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HOW TO BE A GOOD NURSE

PREFACE    

 

 To the Readers, embarking on the creation of “How to Be a Good Nurse” has been both a privilege and a passion. This book is born from the belief that nursing is not just a profession but a profound journey of compassion, skill, and continuous growth. In these pages, you will find more than information; you will discover a reservoir of insights, anecdotes, and practical wisdom garnered from the diverse tapestry of the nursing world. As a nurse, educator, and lifelong learner, my goal is to offer you a compass in your own journey whether you are a novice navigating the early stages of your career or a seasoned professional seeking to enrich your practice. This book is not a prescription but a conversation, a dialogue that invites you to reflect, learn, and evolve. Each chapter is crafted with care, addressing the multifaceted aspects of nursing from foundational skills to the intricacies of ethical decision-making, from the art of communication to the challenges of leadership. Consider this book as a companion, accompanying you through the highs and lows, the triumphs and tribulations inherent in the noble path of nursing. Thank you for entrusting me with a small part of your learning journey. May “How to Be a Good Nurse” inspire you, challenge you, and above all, empower you to be the exceptional nurse you aspire to become. With heartfelt dedication,

[Nr. Ahmad Adam R.N]

CHAPTER ONEFOUNDATION OF NURSING PRACTICE   

INTRODUCTION

In the heart of healthcare lies a profession that blends science with humanity, and that is the essence of nursing. “How to Be a Good Nurse” is not a mere manual but a compass guiding you through the labyrinth of nursing, helping you unlock the secrets to being not just a good nurse but an exceptional one. As you flip through these pages, envision a journey that transcends textbooks and enters the pulse of real-life patient care. This book is a tapestry woven with the threads of empathy, expertise, and unwavering commitment a guide for those who seek not just a career but a calling. From mastering clinical skills to navigating the complex web of ethical decisions, we embark on a quest to equip you with the armor of knowledge and the wings of compassion. Whether you’re a novice nurse stepping into the world of healthcare or a seasoned professional looking to refine your craft, this book is a roadmap to excellence. Join me as we explore the art and science of nursing a journey that transforms the ordinary into the extraordinary, the routine into the remarkable. “How to Be a Good Nurse” is more than a book; it’s an invitation to embrace the challenges, celebrate the victories, and, above all, embrace the profound impact you can make in the lives of those entrusted to your care.

Ethics in Nursing

Ethics in nursing refers to the moral principles and standards that guide the behavior and decisions of nurses in their professional practice. It involves a set of principles that govern the nurse’s conduct, emphasizing values such as honesty, integrity, and respect for the dignity and rights of patients. Ethical considerations in nursing include respecting patient autonomy, maintaining confidentiality, and making decisions that prioritize the well-being of the patient.

Values in Nursing

Values in nursing encompass the core beliefs and principles that shape a nurse’s attitudes and actions. These values influence how nurses interact with patients, families, colleagues, and the broader healthcare community. Common nursing values include compassion, empathy, altruism, integrity, and a commitment to providing high-quality patient care. Values in nursing serve as a foundation for ethical decision-making and guide nurses in delivering patient-centered and culturally sensitive care.

The significance of ethics and values in healthcare is profound, influencing various aspects of patient care, professional conduct, and the overall functioning of the healthcare system. Here are some key reasons why ethics and values play a crucial role in healthcare:

1. Patient-Centered Care:

Ethics and values guide healthcare professionals to prioritize the well-being and autonomy of patients. This ensures that patient care is focused on meeting individual needs and preferences.

2. Trust and Professionalism:

Adherence to ethical standards builds trust between healthcare providers, patients, and the community. Professionalism, rooted in ethical conduct, enhances the credibility and reputation of healthcare professionals and institutions

3. Informed Decision-Making:

Ethical principles, such as autonomy and informed consent, empower patients to actively participate in their healthcare decisions. This fosters a collaborative approach between healthcare providers and patients

4. Patient Advocacy:

Ethical nurses and healthcare professionals act as advocates for their patients, ensuring their rights are respected and their best interests are represented in the healthcare decision-making process

5. Quality of Care:

Ethical conduct contributes to the delivery of high-quality healthcare. Following ethical guidelines ensures that healthcare professionals provide evidence-based, effective, and safe care, contributing to positive patient outcomes.

6. Equity and Fairness: Ethical considerations address issues of fairness and equity in healthcare delivery. Ensuring equal access to healthcare services and avoiding discrimination are fundamental ethical principles.

7. Team Collaboration:

Shared ethical values foster collaboration among healthcare team members. This enhances communication, coordination, and mutual respect among professionals from different disciplines, ultimately benefiting patient care.

8. Legal Compliance:

Adherence to ethical standards often aligns with legal requirements. Healthcare professionals and institutions that uphold ethical principles are more likely to comply with legal regulations, reducing the risk of legal issues.

9. Public Perception and Reputation:

Healthcare organizations and professionals with a strong commitment to ethics and values are viewed positively by the public. This positive perception contributes to a good reputation and can attract patients and support from the community.

10. Prevention of Exploitation and Abuse:

Ethical guidelines serve as a safeguard against potential abuse or exploitation of vulnerable populations. They establish boundaries and standards to protect patients from harm.

11. Continuous Improvement:

Ethical reflection and adherence to values encourage a culture of continuous improvement in healthcare. Professionals engage in ongoing education and self-assessment to stay updated on ethical considerations and best practices.

In summary, ethics and values are foundational to the ethical practice of healthcare, ensuring that patient care is compassionate, respectful, and aligned with the principles of justice and beneficence. They contribute to a healthcare environment that prioritizes the needs and well-being of patients while fostering professionalism and trust among healthcare providers.

LEGAL ASPECT OF NURSING

The legal aspects of nursing encompass a range of regulations and laws that govern the practice of nursing to ensure patient safety, quality care, and ethical standards. Here are key legal aspects relevant to nursing:

1. Licensure and Certification:

Nurses must obtain and maintain a valid nursing license to practice legally. Licensing requirements vary by jurisdiction, and nurses must adhere to the regulations set by nursing boards or regulatory bodies.

2. Scope of Practice:

Each nurse must work within their defined scope of practice, which outlines the specific activities and responsibilities they are authorized to perform. Deviating from the scope of practice may lead to legal consequences.

3. Documentation and Record-Keeping:

Accurate and timely documentation of patient care is a legal requirement. Nurses must maintain detailed records of assessments, interventions, and patient outcomes, as these documents are essential for communication, continuity of care, and legal protection.

4. Informed Consent:

Nurses play a role in obtaining informed consent from patients before medical procedures or treatments. Understanding and respecting the legal principles of informed consent is crucial to avoid legal issues related to patient autonomy.

5. Confidentiality and HIPAA Compliance:

Nurses are obligated to maintain patient confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). Unauthorized disclosure of patient information can lead to legal consequences.

6. Mandatory Reporting:

Nurses are mandated reporters, required to report instances of abuse, neglect, or certain communicable diseases. Failure to report as mandated by law can result in legal consequences.

7. Patient Rights:

Nurses must be aware of and respect patients’ rights, including the right to privacy, dignity, and access to quality care. Violation of patient rights may lead to legal actions.8.Professional Liability (Malpractice):

Nurses can be held legally accountable for professional negligence or malpractice. Malpractice claims may arise if a nurse fails to meet the standard of care, leading to harm or injury to the patient.

9. Whistleblower Protection:

Nurses who report unlawful or unsafe practices within their workplace, known as whistleblowers, are protected by law from retaliation. Reporting concerns about patient safety is considered an ethical and legal obligation.

10. Workplace Safety:

Nurses have the right to work in a safe environment. Employers are legally obligated to provide a safe workplace, including measures to prevent workplace violence and exposure to hazardous materials.

11. Continuing Education and Competency:

Legal requirements often mandate that nurses engage in ongoing education to maintain and update their professional competence. Failure to meet these requirements may affect licensure and legal standing.

12. Advance Directives and End-of-Life Care:

Nurses must understand and respect legal documents such as advance directives and living wills. Compliance with legal requirements for end-of-life care, including do-not-resuscitate (DNR) orders, is essential.

Staying informed about these legal aspects is crucial for nurses to practice ethically, protect themselves legally, and provide safe and effective patient care. It’s important to note that legal requirements may vary by jurisdiction, so nurses should be familiar with the specific laws and regulations applicable in their practice area.

PROFESSIONAL CODES OF ETHICS

Professional codes of ethics serve as guiding principles for individuals within a specific profession, outlining expected standards of conduct, professional responsibilities, and ethical behavior. In the context of nursing, there are prominent codes of ethics that nurses adhere to. Here are two significant examples:

American Nurses Association (ANA) Code of Ethics for Nurses:

The ANA Code of Ethics for Nurses is a foundational document that provides guidance for ethical nursing practice. It consists of nine provisions, each addressing a specific aspect of ethical behavior in nursing. Some key principles include:

Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.

Provision 3: The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.

International Council of Nurses (ICN) Code of Ethics for Nurses:

The ICN Code of Ethics is a global framework that sets forth the ethical standards for nurses worldwide. It emphasizes the nurse’s commitment to promoting health, preventing illness, and advocating for the rights of patients. Key principles include:

Principle 1: Nurses and nursing care have human rights and the rights of people to receive information, participate in decision-making, and receive competent care based on ethical standards.

Principle 4: Nurses have the responsibility to maintain the highest standards of health care and provide services with respect for human dignity and cultural differences. These codes of ethics share common themes such as respect for human dignity, advocacy for patient rights, maintaining confidentiality, and providing competent and compassionate care. Nurses are expected to integrate these ethical principles into their daily practice, fostering a commitment to professionalism and patient-centered care.

It’s essential for nurses to familiarize themselves with the specific code of ethics relevant to their region or professional organization. Adhering to these codes not only ensures ethical nursing practice but also contributes to building trust with patients, colleagues, and the broader healthcare community.

The exploration of nursing codes of ethics involves a deeper understanding of the principles and provisions that guide ethical nursing practice. Let’s delve into some key aspects of the American Nurses Association (ANA) Code of Ethics for Nurses, as it is a widely recognized and influential code in the field:

Overview of ANA Code of Ethics for Nurses:

Provision 1: The Nurse Practices with Compassion and Respect for the Inherent Dignity, Worth, and Unique Attributes of Every Person.

Implications:

  • Nurses are called to recognize and respect the individuality of each patient.
  • Emphasis on providing care that is considerate and understanding of the patient’s values, beliefs, and cultural background.

Provision 3: The Nurse Promotes, advocates for, and Protects the Rights, Health, and Safety of the Patient.

Implications:

  • Nurses are advocates for patients, ensuring their rights are upheld.
  • Responsibility to create a safe and healthy environment for patients, addressing potential risks and advocating for necessary resources.

Provision 4: The Nurse Has Authority, Accountability, and Responsibility for Nursing Practice.

Implications:

  • Nurses have a duty to maintain competence and continually enhance their professional skills.
  • Accountability for their nursing practice, including delegation of tasks and collaboration within the healthcare team.

Provision 5: The Nurse Owes the Same Duties to Self as to Others, Including the Responsibility to Preserve Integrity and Safety, to Maintain Competence, and to Continue Personal and Professional Growth.

Implications:

  • Nurses are encouraged to prioritize their own well-being to provide effective care.
  • Continuous self-reflection, professional development, and maintaining personal and professional boundaries.

Provision 8: The Nurse Collaborates with Other Health Professionals and the Public in Promoting Community, National, and International Efforts to Meet Health Needs.

Implications:

  • Emphasis on interdisciplinary collaboration for the benefit of patient care
  • Involvement in community health initiatives and advocating for healthcare policies that address public health needs.

Provision 9: The Profession of Nursing, as Represented by Associations and their Members, is Responsible for Articulating Nursing Values, for Maintaining the Integrity of the Profession and its Practice, and for Shaping Social Policy.

Implications:

  • Nurses and nursing associations play a role in shaping the profession and influencing policies.
  • Advocacy for nursing values and the overall integrity of the profession.

Conclusion: The ANA Code of Ethics for Nurses provides a comprehensive framework that encourages nurses to integrate ethical considerations into their practice. It emphasizes the importance of patient-centered care, professional responsibility, self-care, collaboration, and advocacy. This exploration serves as a guide for nurses to navigate ethical dilemmas and contribute to the advancement of the nursing profession.

Understanding and adhering to professional standards is crucial for nurses to ensure high-quality patient care, maintain ethical conduct, and contribute to the overall integrity of the nursing profession. Here are some key aspects of understanding and adding to professional standards in nursing:

Understanding Professional Standards:

Code of Ethics:

Familiarize yourself with the nursing code of ethics relevant to your region or professional organization (e.g., ANA Code of Ethics). Understand the principles and provisions that guide ethical nursing practice.

Scope of Practice:

Clearly understand your defined scope of practice, which outlines the activities and responsibilities you are authorized to perform. Adhering to this scope ensures safe and legal nursing practice.

Licensing Requirements:

Stay informed about the licensing requirements in your jurisdiction. Ensure that your nursing license is current and that you meet any continuing education or renewal requirements.

Professional Organizations:

Engage with professional nursing organizations (e.g., American Nurses Association, International Council of Nurses) to stay updated on industry standards, best practices, and emerging trends.

Clinical Guidelines and Protocols:

Adhere to evidence-based clinical guidelines and protocols relevant to your specialty. Stay informed about updates and revisions to ensure current and effective practice.

Quality Improvement:

Participate in quality improvement initiatives within your healthcare setting. Contribute to efforts that enhance patient outcomes, safety, and overall quality of care.

Adding to Professional Standards:

Continuing Education:

Pursue continuous professional development through ongoing education. Attend workshops, conferences, and training sessions to stay updated on new technologies, treatments, and best practices.

Research and Evidence-Based Practice:

Contribute to the advancement of nursing knowledge by staying informed about current research. Consider engaging in research projects or incorporating evidence-based practices into your clinical setting.

Mentorship and Leadership:

Serve as a mentor to less experienced colleagues and contribute to the professional development of others. Consider taking on leadership roles that allow you to influence and shape nursing practice within your organization.

Advocacy and Policy Involvement:

Advocate for policies and practices that promote patient rights, safety, and improved healthcare outcomes. Get involved in discussions and initiatives that impact the nursing profession at a broader level.

Interdisciplinary Collaboration:

Foster collaboration with other healthcare professionals to promote a multidisciplinary approach to patient care. Contribute to effective communication and teamwork within the healthcare team.

Self-Reflection and Professionalism:

Engage in regular self-reflection to assess your own professional growth and areas for improvement. Uphold the highest standards of professionalism, ethics, and integrity in your interactions with patients, colleagues, and the community.

By actively understanding and contributing to professional standards, nurses play a pivotal role in maintaining the integrity of the nursing profession and ensuring that patient care is of the highest quality. Continuous learning, advocacy, and leadership contribute to the ongoing advancement of nursing practice and standards.

CHAPTER TWOCLINICAL SKILLS AND TECHNIQUES    

CLINICAL SKILLS AND TECHNIQUES

Clinical skills and techniques are essential for nurses to provide safe, effective, and patient-centered care. Here’s an overview of some key clinical skills and techniques that nurses commonly utilize in various healthcare settings:

1. Patient Assessment:

Technique: Conduct thorough physical assessments, including vital signs, neurological assessments, and focused assessments based on the patient’s condition.

Skill: Ability to systematically and accurately assess a patient’s health status, identifying potential issues or changes.

2. Medication Administration:

Technique: Administering medications via various routes, ensuring accurate dosage and adhering to safety protocols.

Skill: Proficiency in calculating dosages, understanding medication interactions, and maintaining meticulous documentation.

3. Intravenous (IV) Therapy:

Technique: Inserting and managing intravenous lines, administering fluids and medications intravenously.

Skill: Competence in venipuncture, selecting appropriate IV sites, and preventing complications related to IV therapy.

4. Wound Care:

Technique: Assessing and dressing wounds, preventing infections, and promoting optimal wound healing.

Skill: Understanding wound types, using aseptic techniques, and selecting appropriate dressings based on the wound’s characteristics.

5. Patient Positioning and Mobility:

Technique: Safely assisting patients with positioning, transferring, and mobilizing.

Skill: Preventing patient injuries, maintaining proper body mechanics, and addressing the individualized mobility needs of patients.

6. Nursing Procedures:

Technique: Performing various nursing procedures such as urinary catheterization, NG tube insertion, and tracheostomy care.

Skill: Following evidence-based protocols, ensuring patient comfort, and minimizing the risk of complications.

7. Cardiopulmonary Resuscitation (CPR):

Technique: Administering CPR in emergency situations to restore cardiac and respiratory function.

Skill: Mastery of chest compressions, airway management, and defibrillator use to respond effectively to cardiac arrest.

8. Physical Examination:

Technique: Conducting systematic head-to-toe physical examinations to assess overall patient health.

Skill: Competence in performing focused examinations based on patient complaints or specific health conditions.

9. Communication Skills:

Technique: Effective communication with patients, families, and healthcare team members.

Skill: Active listening, empathy, and clear communication to establish rapport, provide information, and address patient concerns.

10. Electronic Health Record (EHR) Use:

Technique: Navigating and documenting patient information in electronic health record systems.

Skill: Ensuring accurate and timely documentation, maintaining patient confidentiality, and utilizing technology for efficient care delivery.

11. Pain Management:

Technique: Assessing and managing pain using various interventions and medications.

Skill: Tailoring pain management plans to individual patient needs, evaluating effectiveness, and addressing potential side effects.

12. Infection Control:

Technique: Implementing infection prevention measures, including hand hygiene, isolation precautions, and proper use of personal protective equipment (PPE).

Skill: Minimizing the risk of healthcare-associated infections and promoting a safe environment.

Conclusion: Nurses continually enhance and update their clinical skills and techniques through ongoing education, training, and practical experience. The mastery of these skills is integral to delivering high-quality, patient-centered care in diverse healthcare settings.

CHAPTER THREECOMMUNICATION SKILLS    

 

COMMUNICATION SKILLS

Communication skills are fundamental for nurses to establish rapport with patients, collaborate with the healthcare team, and ensure effective care delivery. Here are key aspects of communication skills for nurses:

1. Therapeutic Communication:

Definition: Therapeutic communication is a dynamic and purposeful interaction between the nurse and the patient that promotes a positive and healing relationship.

Skills:

  • Active Listening: Giving full attention, providing feedback, and demonstrating understanding.
  • Empathy: Understanding and sharing the feelings of the patient.
  • Open-ended Questions: Encouraging patients to express themselves in their own words.

2. Patient and Family Education:

Definition: Effectively conveying health information to patients and their families to empower them in making informed decisions.

Skills:

  • Clear Explanation: Using simple language, avoiding jargon, and ensuring patient comprehension.
  • Encouraging Questions: Creating an environment where patients feel comfortable asking questions.
  • Use of Visual Aids: Utilizing visual materials to enhance understanding.

3. Interdisciplinary Communication:

Definition: Collaborating and communicating with members of the healthcare team to ensure comprehensive patient care.

Skills:

  • Effective Handoff: Providing accurate and concise information during shift changes.
  • Team Meetings: Actively participating in team discussions and sharing relevant patient information.
  • Conflict Resolution: Addressing conflicts professionally and finding solutions collaboratively.

4. Nonverbal Communication:

Definition: Conveying messages without using words, including facial expressions, body language, and gestures.

Skills:

  • Eye Contact: Establishing and maintaining appropriate eye contact to convey attentiveness.
  • Body Language: Using open and welcoming gestures to enhance communication.
  • Facial Expressions: Displaying empathy and understanding through facial cues.

5. Cultural Competence:

Definition: Recognizing and respecting diverse cultural backgrounds and effectively communicating across cultural differences.

Skills:

  • Cultural Awareness: Being aware of one’s own cultural biases and beliefs.
  • Language Competency: Utilizing interpreters when needed and respecting linguistic diversity.
  • Cultural Sensitivity: Adapting communication styles to meet the cultural needs of patients.

6. Confidentiality and Privacy:

Definition: Respecting and protecting patient privacy by maintaining confidentiality.

Skills:

  • Secure Information Sharing: Ensuring that patient information is shared only with authorized individuals.
  • Closed-Door Conversations: Conducting private discussions in appropriate settings.

7. Professional Boundaries:

Definition: Maintaining appropriate professional relationships with patients and colleagues.

Skills:

  • Maintaining Objectivity: Avoiding personal disclosure and keeping the focus on patient care.
  • Respecting Personal Space: Being mindful of physical boundaries and personal space.

8. Empathetic Communication:

Definition: Conveying understanding and compassion to patients, acknowledging their emotions.

Skills:

  • Reflective Responses: Mirroring the patient’s feelings to convey empathy.
  • Validation: Recognizing and validating the patient’s emotions and experiences.

Conclusion: Communication skills are integral to the nursing profession, influencing patient outcomes, satisfaction, and the overall quality of healthcare delivery. Continuous development and refinement of these skills contribute to effective patient care and positive interactions within the healthcare team.

CHAPTER-FOURCRITICAL THINKING AND DECISION-MAKING    

 

CRITICAL THINKING AND DECISION MAKING

Critical thinking and decision-making are integral skills for nurses, allowing them to assess situations, analyze information, and make informed choices that positively impact patient care. Here’s an exploration of critical thinking and decision-making in the context of nursing:

Critical Thinking:

Definition: Critical thinking is the ability to objectively analyze information, assess situations, and make reasoned judgments.

Key Components:

  1. Analysis: Breaking down complex information into manageable parts.
  2. Evaluation: Assessing the reliability and relevance of information.
  3. Inference: Drawing logical conclusions based on available evidence.
  4. Problem-solving: Developing solutions to challenges or issues.

Application in Nursing:

  • Clinical Reasoning: Applying critical thinking to clinical situations for effective decision-making.
  • Diagnostic Reasoning: Formulating accurate nursing diagnoses based on patient assessment.

Example: When faced with a patient exhibiting unusual symptoms, a nurse uses critical thinking to analyze the symptoms, consider potential causes, and determine the appropriate course of action for further assessment or intervention.

Decision-Making:

Definition: Decision-making involves choosing a course of action from several alternatives, considering potential outcomes and their consequences.

Key Components:

  1. Identification of Options: Recognizing possible courses of action.
  2. Consideration of Consequences: Evaluating potential outcomes and impacts.
  3. Risk Assessment: Weighing the risks and benefits associated with each option.

Application in Nursing:

  • Clinical Decision-Making: Choosing the most appropriate interventions based on patient needs and evidence-based practice.
  • Prioritization: Ranking nursing interventions based on the urgency and importance of patient needs.

Example: Faced with conflicting patient priorities, a nurse employs decision-making skills to prioritize interventions, considering the urgency of each task and the potential impact on patient outcomes.

Integration in Nursing Practice:

Patient Assessment: Critical thinking is essential in accurately assessing patient conditions, recognizing patterns, and identifying relevant data.

Care Planning: Nurses utilize critical thinking to develop individualized care plans based on patient needs, integrating evidence-based practices.

Communication: Effective communication with patients, families, and the healthcare team requires critical thinking to convey information clearly and gather relevant data.

Problem-Solving: Nurses engage in problem-solving to address unexpected challenges, adapting care plans as needed for optimal patient outcomes.

Continuous Development:

Education: Nurses engage in ongoing education to stay current with medical advancements, evidence-based practices, and evolving healthcare standards.

Reflection: Regular reflection on clinical experiences helps nurses identify areas for improvement and refine their critical thinking and decision-making skills.

Interdisciplinary Collaboration: Collaborating with other healthcare professionals enhances critical thinking by incorporating diverse perspectives in decision-making processes.

Conclusion: Critical thinking and decision-making are dynamic processes that are central to nursing practice. Developing and honing these skills contribute to the provision of high-quality,

patient-centered care and the continuous improvement of nursing practice.

CHAPTER-FIVEPROFESSIONAL DEVELOPMENT    

PROFESSIONAL DEVELOPMENT

Professional development in nursing is a lifelong, intentional process of acquiring knowledge, skills, and experiences to enhance one’s abilities and advance within the nursing profession. Here are key aspects and strategies for effective professional development in nursing:

1. Continuous Learning:

Education and Training: Attend workshops, conferences, and seminars to stay updated on the latest advancements in healthcare.

Pursue additional certifications or advanced degrees to expand knowledge and expertise.

2. Specialization and Certification:

Specialization: Consider specializing in a particular area of nursing, such as critical care, pediatrics, or oncology.

Certification: Obtain relevant certifications to validate specialized skills and demonstrate commitment to professional excellence.

3. Clinical Experience:

Diverse Clinical Exposure: Seek diverse clinical experiences to broaden skills and understanding across different patient populations and healthcare settings.

4. Mentorship:

Establish Mentorship Relationships: Seek mentorship from experienced nurses or nursing leaders to gain insights, guidance, and advice in navigating your career.

Consider becoming a mentor to support the development of less experienced colleagues.

5. Professional Networking:

Professional Organizations: Join nursing associations and organizations to connect with peers, attend networking events, and access resources.

Online Platforms: Engage in online forums and social media groups to stay connected with the nursing community and share experiences.

6. Leadership Development:

Leadership Courses: Participate in leadership development programs or courses to enhance skills in management, decision-making, and team collaboration.

Leadership Roles: Take on leadership roles within your organization or professional associations to gain valuable leadership experience.

7. Research and Evidence-Based Practice:

Stay Informed: Stay updated on current research and evidence-based practices relevant to your area of nursing. Consider participating in research projects or contributing to evidence-based practice initiatives.

8. Interdisciplinary Collaboration:

Collaborate with Other Healthcare Professionals: Engage in collaborative projects with professionals from other healthcare disciplines to broaden perspectives and enhance teamwork.

9. Reflective Practice:

Self-Reflection: Regularly reflect on your nursing practice, identifying strengths, areas for improvement, and setting goals for professional growth.

Seek constructive feedback from peers and supervisors to inform your reflective practice.

10. Technology Integration:

Digital Literacy: Enhance digital literacy skills to effectively use technology in nursing practice. Stay informed about advancements in healthcare technology and incorporate relevant tools into your workflow.

11. Workshops and Seminars:

Participate Actively: Attend workshops and seminars on topics relevant to nursing practice, leadership, and personal development. Engage actively in discussions, share experiences, and learn from other participants.

12. Goal Setting:

Personal and Professional Goals: Set short-term and long-term goals for personal and professional development. Regularly revisit and adjust goals based on evolving career aspirations and industry changes.

Conclusion: Effective professional development is a dynamic and ongoing process that contributes to the growth and success of nurses throughout their careers. By embracing a commitment to continuous learning, seeking diverse experiences, and staying connected with the nursing community, nurses can enhance their skills, advance their careers, and make meaningful contributions to patient care.

CHAPTER SIXCOMPASSIONATE AND PATIENT CARE    

COMPASSIONATE AND PATIENT CARE

Compassionate patient care is a cornerstone of nursing practice, emphasizing empathy, understanding, and a patient-centered approach. Here are key elements and strategies for providing compassionate patient care:

1. Empathy:

Understanding the Patient’s Perspective: Take the time to listen actively and understand the patient’s feelings, concerns, and experiences. Demonstrate empathy by acknowledging emotions and validating the patient’s experiences.

2. Communication:

Clear and Open Communication: Communicate with patients in a clear and understandable manner, avoiding medical jargon. Encourage questions and actively involve patients in their care decisions.

3. Respect and Dignity:

Respectful Interactions: Treat each patient with respect, recognizing their individuality and cultural background. Ensure privacy and maintain dignity during all aspects of care.

4. Active Listening:

Engaging in Active Listening: Practice active listening by giving full attention, making eye contact, and providing verbal and nonverbal cues that show attentiveness. Confirm understanding by summarizing or repeating information shared by the patient.

5. Personalized Care:

Individualized Care Plans: Develop care plans that are tailored to the unique needs, preferences, and values of each patient. Consider cultural, spiritual, and personal factors in providing personalized care.

6. Emotional Support:

Being Emotionally Present: Offer emotional support by being present, expressing genuine concern, and providing comfort during challenging times. Recognize and address emotional needs as an integral part of patient care.

7. Compassionate Touch:

Appropriate Physical Contact: Use compassionate touch when appropriate, such as holding a patient’s hand or offering a reassuring gesture. Ensure sensitivity to cultural and individual preferences regarding physical contact.

8. Cultural Competence:

Understanding Cultural Influences: Be aware of cultural differences and how they may impact a patient’s perceptions of care. Respect diverse cultural beliefs and practices in the provision of care.

9. Advocacy:

Patient Advocacy: Advocate for the patient’s rights, ensuring that their preferences and concerns are communicated and respected. Address any barriers to care and actively work to meet the patient’s needs.

10. Continuity of Care:

Consistent and Coordinated Care: Ensure continuity of care by coordinating with the healthcare team and providing consistent, reliable support. Communicate effectively during transitions of care to maintain a seamless patient experience.

11. Professional Boundaries:

Maintaining Professionalism: Establish clear professional boundaries while maintaining a compassionate and caring demeanor. Demonstrate empathy without over-identifying with patients to ensure objectivity.

12. Reflective Practice:

Continuous Self-Reflection: Engage in regular self-reflection to assess your own communication style, attitudes, and behaviors. Seek feedback from peers or mentors to enhance your capacity for compassionate care.

Conclusion: Compassionate patient care is an ongoing commitment that requires a combination of interpersonal skills, cultural sensitivity, and a patient-centered mindset. By integrating these elements into nursing practice, healthcare professionals can create a supportive and empathetic environment that contributes to positive patient experiences and outcomes.

11 Early Symptoms of Dementia

Dementia is a broad term for conditions that can impair someone’s ability to remember, process information, and speak. Early indicators can include issues with short-term memory and word finding.

Although dementia symptoms can vary due to the underlying cause, some key symptoms are common early indicators of this condition.

This article will take a closer look at 11 of the most common early symptoms of dementia and what to do if you notice them.

Early indicators of dementia


Memory problems alone don’t mean you have dementia. The symptoms must significantly interfereTrusted Source with your everyday life for a doctor to diagnose dementia.

Dementia can cause impairments that affect:

•Memory
•Reasoning and problem-solving abilities
•Language skills
•Communication
•Focus
Depending on the cause, if a doctor diagnoses dementia early, treatment options may help slow cognitive decline.

1. Subtle short-term memory changes
Having trouble with memory can be an early symptom of dementia. The changes are often subtle and tend to involve short-term memory. A person with dementia may be able to remember events that took place years ago but not what they had for breakfast.

A person with dementia may have other changes in their short-term memory, such as:

forgetting where they placed items
struggling to remember why they entered a particular room
forgetting what they were supposed to do on any given day
difficulty finishing a task they started, like forgetting to turn off the oven after cooking


2. Difficulty finding the right words
Another early symptom of dementia is difficulty with communicating thoughts. A person with dementia may have difficulty explaining something or finding the right words to express themselves. They may also stop in the middle of a sentence and not know how to continue.

Having a conversation with a person who has dementia can be challenging, and it may take longer than usual for them to express their thoughts or feelings.

3. Changes in mood
A change in mood is also common with dementia. If you have dementia, it may not be easy to recognize this in yourself, but you may notice this change in someone else. Depression, for instance, is common in the early stages of dementia.

Someone who has dementia may also seem more fearful or anxious than they were before. They may get easily upset if their usual daily routine changes, or if they find themselves in unfamiliar situations.

Along with mood changes, you might also notice a shift in personality.

4. Apathy
Apathy, or listlessness, is a common symptom of early dementia. A person with dementia may lose interest in hobbies or activities they used to enjoy. They may not want to go out anymore or have fun.

They may also lose interest in spending time with friends and family and seem emotionally flat.

5. Difficulty completing tasks
A subtle shift in the ability to complete everyday tasks is another possible early indicator of dementia. This usually starts with difficulty doing more complex tasks, like:

•Keeping track of bills and finances
•Following a recipe

•playing a game that has a lot of rules Along with completing familiar tasks, a person with dementia may find it hard to learn new things or follow new routines.

6. Confusion
Someone in the early stages of dementia may often become confused. They may have trouble remembering faces, knowing what day or month it is, or figuring out where they are.

Confusion can occur for a number of reasons and apply to different situations. For example, they may misplace their car keys, forget what comes next in the day, or have difficulty remembering someone they recently met.

7. Difficulty following storylines
Difficulty following storylines is a classic early symptom of dementia. People with dementia often forget the meaning of words they hear or find it difficult to follow conversations or TV programs.

8. A failing sense of direction
A person’s sense of direction and spatial orientation can start to worsen with the onset of dementia. They may have difficulty recognizing common landmarks and forget how to get to places that were once familiar.

It may also become more difficult to follow a series of directions and step-by-step instructions.

9. Repetition
The person may repeat daily tasks, such as shaving or bathing, or they may collect items obsessively. They may repeat the same questions in a conversation or tell the same story more than once.

10. Difficulty adapting to change
For someone in the early stages of dementia, the experience can cause fear. Suddenly, they can’t remember people they know or follow what others are saying. They can’t remember why they went to the store and may get lost on the way home.

Because of this, they might crave routine and be afraid to try new experiences. Difficulty adapting to change is also a typical symptom of early dementia.

11. Poor judgment
Another consequence of cognitive decline is losing the ability to make good decisions. For instance, a person with dementia may be unable to recognize dangerous situations. They may try to walk across a busy street without waiting until it’s safe or head outside wearing summer clothes when it’s snowing.

Another hallmark of poor judgment with dementia is the inability to use good financial judgment. Someone who was previously careful with their money may start giving money away to people or causes they hardly know.

11 Early Symptoms of Dementia. Dementia is a broad term for conditions that can impair someone’s ability to remember, process information, and speak. Early indicators can include issues with short-term memory and word finding.

Although dementia symptoms can vary due to the underlying cause, some key symptoms are common early indicators of this condition.

This article will take a closer look at 11 of the most common early symptoms of dementia and what to do if you notice them.

Early indicators of dementia


Memory problems alone don’t mean you have dementia. The symptoms must significantly interfereTrusted Source with your everyday life for a doctor to diagnose dementia.

Dementia can cause impairments that affect:

-memory
-reasoning and problem-solving abilities
-language skills
-communication
-focus
Depending on the cause, if a doctor diagnoses dementia early, treatment options may help slow cognitive decline.

1. Subtle short-term memory changes


Having trouble with memory can be an early symptom of dementia. The changes are often subtle and tend to involve short-term memory. A person with dementia may be able to remember events that took place years ago but not what they had for breakfast.

A person with dementia may have other changes in their short-term memory, such as:

-forgetting where they placed items
-struggling to remember why they entered a particular room
-forgetting what they were supposed to do on any given day
-difficulty finishing a task they started, like forgetting to turn off the oven after cooking

2. Difficulty finding the right words

Another early symptom of dementia is difficulty with communicating thoughts. A person with dementia may have difficulty explaining something or finding the right words to express themselves. They may also stop in the middle of a sentence and not know how to continue.

Having a conversation with a person who has dementia can be challenging, and it may take longer than usual for them to express their thoughts or feelings.

3. Changes in mood

A change in mood is also common with dementia. If you have dementia, it may not be easy to recognize this in yourself, but you may notice this change in someone else. Depression, for instance, is common in the early stages of dementia.

Someone who has dementia may also seem more fearful or anxious than they were before. They may get easily upset if their usual daily routine changes, or if they find themselves in unfamiliar situations.

Along with mood changes, you might also notice a shift in personality.

4. Apathy

Apathy, or listlessness, is a common symptom of early dementia. A person with dementia may lose interest in hobbies or activities they used to enjoy. They may not want to go out anymore or have fun.

They may also lose interest in spending time with friends and family and seem emotionally flat.

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11 Early Symptoms of Dementia
Medically reviewed by Lauren Castiello, MS, AGNP-C — By Valencia Higuera — Updated on March 27, 2024
Warning signs
When to get care
FAQ
Summary
Dementia is a broad term for conditions that can impair someone’s ability to remember, process information, and speak. Early indicators can include issues with short-term memory and word finding.

Although dementia symptoms can vary due to the underlying cause, some key symptoms are common early indicators of this condition.

This article will take a closer look at 11 of the most common early symptoms of dementia and what to do if you notice them.

Early indicators of dementia
Memory problems alone don’t mean you have dementia. The symptoms must significantly interfereTrusted Source with your everyday life for a doctor to diagnose dementia.

Dementia can cause impairments that affect:

memory
reasoning and problem-solving abilities
language skills
communication
focus
Depending on the cause, if a doctor diagnoses dementia early, treatment options may help slow cognitive decline.

1. Subtle short-term memory changes
Having trouble with memory can be an early symptom of dementia. The changes are often subtle and tend to involve short-term memory. A person with dementia may be able to remember events that took place years ago but not what they had for breakfast.

A person with dementia may have other changes in their short-term memory, such as:

forgetting where they placed items
struggling to remember why they entered a particular room
forgetting what they were supposed to do on any given day
difficulty finishing a task they started, like forgetting to turn off the oven after cooking
2. Difficulty finding the right words
Another early symptom of dementia is difficulty with communicating thoughts. A person with dementia may have difficulty explaining something or finding the right words to express themselves. They may also stop in the middle of a sentence and not know how to continue.

Having a conversation with a person who has dementia can be challenging, and it may take longer than usual for them to express their thoughts or feelings.

3. Changes in mood
A change in mood is also common with dementia. If you have dementia, it may not be easy to recognize this in yourself, but you may notice this change in someone else. Depression, for instance, is common in the early stages of dementia.

Someone who has dementia may also seem more fearful or anxious than they were before. They may get easily upset if their usual daily routine changes, or if they find themselves in unfamiliar situations.

Along with mood changes, you might also notice a shift in personality.

4. Apathy
Apathy, or listlessness, is a common symptom of early dementia. A person with dementia may lose interest in hobbies or activities they used to enjoy. They may not want to go out anymore or have fun.

They may also lose interest in spending time with friends and family and seem emotionally flat.

5. Difficulty completing tasks
A subtle shift in the ability to complete everyday tasks is another possible early indicator of dementia. This usually starts with difficulty doing more complex tasks, like:

keeping track of bills and finances
following a recipe
playing a game that has a lot of rules
Along with completing familiar tasks, a person with dementia may find it hard to learn new things or follow new routines.

6. Confusion
Someone in the early stages of dementia may often become confused. They may have trouble remembering faces, knowing what day or month it is, or figuring out where they are.

Confusion can occur for a number of reasons and apply to different situations. For example, they may misplace their car keys, forget what comes next in the day, or have difficulty remembering someone they recently met.

7. Difficulty following storylines
Difficulty following storylines is a classic early symptom of dementia. People with dementia often forget the meaning of words they hear or find it difficult to follow conversations or TV programs.

8. A failing sense of direction
A person’s sense of direction and spatial orientation can start to worsen with the onset of dementia. They may have difficulty recognizing common landmarks and forget how to get to places that were once familiar.

It may also become more difficult to follow a series of directions and step-by-step instructions.

9. Repetition
The person may repeat daily tasks, such as shaving or bathing, or they may collect items obsessively. They may repeat the same questions in a conversation or tell the same story more than once.

10. Difficulty adapting to change
For someone in the early stages of dementia, the experience can cause fear. Suddenly, they can’t remember people they know or follow what others are saying. They can’t remember why they went to the store and may get lost on the way home.

Because of this, they might crave routine and be afraid to try new experiences. Difficulty adapting to change is also a typical symptom of early dementia.

11. Poor judgment
Another consequence of cognitive decline is losing the ability to make good decisions. For instance, a person with dementia may be unable to recognize dangerous situations. They may try to walk across a busy street without waiting until it’s safe or head outside wearing summer clothes when it’s snowing.

Another hallmark of poor judgment with dementia is the inability to use good financial judgment. Someone who was previously careful with their money may start giving money away to people or causes they hardly know.

When to contact a doctor
Forgetfulness and memory problems don’t automatically point to dementia. Memory lapses are a natural part of aging and can also occur due to other factors, such as:

fatigue
lack of concentration
multitasking
some nutritional deficiencies
But if you or someone you know has dementia symptoms that aren’t improving or are getting worse, talk with a doctor.

A doctor or healthcare professional will likely refer the person to a neurologist. A neurologist can examine you or your loved one’s physical and mental health and determine whether the symptoms relate to dementia or some other issue. A neurologist may order:

memory and mental health tests
a neurological exam
blood tests
brain imaging tests
Dementia is more common in people over the age of 65, but in some cases, it can also affect people in their 30s, 40s, or 50s.

With treatment and early diagnosis, you may be able to slow down the progression of dementia and maintain mental function for a longer period of time. The treatments may include:

medications
cognitive training
therapy
If you’re concerned about your forgetfulness and don’t know of any neurologists, you can view doctors in your area throu

Breast Cancer Symptoms You May Not Know

Breast cancer awareness has improved so much over the years that many women (and men) now know the major red flags of the disease. Unusual breast lumps, skin puckering, and an inverted nipple, to name a few.

But breast cancer doesn’t always have signs you can see or feel. That’s why screening tools such as mammograms are so important. There are also some less-common signs of breast cancer that can be helpful to know.

Leaking Nipple
If you’re pregnant or recently had a baby and fluid leaks from one or both nipples, it’s probably breast milk. But what if babies aren’t in the picture? Then it could be a symptom of very early breast cancer.

In one study, two women visited doctors about the whitish fluid coming from their nipples. Tests on the fluid suggested cancer. Mammograms found small, widespread spots. Both women had surgery to remove their breasts and learned they had intraductal carcinoma, an early form of breast cancer.

But it’s a lot more likely that this symptom is not a sign of breast cancer. A study of hundreds of women found that nipple discharge was not strongly linked with the disease. You may have another issue, like galactorrhea, a milky discharge caused by a higher level of the hormone prolactin. Call your doctor if you find your nipple leaking, but don’t panic.

Bloody Nipple Discharge
A lot of women fear cancer if they see a blood stain in their bra or a smear of blood on a nipple. Sometimes they’re right: It could be a sign of breast cancer. However, it’s usually harmless. There are many reasons you might have a bleeding nipple, or bloody nipple discharge, such as:

1. Intraductal papilloma, growths in breast ducts that aren’t cancer
2. Duct ectasia, when breast ducts get wider and thicker and cause fluid buildup
3. Your clothing rubs too hard on your breasts, especially when you’re physically active.


Unless you know exactly why your nipple is bleeding (for instance, because of a sports bra), mention this symptom to your doctor at your next visit. If the problem happens often, there are a few ways, including surgery, to stop the bleeding.

Swollen Lymph Nodes
Lymph nodes are clusters of cells that help your body filter out and destroy bacteria, viruses, and other harmful things that can make you sick. You know the lump you feel on one or both sides of your neck when you get a cold? Those are lymph nodes hard at work.

It’s rare, but they can also swell when you have cancer. In the case of breast cancer, swollen lymph nodes may appear near the armpit or collarbone. You may even notice them before a breast tumor is big enough to feel. Any time you have a swollen lymph node, especially if it’s near the armpit or collarbone, play it safe and get checked out by your doctor.

Itchy Nipple
Itchy nipples are common, and they usually get better on their own or with anti-itch creams.

Paget’s disease is an exception. This rare form of breast cancer starts on the nipple and extends to the surrounding skin, called the areola. Itching is a key symptom. A few others include:

-Tingling or redness on the nipple
-Flaking, crusty, or thickened skin
-A flattened nipple
-Yellowish or bloody discharge

The symptoms of Paget’s disease of the breast can look like other skin conditions, such as dermatitis or eczema. It’s easy to mistake it for those common problems at first. Be sure to follow up promptly with your doctor if your itching doesn’t go away with simple treatments. For Paget’s disease, surgery is the main treatment.

Tender, Swollen Breasts
There are several reasons you could have this symptom. Infection is a common one. Less often, inflammatory breast cancer is the cause. This rare cancer doesn’t often form a lump. Instead, your breast may go through rapid changes and become:

Visibly larger
Discolored (red or purplish)
Unusually warm
Dimpled, like an orange peel
Tender or painful

In inflammatory breast cancer, the cancer cells clog the breast’s lymph ducts, which normally drain extra fluid away. The blockage leads to fluid build-up that causes those classic symptoms.

Know Your Breasts
Doctors used to recommend that women do breast self-exams every month. The goal was to find suspicious lumps early, and many women did. But research over time showed that many of the biopsies on lumps women found during self-exams did not find cancer.

Today, doctors say most women don’t need to do self-exams. Instead, the goal is breast awareness. Get to know your breasts — the shape, feel, color, and size. When you spot any changes to your normal, that’s when to call your doctor.

Sources:

Mayo Clinic: “Breast Cancer,” “Swollen Lymph Nodes,” “Paget’s Disease of the Breast,” “Inflammatory Breast Cancer,” “Mayo Clinic Q and A: The changing recommendation on breast self-exams.”

International Journal of Preventive Medicine: “Nipple Discharge: An Early Earning Sign of Breast Cancer.”

Anticancer Research: “Predictors of Malignancy for Female Patients with Suspicious Nipple Discharge: A Retrospective Study.”

Current Treatment Options in Oncology: “Management of bloody nipple discharge.”

American Cancer Society: “Intraductal Papillomas of the Breast,” “Duct Ectasia,” “Breast Cancer Signs and Symptoms.”

Merriam-Webster: “Jogger’s nipple.”

RHESUS FACTOR INCOMPATIBILITY A LEADING CAUSE OF MISCARRIAGE!
(MUST READ)

Rhesus Factor is an antigen that exists on the surface of red blood cells in most people (about 85% of humans). It is also referred to as Rh Factor. People who have the Rh have “positive” (+) blood types, such as A+, O+ or B+ are said to be rhesus Factor positive, while those who have the Rh “negative” (-) blood types, such as A–, O– or AB– are said to be rhesus factor negative . The “+” and “-” in front of the blood group is the Rhesus factor. Generally, we have A+, A–, B+, B–, AB+, AB–, O+ and O–. Rhesus factor is genetic in nature. It is inherited from the parents, emphatically the father.

How does Rhesus Factor cause miscarriage?

If a Rh– woman is impregnated by a man with Rh–, there wouldn’t be any problem. However, if a Rh– woman is impregnated by a man with Rh+, there would be a problem if the baby inherits Rh+ from the father . We have here what is medically called Rhesus Factor Incompatibility. The baby would obviously be Rh+. During child birth, once the baby’s Rh+ comes in contact with the woman Rh- during delivery, the antibodies are immediately activated by the woman’s body’s immune system.

The activated antibodies would see the new Rh+ as foreign body or a threat and consequently they would be at alert to attack and get rid of the foreign body. Unfortunately as such, after this particular child birth, the woman would keep having miscarriages because the activated antibodies would see subsequent Rh+ pregnancies as foreign bodies and would keep fighting and taking them off.

Women with Rh activated antibodies are said to be Rh sensitized and once these antibodies are activated , they can never be deactivated until the woman dies. Rh induced antibodies are activated in a Rh- woman by child birth, abortion, miscarriage and ectopic pregnancy.

If a Rh– woman commits an abortion for a Rh+ man and the antibodies are activated in her system, the woman might end up childless throughout her life except if she later marries another man with with the same Rh–. The possibility of a Rh– woman finding a Rh– man is slim as about 85% of human beings are Rh+. This is a warning to our young girls who commits abortions all in the name of boyfriend-girlfriend relationships.

If you’re a woman with Rh– and your fiance is Rh+, and you haven’t committed abortion for him and you don’t want to leave him, then, you need to take note of the following:

In order to prevent the activation of the antibodies, doctors would give women in this category an injection called Rhogam during and after pregnancy to prevent spontaneous abortion due to Rhesus factor incompatibility. The injection is normally administered 28 weeks into pregnancy, 72 hours after delivery, after ectopic pregnancy, miscarriage or abortion. If the injection is not administered and the antibodies are activated, they would never be deactivated again!

In many African cultures up till today, women who are so unfortunate to find themselves having serial spontaneous abortions due to Rhesus factor incompatibility are considered witches by some of their people. Some of the women would accuse their in-laws of being behind their predicament.

So, if you’re a woman with Rh– , you need to be very careful. It might be difficult for you to get a husband with a Rh– because about 85% of human beings are Rh+. So, in order not to find yourself in the aforementioned problem, put all that have been said at the back of your mind and go for genetic counselling. If you have a daughter or a sister with Rh–, counsel them on Rhesus Factor Incompatibility and the dangers lying therein.

It should also be noted that a Rh– person(man or woman) cannot receive blood donation from a Rh+ person even if they have the same blood group. The consequence of such blood transfusion is fatal. It would lead to death as the blood would clot. This is due to the incompatibility in their Rhesus factor.

Know your Rhesus factor today!

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6 side effects of eating too much garlic

6 side effects of eating too much garlic

Anything in excess can be unhealthy and harmful for you, and so is garlic.

Garlic is great for immunity, which is why it is recommended during winter. There are many more health benefits of garlic, but when eaten in excess, it may pose some health threats.

Below are some adverse effects of garlic and things to consider before consuming it:

Bad odour


Garlic odour has been found to linger in the mouth long after brushing. Experts believe that the chemicals in garlic that contribute to bad breath are the same chemicals that also render it its benefits. However, bad breath can be embarrassing. Hence, you probably need to think twice before consuming garlic. You may also take precautions and use a mouth-refreshing spray.

May cause eczema or rashes


Prolonged contact with garlic may cause skin irritation. Some specific enzymes in garlic may lead to this irritation. As per anecdotal evidence, eczema could also be one of the conditions that accompany this allergy.

May aggravate (vaginal) yeast infection


Garlic cloves may irritate the tender tissue of the vagina. Certain women insert garlic cloves into the vaginas as a remedy to treat vaginal yeast infections. This is not recommended.

May cause nausea, vomiting, and heartburn

Anecdotal evidence suggests that consuming fresh garlic bulbs on an empty stomach may cause nausea, vomiting, and heartburn. Certain observational studies have also stated that taking garlic orally can cause heartburn and nausea. Excess garlic intake may also cause GERD (gastroesophageal reflux disease) in some individuals.

May aggravate bleeding


Garlic may increase the risk of bleeding. Hence, it must not be taken along with blood-thinning medications like warfarin.

This is true, especially in the case of fresh garlic. It also is better to stop garlic consumption at least 7 days before a scheduled surgery. Garlic has antiplatelet effects and may increase bleeding during surgery.

May cause headache


Garlic, especially when taken in its raw form, could trigger migraines. Though it doesn’t directly cause a migraine headache, it activates the process responsible for it.

Experts believe it may involve the trigeminal nerve – the major pain pathway in the body. Taking garlic may stimulate this nerve to release neuronal signalling molecules called neuropeptides that rush to the membrane covering your brain and cause headaches.
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What Happens If You Avoid Sex For A Long Time

Intercourse as the name implies is an intimate relationship between male and female. It is the source of pleasure and reproduction. However, it is obvious that some people tend to abstain from intercourse probably because of one reason or the other.


Intercourse as the name implies is an intimate relationship between male and female. It is the source of pleasure and reproduction. However, it is obvious that some people tend to abstain from intercourse probably because of one reason or the other.



Before you abstain from intercourse, it is important to know the effect it might have on your health. In this article in line with a publication on “Webmd”, we shall be looking at the things that may happen if you avoid intercourse for a long time.

Immune System Get Weaker

A lot of people don’t know that having a strong immune system can help them fight against diseases. According to a study, engaging in regular intercourse can help your body fight off illness, improve sleep and boost your overall health and well-being. However, having it less often might lead to more colds and the like.

Prostate Cancer

Prostate cancer is a deadly disease that affects millions of men in the world today. According to experts, how often they have intercourse may be linked to their chances of prostate cancer. Men who discharge about 21 times a month tend to stay free from prostate disease more than men who have none or less.

Stress And Anxiety

During intercourse, your body discharge hormones, like oxytocin and endorphins, that can help you manage the effects of stress. Oxytocin has the added benefit of helping you sleep.

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Drinking instant coffee is harmful for your health

Instant Coffee: Nowadays everyone is very cautious about their health and take different measures for this every day. But in today’s time we make some mistakes which are very dangerous for us. In today’s lifestyle, a person wants everything quickly. Like- instant food-instant coffee, ready to wear clothes etc. But here the question arises whether […]

Drinking instant coffee is harmful for your health

Graves’ disease


Graves’ disease is an autoimmune disorder. It causes the thyroid gland to create too much thyroid hormone in the body. This condition is known as hyperthyroidism. Graves’ disease is one of the most common forms of hyperthyroidism.
In Graves’ disease, the immune system creates antibodies known as thyroid-stimulating immunoglobulins. These antibodies then attach to healthy thyroid cells. They can cause the thyroid to create too much thyroid hormone.
Thyroid hormones affect many aspects of the body. These can include the nervous system function, brain development, body temperature, and other important elements.
If left untreated, hyperthyroidism may cause weight loss, anxiety, jitteriness, irritability, depression, and mental or physical fatigue.
symptoms of Graves’ disease
Graves’ disease and hyperthyroidism share many of the same symptoms. These symptoms may include:
hand tremors
weight loss
rapid heart rate (tachycardia)
intolerance to heat
fatigue
nervousness
irritability
muscle weakness
goiter (swelling in the thyroid gland)
frequent formed bowel movements
difficulty sleeping
A small percentage of people with Graves’ disease will experience reddened, thickened skin around the shin area. This is a condition called Graves’ dermopathy.
Another symptom the patient may experience is known as Graves’ ophthalmopathy. This occurs when the eyes may seem enlarged as a result of the eyelids retracting. When this happens, the eyes may begin to bulge from the eye sockets.
The National Institute of Diabetes and Digestive and Kidney Diseases estimates that 30 percent of people who develop Graves’ disease will get a mild case of Graves’ ophthalmopathy. Up to 5 percent will get severe Graves’ ophthalmopathy.
Common thyroid conditions in children
Children can also get thyroid conditions, including:
hypothyroidism
hyperthyroidism
thyroid nodules
thyroid cancer
Sometimes children are born with a thyroid problem. In other cases, surgery, disease, or treatment for another condition causes it.
Hypothyroidism
Children can get different types of hypothyroidism:
Congenital hypothyroidism occurs when the thyroid gland doesn’t develop properly at birth. It affects about 1 out of every 2,500 to 3,000 babies born in the United States.
Autoimmune hypothyroidism is caused by an autoimmune disease in which the immune system attacks the thyroid gland. This type is often caused by chronic lymphocytic thyroiditis. Autoimmune hypothyroidism often appears during the teenage years, and it’s more common in girls than boys.
Iatrogenic hypothyroidism happens in children who have their thyroid gland removed or destroyed — through surgery, for example.
Symptoms of hypothyroidism in children include:
fatigue
weight gain
constipation
intolerance to cold
dry, thin hair
dry skin
slow heartbeat
hoarse voice
puffy face
increased menstrual flow in young women
Hyperthyroidism
There are multiple causes of hyperthyroidism in children:
Graves’ disease
Hyperfunctioning thyroid nodules are growths on a child’s thyroid gland that produce too much thyroid hormone.
Thyroiditis is caused by inflammation in the thyroid gland that makes thyroid hormone leak out into the bloodstream.
Symptoms of hyperthyroidism in children include:
fast heart rate
shaking
bulging eyes (in children with Graves’ disease)
restlessness and irritability
poor sleep
increased appetite
weight loss
increased bowel movements
intolerance to heat
goiter
Thyroid nodules
Thyroid nodules are rare in children, but when they do occur, they’re more likely to be cancerous. The main symptom of a thyroid nodule in a child is a lump in the neck.
Thyroid cancer

Thyroid cancer is the most common type of endocrine cancer, yet it’s still very rare. It’s diagnosed in less than 1 out of every 1 million children under age 10 each year. The incidence is slightly higher in teens, with a rate of about 15 cases per million in 15- to 19-year-olds.
Symptoms of thyroid cancer include:
a lump in the neck
swollen glands
tight feeling in the neck
trouble breathing or swallowing
hoarse voice

Diagnosis of Pregnancy

DIAGNOSIS OF PREGNANCY

The reproductive period of a woman begins at menarche and ends in menopause. It usually extends from
13–45 years. While biological variations may occur in different geographical areas, pregnancy is rare below
12 years and beyond 50 years. Lina Medina in Lima, Peru was the youngest one, delivery by cesarean
section when she was only 5 years and 7 months old and the oldest one at 57 years and 4 months old.
DURATION OF PREGNANCY: The duration of pregnancy has traditionally been calculated by the
clinicians in terms of 10 lunar months or 9 calendar months and 7 days or 280 days or 40 weeks, calculated
from the first day of the last menstrual period. This is called menstrual or gestational age.
But, fertilization usually occurs 14 days prior to the expected missed period and in a previously normal
cycle of 28 days duration, it is about 14 days after the first day of the period. Thus, the true gestation period
is to be calculated by subtracting 14 days from 280 days, i.e. 266 days. This is called fertilization or
ovulatory age and is widely used by the embryologist.

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