Friday, December 27, 2019

Management Of Resistant Hypertension An Advance Approach...

Management of Resistant Hypertension: An advance approach with new vision Sandeep Banga MD, Jeffrey Heslop, MD, Dr. Sparrow MD, Sudhir Mungee MD, FACC, FSCAI Definition Resistant hypertension is defined as blood pressure measurement that exceeds 140/90 mmHg (130/80 in patients diagnosed with Diabetes Mellitus/renal insufficiency) despite regular use of three or more antihypertensive drugs of different classes that should include one diuretic at maximum(or maximum tolerated) dose unchanged for at least one month without interruption. {1} Renal insufficiency is defined as creatinine levels above 1.5mg % or protienuria of more than 300mg in 24 hours. Prevalence and Prognosis The reliable estimates of prevalence of resistant hypertension†¦show more content†¦Renovascular Disease c. Cons Syndrome d. Obstructive Sleep Apnea e. Pheochromocytoma f. Thyroid Diseases g. Cushing Syndrome h. Coarctation of Aorta i. Intracranial tumors Pseudo-Resistant Hypertension This term refers to lack of control of blood pressure with appropriate treatment in a patient who does not have resistant hypertension. The following factors may result in this situations{12-16} as given in table below- Causes of Pseudo-Resistant Hypertension 1. Blood pressure measurement not done by proper guidelines. 2. White-Coat Hypertension. 3. Calcified or atherosclerotic arteries as seen in elderly. 4. Poor patient adherence to medications. 5. Inadequate dosing or inappropriate combinations of anti-hypertensives. 6. Physicians’ inertia to increase dose/number of drugs even if targets are not reached. Step Approach by Physician for evaluation and management of Resistant Hypertension. 1. Knowledge and adherence of hypertension treatment according to latest guidelines 2. Identify and reverse the causes of pseudo-resistance 3. Identify and reverse the causes of true-resistance a. know pharmacological agents like NSAIDS which increase BP and discontinue or minimize its use . b. Evaluate amount of alcohol intake and try to cease its use. c. Decrease salt intake to less than 2-3 grams per

Wednesday, December 18, 2019

Health and Social Care Essay - 659 Words

Health and Social Care Assignment UNIT 2 - PRINCIPLES OF PERSONAL DEVELOPMENT ASSIGNMENT OVERVIEW In this assignment, you will investigate standards that influence adult social care practice. You will look at examples of these standards and how they affect the role of social care workers. Personal development and reflective practice are important for social care workers, and you will be completing tasks that cover these concepts. You will look at the different ways that this is done, how you can benefit from it and who will support you. TASKS There are three task to this assignment. TASK 1 2 3 EVIDENCE Short answer questions Case study Reflective account OUTCOMES 1.1, 3.1, 3.2, 3.3, 3.4 1.2, 1.3 2.1, 2.2, 2.3 TASK 1 Social workers†¦show more content†¦Jenna tells Fatima that she disapproves of some of his ways, which are against her beliefs, but had not realised that this showed in her attitude. 1. Describe how Jenna should ensure that her personal attitudes and beliefs do not affect her work. 3 Health and Social Care Assignment 2. Explain why it is important to reflect on your work activities. TASK 3 1. Think of a learning activity you have taken part in that has improved your knowledge, skills and understanding. The activity may have been a training session, a demonstration of practice, learning a new skill or a research activity. Description of experience How did this experience improve your knowledge, skills and understanding? 4 Health and Social Care Assignment 2. Think of an example of a time you have received feedback from others than has improved your knowledge, skills and understanding. This may have been from your assessor, tutor, a supervisor or line manager, or individuals using the service. Description of experience How did this experience improve your knowledge, skills and understanding? 5 Health and Social Care Assignment I can confirm that the evidence listed for this unit is my own work and was carried out under the conditions and context specified in the assessment specification, through discussion with my VLA and recorded on DVR. LEARNER nameShow MoreRelatedHealth and social care1434 Words   |  6 PagesIn Health and Social Care Student Name Unit 16: Understanding Specific Needs in Health and Social Care Student No. Assessor name: Christine Pratt Date of Issue Completion date 30/05/2014 11/07/2014 Submitted on Assignment title LO2 Task No. Assess how perceptions of specific needs have changed over time. 1 1.3 LO1 In this assessment you will have the opportunity to present evidence that shows you are able to Analyse concepts of health, disabilityRead MoreHealth and Social Care822 Words   |  4 PagesHealth and Social Care Assignment UNIT 1 - PRINCIPLES OF COMMUNICATION IN ADULT SOCIAL CARE SETTINGS ASSIGNMENT OVERVIEW In this assignment, you will complete tasks to demonstrate your understanding of the importance of communication in adult social care settings, and ways to overcome barriers to meet individual needs and preferences in communication. You will also address the issue of confidentiality. TASKS There are two task to this assignment. TASK 1 2 EVIDENCE Short answer questions Read MoreHealth Care And Social Care1989 Words   |  8 Pagesthe difference between health care and social care. Health care this is where your needs are met medically this could be through NHS, for example if someone was suffering from illness or injury etc. The national health services are in the responsibility of the Welsh Government, As for social care services are run by local authority and services could be for example would be like day care centres, adult placements and also care homes. According to (Addison 1994), â€Å"The social services in Britain, takenRead MoreThe Health And Social Care1193 Words   |  5 Pagesevery aspect of their care and support; and that the care provided should be centred on and around the person, and not just their health or care needs. This is done by creating an environment that promotes the personal worth, uniqueness, and social confidence of the individual, as well as respect, independence and hope. I.e. Person centr ed values covers the total care of the person. There is no doubt that person-centred care values must influence all aspects of health and social care work, and shouldRead MoreHealth Social Care3065 Words   |  13 Pages| BTEC HIGHER NATIONAL HEALTH AND SOCIAL CARE: LEVEL-5 | Unit 16: Understanding specific needs in health amp; social care | Student name Student ID | Assessor name | | Margaret Amankwah | Date issued | Completion date | Submitted on | | | | | | Assignment title | Understanding specific needs in health and social care | Assignment Overview: Individuals have a wide amp; diverse range of demands amp; care needs. 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This duty of care can be a general implied minimumRead MoreHealth and Social Care2195 Words   |  9 Pagesbehavioral and psychiatric disturbances. 2.2. Outline the social model of dementia Social model is more about the person, how it affects individuals. The social model of care seeks to understand the emotions and behaviors of the person with dementia by placing him or her within the context of his or her social circumstances and biography. By learning about each person with dementia as an individual, with his or her own history and background, care and support can be designed to be more appropriate toRead MoreEssay on Health and Social Care960 Words   |  4 Pageshow health and safety legislation is implemented in the health and social care workplace 1.1 Review systems, policies and procedures for communicating information on health and social care workplace in accordance with legislative requirements. 1.2 Assess the responsibilities in a specific health and social care work place for the management of health and safety in relation to organizational structure. 1.3 Analyse health and safety priorities appropriate for a specific health and social care

Tuesday, December 10, 2019

Actings in my blood Essay Example For Students

Actings in my blood Essay The playbill for a show presented at Arizona State Universitys Institute for Studies in the Arts reads: Two One-Act Plays performed as part of the Performance Induced Personality Transformation Immunity Project. Further along, the program contains this eye-opener: Because we need to draw blood and have it shipped by 5 p.m. each day, we have had to schedule the plays at the unothodox hour of 1:40 p.m. The plays and the research connected to them are components of a biology of performance study conceived by two University of South Florida professors Nicholas Hall, head of the schools psychoimmunology division, and Denis Calandra of the theatre department aimed at exploring the links between the brain and the immune system. Hall was cued into the immunity-performance connection when he discovered significant changes in the immune system of a multiple personality disorder patient as she switched between characters. After conducting the first part of their pilot study in Tampa in 1990, Hall and Calandra carried out a more complex second stage at Arizona State, where the two one-acts were performed in March. This collaboration between the medical world and the artistic world is about breaking down barriers, Calandra says. What exactly is the link between actors and immunology? The team is working on the assumption that through the use of learned acting techniques, which often incorporate guided imagery and meditation exercises to enter character, an actor is able to induce changes in his or her physiology that in turn may cause positive or negative changes in the immune system. What if patients could use the same methods to induce personalities in themselves, thereby making positive changes in the immune system changes that may even prove healing? The theory dates back to the 4th century B.C., when Hippocrates asserted that virtually all bodily functions could be influenced by ones emotions. Positive imaging techniques have been explored for years in the medical establishment, particularly in rehabilitative work with cancer patients. Calandra thinks incorporating theatre arts into the study is a wise decision: Theatre has always been a lab for emotions and imaging of various kinds. Hall and Calandras pilot study recruited the services of two brave Equity actors who for two weeks performed back-to-back performances of Peter Barness Its Cold, Wanderer, Its Cold and an episode from I Love Lucy (both directed by Calandra). Before and after each double-bill, assistants drew blood samples from the actors, who, in turn, kept elaborate logs on elements that may have caused stress and also wore heart monitors during performances. The samples were immediately sent off to the lab for hormonal and immune tests. The researchers are now in the process of evaluating the data. In the studys next phase, Calandra is interested in eliminating movement by doing radio dramas, and would in the future like to work with distinctively different acting techniques and types of scripts.

Tuesday, December 3, 2019

What Every Woman Knows monologue Essay Example For Students

What Every Woman Knows monologue Essay A monologue from the play by J. M. Barrie NOTE: This monologue is reprinted from What Every Woman Knows. J.M. Barrie. New York: Scribners, 1921. CHARLES: Your husband has been writing the speech here, and by his own wish he read it to me three days ago. The occasion is to be an important one; and, well, there are a dozen young men in the party at present, all capable of filling a certain small ministerial post. And as he is one of them I was anxious that he should show in this speech of what he is capable. It is a powerful, well-thought-out piece of work, such as only a very able man could produce. But it has no special quality of its own none of the little touches that used to make an old stager like myself want to pat Shand on the shoulder. He pounds on manfully enough, but, if I may say so, with a wooden leg. It is as good, I dare say, as the rest of them could have done; but they start with such inherited advantages, Mrs. Shand, that he had to do better. I am sorry, Mrs. Shand, for he interested me. His career has set me wondering whether if I had begun as a railway porter I might not still be calling out, By your leave. We will write a custom essay on What Every Woman Knows monologue specifically for you for only $16.38 $13.9/page Order now