What Macmillan Nurses Will Do??

Macmillan nurses support cancer patients and their families physically and psychologically, ensuring that each person achieves the highest quality of life to live from the time they are diagnosed, through treatment, whatever the outcome will be.

As clinical experts in nursing practices, they may specialise in caring for a particular group of people, such as children; a particular type of cancer, such as breast cancer; the type of problem; such as lymphoedema; or type of care, such as palliative care.

Nurse’s Whoever working in hospitals and in the community, they provide emotional and psychological support and expert information and advice on managing symptoms, pain control, cancer treatments and side effects from the medication, as well as offering assistance and suggesting with financial matters.

Macmillan nurses do not provide hands-on care. Instead, their role is to assess an individual’s psychological and physical needs, and the needs of their families, and then coordinate a team of people to provide that care. As more people are diagnosed with cancer, and many are living longer with the diseases, cancer is becoming a far more complex illness in these days.

Macmillan knows that clinical nurse specialists are a key part of multi-disciplinary teams, providing technical expertise and practical support, and facilitating communication between care settings and professionals. Research shows that having access to one of these cancer nurses is a key factor in positive outcomes.

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The Art of Nursing

Nursing is an art of care, it means as a Nurse, they can have the opportunity to heal the heart, mind, soul and body of patients, and their families. Nurses save hundreds of lives with an art of love, affection and care. Actually nurses evaluate patient’s health problems, needs and provide nursing care to ill, injured, convalescing, and disabled patients. And they educate patients, and the public about various medical conditions. They also assist with patient follow-up and rehabilitation and provide advice and emotional support to the patients’ family members too.

Nurses are using both of their heads and hearts. Each day, they utilize critical thinking to make correct decisions and select the best care solutions to provide for their patients. They employ their compassionate side to understand their patients and will often use their knowledge of the sciences in the application of treatments. Nursing is not only art but both an art and a science and in nursing profession, art and science one can't exist without the other.

The art of nursing is our perception of patient needs based on their expressed behaviors. Unlike scientific knowledge, art doesn't rely on systematic explanations to make solutions; instead, the focus is on how experiences feel and what they are mean. Nurses will connect with patients during care and is completely reliant upon being genuine, attentive, and immersed in the moment with patients. The nurse’s has to practice the skill of active listening and encourage communication that draws attention to patient, family, and community values.

Nurses don’t have to give up their art in order to practice the science of nursing. The science provides the solutions while good art asks questions. The combination of these two doesn't present a paradox but simply raises new questions. As they perform the tasks of their jobs, let's not forget to express the artistic side of nursing.

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Do you know about Anti-Aging Pills?

Anti-aging pills is most common word on these days because everyone bothering about their age and they are trying to cover their while the age get increases. By adding to this we have so many options to reduce our age visually by using medication and surgery’s.  By increasing age, the senescent cells and dysfunctional cells build in our body up as we age, it forms and removes routinely and this health mechanism will help to prevent from cancer.

As our age increases accordingly in our body organ, tissues gain waste products by losing their mass. But when we are in young age, the periodic replenishment of cells within the body of our organs and tissues reserve army of uncommitted stem cells it help keep us healthy.

Stem cell therapy may help to counter ageing. Although the stem cells grown was difficult in outside the body because the activation of a class of proteins known as the sirtuins can enhance this stem cell maintenance. And some of the diet process will able to stop the mechanism that compromises the ability of older people to resist acute physiological stress.

In addition to these mechanisms, scientists are started to shed light on how the mechanisms that coordinates brain and organ functions are disrupted by ageing and how this may be delayed in the future. But we already know that enough today about at least some health maintenance processes to devise means to encourage the people.

Raising hopes by 2020 the anti-aging pills will be available in market but may be it won’t be success because the hyperbole concerns nicotinamide riboside, which will restore muscle stem cell activity, but it lacks much relevant human data beyond the demonstration that levels can be safely increased by supplementation. Nobody has actually shown that these supplements make humans live longer or regrow their organs.

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New devices in Neonatal Intensive Care

Children born prematurely they will take care in neonatal intensive care unit (NICU) where they’re under to take care up to an array of sensors, each connected by a wire to a patient monitor. It’s a bad to hear that, let alone a hindrance to physical and emotional bonding that is so important in the weeks after birth. Now we are in developing flexible and wireless devices that are able to monitor parameters such as the heart rate, body temperature, and blood oxygenation as well as existing wired devices. Moreover, the devices are amazingly non-intrusive, allowing parents to touch and hold their babies without interfering with the on-going monitors.

The children in the study were outfit with conventional sensors as well as the wireless ones. There is nearly a perfect correlation between the readings, demonstrating that the new sensors can be used effectively in clinical practices. While existing stick-on sensors are able to measure only the heart rate, respiration rate, body temperature, and oxygenation, the new wireless devices can also monitor the blood pressure, blood flow, as well as providing accurate readings while the child is interacting with someone else.

Each child was outfit with two sensors. One is placed on the chest while the other is stuck to one of the feet. This will provides a core body temperature reading, as well as the temperature at the periphery, which can help to identify poor blood flow and spot signs of an improperly develop heart. In addition, the blood pressure is estimates using the pulse wave velocity technique that measures how fast a wave moves from the chest to the feet.

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New Innovations in Intensive Care

Patients in an intensive care unit (ICU) are not only at risk of dying from their primary illness but also from pneumonia that they contract in the ICU. Ventilator-associated pneumonia (VAP) remains one of the most lethal and frequently occurring infections among critically ill patients who must be mechanically ventilated (along with requisite endotracheal intubation) for more than 48 hours.

Most people will typically develop VAP after a traditional tracheal tube is used due to leakage of fluid that has pooled at the back of the throat, regurgitation, and aspiration of these secretions into the lungs. Removal of these secretions is extremely challenging for critical care nurses, and this allows micro-organisms to enter the normally sterile lower respiratory tract and produce a substantial infection.

Avoidance of mechanical ventilation is obviously the best way to prevent VAP, but that is not always possible for all patients. However, for those who must be intubated, there is now an effective way to reduce serious pulmonary problems and save lives in the ICU. A new low-volume, low-pressure endotracheal tube cuff with a special suction setup that provides effective airway seals at low pressure and allows all secretions to drain from the subglottic space just above the tube cuff, has recently been approved for use in the United Kingdom.

                                 

Critical illness and intensive care can disrupt both short- and long-term health among intensive care unit (ICU) survivors. Neurocognitive and functional abilities can be profoundly disturbed, decreasing quality of life. Acknowledged in the literature as post-intensive care syndrome (PICS), debilitation including posttraumatic stress disorder (PTSD) after intensive care can continue for years. This condition, when associated with ICU hospitalization and critical illness, is often unrecognized and therefore untreated. ICU-related PTSD appears to have a unique clinical profile, likely requiring comprehensive assessment and treatment upon discharge. Prevalence of PICS is as high as 50% among ICU survivors. This percentage will increase as the population ages and the corresponding use of critical care units goes up.

Family members of ICU survivors may also experience psychological symptoms including, but not limited to, depression, generalized anxiety, symptoms of posttraumatic stress, and sleep disorders. This syndrome is known as post-intensive care syndrome-family (PICS-F).

Cognitive impairment is experienced by as many as 1 in 4 ICU survivors for as long as 12 months after discharge, and the symptoms can have the same severity as mild Alzheimer disease. ICU diaries have been used to reduce the neuropsychiatric impact of critical illness and can help patients and their families recall daily events both outside and inside the ICU as well as emotions, thoughts, and well wishes from friends, family members, and clinicians. In a randomized controlled trial reported by Jones et al, ICU diaries resulted in a significant reduction in PICS 3 months after ICU discharge.

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Jell-O-like pill: New Innovation to measure the temperature in stomach

A Newly designed Jell-O-like pill will measure the temperature in our stomach that, upon reaching the stomach, quickly swells to the size of a soft, squishy ping-pong ball big enough to remain in the stomach for a long period of time.

The inflatable pill is embedding with a sensor that continuously tracks the stomach's temperature for up to 30 days. If the pill to be removes from the stomach, a patient can drink a solution of calcium that triggers the pill to quickly shrinking to its normal size and pass safely from out of the body.

The pill is made by two kinds of hydrogels and it is the mixtures of polymers and water that resemble the consistency of Jell-O. The combination enables the pill to quickly swell in the stomach while remaining it is not allowing the fluid to the stomach's churning acidic environment.

The hydrogel-based design is softer, biocompatible and longtime remains more than current ingestible sensors, which either can remains in the stomach for a few days, or are made from hard plastics or metals that are orders of magnitude stiffer than the gastrointestinal tract.

The Jell-O-like smart pill, that once swallowed stays in the stomach and monitors the patient's health for a long time such as for 30 days.

It was designed by inspired of the defense mechanisms of the pufferfish, or blowfish. Normally a slow-moving species, the pufferfish will quickly inflate when threatened, like a spiky balloon. It looking ways to design a hydrogel-based pill to carry sensors into the stomach and stay there to monitor. If a pill were small enough to be swallowed and passes down the esophagus, it would also be small enough to pass out of the stomach, through an opening known as the pylorus. To keep it from exiting the stomach, have to design the pill to quickly swell to the size of a ping-pong ball.

At present people are trying to design highly swellable gels, they usually use diffusion, letting water gradually diffuse into the hydrogel network. But to swell to the size of ping-pong ball takes hours, or even days.

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Phases of Perioperative Nursing during surgery

The Perioperative Nursing has three different phases for any surgical procedure, which includes the three phases they are preoperative phase, the intraoperative phase, and the postoperative phase.

For every surgery these phases have separate or differentiate tasks and establish who is responsible for overseeing and delivering each stage of care. By maintaining strict rules to quality of procedures and a clear chain of command, hospital teams are able to deliver consistent, optimal care from the moment a surgery is completed to the time when a person is recovered from illness.

Preoperative Phase

It is an initial phase, starts with the decision to have surgery and an end when the patient is comes out into surgery. This phase can be very short, such as in the cases of acute trauma, or require a long period of preparation during which time a person may be need to be fast, lose weight, undergoing tests, or waiting for the receipt of an organ for transplant.

One of the goals of the preoperative phase is to control the anxiety that may arise, either as result of an emergency situation or having to wait for inordinately long periods of time. The anxiety is a common reaction experienced by patients and one that can be relieved with on-going interaction with one or more members of the medical team. Once a patient is admitted into a hospital, the person could coordinated by one or several perioperative nurses.

Intraoperative Phase

The second phase, involves while during the surgery. It starts when the patient is into the surgical bed and ends when the patient is moved to the post-anesthesia care unit (PACU).

This phase, the patient will be prepared and given some form of anesthesia’s to the patients, like general anesthesia (for complete unconsciousness), local anesthesia (to prevent pain while awake), or regional anesthesia (such as with a spinal or epidural block).

As the surgery starts, the patient's vital signs (including heart rate, respiration, and blood oxygen) will be closely measured. By adding the roles of the surgeon and anesthesiologist, other team members will be assisting the physician, ensuring safety rules, and preventing infection during the course of the surgery.

Postoperative Phase

The final phase, it is the period immediately following surgery. As with the preoperative phase, the period can be short, lasting a few hours, or require months of rehabilitation and recuperation.

Once the patient is awake and ready to leave post-anesthesia care unit (PACU), the nurse will typically transfer the responsibility of care back to the perioperative nurse.

It is mainly focused on monitoring and controlling the patient's physiological health and aiding in the post-surgical recovery.