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Doctor insights on: Current Trends In Nursing Management

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Are protocols by agency for healthcare quality and research standard of care?

Are protocols by agency for healthcare quality and research standard of care?

No: Standards of care refer to the normal & usual treatment of a medical condition in a community. Protocols by ahqr provide studies to streamline therapy for a specific disease in a large population. The latter may be used to justify or deny treatments which are expensive. ...Read more

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I was assigned to find out about education requirements, licenses and certifications, salary ranges, and job opportunities for three different jobs in the health profession field. What are the positive aspects and the challenges in healthcare?

I was assigned to find out about education requirements, licenses and certifications, salary ranges, and job opportunities for three different jobs in the health profession field. What are the positive aspects and the challenges in healthcare?

Aspects of healthcar: In health care, you are delivering advice, examining and questioning others with intentful Listening and treating accordingly. The jobs offer a chance to help others and make a difference. We now live In a digital world of record and diversity which with more regulations, can be a challenge, but still rewarding ...Read more

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What changes have occurred in assisted living and skilled nursing facilities in preparation for boomers/?

What changes have occurred in assisted living and skilled nursing facilities in preparation for boomers/?

See below: 20 yrs ago, seniors and their families had few options to turn to for long term assistance and support other than expensive, institutional-like nursing homes. Obamacare and other tweaks in the healthcare laws may allow seniors greater access to resident-centered options/in a facility that seems more like a residence than a hospital. ...Read more

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Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more

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Where are pg courses in diabetology available for doctors to train in diabetes mellitus management?

Where are pg courses in diabetology available for doctors to train in diabetes mellitus management?

Annual meetings: Annual meetings of national groups such as the american diabetes association, the endocrine society, and the american association of clinical endocrinologists provide many seminars for reviewing current practice and learning about new treatments in the pipeline. ...Read more

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Any new latest findings in treatment for asthma exacerbation in children?

Any new latest findings in treatment for asthma exacerbation in children?

No: Nothing new for many years now. Singulair (montelukast) is probably the newest good thing and it is not for exacerbations, but for maintenance. ...Read more

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What is the current medical trend in knee transplant surgery?

What is the current medical trend in knee transplant surgery?

Better success: The success of total knee arthroplasty (tka) over the past two decades of use has resulted in the implantation of tka into younger patients who have increased functional requirements and demand increased implant longevity. Improved functional performance requires enhanced range of motion, increased motor performance, and creation of kinematic patterns that more closely resemble the normal knee. ...Read more

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Which interventions are considered the best in bedsore nursing care?

Which interventions are considered the best in bedsore nursing care?

Team approach: Turning the patient every 2 hours like clockwork, and getting the pressure off the wound is step 1. Good nutrition, and proper wound care is next. Make sure the wound is not constantly soiled with urine or feces. Get a wound care team involved. ...Read more

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Which is the best university in usa to study nurseing ( operating nurse first surgecal assistance)?

Which is the best university in usa to study nurseing ( operating nurse first surgecal assistance)?

Nursing: I do not entirely feel qualified to judge. There are many great programs. The best seam to have medical school and hospital associated. But I have had the pleasure to work with a number of outstanding nurses over the last thirty years many trained in community programs. Much like being a doc its what's in your heart. Are you about the patient or is it just a job. ...Read more

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What are the names/title of the HCP who decides policy development in hospital? Ex: preventing patient falls by increasing staff on unit.

Different titles: Different hospitals and health care organizations use different specialists (ie nurses, internists, surgeons, etc.,) and different titles for this position. At our hospital it is a surgeon, and his title is Director for Patient Safety and Quality Initiatives. ...Read more

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What are the current reproductive health challenges in africa?

What are the current reproductive health challenges in africa?

Africa: My votes would be, in no particular order: rampant HIV infection throughout africa, lack of access to female contraception allowing women control over family size, and lack of availability/cost/cultural barriers to prenatal care for pregnant women. ...Read more

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What basic considerations should a patient taking antipsychotics have regarding its diet/nutrition? (Very interested in Nutritional Psychiatry)

What basic considerations should a patient taking antipsychotics have regarding its diet/nutrition? (Very interested in Nutritional Psychiatry)

Significant: Most antipsychotics now prescribed (atypicals) carry large risks of wt gain and cholesterol problems. This means most patients I prescribe these drugs to will gain weight and have dyslipidemia. Eat and exercise accordingly. ...Read more

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What factors directed the change of thinking from modern biomedical health care to alternative therapies?

Patient demand. : When patients aren't getting better using current or conventional therapies, good doctors look for alternatives. And, correspondingly, patients urge their doctors to look for alternatives. ...Read more

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What is the process for setting up clinical trial visits? Who pays expenses?

What is the process for setting up clinical trial visits? Who pays expenses?

Usually the trial: Most clinical trials are arranged by the sponsor of the trial (usually a pharma company or device maker) who wants to satisfy fda requirements for approval. In most cases, the fees are paid by the company. Some even pay you for participation. In some cases such as cancer therapy, insurance will add some payment. If you have some illness, you can google it and trials to see if you are eligible. ...Read more

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Any advantage to allowing insurance company to assign a rn to manage one's ongoing medical care and decisions?

Any advantage to allowing insurance company to assign a rn to manage one's ongoing medical care and decisions?

Yes: If well trained, caring, thoughtful, & beholden to his/her expertise can bring doctor's concerns to insurance company & get case moved along. Unfortunately, as I have observed, such nurses sometimes get fired for not adhering to common insurance company posture of knee-jerk denials and cost savings. In any case the nurse enlarges target for the doctor's advocacy. So yes, get one. ...Read more

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