Beginning an anticoagulant therapy can be a scary and daunting task for any patient. Even more so, for the patient who is naive to the medications and ramifications if not taken properly. Having a complete understanding of both the new and old therapies is imperative. There are numerous circumstances that warrant anticoagulation therapy. This study focuses on the use of anticoagulants for preventing strokes in patients with atrial fibrillation, more specifically, the use of Warfarin versus Pradaxa.
I know that I need to limit my antibiotic prescribing. I know that teaching my patients about common illnesses and infections and about antibiotics will help me in my practice. Teaching infection prevention will also become an important part of my practice. I understand the importance of prescribing the proper antibiotic and I will strive to prescribe narrow spectrum drugs if possible. I will rely on diagnostics and susceptibility tests to improve my antibiotic prescribing capabilities.
Establishing auditing tools and policies to help focus on inappropriate usage of antibiotics. Utilize acronyms such as GET RID: Guidelines; follow formulary’s; essential: ensure clinical justification; timely: sepsis treatments start within one hour; route: document administration route on all medical notes and prescriptions, along with route; indications: document reasons for using antibiotic; and duration: document time antibiotics used (Aziz, 2013). Instituting committees utilizing all players; such as infection control, physicians, pharmacists, etc. to review the usage of antibiotics and the rate of HCAI’s with in the hospital and to assist with improving appropriate usage. Educate staff and patients on the importance concerning misuse of antibiotics, along with the issues and problems that can result with resistant bacteria.
Conclusion Pressure ulcers remain a major health problem for patients in all health care setting but may gaps still remain in the understanding and prevention. Studies indicate that comprehensive prevention techniques such as repositioning and pressure relieving aids have slightly reduced incident rates but areas of high skin-bed interface pressures still remain in jeopardy. By preventing pressure ulcers, it would reduce health cost and patient comfort will be increased. Additional research is needed to determine the most appropriate preventative responses, thus, more research should be conducted in regards to the frequency of turning plus the use of pressure releasing equipment. (change and improve outcomes)
Health Insurance and Mortality in US Adults The article analyzes the health insurance problem that has been facing Americans for quite some time now. According to its findings, high mortality is connected to the lack of insurance. There are a number of benefits that insured individuals get to enjoy including access to medical screening and medical care for chronic and expensive diseases. Privately insured individual also enjoy the privileges of medical care counters of an insurance cover. The findings of the article are pinpoint as an individual who does not have access to adequate medical care and screening is more likely to succumb to illness.
Furthermore some of the multidrug-resistant illnesses can result untreatable in any country, at any price, once all options are exhausted. Pharmaceutical companies are having serious difficulties developing new antibiotics and other medications with enough speed to substitute the ones that have become ineffective. The inappropriate and prolonged use of antibiotic medications is a fundamental cause of this crisis. On both industrialized and developing countries there is a lot over the counter (OTC) medications. Self-medication and using the wrong medicine or the wrong amount is also part of the problem.
This will be the focus of the discussions in this paper. In modern societies these illnesses often are not curable and therefore considering alternative methods such as herbal remedies deserves merit. Each herb has specific value when being used for medicinal purposes. Some herbs are effective when used to treat chronically ill patients. Multiple sclerosis, hepatitis and cancer are considered to be three of the most debilitating diseases of our time.
According to Hotchkiss, Monneret, & Payen (2013) the effects of sepsis are well documented, while the molecular processes it utilizes are still being explored; however, new studies are helping to expand our understanding of the centuries old disease. Etiology Capriotti & Frizzell (2016) explain that sepsis is often seen in those who have a weak immune system. These individuals are at an increased risk of developing sepsis from microorganisms that a healthy immune system would normally fight off (Capriotti et al. 2016). The elderly, infants, and immunosuppressed patients are the most at risk for developing the condition (Capriotti et al.
Antibiotic abuse leads to patients feeling worse than they did originally, bacteria becoming more resistant, and increased costs. It must be stopped. Antibiotics may seem like the cure for many illnesses, but unnecessary drug prescriptions actually do more harm than good. Taking antibiotics when not needed may make users feel worse. Many side effects such as diarrhea, nausea, vomiting, thrush, allergies and even life-threatening bowel inflammation can occur when using antibiotics (NPS, 2012, para.
These are production of drug-inactivating enzymes, modification of an existing target, acquisition of a target by-pass system, reduced cell permeability and drug removal from the cell. (Sefton) Also a bacterium that was once prone to an antibiotic can gain resistance through alt... ... middle of paper ... ...e enforced. Drug dosing and incorparting proper round the clock methods also help prevent resistance. According to Karch, around the clock dosing helps eliminate the peaks and valleys in drug concentration and helps maintain constant therputic levels. Summary Nurses should take a leading role in reducing the impact of disease on patients and influence the expansion of evidence based infection prevention practice.