Saturday, December 01, 2018

Health is a core concept



Health is a core concept in society. 

This concept is modified with qualifiers such as excellent, good, fair, or poor, on the basis of a variety of factors. These factors may include age, sex, race or ethnic heritage, comparison group, current health or physical condition, past conditions, social or economic situation, geo- graphical location, or the demands of various roles in society. In addition, there is growing evidence that larger societal and environmental concerns determine health outcomes. This chapter will discuss health as a concept and related concepts such as wellness, illness, disease, disability, and functioning. These concepts are frequently embedded in theories, such as theories of health behavior (Pender et al., 2015) or health planning (Issel, 2014). Some motivating factors behind the move to disease prevention and health promotion in society will be examined with an introduction to Healthy People 2020, the federal government's health objectives for the nation. The implementation of these concepts as nursing actions will also be addressed from ideal and pragmatic standpoints. Research and evidence sup- N/A
KEY TERMS
Adaptive model of health
Applied research
Asset planning
Clinical model of health
Community-based care
Cultural competence
Disease
Ecological model of health
Empathy
Epidemiology
Ethnocentrism
Eudaimonistic
Eudaimonistic model of health
Evidence-based practice
Functional health
Health
Health disparities
Health promotion
Health-related quality of life (HRQOL)
Healthy People 2020
High-level wellness &Illness
Interprofessional practice
Levels of prevention
Person-centered care
Qualitative studies
Quality Of life
Quantitative studies
Racism
Role performance model of health
Social determinants of health
Specific protection
Well-being
Wellness
Wellness-illness continuum

Not Double or triple Jeopardy! in medicine

dou·ble jeop·ard·y

/ˈdəbəl ˈjepərdē/
noun
NORTH AMERICANLAW
Generally in  law  a person can not be tried and punished for the  same crime  twice
But in USA in medical profession this happens all the time.
 A doctor who is accused of  malpractice  is  punished  by  his  peer group  the  employer  the  medical board  then  the  insurance  companies  and  Accreditation societies
Denial or Loss of Accreditation
The AAAASF may deny or revoke accreditation of a clinic if the clinic fails to satisfy every
standard. If any medical professional providing services at the clinic:

 Has had their privileges restricted or limited by any hospital related to lack of clinical
competence, ethical issues

 Has been found to be in violation of the Code of Ethics of any professional society or
association of which they are a member.

 Has had their right to practice limited, suspended, terminated or otherwise affected by
any state, province, or country, or if they have been disciplined by any licensing
authority.

 Non-reporting of any of the above to the AAAASF office.

Emergency Suspension or Emergency Probation
The AAAASF may place a clinic on Emergency Suspension or Emergency Probation status upon
receiving information that a state board has taken action, or begun formal proceedings which
may result in it taking aciton against a license of a practitioner at the clinic, or the Board of
Directors determining that the agency may no longer meet AAAASF Standards for accreditation.
A clinic that has been placed on Emergency Suspension or Emergency Probation status will
remain in such status pending an expedited investigation and possible Hearing conducted in
accordance with AAAASF procedures available from the AAAASF Office.
Important Notice –
Maximal patient safety has always been our guiding concern. We are proud that our Standards
may be considered the strongest of any agency that accredits rural health clinics and that many
consider them to be the Gold Standard. We recognize, however, that they need to be part of a
living document, and we continually re-evaluate and revise these Standards in the light of
medical advances and changing legislative guidelines. The AAAASF RHC Accreditation
Program requires 100% compliance with each Standard to become and remain accredited. There
are no exceptions. However, when a Standard refers to appropriate or proper or adequate,
reasonable flexibility and room for individual consideration by the inspector is permitted as long
as patient and staff safety remain uncompromised. 

CCH_PACK GUIDE_PACK GLOBAL ADULT 2018 e book




To improve the quality of primary healthcare for underserved communities through pragmatic research, evidence-based implementation, evaluation, and engagement of health systems, their planners, providers and patients.
Bridging the gap between what we know and what we do

 This e book is a fantastic resource for a community health worker
Abused patient 
Abdominal pain
 Abnormal vaginal bleeding 
Abnormal thoughts/behaviour 
Aggressive patient 
Anal symptoms 
Arm symptoms 
Back pain 
Blackout 
Body pain 
Breast symptoms 
Breathing difficulty 
Burn/s 

Ear/hearing symptoms 
Emergency patient 
Eye symptoms 
Exposure to infectious fluids 
Face symptoms 
Faint 
Falls 
Fatigue 
Fits 
Foot symptoms 
Foot care 
Fracture 
Genital symptoms

Leg symptoms 

Cardiac arrest 
Cervical screening 
Chest pain 
Collapse 
Coma 
Condom broken 
Confused patient 
Constipation 
Cough 
Dental symptoms 
Diarrhoea 
Disruptive patient 
Dizziness 
Dyspepsia 
Discharge. genital 

Genital symptoms 
Gum symptoms 
Hair loss 
Headache 
Hearing problems 
Heartburn 
Injured patient 
Itch 
Jaundice 
Joint symptoms 



Lump. neck/axilla/groin
Lump, skin 
Lymphadenopathy 
Miserable patient 
Mouth symptoms 
Nail symptoms 
Nausea 
Neck pain 
Needlestick injury
Cardiac arrest 
Cervical screening 
Chest pain 
Collapse 
Coma 
Condom broken 
Confused patient 
Constipation 
Cough 
Dental symptoms 
Diarrhoea 
Disruptive patient 
Dizziness 
Dyspepsia 
Discharge. genital 

Genital symptoms 
Gum symptoms 
Hair loss 
Headache 
Hearing problems 
Heartburn 
Injured patient 
Itch 
Jaundice 
Joint symptoms 

Overweight patient 
Pain, back 
Pain. body/general 
Pain, chest 
Pain. neck 
Pain, skin 
Pap smear 
Pimples 
Rape 
Rash 
Respiratory arrest 
Scalp symptoms 


CCH_Safety and performance standards

Safety and performance standards
All medical supplies and equipment should meet international, regional or national safety and performance standards. The most important standards include:
IEC – which are international standards for the electrical safety of electrical and electromechanical equipment,and apply to refrigerators for example. IEC 601 is the international standard specifically for electrical and mechanically safe medical equipment for use by staff and with patients.
ISO – which are international standards for quality management and systems. ISO 9000–9004 is a series of standards covering the quality of manufacturing processes, design and development, construction, installation and service. ISO standards do not currently exist for all medical supplies and equipment, but do apply to syringes, needles, gloves, instruments and scales, for example.
CE mark – which indicates that a product meets European Union directive standards, and apply to sterile medical supplies for example.
Pharmacopoeia specifications – which establish quality specifications for the most commonly used drugs and some medical supplies, such as bandages, tape and swabs. Important pharmacopoeias include the British (BP), European (EP), United States (USP) and WHO International Pharmacopoeia (IP).
Quality certificates or export certificates – which are issued under various national and regional standards
such as ISO 9000 or the equivalent EN 29000. 

CCH_Abbreviations for drug formulations and routes of administration

Abbreviations for drug formulations and routes of administration
Amp Ampoule
Cap(s) Capsule(s)
Inj Injection/Injectable
IM Intramuscular
IV Intravenous
SC Subcutaneous
Tab(s) Tablets
Abbreviations for standards
BP British Pharmacopoeia
CE European Committee for Standardisation
EP European Pharmacopoeia
EN European Norms
IEC International Electrotechnical Commission
IP WHO International Pharmacopoeia
ISO International Organisation for
Standardisation
USP United States Pharmacopoeia
Symbols
° degree
% per cent
& and
" inches
+ and/with
/ or/per
< less than
> more than
÷ divided by
x multiplied by
µ micro
Measures
AC alternating current
C centigrade (Celcius)
CH Charriere gauge for catheters, tubes,
drains (same as FG e.g. CH5 = 5FG)
cm centimetre
DC direct current
F Fahrenheit
FG French gauge for catheters, tubes, drains
(same as CH e.g. 5FG = CH5)
G gauge for IV catheters, needles (the lower
the gauge the greater the diameter)
g gram
ht height
Hz Hertz (cycles per second)
kg kilogram
l litre
lb pound
l x w x h length x width x height
m metre
min minute
mcg microgram
mg milligram
ml millilitre
mm millimetre
MU mega units
no. number
oz ounce
tsp teaspoon (5mls)
V volts
W watts
wt weight
This book uses metric dimensions and sizes. If you use
imperial measures, refer to the conversion table below.
Conversion table
Length:
cm = inch   inch = cm
1 0.394   1 2.54
2 0.787   2 5.08
3 1.181   3 7.62
4 1.575   4 10.16
5 1.969   5 12.70
6 2.362   6 15.24
7 2.756   7 17.78
8 3.150   8 20.32
9 3.543   9 22.86
10 3.937   10 25.40
Temperature:
To convert °C to °F: multiply by 9, divide by 5 and
add 32.
To convert °F to °C: subtract 32, multiply by 5 and
divide by 9.
Measures and equivalents:
1 cm = 10 mm
1 kg = 2.2 lb
1 m = 100 cm
1 lb = 0.454 kg
1 g = 1000 mg
1 kg = 1000 g
M

CCH:More medical Jargon

Large Customizable Interactive Monitor (LCIM)
Pediatric intensive care unit (PICU)
Health information technology (HIT)
Electronic health records (EHRs)
Drug free urine (DFU)
Failure modes and effects analysis (FMEA)

Gender nonbinary patient (some one  who identifies  neither as  male  or female)

ANC Ante Natal Care
B/B Blunt/Blunt
BCG TB vaccine
CHW Community Health Worker
CMS Central Medical Store
CSSC Christian Social Services Commission
ECHO ECHO International Health Services Ltd
ED Essential Drugs
EDL Essential Drugs List
EPI Expanded Programme on Immunisation
Hb Haemoglobin
HIV Human Immunodeficiency Virus
HW Health Worker
IDA International Dispensary Association
JMS Joint Medical Store
LBW Low Birth Weight
MCH Mother and Child Health
MEDS Mission for Essential Drugs and Supplies
MOH Ministry of Health
MSF Medecins Sans Frontieres
NGO Non Government Organisation
ORS Oral Rehydration Solution
ORT Oral Rehydration Therapy
Paed Paediatric
PHC Primary Health Care
Pr Pair
PVC Poly Vinyl Chloride
SS Stainless Steel
S/S Sharp/Sharp
SSS Sugar Salt Solution
STI Sexually Transmitted Infection
TBA Traditional Birth Attendant
TH Traditional Healer
TT Tetanus Toxoid vaccine
UNICEF United Nations Children’s Fund
VEN Vital, Essential, Non-essential

WHO World Health Organisation

Friday, November 30, 2018

A Texan’s experience at a fake women’s health center

A Texan’s experience at a fake women’s health center

I am a 44 years old woman and had the worst experience of my life at Birth Choice in Dallas, Texas. I had not had a period in about a year and my gynecologist told me I was in perimenopause so I wasn’t as diligent about it as I had been in the past. Other than fatigue, I had absolutely no pregnancy symptoms..
My husband and I decided to take a pregnancy test to rule out why I was constantly exhausted. My heart sank when I saw the plus sign on the test before the 5 minutes were even up and we went into immediate panic mode. We headed to what we thought was Southwestern Women’s Surgery Center, a local abortion clinic. Southwestern and Birth Choice share a parking lot (a common tactic of fake clinics) and my husband and I walked into Birth Choice by accident.
Once there, I took a urine test to confirm the pregnancy and was told I needed an ultrasound to determine how far along I was. At that point, the nurse separated my husband and I, saying that my husband needed to meet with the male counselor. During the ultrasound, I repeatedly asked for my husband to be in the room with me, but the nurse insisted that I was in a “safe place” and my husband couldn’t make the decision for me to have an abortion.
The ultrasound results showed that I was 26 weeks pregnant with a “healthy baby boy” and a “special miracle,” even though I had told the nurse this was an unwanted pregnancy. She told me she could immediately make a phone call and place the baby with a family. Meanwhile, my husband was getting the same treatment from the male “counselor.” The “counselor” even told my husband that families paid “$50,000 for a white baby!” They finally brought him into the room where I was still enduring looking at the 70 inch ultrasound screen. When he walked in, the nurse greeted him with, “congratulations daddy, it’s a boy!”  The male “counselor” came into the room with a doll that he described as a 26-week gestation baby and blocked the door as my husband and I tried to leave. We managed to make it out but they chased after us, yelling about not killing the baby and how much God loves us.
This experience left me totally shaken and an absolute mess; I threw up all the way home. I was able to see my gyno the following Monday and thankfully, she had some answers. I was in fact 26 weeks pregnant, but the baby was far from healthy. She explained that I couldn’t get an abortion in Texas due to how far along I was and contacted a clinic in New Mexico. We were lucky enough to travel there a few days later and terminate the pregnancy, which was the decision we had made from the start.
S.H. lives in Dallas, Texas. To learn more about fake women’s health centers and their deceptive tactics, visit txpregnancy.org