The Importance Of Fall Prevention

8.1 SUMMARY OF RESULT : We found that there was significant improvement in visual reaction time (p = 0.01; 32.89%), depression (p = 0.04; -41.51 %) and anxiety (p = 0.02; -32.09%) scores at the end of 3 weeks as compared to the baseline. Auditory reaction time showed reduction with borderline statistical significance (p = 0.058; -25.6%; ) please see Table 5. 8.2 COMPARISONS: Previously, in a randomised controlled trial, 150 MS paitients were randomly divided into two groups : 1) Mindfulness based intervention and 2) Usual care. Intervention was given for eight weeks period and follow up was done after 6 months. Depression was measured with the center for epidemiologic studies depression scale (CES-D) and Anxiety with spielberger trait anxiety inventory pre and post intervention.

The concern of the study is to know the long-term result of MBCT with the use of standardized measures of depressions (BDI-II), mindfulness (MAAS), and rumination (RSS) and the outcomes are collected yearly for 3 years. Thirty-nine participants were observed and the results showed a significant decrease in depression. Although the depression scores for the last year increased, it was still inside the normal range of BDI-II. Rumination and mind attention showed a strong negative correlation which means as rumination increases, the mind attention decreases and vice versa. It was therefore concluded that continued MBCT aids and training can help relapse prevention.

Stuttering is a multidimensional involuntary disruption in the production of speech sounds, that is also accompanied by underlying emotional factors. Stuttering is highly variable and is unique to certain individuals and situations. Stuttering can best be defined as a neurodevelopmental, epigenetic, multifactor disorder. Although it is more important to understand how to treat stuttering, knowing the cause of stuttering may provide a sense of comfort and acceptance for the person who stutters and their family. There are several plausible theories of stuttering, but there is no evidence pinpointing the exact etiology of it.

The view of change using this theory is that a person’s career path is unpredictable and change will happen in ways that a person will not expect. People need to be prepared for changes in their career path that come from unplanned events. Additionally, people have their own patterns of behaviors but that can change based on future events. The role of the counselor is to manage expectations, teach clients about the chaos that occurs in their career development, and build resiliency when unpredictable difficult events occur. When managing expectations, counselors must give the clients realistic expectations so that they do not believe that their career path will follow their exact plan without having unpredictable events delay or remove them from their plan entirely.

Some questions do not lend themselves to clinical trials or research at all due to ethical limitations. EBP requires a question to be asked clearly, tools to help define a question such as the PICO tool may help (Hoffmann et al., 2013). While anyone can perform EBP, there is a limitation in that it does require training, experience and practice (Hoffman et al. 2013). Due to its’ relatively new arrival EBP training has not been accessible to all health professionals currently working.

The biggest issues is confidentiality and security. As with any computer or telecommunication system there is always a risk. Firewalls and other security devices sometimes fail to work properly, putting all the patients sensitive information at risk. Each practitioner that utilizes telemedicine practices are liable, if these breaches in security or unauthorized access occur. This provides a serious legal issue that should not be taken lightly.

Some of the disadvantages with the old classification system included such issues as; the system was running out of numbers to assign for codes, the diagnosis codes did not provide sufficient clinical specificity to describe the severity or complexity of the numerous disease conditions, the exchange of important healthcare data with healthcare organizations and professionals around the world was hindered by the fact that many countries are presently using ICD-10, and lastly the system was ineffective when it came to monitoring the utilization of resources, measuring performance, or analyzing healthcare costs and outcomes. All these issues were addressed when the system upgrade was designed. An over whelming disadvantage across the board for all effected entities was time and money spent to upgrade this system. Another impact that was accounted for was the delay in claim reimbursements. The new system will be able to measure the quality, safety and efficacy of care as well as improvement of clinical, financial, and administrative performances.

Case report of a ruptured ectopic pregnancy A 34-year-old female presented to the Emergency Department complaining of left lower abdominal pain. It was a sharp pain and had been waxing and waning for about 21/2 weeks. She had presented to De Soya Maternity Hospital 12 days back with a similar abdominal pain and intermittent vaginal bleeding for two days. She was found to be pregnant at that visit and had a quantitative beta HCG of 352 miu/ml. She had been further evaluated with a trans-abdominal and trans-vaginal pelvic ultrasound, which had not demonstrated an intrauterine pregnancy.

You also can’t do everything last because that will cause a lot of problems for a lot of people. In order to overcome these weaknesses, I need to put my myself in situations which are not in my comfort zone. I also need to get good at doing my work at the right time, instead of waiting last minute to try to finish

Technology is a self-perpetuating as well as a seductive force that requires specialist care by those who use it. For example, the configuration of the devices that are directly linked to the patient may be risky to the nurses especially if the technology is advanced. Consequently, the entire critical care team requires frequent training and capacity building. Some devices which are introduced may not be efficient enough to provide patient safety. This puts the nurses at the risk of mishandling the patients, if the new devices fail to