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Test Bank for Medical-Surgical Nursing 8th Edition by Mary Ann Linton & Adrianne Dill Matteson https://lnkd.in/djB2ka5U #Linton #Adrianne #dill #MedicalSurgicalNursing #PatientCare #GeriatricHealth #Therapeutics #NeurologicalDisorders #CardiovascularHealth #DigestiveSystemCare #UrologicDisorders #EndocrineHealth #ReproductiveSystems #IntegumentarySystem #SpecialSenses #PsychiatricDisorders #DisasterManagement #NursingEducation UNIT I MEDICAL-SURGICAL NURSING 1 Aspects of Medical-Surgical 2 Medical-Surgical UNIT II POPULATIONS RECEIVING MEDICAL-SURGICAL CARE 3 Medical-Surgical Patients: Individuals, Families,and Communities UNIT III PATHOLOGY PROCESSES AND EFFECTS 4 Health, Illness, Stress, and Coping 5 Immunity, Inflammation, and Infection 6 Fluid, Electrolyte, and Acid-Base Balance 7 The Patient With Cancer 8 Pain 9 Shock UNIT IV SPECIAL PROBLEMS OF THE OLDER ADULT PATIENT 10 The Older Adult Patient 11 Falls 12 Immobility 13 Delirium and Dementia 14 Incontinence UNIT V THERAPEUTICS 15 Nutrition 16 Intravenous Therapy 17 Surgery 18 The Patient With an Ostomy 19 Palliative and Hospice Care 20 Complementary and Alternative Therapies and Integrative Health Care UNIT VI NEUROLOGICAL SYSTEM 21 Neurologic System Introduction 22 Neurologic Disorders 23 Cerebrovascular Accident 24 Spinal Cord Injury UNIT VII RESPIRATORY SYSTEM 25 Respiratory System Introduction 26 Upper Respiratory Disorders 27 Acute Lower Respiratory Tract Disorders 28 Chronic Lower Respiratory Tract Disorders UNIT VIII HEMATOLOGIC AND IMMUNOLOGIC SYSTEMS 29 Hematologic System Introduction 30 Hematologic Disorders 31 Immunologic System Introduction 32 Immunologic Disorders UNIT IX CARDIOVASCULAR SYSTEM 33 Cardiovascular System Introduction 34 Hypertension 35 Cardiac Disorders 36 Vascular Disorders UNIT X DIGESTIVE SYSTEM 37 Digestive System Introduction 38 Upper Digestive Tract Disorders 39 Lower Digestive Tract Disorders 40 Liver, Gallbladder, and Pancreatic Disorders UNIT XI UROLOGIC SYSTEM 41 Urologic System Introduction 42 Urologic Disorders UNIT XII MUSCULOSKELETAL SYSTEM 43 Musculoskeletal System Introduction 44 Connective Tissue Disorders 45 Fractures 46 Amputations UNIT XIII ENDOCRINE SYSTEM 47 Endocrine System Introduction 48 Pituitary and Adrenal Disorders 49 Thyroid and Parathyroid Disorders 50 Diabetes and Hypoglycemia UNIT XIV REPRODUCTIVE SYSTEMS 51 Female Reproductive System Introduction 52 Female Reproductive Disorders 53 Male Reproductive System Introduction 54 Male Reproductive Disorders 55 Sexually Transmitted Infections UNIT XV INTEGUMENTARY SYSTEMS 56 Integumentary System Introduction 57 Skin Disorders UNIT XVI SPECIAL SENSES: VISION AND HEARING 58 Special Senses: Vision and Hearing Introduction 59 Eye and Vision Disorders 60 Ear and Hearing Disorders

I recently stepped out of the proverbial box of 'professional legal work' as I took part in one of the most interesting and most profound academic endeavors of my career yet. I have recently co-authored a peer reviewed publication titled "The case of the neonate vs LMIC medical academia - a jury-style systematic review of 32 years of literature without significant mortality reduction," published by a leading global medical journal, Frontiers. Led by Professor Hippolite Amadi, a renowned Professor of Medical Engineering and Technology in the Department of Bioengineering at the prestigious Imperial College London and winner of the 2023 NLNG Nigerian science prize, I had the rare privilege of co-authoring this exceptionally expository piece of academic work with an investigative panel of arbiters, jurors, and observers comprising neonatal, paediatric and frugal medicine practitioners and contributed to Investigation, Methodology, Supervision, Validation, Visualization, Writing – review & editing of the publication. Using a novel and unconventional research methodology which simulates a judicial process through a jury-style systematic review , this article delves into the pressing issue of neonatal mortality in Low- and Middle-Income Countries (LMICs), critically examining over three decades of academic literature. Despite numerous studies and interventions, the alarming reality is that there has been little to no significant reduction in neonatal mortality rates. A premise is that the Nigerian neonate may have been treated unfairly, and there is an urgent need to test the case of the “Nigerian neonate (plaintiff) vs. Nigerian medical academia (defendants) along with the Federal Ministry of Health (FMOH) and their leadership appointees at the tertiary hospitals” to verify why academic efforts have not done enough to significantly lower the neonatal mortality rate since the 1990s. Nigeria, in this context, is an example case study, as similar situations are faced by many other LMICs who are currently struggling to reduce the high mortality and morbidity rates. The Nigerian neonate was identified as the ultimate victim of the 32 years in question, but the intelligentsia was to determine who was at fault for this and the extent of responsibility of each party, if found liable. The main perpetrator could be the NMA, but other influencing bodies were to be investigated as well—such as the FMOH, hospital management, WHO, and UNICEF, as these are alleged wrongdoers who may have wittingly or unwittingly contributed to the plight of the Nigerian neonate by failing to warn the FMOH against their wrong directions and strategies. I highly recommend my network to read this article , especially those involved in healthcare, public policy, global health, and legal fields as the insights from this review could be pivotal in shaping future research and interventions aimed at reducing neonatal mortality.  Link below; https://lnkd.in/dGw8A4Yw

Co-pilot for oncologists and pediatricians. I have gone through many doctor appointments - the Health systems needs a massive overhaul. Existing Healthcare System depends too much on Doctor's expensive memory and overload cognition. The current healthcare system is increasingly proving inadequate in delivering optimal patient care due to its heavy reliance on the cognitive memory of doctors and traditional probabilistic approaches. Medical errors are a significant concern, with estimates suggesting that they are responsible for approximately 98,000 deaths annually in the United States alone. This figure indicates that medical errors may be the third leading cause of death if classified as a disease. Cognitive overload, which occurs when the demands on a physician's working memory exceed its capacity, is a critical factor contributing to these errors. Studies show that over 50% of healthcare professionals report experiencing cognitive overload, leading to diminished performance and increased error rates. The sheer volume of medical knowledge is overwhelming. Research indicates that the average physician can only recall about 20% of the information relevant to their practice at any given time, leading to potential misdiagnoses and inappropriate treatments. This reliance on memory is increasingly outdated in a field where new information is constantly emerging. Current healthcare practices often neglect the significance of missing data, focusing solely on what is available. Studies reveal that nearly 30% of patient records contain critical missing information, which can lead to incomplete diagnoses and inappropriate treatments. This gap is especially detrimental in complex cases where every detail matters. The existing system tends to react to visible symptoms rather than proactively identifying potential issues. Research indicates that proactive approaches can reduce hospital readmission rates by up to 20%. Hospitals often operate with fragmented data systems, resulting in isolated patient information. A survey found that 70% of healthcare providers believe that improved data sharing could enhance patient outcomes. Lack of Inter-Institutional Data Sharing: The failure to share data across different healthcare institutions means that broader health trends are often missed. This lack of collaboration can hinder public health initiatives and limit the ability to identify and respond to emerging health crises. I am not sure about Ai doctors as Vinod Khosla talked about but integrating Ai to augment doctors cognition right into their workflow is absolutely required. At CodeNinja Inc. , I & Adil Khalil are working on a product called second opinion, a co-pilot for oncologists and pediatricians. We will share the use case soon!

My landlord doesn't charge me less because I take care of kids' medical needs, the utility company doesn't charge me less because I address the mental and physical well-being of children, and my staff doesn't ask for lower wages because we take care of children as opposed to adults... the only variable that pays less is the payers--particularly Medicaid. As long as America is okay with kids being worth-less and as long as our payment systems are rigged to pay those who take care of kids less than the average rate of medical care, we are going to see shortages. These shortages in pediatric healthcare providers and pediatric healthcare access will lead to increases in sickness and death among children. But as long as the children of the wealthy and powerful are not effected, it is unlikely we will see meaningful change in this system we have allowed.

This is shameful. "our list doesn't include the pediatric versions of specialties because, otherwise, this would just be a list of pediatric specialties. Of the 10 lowest paid physician careers in data from Doximity, eight were pediatric versions of internal medicine specialties" When parents ask me why they can't get in to see the specialist for 6 months, sometimes longer or not at all, I share with them because the training is longer and they earn less than physicians in the same specialty that see adults. It's way past time for this to change. We should be investing in care for the children who are our future. Healthy children become healthier adults. The cost to our healthcare system of not appropriately treating chronic disease in childhood is enormous. Yet we penalize individuals who dedicate their lives to caring for our youth. The very special and selfless physicians who do choose subspecialty pediatrics don't finish their training and start their careers until the age of 32-33 if they go straight through. The 14 years of training required to practice as a pediatric subspecialist are comprised of four years of undergraduate, four years of medical school, 3 years of general pediatrics residency, and 3 years (or more) of specialty training for a non-surgical specialty…and even longer for those who do surgery. Those years are hard, really really hard. Often these physicians delay starting families, taking care of their mental and physical health, and saving for retirement. In addition, they take on enormous debt which accumulates interest during their training years when they likely defer payment due to the low salaries paid to residents and fellows. Enough is enough.

📃Scientific paper: Transition structures and timing of transfer from paediatric to adult-based care after kidney transplantation in Germany: a qualitative study Abstract: OBJECTIVES: It is known that transition, as a shift of care, marks a vulnerable phase in the adolescents’ lives with an increased risk for non-adherence and allograft failure. Still, the transition process of adolescents and young adults living with a kidney transplant in Germany is not well defined. The present research aims to assess transition-relevant structures for this group of young people. Special attention is paid to the timing of the process. SETTING: In an observational study, we visited 21 departments of paediatric nephrology in Germany. Participants were doctors (n=19), nurses (n=14) and psychosocial staff (n=16) who were responsible for transition in the relevant centres. Structural elements were surveyed using a short questionnaire. The experiential viewpoint was collected by interviews which were transcribedverbatim before thematic analysis was performed. RESULTS: This study highlights that professionals working within paediatric nephrology in Germany are well aware of the importance of successful transition. Key elements of transitional care are well understood and mutually agreed on. Nonetheless, implementation within daily routine seems challenging, and the absence of written, structured procedures may hamper successful transition. CONCLUSIONS: While professionals aim for an individual timing of transfer based on medical, social, emotional and structural aspects, rigid regulations on transfer age as given by the relevant health authorities add ... Continued on ES/IODE ➡️ https://etcse.fr/An6Mw ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

Daniela Hesmert, Carina Klocke*, et al. (2024). Exploring the Gap: Attitudes, Knowledge, and Training Needs in Complementary and Integrative Medicine among Healthcare Professionals at German University Hospitals. Front. Med. Sec. Family Medicine and Primary Care Volume 11 - 2024 | doi: 10.3389/fmed.2024.1408653 1Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Germany 2Center for Complementary Medicine, Faculty of Medicine, University of Freiburg, Germany 3Section of Molecular Immunology, Institute of Immunology, University of Heidelberg, Germany 4Institute of Pharmacology of Natural Products, Ulm University Medical Center, Germany Introduction: The use of Complementary and Integrative Medicine (CIM) is very popular among the general population in Germany. However, international studies show that health care professionals (HCPs) at hospitals often do not feel sufficiently informed about CIM. Moreover, they do not feel trained enough to counsel their patients appropriately. Particularly within university hospitals in the German-speaking area, research on this subject is scarce. Therefore, the aim of this explorative study was to evaluate attitudes, subjective knowledge, and needs regarding CIM among HCPs across all university hospitals in Baden-Württemberg, Germany. Methods: The full survey was conducted online using a web-based questionnaire. Recruitment took place via e-mail distribution lists of all four university hospitals. Results: Out of the n = 2,026 participants, nurses constituted the largest professional group (n = 1,196; 59 %), followed by physicians (n = 567; 28 %), physiotherapists (n = 54), psychologists (n = 48), midwives (n = 37), and other professions (n = 124). More than two-thirds (71 %, n = 1,437) of the participants were female and 14 % (n = 286) reported additional training in CIM. The overall attitude towards CIM was clearly positive (M ± SD: 7.43 ± 2.33) and CIM was incorporated by 41.7 % of the participants in patient care, both with notable differences between professional groups. Relaxation therapy (n = 1,951; 96 %), external applications (n = 1,911; 94 %), massage (n = 1,836; 91 %), and meditation/mindfulness (n = 1,812; 89 %) were rated as (rather) useful for patients. The average self-assessed knowledge level about CIM was moderate (M ± SD: 5.83 ± 2.03). Most participants rated CIM training and research important and as a task of university hospitals. Discussion: This survey of HCPs at university hospitals in Germany reveals a clearly positive disposition towards CIM, aligning with findings from other surveys and highlighting differences among professional groups. While most therapies deemed beneficial for patient care are supported by positive evidence, further research is required for others. Targeted education seems to be essential to meet the needs of both HCPs and patients and to ensure the provision of evidence-based information

The American Academy of Pediatrics (AAP) has issued a new clinical guidance on prescribing #opioids for managing #acutepain in #pediatric patients outside of a hospital setting. While it warns about the increasing risk of opioid use disorder in children and adolescents, it also highlights the importance of opioid treatment for young patients who experience insufficient #pain relief. The guidelines, based on the evidence from randomized clinical trials, observational studies, and expert insights, provide guidance for pediatricians when prescribing opioids to minimize the risk of long-term addiction. It also advises that naloxone, an overdose-reversal medication, should be routinely prescribed alongside every opioid prescription. Furthermore, the guideline suggests that pediatricians should combine opioid prescriptions with nonopioid medications like ibuprofen and incorporate nonpharmacological methods for pain management, such as physical therapy. #painmanagement #pediatrics #anesthesiology #pharmacy #pharmacists #medicationmanagement

It’s just humor, don’t take it personal RESIDENCY TRAINING You have two residents. One becomes a superstar specialist and a program director, and the other joins the administration and somehow becomes your boss. You're still drowning in paperwork. SURGERY You have two scalpels. One is to save lives, and the other is to dramatically spin in your fingers like a ninja while dictating notes. EMERGENCY MEDICINE You have two patients. One has a heart attack; the other has a splinter. Both are convinced they're dying. HOSPITAL ADMINISTRATION You have two doctors. You schedule both for back-to-back night shifts and then send a survey asking why they're unhappy. CARDIOLOGY You have two stethoscopes. One is to listen to hearts, and the other is to dangle around your neck for Instagram selfies. MEDICAL SCHOOL You have two textbooks. You read one cover to cover and use the other to prop up your exhausted head during late-night cram sessions. PEDIATRICS You have two lollipops. One for your patient and one for yourself after a successful vaccine administration. NEUROLOGY You have two MRIs. One shows a clear brain, the other is used to explain to the patient why they need further tests. INTERNAL MEDICINE You have two diagnoses. One is the flu, and the other is a rare disease from your last conference. You decide to order more tests to be sure. RADIOLOGY You have two monitors. One is for reading scans, and the other is for Netflix during the overnight shift. FAMILY MEDICINE You have two patients. One has a sniffle, the other has a PhD from WebMD University and knows exactly what’s wrong HOSPITAL BOARD You have two budgets. One for patient care, the other for the CEO's new yacht. #hospital #medicine #specialty #residency

Misdiagnosis: When the Unseen Error is the Most Deadly - How LawMD's Doctor-Lawyers Uncover the Truth Misdiagnosis and delayed diagnosis are tragically common in the medical field. Studies show that diagnostic errors affect 12 million adults in the U.S. every year, and almost half of these errors have the potential to cause serious harm. These errors can lead to missed opportunities for early treatment, worsening conditions, and even wrongful death. Navigating the complexities of a misdiagnosis case requires more than legal expertise. It requires an intimate understanding of medicine. That's where LawMD's team of doctor-lawyers, like Dr. Peter McCool, stand apart. Dr. Peter McCool: Emergency Physician Turned Medical Malpractice Attorney Dr. McCool isn't just a lawyer; he's a seasoned emergency physician who's witnessed firsthand the devastating consequences of medical errors. His passion for justice led him from the ER to the courtroom, and he now brings his unique perspective to LawMD. "Often, the key to a malpractice case isn't what's written in the medical record, but what's missing," Dr. McCool explains. "It's the subtle, unseen error that sets the stage for a misdiagnosis or delayed diagnosis. At LawMD, we have the expertise to find those needles in the haystack." The LawMD Difference: A Team of Medical Specialists LawMD isn't just one doctor-lawyer; it's a team of physicians from various specialties: Anesthesiology Obstetrics & Gynecology Emergency Medicine and many more "If I suspect an issue outside my immediate expertise," says Dr. McCool, "I have colleagues at LawMD who can provide expert insights. Together, we can quickly determine if there's a case and build the strongest possible argument for our clients." The LawMD Advantage: Speed, Efficiency, and Results In-House Medical Expertise: We analyze your case from both a legal and medical perspective, eliminating delays and unnecessary costs. Comprehensive Case Evaluation: We identify the critical medical evidence, pinpoint the errors, and determine the strength of your claim. Compassionate Advocacy: We understand the emotional and financial toll of misdiagnosis. Our team is dedicated to fighting for the justice you deserve. If you believe you or a loved one has suffered due to misdiagnosis or delayed diagnosis, don't wait. Contact LawMD today for a free consultation. Our team of doctor-lawyers is ready to help. LawMD: Where Medical Malpractice Expertise Meets Legal Advocacy