Friday, October 30, 2009

The New Kryptonite

That’s right, Vicks VapoRub will do to toenail fungus what kryptonite does to the Man of Steel. What Will Muschamp does to offenses throughout the land, but I digress…

According to this piece in the New York Times, rubbing your infected toenail(s) once or twice a day with Vicks VapoRub will em, rub Digger(below) out of your life.

That screen shot is one of the greatest moments in the history of television advertising.

IV Therapy Flash Cards

Author(s): Lynn D. Phillips
Publisher: F. A. Davis Company
Date     : 2009
Pages    : 225
Format   : PDF
OCR      : Y
Quality  :
Language : English
ISBN-10  : 0803621418

IV Therapy Flash Cards
By Lynn D. Phillips
    * Publisher:   F. A. Davis Company
    * Number Of Pages:   225
    * Publication Date:   2009-03-30
    * ISBN-10 / ASIN:   0803621418
    * ISBN-13 / EAN:   9780803621411

 

Table of Contents:
Section 1: Infection Control Related to IV Therapy 1–27
Section 2: Fluid, Electrolytes, and Parenteral Solutions 28–55
Section 3: Equipment 56–78
Section 4: Technique/Maintenance Peripheral IVs 79–100
Section 5: Technique/Maintenance Central IVs 101–113
Section 6: Complications 114–136
Section 7: Infusion Modalities 137–146
Section 8: Transfusion Therapy 147–160
Section 9: Nutritional Support 161–165
Section 10: IV Therapy Bonus Cards, Illustration Credits 166–170

 

Guide to Pronunciation:
Pronunciations are spelled phonetically; pronunciations, diacritical marks (long and short vowels), and
stressses on syllables ( ‘ for primary and ” for secondary) follow Taber’s Cyclopedic Medical Dictionary.
See “Features and Their Use” in the dictionary for more information.
Getting the Most Out of Your IV Therapy Flash Cards
Purpose of Flash Cards
You’re on your way to mastering IV therapy vocabulary! Using these flash cards will develop
your ability to focus and achieve deep memory learning. They will help you not only learn
the terminology, but they will help you relate those terms to the nursing content you are
studying. It is important to make a connection between the term, its meaning, and how it
functions in the language of nursing. So I designed the flash cards to allow you to see the
word, read the word (out loud is best), use the word, and associate the word with other
related concepts.

How to Use Flash Cards
This set of flash cards is unique because it gives you opportunities to actively associate each
word or phrase with your studies. Here are some strategies I recommend to get the most out
of the time you spend with the cards. But these are not the only ways they can be used; see
if you can think of others that better suit your learning style.
1. Write the word on a separate piece of paper and recite the word out loud.
2. Work with a partner, take turns saying words out loud to each other, and recite their definitions.
Check your achievement by turning over the cards to see if you provided the
correct definitions.
3. Draw a picture of the word on a separate piece of paper if you are having trouble remembering
it. This is called concept mapping—an example is on the back of this card.
4. On the back of each card is a “notes” area that you can use to include associated
concepts from a textbook or lecture. Example:
?Notes: Phlebitis occurs frequently from mechanical or chemical irritation to the vein.
Must anchor IV securely
5. To review for a test, mix up the sections, and use these same strategies as above to test
your understanding of all the words and concepts.

Concept Mapping
Concept mapping is a thinking tool that reflects externally what is going on in your brain.
Each map is unique to the student creating the map. The steps are simple and can be
used for any nursing content.
1. Write the word on a blank piece of paper.
2. Create stems off the word using different colors, and curve the stems leading from the
central word.
Note: The brain connects better with free flowing curves rather than straight lines.
3. Write words on the stems that connect ideas to the center word. (Narrow-tip colored
marking pens work great.)
4. Write one word on each stem and make the stem the length of the word.
5. Draw smaller branches coming off each large stem, again the length of the word you
are going to write, and only one word per branch.
6. Draw pictures if you wish, adding them next to the appropriate stem. Search for images
online or create your own drawings. The brain connects to the word or term through
pictures.

DOWNLOAD LINK: 1506 KB

http://rapidshare.com/files/295750773/0803621418_Therapy_Flash.rar

Wednesday, October 28, 2009

What passes for science in homeopathy

From the blog Science-Based Medicine comes this charming smack-down of another branch of woo growing out of complimentary and alternative ‘medicine’ (CAM): behavioural optometry.  Ever heard of it? Neither had I. But if this is what passes for a practicing doctor from this ‘discipline’ then we’re better off in our ignorance.

Steve Novella writes:

Charlene Werner is getting a lot of attention she probably did not anticipate or desire. She is the star of a YouTube video in which she explains the scientific basis of homeopathy. Before you watch it, make sure you are sitting down, relax, and brace yourself for an onslaught of profound scientific illiteracy combined with stunning arrogance. For those with more delicate constitutions I will give you the quick summary:

Einstein taught us that energy equals matter and light, but because matter can be condensed down to a very small space if you remove all the empty space between the elementary particles (I am paraphrasing to make her statements minimally coherent), we can mostly ignore matter. Therefore energy is light, and we are all made of energy – not matter (or at least so little matter, you can ignore it). Stephen Hawking then came up with string theory, which tells us that all matter (which we can ignore) is made of vibrating strings. Therefore we are made of vibrating energy. All diseases are therefore caused by unhealthy vibrational states, and all disease can be treated by returning the body to a previous healthy vibrational state. This can be done with homeopathy, which extracts the vibrational energy out of stuff and places it in a small pill that can be used at any time.


Supernatural beliefs contradict our smug sophistication

Supernatural — of or relating to an order of existence beyond the visible observable universe; especially of or relating to God or a god, demigod, spirit, or devil (Merriam-Webster)

New Gilroy Dispatch columnist Erika Mailman (welcome to the club!) recently wrote about her 17th-century ancestor who was twice accused and acquitted of being a witch. With our 21st-century sophistication, we smugly scorn the ignorance and gullibility that allowed our forebears to accept supernatural explanations for mysterious phenomena.

Mailman correctly notes that witch hunts aren’t confined to history. She cites present-day witch hunts in Africa, India and Papua New Guinea and looks for motivations, concluding that witch hunts often result from “desperation, as war-torn families found themselves with limited food supplies. If one person is pushed out of the house, there is more food for those doing the accusing.”

Her assessment might be correct in some cases, but it misses the bigger picture: Tolerance of supernatural beliefs allows witch hunters to successfully persecute innocent victims.

If enough people reject supernatural explanations as the utter nonsense that they are, if they demand evidence for assertions, identify and reject fallacies, and think critically, witch hunts will disappear like dodo birds and dinosaurs.

Unfortunately, that’s hard work, so it’s not the way most people operate, even in the savvy 21st century.

Even today, because so many people hold supernatural beliefs and so few are willing to challenge them, we see parents who reject medical care for their children, instead relying on prayer and faith healing.

In a recent case, Wisconsin parents received six-month jail sentences and ten years of probation after their 11-year-old daughter died from untreated diabetes. Insulin, a discovery of rational, science-based western medicine, could have saved her, but these Christians chose their supernatural beliefs at the cost of their daughter’s life. The New York Times reports that 50 similar convictions have occurred in the United States since 1982.

Even today, because so many people hold supernatural beliefs and so few are willing to challenge them, we see people remaining in a sweat lodge to the point of physical illness, coma and death in pursuit of spiritual enlightenment promised by a New Age guru.

Even today, because so many people hold supernatural beliefs and so few are willing to challenge them, millions suffer and die from AIDS and other sexually transmitted diseases due to pronouncements from the Pope, acting as the allegedly infallible spokesperson for his religion’s supernatural being, that forbid condom use.

I’ve long argued that religion (that is, belief in the supernatural) must not be exempt from rational criticism. You’re welcome to guide your own behavior by whatever beliefs you want, but you are not welcome to affect my behavior, the health and safety of others, or public policy based on your faith.

If your supernatural belief (that is, religion) demands that you shun physician-assisted suicide, by all means, comply. But if you want to ban physician-assisted suicide for others, you need rational, logical, non-faith-based arguments to support your position.

If your supernatural belief tells you that same-sex marriage is wrong, then, please, don’t ever marry someone of the same gender. But if you want to ban same-sex marriage for others, you need rational, logical, non-faith-based arguments to support your position.

If your supernatural belief tells you to shun medical care and rely instead on prayer and faith, you’re welcome to make that decision for yourself. But if you prevent your sick children from seeing doctors, be prepared to face criminal prosecution and loss of custody when your prayers and faith fail to heal them.

If your supernatural belief tells you to abide by the ten commandments or the tenets of Shariah law, feel free to subject yourself to them. But if you want to post them in taxpayer-funded facilities, think again. Our Founding Fathers wisely put the concept (yes, not the words, but most definitely the concept) of separation of church and state in the First Amendment so that no one’s supernatural beliefs can trump our constitutional rights and responsibilities.

Until we get to the place where supernatural beliefs — whether they’re held by members of mainstream organized religions or fringe sects — are only tolerated in private, and where behaviors that affect others and public policies are guided by reason, logic and critical thinking, we’re not as far removed from our witch-hunting ancestors as we might think.

That’s the truly frightening realization that the pretend supernatural beings — the ghosts, zombies, vampires and witches — who ring your doorbell this weekend should trigger.

Monday, October 26, 2009

Do people like Dr. House really exist?

There are days when we wish we had all the answers, and knew exactly where we are headed. Do people join medicine for the love of money or for the love of curing people. Lately, I have started to wonder. Are we just a number in their office and I do not mean a call number but a dollar number. Wouldn’t it be nice to have a medical system that looked at a person WHOLEistically….

I am sure there are lots of people out there like me…who are frustrated more than anything about getting the run around from one place to another and from one doctor to another. Is that really the solution? Don’t they think that all these symptoms might really be a way of a persons body reacting to one thing…and maybe there is one answer. The human body is a very complex yet smart creation. It has a way of telling you that somethings not right..and our job is to figure it out. The doctors easy solution lies in looking at your body in pieces and ignoring the whole. They would rather move you along..its kind of like the game I played of pass the parcel when I was little. Except in this case I am the parcel…

And when they have exhausted their time with you(which could be a whole 10 minutes) they do proceed to tell you that its probably all in your head. I know the human mind is an amazing thing with very powerful characteristics…but can you actually simulate physical signs? Maybe they want us to believe in the power of the secret and if we believe we are okay..we will really be okay! It works..it really does to a certain extent…but then when the underlying factors start flaring up again- you wonder..you really wonder if your mind is not powerful enough! Maybe its not your body that has the problems but your mind.

Well…another day..another round of passing around from here to there. There is not much one can do but face every moment with a smile and say I am strong and I can do this! I will not let people pull me down! Life is too precious a gift to be thrown away! Use the love of the people in your life to stay strong, focused and motivated to find a solution!

I can barely feel the warmth of my chai cup anymore…down to the bottom but never out!! Till tomorrow! Huggs …

Review of Tarascon Primary Care Pocketbook, Third Edition (Paperback)

A really nice must have for Adult, Family Nurse Practitioners involved in Primary Care Services for Adults.

Product Description
The Tarascon Primary Care Pocketbook, Third Edition is packed with essential lists, figures, and tables concisely covering the full spectrum of primary care medicine, providing instant reminders of hard-to-remember yet vitally important clinical facts for the primary care physician. While it has been designed for the busy family physician, internist, primary care nurse or other health care provider, it is also the perfect succinct resource for specialists who – if necessity – are periodically required to dabble in more general practice issues. Additionally, this pocketbook is the ideal guide for trainees on ambulatory rotations. Tarascon Primary Care Pocketbook is meticulously referenced and has been peer-reviewed by an expert multi-disciplinary editorial board.

Click Here to see more reviews about: Tarascon Primary Care Pocketbook, Third Edition (Paperback)

Friday, October 23, 2009

CAM - avoiding being held to a scientific standard

From the Journal of Health Services and Research Policy comes a paper that examines the principles of evidence-based practice within a host of Complimentary and Alternative bodies of practice (CAM). Their conclusion is that, for the most part, these bodies do not recognize evidence-based practices as essential for their health care offerings. They conclude that this absence ” discloses double standards in UK health care which may compromise patient safety.”

Doctor Steve Novella comments on this paper over at Neurologica Blog:

At least with the organizations named above, there is a lack of dedication to evidence-based practice in their codes of conduct. This, of course, is just one line of evidence and not definitive in and of itself, but it does reflect the broader observation based upon many lines of evidence that there is an inherent lack of respect of scientific evidence within the culture of CAM.

There is a parallel to be drawn with the creationist movement in the US. Creationists today talk about academic freedom, opposing dogma, fairness to those with alternate opinions, teaching the controversy, and including discussion of the strengths and weaknesses of scientific theories in the classroom. Taken in isolation and out of context, each of these points may seem legitimate. But we know what the ultimate purpose of all of this is – to promote a sectarian anti-scientific and overtly religious view of the origins of life at the expense of the quality of science education. The creationists are not fooling anyone with the slightest knowledge of recent history.

In the same way CAM proponents talk about health care freedom, scientific dogma, closed-mindedness, discrimination, respect for local cultures and nature, and broadening our concepts of science and evidence. But in reality this is all a cover, and at the core the CAM movement is all about creating a double standard to shield their preferred ideologically driven modalities from being held to a scientific standard.