Two Recent Technological Advances In Endoscopy Nursing Essay

Two Recent Technological Advances In Endoscopy Nursing Essay I am currently working at a day case endoscopy unit, the two advances in endoscopy procedures I will be looking at are, scope guide and minimal sedation. I will be assessing patients at the day case endoscopy unit I currently work at by participating in procedures which use scope guide and minimal sedation. During this period, I will be emphasising at the improvements in the care and safety of patients, to see how these have improved quality of patient care and diagnose problems at ease. Endoscopist, Nurses and Surgeon depend largely on advancement in technology for delivering enhanced patient care and ability to diagnose problems at ease. The application of computer-assisted image guidance technology to the Endoscopic surgical procedures allow creation of new methods to address the challenges by providing the needed 3-D imager that ultimately improves accuracy, efficiency and safety during procedures. (Daniel L Farkas et al 2008). Scope guide 3-D imager, is a non contact form which uses a low intensity magnetic field to display a real time 3 dimension view of the position and orientation of the colon scope with the abdominal cavity by means of detromagnetic transmission coils built into the colonoscope insertion tube. 3 D imager that ultimately improves accuracy, efficiency and safety during procedures (Daniel L. Farkas et al 2008). The scope guide 3 D imager assist in identification of the correct combination of manoeuvres necessary to straighten out the loops o nce formed Olympus 2008. A consultant Endoscopist London UK commented about scope Guide 3 D imager when we started to develop the electromagnetic imaging technology for scope guide. I envisioned a system that would allow colonoscopist to feel as comfortable as a tourist driving through the most unpredictable city with the assistance of a safety navigation system he commented today scope guide does just that i.e. improving colonoscopy by providing a real time 3 dimensional display of colonoscope position and configuration, the endoscopist no longer need to rely on guess and feel to determine the orientation of an inserted scope, scope guide will change the why you see colonoscopy, 3 D imager is an essential part of quality colonoscopy. 3 D imager is able to show shape both from lateral and anterior view direction simultaneously in split screen mode. The use of this scope guide eliminates the hazard of radiation for patients, doctors, this makes the 3 D imager ideal for daily clinical usage and for training purpose. (Yamamate (2008) and Koichin et al, (2008) both stated that is pain free colonoscopy possible? The greatest advantage of this new technology is that when using insufflators air is an enemy. The 3 D imager gives easy visualization and manoeuvres and to orientate the scope along the colon. Easily it avon loops and whenever loops occurs straightening it on and takes less time unlike long time procedures. 3 D imager couple with EVIS EXERA 11 260 series system delivers images in high definition. There are certain scopes that can be used with the 3 D imager which deliver image on the scope guide monitor in three dimensional, which make it possible for the patient watches it on the screen. No sedation sometimes or individual sedation given, patient tolerate the procedure well with aid of the scope guide makes the procedure quicker, safer and comfortable for most patients. The use of this 3 D imager is done by attaching the cord from the guide monitor to the scope, which transmits a current to the scope and shows on the 3 D imager monitor showing where the scope is, if there are loops in the colon, and serves as a guide to the endoscopist. 3 D imager is safe and effective equipment for treatment of making colonoscopy less painful especially in patients with long colon or loopy colon, whereas procedures are abandoned most times when patients cannot tolerate it because its very painful and far fear of perforation. Some of the producing real time 3D imager is that it is capable of producing real time 3D image display of position and orientation of the colonoscopy. The endoscopist no longer needs to rely on guess work or fluoroscopy to determine the configuration of an inserted scope. The Scope Guide 3-D imager uses a low intensity magnetic field to display a real time 3-dimension view of the position and orientation of the colon scope with the abdominal cavity by means of electromagnetic transmission coils built into the colonoscope insertion tube. The scope guide assist the endoscopist in the identification of the correct combination of manoeuvres necessary to straighten out the loops once formed (Olympus, 2008) It shows the correct ways to manoeuvres and straightens complex looping. It is completely safe for daily usage due to the electromagnetic transmission coils within the scope creates a low intensity magnetic field. It generally reduces pain during colonoscopy which enhance advance total cave of patient in today endoscopy procedures. It helps in giving quality care throughout the procedure for the patient, endoscopist and nurses, it eliminates the hazard of radiation from X-ray during colonoscopy, but with the 3 D imager scope guide, X-ray is no longer required. It helps to reduces time during procedure by making complicated procedure easy, hence less lengthy procedure, it helps their ability in pain management of their painful. The scope guide can be dangerous if the cords are not well attached to the scope, which could give a false picture. The nurse plays an important role in the care of the patient before during and after 3 D imager scope guide is used. In my unit all the advantage of scope guide demonstrated at Solna conference for all endoscopists in UK and Ireland can be seen practically every day since the colonoscopist started using the equipment. We have three procedure rooms running and the unit is having only one Scope Guide 3-D Imager. It is now a competitions between the endoscopist, as to who will use the equipment even when the procedure is not too difficult as some might claim but because it give them easy visualisation and manoeuvres and to orientate the scope along the colon. Easily they can avoid loops and whenever loop occurs straightening it on was very easy and takes less time unlike before when we do not have the equipment. All the noise and shout of pains by the patient during colonoscopy procedures has drastically reduced since the introduction of the equipment in the unit, and nurses job in the procedure room has become less stressful unlike before. When a patient requires the use of 3 D imager scope guide due to post hysterotory operation or very difficult previous colonoscopy because of looping, we care for them in the following way. Initially the patient is admitted for an outpatient procedure and checked in, consented, during consenting the doctor will explain to the patient for the need of using the 3 D imager what difficulties involved in manoeuvring the scope and patient during the use of it, repositioning of the patient to get a good view and to minimise the looping if that why, hence the patient will sign the consent form (nursing and midwifery council 2008), British Society of Gastroenterology 1991, 2008) (BSG guidelines) sedation is given via intravenous (IV) route and if to give any emergency injection if need be. A nasal catheter sponge is also attached to the patient for oxygen administration. The patient is given blue knickers for privacy and because of repositioning to prevent unnecessary exposure of patient (privacy and dignity). The patient is firstly positioned on the left lateral with knees bent towards the chest, meanwhile monitory if the oxygen saturation, pulse and blood pressure are checked throughout the procedure. The patient is talked through the procedures, informing the patient when to expect more pain when negotiating the flexures of the colon. The monitor of the scope guide cord is then attached to the scope to be used, and right setting done which brings on the light on monitor of the scope guide. Sedation and if possible muscle relencant i.e. antispasmodic or analgesic is administered through the intravenous route, everyone i.e. the doctor and nurses in the room will wear an apron, gloves and goggles (Health and Safety Executive 1992). The Endoscopist will reconfirm from the nurse whether the constant the procedure, the scope guide must be checked and the cotside on the left hand side is let down and the flexible plate is placed near the patients stomach and to be sure no damage and plate well placed prior to start of procedure. The big movable plate should be put in right position and not on the chest or let (Aorn 2004). During the procedure the scope guide setting is changed as the patient is repositioned which should be visually seen on the monitor to give a right direction of the scope in the colon and monitored. The procedure time, the patient is observed and monitored for abdominal pain and possible sweating or vasovagal reactions. The pain level of the patient is assessed which will determine whether to top up the sedation , pain reliever or antispasmodic injections by the endoscopist, through the nurse in there is there as the patients advocate, the cardiac arrest trolley with the defibrillator should be ac cessible within easy reach (BSG 2003). Post care of the patient should be monitored for severe abdominal pain caused by 3 D imager (Malick 2006). The patient will be wheeled on the trolley to the recovery ward and continuous monitory of the observations and vital signs for any of the complication must be recorded and documented. During the consenting time, the patient must have been provided with verbal and written instructions emphasising on observations for severe pain and bleeding (in case of perforation), if any unexpected symptoms arise, they should go to accident and emergency immediately (Norton et al 2008). In the endoscopy unit where I work, 3 D imager scope guide was implemented late last year, through its a new technology its own. This initially course some problems because some of the medical team I work with, some will say leave the cortside up, some say let it down because of the insufficient training on the use of the imager. Even on repositioning the patient, some medical team do not know where the arrow on the monitor should be which will affect the image. In treating conditions or scoping patients who has had hysterectomy or with lots of looping in the colon, I have observed the differentiation between when the scope guide is used and when not. The colonoscopist find it much comfortable for the patient and each visualisation and manoeuvres, loops avoided easily and easily straightening, loops if it occurs, the scope guide used may delivers images in high definition. The scope guide has gradually wins the heart of most Endoscopists in my unit for less lengthy time on one procedure. The use of the scope guide there is no need of colonoscopy procedure under X-ray i.e. between barium Enemy or CT scan this eliminates the hazard of radiation for patients. My unit is regards as one of the best bowel cancer screening unit due to the use of scope guide 3 D imager. The procedure is quick, safer, painless and comfortable for most patients, this has really encouraged patient to come for the screening process at my unit. 2nd assignment Minimal sedation is given according to patients preferences in procedures (BSG 2008) such as gastroscopy, brochoscopy flexible sigmodoscopy, colonoscopy, stent insertion to my unit, minimal sedation is mandatory for endoscopic retrograde cholangiopancreatograph patients (ERCP). Minimal sedation is a method of sedation which was formally known as conscious sedation. In this case, its a technique in which no pain relievers are used therefore making patient to be awake an aware during unpleasant procedure without too much discomfort experience for successful endoscopy, general anaesthesia and minimal sedation used, but minimal sedation is much a safer method to control pain and anxiety during procedures (Rex 2006). In my unit, minimal sedation is used for most procedures done i.e. both lower and upper gastro intestinal endoscopies, formally in my workplace 6 8 mg midazolam was used which is no more used. The report of the rapid response (2008) the maximum dose of midazolam is 5mg which is now the most recent practice in my unit. Minimal sedation has been used and accepted because it does not require an anaesthetist, which is more economical this technique is very useful for endoscopist in providing a better examination which improves patients comfort and amnesic effect (Regula and Sokol-Kobielska 2008). The drug of choice because of its rapid onset, short duration of action is Midazolam, it provide an amnesic effort and help to relax the patient (Norton et al 2008). The most common benzodiazepines are diazepam and midazolam, majority of Endoscopist prefer to use midazolam because of it fast onset of action and high amnesic effect (National Guidelines Clearing House 2003). During procedures the group called benzo diazepams are used either alone or in combination with an opiate e.g. pethidine or fentanyl, when it is been used alone the occurrence of respiratory complication with either midazolam or fentanyl is fairly low. Contrary, the implications increases when both drugs are given in combination.

Beans & perfect food

Beans are a near perfect food. They belong to a family of plants called legumes. They are high in nutrients and fiber. They are capable of lowering cholesterol. They have other health benefits. They help prevent heart attacks. They are shown to cut the incidence of cancer if included in a diet. They are an effective tool in diet and weight-control. Beans can also produce gastric distress and flatulence. The question becomes, do the benefits of adding beans to a diet outweigh the downside? Beans are proven to be good for the human body.It would appear that their benefits far outweigh their bad effects and should be included in the human diet. Beans can be a major source of soluble fiber in the diet. The fiber content of a cup of beans, eaten regularly, can lower the body’s cholesterol by 10 %, according to Patty Bazel Weil of the University of Kentucky. When they pass through the digestive tract they sweep up bile and carry it along. This bile is a source of cholesterol in the body. This benefit can be seen in as little as six weeks. The soluble fiber has the added benefit of keeping the body regular.A ten percent reduction in cholesterol in the body translates into a 40 % decrease in the risk of heart attack. For those people at risk for diabetes the soluble fiber in beans helps to create insulin receptor sites. These sites are like little connectors. The insulin can gather there to enter cells and not have to float freely. There are compounds found in beans that are known to keep normal cells from becoming cancerous. The protease inhibitors and other chemicals found in them have been shown to lower the risk of breast, colon and prostate cancers. Hispanic women have half the number of incidents of breast cancer as Anglo women.It is believed that the reason is the amount of beans in their diet. Beans contain potassium and magnesium that the body needs for the regulation of the heart and other systems. Harvard University studies show that people who includ ed beans in what was called a ‘prudent’ diet, along with other legumes, whole grains and poultry had a 30 % lower risk of heart disease compared to the people who ate the normal western diet. Because complex carbohydrates are absorbed slowly, beans satisfy hunger for a longer period than simple carbohydrates. High fiber foods have a down side.They can cause gastric disturbances and flatulence. Gas is made up mostly of hydrogen, carbon dioxide and nitrogen. These gases are odorless. Some people, for unknown reasons, produce methane gas. Foods that are high in sulfur content cause gas with a foul smell. These foods are garlic, onions, leeks, Brussels sprouts, cabbage, cauliflower and broccoli. Beans, however, also cause gas because they contain a sugar that the body cannot break down. Most sugars are broken down by the body and absorbed into the small intestine. The sugar in beans has a molecule that is too large to be absorbed that way.For this reason the molecule makes it all the way to the large intestine intact. There the bacteria break it down. Gas is the by-product of that process. Beans are an important part of a healthy diet. They contain both nutrients and fiber necessary to keep the human body healthy. They have been shown to lower cholesterol. They help prevent heart attacks. They can lower the risk of heart disease. Beans are credited with reducing the risk of cancer. They are low in calories and high in complex carbohydrates. People seeking to diet for weight loss should eat them.While it is true that they cause gas, there are methods to reduce the amounts produced. The benefits of beans are many. The gas, for most people, is a minor thing. Beans should be included in every diet. They are a valuable part of the world’s nutrition. Bibliography AmericanBean. org, n. d. Beans Reduce Risk of Cardiovascular Disease Retrieve 2-24-07 from: http://www. americanbean. org/HealthNutrition/Cardiovascular%20Release. htm Tresca, A. , 2006 Abou t: Inflammatory Bowel Disease Retrieved 2-24-07 from: http://ibdcrohns. about. com/od/otherdigestivediseases/f/beans. htm

A Fools Guide to Peter Pan Essay Topics Revealed

A Fool's Guide to Peter Pan Essay Topics Revealed The intention of the essay is to select an argument and attempt to persuade the reader to adopt it. If you're thinking about how to compose a persuasive essay, you must know that writing an essay is a complicated course of action. Persuasive essay is also referred to as the argument essay. Our example essay may also help you to understand how to use various style of writing. Don't neglect to bring a strong hook at the beginning (introduction paragraph) and wind up with an impressive conclusion to create the reader want to talk about the interesting persuasive essay topics of your selection. Once you select the right topic you shall allow it to be attractive to the reader. For that, research for sources to put in your essay to back up your viewpoint. Before actually beginning to compose your essay, you need to pick an issue to write about. You may have to select a suitable topic for your essay paper and you're running short of ideas. There's a lot of excellent college application essay topics that it is possible to select for your paper. Getting access to our example essays is extremely straightforward and reasonably priced. The college essays must be organized in the particular format and design based on the instructions given. The real leadership essay is simple to read and understand. Persuasive essay writing isn't easy guaranteed. Good persuasive essay topics must be persuasive. Sample persuasive essays can also offer inspiration on topics to write on in addition to serve as examples about how to compose your essay. Every argumentative essay ought to have an opposing view which can help you to prove you're right. From among the persuasive speech topics listed here, pick the one which you are most well-informed about or make sure you've got the time required to research and prepare a thorough speech that covers every facet of the topic. In order to get children, both parents ought to be certified. Such essays shall have a good deal of quotations, based just on facts and laws, and show no more than the actual picture of the situation. All things considered, you can observe that writing a persuasive essay isn't a brain surgery. Things You Should Know About Peter Pan Essay Topics Sometimes it is quite hard to compose your own theme for essay. Just about any topic could be broken down into installments that are written as independent essays. Persuasive essays share a good deal of resemblance with argumentative essays. Always bear in mind a great persuasive essay ought to be persuasive. Ideas, Formulas and Shortcuts for Peter Pan Essay Topics Textbooks are obsolete and must be replaced by iPads. Qualities of a great persuasive essay topic The topic needs to be specific. Obviously, topics which are still relevant in 2018 are the very best. Of all Of the fantastic college essay topics, no topic was selected. Discover which of the topics, you currently have a fairly good background on which will make it possible for you to have a relative edge. Selecting an excellent topic for your essay is among the most crucial and frequently tricky parts for many students. Choosing great essay topics for middle school needs to be a careful procedure, where a balance must be struck between topics that might be too simplistic, more acceptable for the key school, and choosing argumentative essay topics that might be too complicated or controversial.

Is There A Place For Ethics - 1075 Words

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