TRENDS AND ISSUES IN MEDICAL SURGICAL NURSING ppt


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tepilah rani    on Oct 06, 2013 Says :

nice...so useful for nursing students...
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its good
bae    on Aug 14, 2012 Says :

thumbs up! monika PCON
bae    on Aug 14, 2012 Says :

sir gud job!
   on Aug 24, 2011 Says :

its good n nice slides
jitendra    on Mar 13, 2011 Says :

its very nice.... but there should be more slides on ethics also...
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1 : TRENDS AND ISSUES IN MED SURG & OVERALL SCENARIO IN INDIA
2 : Who were.. THE FIRST ‘NURSES’?
3 : PRE HISTORIC PERIOD GOD,EVIL ,SIN CAUSE DISEASE MAKING HOLES IN BODY TO WARD OFF DISEASE MIDDLE AGE care was provided primarily by religious orders , mainly by nun sisters
4 : NURSING AS A PROFESSION Emerged in late 19th century Credit is given to Florence Nightingale
5 : IN INDIA KING ASHOKA, CHARAKA,SUSRUTHA ARE IMPORTANT PERSONS EAST INDIA COMPANY INTRODUCED NURSING JAMSHETJEEJEE JEEBHOY WAS THE FIRST TRAINED NURSE
6 : CURRENT HEALTH STATUS
7 : TOP CAUSE OF DEATH IN INDIA
8 : DISEASE WISE POPULATION IN INDIA
9 : MEDICAL AND NURSING STUDIES CONDUCTED IN INDIA (CLINICALTRIAL.GOV 2008)
10 : TRENDS
11 : HEALTHCARE INDIA Beds = 0.7/1000 people Extra Beds needed = 75000 beds / per year Expected spend on = Rs.2000 billion by 2012 Healthcare % of GDP =0.9% to grow up to 8.5% of GDP Govt. Spend expected = up 6% by 2010 GDP- sum of the income generated by production in the country in a period
12 : TECHNOLOGY - TRENDS(Healthcare will be the largest user of technology and the largest Employer)` Micro-processor based implantable in patients. CPU-driven technology supported by artificial intelligence. Robotics in OTs Robotics in Path-labs / Research. Laser Technology in surgery Instrumentation in medical and surgical practices. Biotechnology, Genomics, Molecular Biology and Stem cell research.
13 : Video conferencing over very low bandwidth: Video + audio + data transmission at 28 Kbps Equipment taking rural conditions into account: completely battery operated, reengineering of probes, wireless connectivity with the PC Breaking of the cost barrier while maintaining the quality: entire telemedicine solution at affordable prices No additional software or hardware needed other than PC, web cam, internet connectivity ReMeDi Telemedicine solution ReMeDi: Remote Medical Diagnostics Medical equipment 12 channel ECG, Blood pressure, Heart sounds, Pulse rate, Temperature, Pulseoximeter, Image capture, Video and audio conferencing, Data presentation and display, Electronic patient records accessible at any time, print facility
14 : Tele-medicine cluster for villages Healthcare can reach every village with Tele-medicine Telemed Solution Telemed Solution Telemed Solution Telemed Solution
15 : ISSUES
16 : Limits to Modern Medicine 16
17 : Hospitalization – Financial Stress Only 10% Indians have some form of health insurance, mostly inadequate Hospitalized Indians spend 58% of their total annual expenditure on health care Over 25% of hospitalized Indians fall below poverty line because of hospital expenses 17
18 : Percent of Hospitalized Indians falling into Poverty 18
19 : Differentials in Health Status (States) 19
20 : SCENARIO
21 : Over the past years, we had set a bold aspiration for health in India India was a signatory to the Alma-Ata declaration 1978, to attain the global objective of “Health for All by year 2000” now “Health for all by the year 2020” Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
22 : But we are far from achieving that vision Beds Physicians Nurses Per ’000 population, 2001* Per ’000 population, 2001* Per ’000 population, 2001* 1.5 1.5 4.3 7.4 India Other low income countries (e.g., sub-Saharan Africa) Middle income countries (e.g., China, Brazil Thailand, South Africa, Korea) High income countries (e.g., US, Western Europe, Japan) 1.8 1.8 1.0 1.2 0.5** World average 0.9 1.6 1.9 7.5 Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
23 : NATIONAL SAMPLE SURVEY Demographic Facts: Longevity Life Expectancy (years) Year AGE 1941-50 32.1 1951-60 41.2 1991-95 60.3 1996-2001 62.88 2001-2006 64.77 2006-2011 66.43
24 : INDIAN HEALTHCARE CAPABILITY Over 60,000 cardiac surgeries done per year with out comes at par with international standards Multi organ transplants like Renal, Liver, Heart, Bone Marrow Transplants, are successfully performed at one tenth the cost. Patients from over 55 countries treated at Indian Hospitals.
25 : INDIAN HOSPITALS CAN OFFER MEDICAL SERVICES AT A FRACTION OF THE US / EUROPEAN COST PROCEDURE COST (US$) 7,500 ------- ------- 8,000 3,500 6,000 26,000 69,000 6,000 2,000 US UK 23,000 1,50,000 2,00,000 12,000 10,000 Heart Surgery Bone Marrow Transplant Liver Transplant Knee Replacement Cosmetic Surgery 40,000 2,50,000 3,00,000 20,000 20,000 INDIA THAILAND
26 : India has the opportunity to provide the best of the Western & Eastern healthcare systems Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA Ayurveda recognized as an official healthcare system in Hungary. Doctors in the west are increasingly prescribing Indian Systems of Medicine More than 70% of the American population prefer a natural approach to health Americans are said to spend around $ 25bn on non-traditional medical therapies and products * India’s Gift to the World Ayurveda Yoga Siddha Source : Los Angeles Times * Economic times dated 25th July 2003
27 :
28 :           The Gamma Knife® isn't really a knife at all, but radio surgery - a non-invasive neurosurgical procedure that uses powerful doses of radiation to target and treat diseased brain tissue while leaving surrounding tissue intact. Gamma Knife surgery represents one of the most advanced means available to manage brain tumours , arteriovenous malformations , pain or movement disorders. The procedure is unique because, with the Gamma Knife, no surgical incision is performed to expose the target.
29 : 1) THERA SPHERE THERAPY IN LIVER TUMOUR 2) CYBER KNIFE STEREOTACTIC RADIOSURGERY
30 : CONCLUSION
31 : 31 Challenges of the Future Immunization coverage ( TB: 68%, Measles: 50%, DPT: 70%, overall : 33%) Four major infectious diseases: Malaria, TB, HIV/AIDS, RHD Preventable blindness Population control – large northern state Alternative systems – integration Mounting cost of hospital care Health manpower training – inadequacies
32 : India needs at least 750,000 extra beds to meet the demand for inpatient treatment by 2012- opportunity in tertiary healthcare facilities. India needs at least 1 million more qualified nurses and 500,000 more doctors by 2012 as compared to existing number.- opportunity in medical education. Government and international agencies will only be able to gear up US$ 7 billion and the rest of investment has to come from private sector. Healthcare Infrastructure….. In Summation
33 : “Politics encircles us today like the coil of a snake from which one cannot get out, no matter how much one tries ” - Mahatma Gandhi 33

 

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