Surgery Infections
When it comes to medical issues that can arise, one of the nastier things that can arise is an infection. Whether it be regular staph, MSA or others, infections are things that can hurt, kill, maim or at least prolong suffering and recovery. One source of infections that becomes an issue entirely too often would be those that occur because of and during surgery. While it is normal for great pains to be taken to sanitize both the people and instruments involved in a surgery, it is entirely too common for people to come down with infections during the course of surgery. As such, it can and should be the focus of a fully described clinical practice guideline. While accidents and bad things do happen in surgery, infections should be one of those things that should never happen, at least not due to improper practice on the part of…...
mlaReferences
Lopez, J., Prifogle, E., Nyame, T. T., Milton, J., & May, J. J. (2014). The impact of conflicts of interest in plastic surgery: an analysis of acellular dermal matrix, implant-based breast reconstruction. Plastic And Reconstructive Surgery, 133(6), 1328-1334.
doi:10.1097/PRS.
Rhee, C., Huang, S. S., Berrios-Torres, S. I., Kaganov, R., Bruce, C., Lankiewicz, J., & ...
Yokoe, D. S. (2015). Surgical Site Infection Surveillance Following Ambulatory
History of Surgery had been started from the prehistoric time with its appropriate technique and tools applicable during the age. There was no sophisticated care of hygiene and anatomic knowledge in the early days; the basic research was started using trial and error on every case and it had set a very strong basic which still makes sense and counts into modern practice.
The following summary of history of surgery is compiled from various sources based on the timeline set in dr. Schell's lecture: The History of Surgery.
The Ancient Medicine (Prehistoric Time)
People had strong magic beliefs and connection to multiple gods during the prehistoric time, so that any cases of illness were also believed as the punishments from angry gods for community's or one's moral failure. Some common cases recorded were respiratory and digestive problems, infections, and gynecologic disorders. Life expectancy low, then 28-35 years was a successful range of…...
mlaBibliography
13.3 Trephination, An Ancient Surgery. March24, 2002.http://www.uic.edu/classes/osci/osci590/13_3%20Trephination%20An%20Ancient%20Surgery.htm.
Anaesthesia History. The Surgery Door Pain Centre by Neurofen. March26, 2002.http://www.surgerydoor.co.uk/coe/paincentre/anaesthesia.shtml.
Anesthesia: A Brief History. Feb 13, 2001. Simon Fraser Health Region. March26, 2002.http://www.sfhr.com/anesthesia/abrief.htm .
Bune, Matt and Gregor, Pam. Ancient Egyptian Surgery ed. Majno, Guido. The Healing Hand: Man and Wound in the Ancient World. Harvard University Press, Cambridge, 1982. pp. 86-121. March26, 2002.http://emuseum.mnsu.edu/prehistory/ancienttech/ancient_egyptian_surgery.html .
Office-Based Sugey Pactices
Impact of Human Resouces on Office-Based Sugey Pactices
Office-based sugey is defined within the legislation as that in which any sugical o invasive pocedue is pefomed outside of a hospital o diagnostic and teatment cente, in which modeate to deep sedation o geneal anaesthesia is used (Patel et al., 2008). The use of office-based sugey is cuently inceasing, due to the ecognized benefits with which it is associated, fo example shote waiting times, geate convenience and lowe costs (Dalton et al., 2006). The ole of human esouces in office-based sugey is an impotant concen as it may have a significant impact in many aeas of the pactice, including citical aspects such as patient and staff safety. This essay examines the impact of human esouces on office-based sugey, including acceditation issues, the impact on patient and staff safety, and employee and labo elations.
Acceditation Issues
Amid concens fo patient safety which aose,…...
mlareferences, satisfaction, and resource use in office evacuation of early pregnancy failure. Obstetrics and Gynecology, 108(1): 103-110.
Galati, M. (2006). Practice management issues in office-based anesthesiology. Seminars in Anesthesia, Perioperative Medicine and Pain, 25(1): 32-39.
Hancox, J.G., Venkat, A.P., Coldiron, B., Feldman, S.R. & Williford, P.M. (2004). The safety of office-based surgery: Review of recent literature from several disciplines. Archives of Dermatology, 140(11): 1379-1382.
Harley, DH & Collins, D.R. (2008). Patient satisfaction after blepharoplasty performed as office surgery using oral medication with the patient under local anesthesia. Aesthetic Plastic Surgery, 32(1): 77-81.
Horton, J.B., Reece, E.M., Broughton, G., Janis, J.E., Thornton J.F. & Rohrich, R.J. (2006). Patient safety in the office-based setting. Plastic and Reconstructive Surgery, 117(4): 61e-80e.
Orthognathic Surgery is a procedure used for patients that have jaws that do not meet properly, which often coincides with teeth that do not seem to fit correctly with their jaws. This procedure is often used in conjunction with orthodontics, which straighten the teeth in preparation for the jaw surgery. People who require orthognathic surgery often have incorrectly positioned jaws, or an improper bite. Often the upper and lower jaws grow at different rates, which can lead to problems that affect speech, chewing, long-term oral health, as well as appearance. Also, jaw alignment can also be influenced by injury to the jaw and birth defects. Orthognathic surgery basically repositions the jaw (Center for Oral and Facial Surgery of Chattanooga, 2000). This type of surgery is also used for patients that require jaw repositioning in order to allow for the reconstruction of the dentition using implants (Jones, 2002).
More specifically, orthognathic surgery…...
mlaReferences
Center for Oral and Facial Surgery of Chattanooga. Orthognathic Surgery (2000):
http://www.chattanoogaoms.com/Pages/orthognathic.htm .
Jones, R. "Orthognathic surgery and implants." Annals of the Royal Australasian College of Dental Surgeons 16 (2002): 105-.
Motegi, E., Hatch, J., Rugh, J., Yamaguchi, H. "Health-related quality of life and psychosocial function 5 years after orthognathic surgery." American Journal of Orthodontics and Dentofacial Orthopedics 124.2 (2003): 138-43.
What is it?
LASIK is the acronym for "laser-assisted in situ keratomileusis" (Goldstein 2010). LASIK surgery is a type of surgery conducted on the human eye to correct deficiencies in vision. The human eye is not unlike a camera: "The cornea is a part of the eye that helps focus light to create an image on the retina" (LASIK, 2011, FA). The cornea or lens is often imperfect in shape and contains refractive errors, causing vision problems such as "myopia, hyperopia and astigmatism" or combinations of these conditions (LASIK, 2011, FA). Until the development of LASIK, glasses or contact lenses were the only ways to compensate for the eye's imperfections. But through LASIK surgery, the "precise and controlled removal of corneal tissue by a special laser reshapes the cornea, changing its focusing power" (LASIK, 2011, FA).
uring the surgery, "first, a micro thin flap is created on the front surface of the…...
mlaDuring the surgery, "first, a micro thin flap is created on the front surface of the eye (cornea) that is then lifted back and preserved. Next, a cool beam excimer laser sculpts the underlying cornea into a new shape to correct the refractive error. The flap is then repositioned and adheres on its own without sutures after only a few minutes" (Vision correction, 2011, LASIK Australia).
Supposedly, the surgery is supposed to be painless and to have no complications -- if conducted on appropriate subjects. The fact that the surgery can and is most often performed at out-patient facilities specifically devoted to LASIK surgery caused a rapid increase in its use, as well as how the surgery is administered -- requiring no extensive hospital stay (Vision correction, 2011, LASIK Australia)
The surgery was immediately popular with athletes and
Cardiovascular surgery includes operations on the heart and blood vessels of the body to repair structural defects of the cardiovascular system. If a patient's heart condition poses a significant risk to their health and livelihood, surgery is the preferred treatment option. There are more than a half million heart surgeries performed in the U.S. each year for heart problems. Heart surgery may be performed on both children and adults. Heart surgery can reduce symptoms, improve quality of life, and increase lifespan (National Heart Lung and Blood Institute).
There are many different types of heart surgery. Surgeries are performed to:
Repair or replace valves controlling the direction of blood flow through the heart's chambers
Bypass or widen blocked or narrowed arteries to the heart
Destroy small amounts of tissue that disturb electrical flow through the heart
Repair damaged or abnormal structures of the heart
Implant medical devices that are used to control the heartbeat or support heart…...
mlaWorks Cited
Medline Plus. Heart Surgery. U.S. Department of Health and Human Services. Oct. 2011. Web. January 2012.
National Heart Lung and Blood Institute. What is heart surgery? Apr 1, 2011. Web. January 2012. < http://www.nhlbi.nih.gov/health/health-topics/topics/hs/ >
Schools in the U.S.A.com. Cardiovascular Surgeon. 2003-2012. Web. January 2012.
The figure is somewhat lower for left handers, approximately 70%" (Hemisphere specialization, 2010, Macalester University).
The fact that some people's right hemispheres do possess the ability to 'speak' enabled further illuminating results to be generated by studying split brain patients: in the case of one split brain operation patient 'Paul,' for example, Paul's right hemisphere was able to express itself alone: "Paul's right hemisphere stated that he wanted to be an automobile racer while his left hemisphere wanted to be a draftsman" (Behavior, 2010, Macalester University). It was as if Paul's different hemispheres had different personalities, even different political opinions. The left side of the brain controls the right side of the individual's body and the right side controls the left hand. Paul wrote with his right-dominated left hand that he wanted to be a presumably exciting occupation -- and that he hated ichard Nixon. The left side, using the…...
mlaReferences
Behavior of split brain patients. (2010). Macalester University. Retrieved April 5,
2010 at http://www.macalester.edu/psychology/whathap/ubnrp/Split_Brain/Behavior.html
A brief history of split brain experiments. (2010). Macalester University. Retrieved April 5,
2010 at http://www.macalester.edu/psychology/whathap/ubnrp/Split_Brain/Pioneers.html
It is the same as the patient not knowing that they had a ghost surgery conducted on them. The patient has the right to know that someone else will be performing the surgery in case they want to decline from having the surgery. The patient may not want a student to be cutting on them. Furthermore, it is wrong for the patient not to know everything before signing the release, which includes the procedures of ghost surgery.
However, in cases like Shorter v. Drury in 1985 where the patient knew the consequences of her procedure, which was major blood loss and she would need blood transfusions in order to recover. She refused to give the physician permission to give her blood if she needed it. Unfortunately, she died because the physician could not give her blood. In this sense, the patient knew what was going on and knew the consequence…...
mlaBibliography
Quinbee. (1963). Retrieved April 21, 2012, from Tunkl v. Regents of the University of California: http://www.quimbee.com/cases/707263
Quinbee. (1985). Retrieved April 21, 2012, from Shorter v. Drury: http://www.quimbee.com/cases/707252
1936
First observation of corneal flattening as a result of traumatic injury by Tsutomu Sato. Conceives of principle of principles of transverse and radial keratotomy but first attempts produce cloudy tissue due to approach from under the cornea.
1948
First attempt at mechanically repairing corneal tissue by surgical removal, reshaping, and replacement of flap by Jose Barraquer.
1960's
adial Keratotomy developed and introduced by Svyatoslav
Fyodorov. Approaches incisions from outside the eye and solves cloudy tissue development problem encountered by Sato.
1975-79
Development of excimer laser technology.
1983
First surgical application of excimer laser on corneal tissue by Stephen Trokel
1987
First excimer laser surgery on human eye by Theo Seiler
1991
First LASIK procedure by Stephen Brint
1995
Excimer laser for refractive surgery (PK) approved by U.S. FDA
for the correction of myopia with or without astigmatism
1999
First excimer lasers approved for LASIK surgery
2000
Excimer laser for LASIK to correct hyperopia approved by U.S.
FDA
2002
Wavefront guided LASIK approved for custom correction
2002
IntraLase receives FDA approval for laser assisted creation of…...
mlaReferences
EDUCASE. (2011). 7 Things You Should Know About LASIK Eye Surgery. Retrieved September 23, 2011 at http://creativecommons.org/licenses/by-nc-nd/3.0/
Find out more. 2011. FDA. Retrieved September 23, 2011 at http://www.lasik.com.au/TreatmentOptions/More-About-Lasik.aspx#experience
Goldstein, Bonnie. 2011. Is LASIK eye surgery safe? Politics Daily. Retrieved September 23, 2011 at http://www.politicsdaily.com/2011/02/10/is-lasik-eye-surgery-safe-fda-scientist-regrets-saying-yes/
Eye surgery developments. 2011. Your Health Counts. Retrieved September 23, 2011 at http://yourhealthcounts.net/lasik-eye-surgery-developments
Hospital for Special Surgery: Continuing Challenges of Growth
Any successful organization must meet the challenges of growing, that is, if it is to continue to be successful. This is true for the organization that we are focusing on for this exercise, the Hospital for Special Surgery. One of the greatest challenges in terms of both expansion and continuation of success is how to balance healthy, well-thought-out expansion against becoming over extending.
The Hospital for Special Surgery, again like other organizations, is subject to both internal and external influences and forces that can either support or disrupt the best-laid plans of managers. Good leaders of an organization try to foresee what forces may be harmful to the organization in the future and put into place defenses against them.
So what are likely to be the most important and potentially damaging forces that the hospital will face in the future. Bearing in mind that only…...
NURSING Nursing: Cardiovascular SurgeryAfter going through sections of the given book and watching a video of cardiovascular surgery, the indications and risk factors for bypass graft, aortic replacement, and valve replacement surgery include age, previous heart surgery, serum creatinine level, peripheral or cerebral vascular disease, left main artery coronary artery stenosis, and left ventricular ejection fraction, etc. (Gardner et al., 2004).The most common diagnoses observed in patients who have undergone cardiovascular surgery are: Coronary artery disease: This disease is triggered by plaque formed around the walls of the arteries responsible for pumping blood to the heart and other body parts (Centers for Disease Control and Prevention, 2021). Non-ST elevation myocardial infarction (NSTEMI): It is a type of heart attack but less harmful than the actual one since the damage caused to the heart is lower than a real heart attack (Baptist Health, n.a.). It is most commonly caused by tobacco…...
mlaReferences
C.S. Mott Children’s Hospital. (2020, August 31). Coronary artery bypass graft surgery: Self-care for recovery. https://www.mottchildren.org/health-library/ue4714abc
Gardner, S.C., Grunwald, G.K., Rumsfeld, Cleveland, J.C., Schooley, L.M., Gao, D., J.S., Grover, F.L., McDonald, G.O. & Shroyer, A.L. (2004). Comparison of short-term mortality risk factors for valve replacement versus coronary artery bypass graft surgery. The Annals of Thoracic Surgery, 77(2), 549-556. https://doi.org/10.1016/S0003-4975(03)01585-6
Melanson, P. (2001, May). Management of post-op cardiac surgery patients. Critical Care Medicine. https://www.mcgill.ca/criticalcare/teaching/protocols/cardiac
Pediatric Surgery: Providing Care for Our Youngest Patients
Pediatric surgery is a specialized branch of medicine that focuses on providing surgical care to infants, children, and adolescents. This field of medicine addresses a wide range of conditions that require surgical intervention, such as congenital anomalies, traumatic injuries, and acute or chronic illnesses. Pediatric surgeons are trained to provide comprehensive care to their young patients, ensuring that they receive the best possible outcomes.
One of the key principles of pediatric surgery is the importance of specialized care for children. Unlike adults, children have unique anatomical and physiological differences that require a different approach to surgical treatment. Pediatric surgeons are specially trained to address these differences and provide age-appropriate care that takes into account the physical and emotional needs of their young patients.
Pediatric surgery encompasses a variety of procedures, ranging from routine surgeries like appendectomies and tonsillectomies…...
mlaReferences
]1. Coran, Arnold G., et al. \"Pediatric Surgery.\" 7th ed., Elsevier Saunders, 2012.
2. Potts, W. J., and Maria Z. Matuszczak. \"Anesthesia and analgesia in neonates and children: a practical approach.\" Pediatric Clinics of North America, vol. 33, no. 3, 1986, pp. 573-590.
3. Stylianos, S., et al. \"Consensus statement for the prevention and management of pain in the newborn.\" Archives of Pediatrics & Adolescent Medicine, vol. 155, no. 2, 2001, pp.173-180.
How Greg Acquired MRSA
Greg had always been an active person, and while playing soccer with some of his friends in the spring of 2016, he tore his anterior cruciate ligament (ACL) in his right knee. Greg got into contact with one of the players, which resulted in him making sidestepping maneuvers because of the pain he was experiencing. Upon admission, it was noted that Greg was experiencing pain and swelling and the knee felt unstable (Castro, Smith, & Daccarett, 2016). The doctors recommended that Greg undergoes surgery in order to repair the torn ACL. The surgery went well without any issues and Greg was recuperating quite well. Three weeks after he was released from the hospital, Greg's recuperation had been progressing so well that the family felt they could go on a weekend getaway.
Greg is married and they have three children aged seven, five, and two years old. The family…...
mlaReferences
Carpenter, P. S., & Kendall, K. A. (2017). MRSA chronic bacterial laryngitis: A growing problem. The Laryngoscope.Castro, C., Smith, P., & Daccarett, M. (2016). Candida Glabrata Septic Arthritis Involving the Right Knee After Anterior Cruciate Ligament Graft Placement. MOJ Orthop Rheumatol, 4(4), 00147.
While it used to be primarily the face, the breasts and more visible parts of the body that people chose to have cosmetic surgery on, today they are taking things a step further. According to Davis (2002) one of the most popular "new sex surgeries" is the "designer vagina." These surgeries are supposed to improve the aesthetics of the vagina as well as make them 'tighter'.
Clearly, people are becoming bolder and surgeries are becoming more invasive. For many people, the effect these surgeries have on their relationships with their bodies is improved self-esteem and confidence. But for many others, it becomes just one part of an endless and futile attempt to attain perfection.
eferences
Davis, S.W. (2002, March 22) Loose lips sink ships, Feminist Studies
oyster, F. (2005, July 28) Hee hee: Michael Jackson and the transgendered erotics of…...
mlaReferences
Davis, S.W. (2002, March 22) Loose lips sink ships, Feminist Studies
Royster, F. (2005, July 28) Hee hee: Michael Jackson and the transgendered erotics of voice, National Sexuality Resource Center
Deep Vein Thrombosis (DVT) is a serious health conditional that has the potential for fatal consequences. This condition basically involves the development of a thrombus in a deep vein and can take place in retinal veins, cerebral sinuses, upper extremities, and hepatic. The prevention of DVT, especially after a hip or knee surgery, is a major issue because of the increased risk of developing the condition in hospitals and community healthcare facilities. Given the increased risk for developing the condition across healthcare facilities, nurses, physicians and other health professionals face the need to understand the condition, identify it, and take suitable measures to prevent it. Consequently, there are some policies, procedures or standards for preventing deep vein thrombosis.
Based on existing policies, procedures and standards, the prevention of DVT should primarily focus on addressing the triad of influential factors. These factors include hypercoagulability, vein wall trauma/dilation, and venous stasis (Bonner, 2004).…...
Ernest Hemingway’s short story “Hills Like White Elephants” is, in many ways, a traditional Hemingway tale. What we mean by that is that the story could be read in a somewhat misogynistic manner and one of the protagonists is some version of the great white hunter that plays such a recurring role in Hemingway’s stories.
To determine a thesis for the essay, it is important to understand the short story. First, the story is short. In fact, it is only four pages long. Second, the interactions in the story only cover a very short....
1. The causes and risk factors for Crohn's disease
2. The symptoms and diagnosis of Crohn's disease
3. The impact of Crohn's disease on daily life and quality of life
4. Treatment options for Crohn's disease, including medication, surgery, and lifestyle changes
5. The potential complications and long-term effects of Crohn's disease
6. The role of diet and nutrition in managing Crohn's disease
7. The emotional and psychological effects of living with Crohn's disease
8. The latest research and advancements in the treatment of Crohn's disease
9. The challenges of living with a chronic illness like Crohn's disease
10. Personal stories and experiences of individuals living with Crohn's disease.
11.....
Social media has had a significant impact on societal norms and behaviors, as shown in various thesis research studies. These studies have explored how social media has influenced everything from body image and self-esteem to political beliefs and social interactions.
One common finding in research is that social media can contribute to feelings of inadequacy and low self-esteem, particularly among young people. The constant exposure to idealized images and lifestyles on platforms like Instagram and Facebook can lead individuals to compare themselves unfavorably to others, leading to feelings of inadequacy and low self-worth.
Moreover, social media has been shown to shape societal....
Topic 1: Scoliosis: An Overview
Definition and prevalence of scoliosis
Types of scoliosis: idiopathic, congenital, neuromuscular
Risk factors and contributing factors
Symptoms and signs of scoliosis
Topic 2: Diagnosis and Treatment of Scoliosis
Diagnostic techniques: physical examination, X-rays, MRI
Non-surgical treatments: bracing, physical therapy, exercise
Surgical treatments: spinal fusion, instrumentation
Management and monitoring of scoliosis progression
Topic 3: The Impact of Scoliosis on Health and Well-being
Physical implications: pain, deformity, impaired mobility
Psychological and social consequences: body image issues, anxiety, depression
Respiratory and cardiovascular complications
Long-term effects of untreated or inadequately treated scoliosis
Topic 4: Advancements in Scoliosis Treatment
Minimally invasive surgical techniques:....
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