, and that they contain compounds that facilitate support the liver in metabolising hormones. 6. Leafy Vegetables The bitterer, the better! Your liver loves bitter, therefore fill on blow ball, rapini, arugula, leaf mustard and chicory. These foliaceous greens contain varied cleansing compounds that neutralize serious metals, which might abate the liver’s ability to detoxify. Plus, they assist to stimulate digestive fluid flow. 7. Avocado This unimaginable fruit contains glutathione that may be a powerful inhibitor that helps to guard the liver from incoming waste and toxins. It conjointly assists the liver in eliminating these chemicals from your body and protects against cellular harm.

The assisted living section of Sunset and nursing were full of men like Roberts—all they could talk about was what was, not is or what might be but what was. Their lives were past-tense.

Of the thirty professions projected to add the most jobs over the next decade, women dominate twenty, including nursing, accounting, home health assistance, childcare, and food preparation.

By April 23, 2014, thirty-four cases and six deaths from Ebola in Liberia were recorded. By mid-June, 16 more people died. At the time it was thought to be malaria but when seven more people died the following month tests showed that was the Ebola virus. The primary reason for the spreading of the Ebola virus was the direct contact from one person to the next and the ingesting of bush meat. Soon doctors and nurses also became infected. On July 2, 2014, the head surgeon of Redemption Hospital was treated at the JFK Medical Center in Monrovia, where he died from the disease. His death was followed by four nurses at Phebe Hospital in Bong County. At about the same time two U.S. health care workers, Dr. Kent Brantly and a nurse were also infected with the disease. However, they were medically evacuated from Liberia to the United States for treatment where they made a full recovery. Another doctor from Uganda was not so lucky and died from the disease. Arik Air suspended all flights between Nigeria and Liberia and checkpoints were set up at all the ports and border crossings. In August of 2014, the impoverished slum area of West Point was cordoned off. Riots ensued as protesters turned violent. The looting of a clinic of its supplies, including blood-stained bed sheets and mattresses caused the military to shoot into the crowds. Still more patients became infected, causing a shortage of staff and logistics. By September there had been a total of 3,458 cases of which there were 1,830 deaths according to the World Health Organization. Hospitals and clinics could no longer handle this crisis and patients who were treated outside died before they could get help. There were cases where the bodies were just dumped into the Mesurado River. The Ivory Coast out of compassion, opened carefully restricted humanitarian routes and resumed the previously suspended flights to Liberia. Ellen Johnson Sirleaf the president of Libera sent a letter to President Barack Obama concerning the outbreak of Ebola that was on the verge of overrunning her country. The message was desperate, “I am being honest with you when I say that at this rate, we will never break the transmission chain and the virus will overwhelm us.” Having been a former finance minister and World Bank official, Johnson Sirleaf was not one for histrionics however she recognized the pandemic as extremely dangerous. The United States responded to her request and American troops came in and opened a new 60-bed clinic in the Sierra Leone town of Kenema, but by then the outbreak was described as being out of control. Still not understanding the dangerous contagious aspects of this epidemic at least eight Liberian soldiers died after contracting the disease from a single female camp follower. In spite of being a relatively poor country, Cuba is one of the most committed in deploying doctors to crisis zones. It sent more than 460 Cuban doctors and nurses to West Africa. In October Germany sent medical supplies and later that month a hundred additional U.S. troops arrived in Liberia, bringing the total to 565 to assist in the fight against the deadly disease. To understand the severity of the disease, a supply order was placed on October 15th for a 6 month supply of 80,000 body bags and 1 million protective suits. At that time it was reported that 223 health care workers had been infected with Ebola, and 103 of them had died in Liberia. Fear of the disease also slowed down the functioning of the Liberian government. President Sirleaf, had in an emergency announcement informed absent government ministers and civil service leaders to return to their duties. She fired 10 government officials, including deputy ministers in the central government who failed to return to work.

Fiscal Numbers (the latter uniquely identifies a particular hospitalization for patients who might have been admitted multiple times), which allowed us to merge information from many different hospital sources. The data were finally organized into a comprehensive relational database. More information on database merger, in particular, how database integrity was ensured, is available at the MIMIC-II web site [1]. The database user guide is also online [2]. An additional task was to convert the patient waveform data from Philips’ proprietary format into an open-source format. With assistance from the medical equipment vendor, the waveforms, trends, and alarms were translated into WFDB, an open data format that is used for publicly available databases on the National Institutes of Health-sponsored PhysioNet web site [3]. All data that were integrated into the MIMIC-II database were de-identified in compliance with Health Insurance Portability and Accountability Act standards to facilitate public access to MIMIC-II. Deletion of protected health information from structured data sources was straightforward (e.g., database fields that provide the patient name, date of birth, etc.). We also removed protected health information from the discharge summaries, diagnostic reports, and the approximately 700,000 free-text nursing and respiratory notes in MIMIC-II using an automated algorithm that has been shown to have superior performance in comparison to clinicians in detecting protected health information [4]. This algorithm accommodates the broad spectrum of writing styles in our data set, including personal variations in syntax, abbreviations, and spelling. We have posted the algorithm in open-source form as a general tool to be used by others for de-identification of free-text notes [5].

In spite of being a relatively poor country, Cuba is one of the most committed in deploying doctors to crisis zones. It sent more than 460 Cuban doctors and nurses to West Africa. In October, Germany sent medical supplies, and later that month a hundred additional U.S. troops arrived in Liberia, bringing the total to 565 to assist in the fight against the deadly disease. To understand the severity of the disease, a supply order was placed on October 15th for a 6-month supply of 80,000 body bags and 1 million protective suits. At that time it was reported that 223 health care workers had been infected with Ebola, and 103 of them had died in Liberia.

Later that day at the hospital, I chose to wear my boots with my scrubs. I assisted on an angioplasty and when Abbie, the scrub nurse, looked down at the booties over my boots, she laughed. “What?” Smiling, she said, “I like your boots. I didn’t take you for a cowboy.” “It’s a state of mind, Abbie, plain and simple.” “We’ve all been calling you Hollywood.” I laughed loudly. “I will spare you my John Wayne impression.

But governors and mayors were demanding help, beseeching everyone in Washington for help. Massachusetts officials in particular were begging for help from outside the state, for doctors from outside, for nurses from outside, for laboratory assistance from outside. The death toll there had climbed into the thousands. Governor Samuel McCall had wired governors for any assistance they could offer, and on September 26 he formally requested help from the federal government.