Emergency Care Nurse Essay Example | Topics and Well Written Essays - 2000 words

Emergency Care Nurse - Essay Example The study in today’s Lancet by M. Sakr and colleagues is a reliable comparison between nurse practitioners and SHOs in the service they provide in an emergency department. Patients were allocated randomly to management by a nurse practitioner or a SHO. No significant differences were noted in the accuracy of examination, adequacy of treatment, use and interpretation of plain radiological investigations, or arrangements of follow-up. Fewer patients seen by nurse practitioners needed unplanned follow-up. However, nurse practitioners took longer to assess patients and were more expensive to employ. The findings of this study, in general, support the case for employing nurse practitioners in the emergency department. The findings also raise several points for consideration. Nurse practitioners posts that are to be established within a department should be seen as a new resource and must be supported by appropriate funding to ensure that nursing levels are adequate to provide nursi ng care to patients not seen by nurse practitioners. If no additional nurses are provided, there may be difficulties in providing an adequate routine emergency service (Tye, et. al., 1998). The nurse practitioners may then be diverted to other nursing tasks, and the impact of having a nurse practitioner is lost. Concerns about the loss of clinical judgments and skills because of specialization can be addressed by rotation of nurse practitioner duties with those of traditional nursing.

The relationship between SC35 and E2F1 in the apoptotic response of Research Paper

The relationship between SC35 and E2F1 in the apoptotic response of head and neck cancer cells following cisplatin treatment - Research Paper Example The impact of head and neck cancers on the health care system can be gauged by the fact that each year almost 500,000 new cases of head and neck cancers occur globally, with almost two thirds of the cases occurring in developing nations (Marur & Forastiere, 2008; Lung, Tascau, Almasan, & Muresan, 2007). There are several risk factors for the development of head and neck cancer but amongst those, the most important are tobacco use and alcohol consumption (Forastiere, Koch, Trotti, & Sidransky, 2001). Studies have revealed that the consumption of tobacco and alcohol has the strongest association with these cancers and these factors have a synergistic effect in the causation of head and neck cancers (Leemans, Braakhuis, & Brakenhoff, 2011). It has been found that tobacco usage increases the risk of developing head and neck cancer from five to up to twenty five-fold (Marur & Forastiere, 2008). Moreover, the use of both tobacco and alcohol leads to a forty times greater risk for these can cers (Marur & Forastiere, 2008). ... Over the last few years, there has been an increase in the incidence of cancers occurring at the base of the tongue and the tonsils. This changing trend has been attributed to the increase in the occurrence of HPV-associated squamous cell carcinoma (discussed above) which occurs due to HPV infection following oral sex, which has become an increasingly popular practice amongst the younger generation (Marur & Forastiere, 2008). More recently, it has become common practice to classify head and neck tumors into two main subcategories based in the underlying aetiologies and risk factors, viz. HPV-positive and HPV-negative head and neck tumors. Studies have revealed that these tumors belonging to these two categories differ in not only the aetiology and causative factors but also have different underlying molecular mechanisms, which cause them to have different levels of tumor severity and prognosis (Leemans, Braakhuis, & Brakenhoff, 2011). Head and neck cancer is a heterogeneous disease, which can arise due to several different molecular mechanisms, each of which have different implications for the cancer invasiveness, severity, response to treatment, prognosis and patient survival rates (Leemans, Braakhuis, & Brakenhoff, 2011). Cancers are shown to be clonal replications of cells that have acquired certain genetic alterations which cause them to undergo unchecked cellular proliferation. These genetic alterations can occur in two main classes of genes which are important in the cell cycle, viz. proto-oncogenes and tumor suppressor genes (Forastiere, Koch, Trotti, & Sidransky, 2001) In the case of tumors of the head and neck, studies have revealed that the most commonly implicated genetic change in tumors of this region is the loss of region 9p21

Answer the questions in Bold Essay Example | Topics and Well Written Essays - 250 words - 4

Answer the questions in Bold - Essay Example Some of the major barriers to maintaining quality care and patient safety in hospitals include the difficulty of coordinating multiple services for a single patient, sociocultural challenges related to accessing services, and limited insurance coverage. Any of these factors can reduce the likelihood of providing the right care at the right time for the right person, and therefore damage the quality and safety of patient experiences. A variety of strategies can be developed to address these, and other, barriers (De Vos, 2009). The integration of services must be streamlined, and specialized information technology systems could provide the flexibility that professionals need to remain connected as a clinical team, rather than individual providers. Sociocultural issues need to be addressed at a higher level of consideration, such as during the development of health care policies and public awareness strategies. Economic barriers like insurance availability are highly contingent on influ ences above the health care system, and may require government reform procedures to be eliminated. In the United States, hospital accreditation is conducted by independent associations like The Joint Commission. The process is based largely on patient safety, with significant attention given to quality care delivery. Other factors including financial and insurance considerations should be addressed as well. However, the relationship between accreditation and patient experience has been challenged (Heuer,