| LOVE POEM OF THE WEEK | |||
| |||
downloader
14 years ago
Thursday, March 18, 2010
Love POems.. For Who Are InLove
Wednesday, March 17, 2010
Ceiling fans
by Monkey shinesWatching the ceiling fan
holding your hand
the picture in my head is on fire
my bones are breaking
so don't hold on so tight
everything I wanted is so clear
I'm dreaming like anyone would be
watching ceiling fans with you
watching the ceiling fan
laying my head on your chest
the album of my future is beating like drums
it is so loud in my head
and I'm listening with hopeful ears
my mind filled with sweet silence
I'm finely happy like anyone would be
watching ceiling fans with you
watching the ceiling fan
breathing slowly
can't seem to close my eyes
the shutters on windows painted blue
feeling a warm breeze taking my soul away
I don't need to say a thing
I'm in love like anyone would be
watching ceiling fans with you
Hi!!
Hi!!
Me, with my love Ones..
Its A satuRday day, when this Pctures ShOt!!
She is beautiful am I riGht..hehe
Thankyou!!
for your Visit!!!
Take Care
Why Drugs Don't Help Diabetes Patients' Hearts
Doctors at the annual meeting of the American College of Cardiology in Atlanta on Sunday got some surprising news on their first day of sessions. Researchers presented three studies revealing that some of the most widely prescribed medications to reduce the risk of heart disease in Type 2 diabetes patients appeared not to provide much benefit at all.
People with diabetes are twice as likely as nondiabetics to suffer a heart attack — most diabetes patients die of heart disease — and for years, physicians have used aggressive drug treatments to lower that risk. To that end, the goal has commonly been to lower blood sugar or control blood-sugar spikes after eating, lower triglycerides and reduce blood pressure in diabetes patients to levels closer to those of healthy, nondiabetic individuals. By using medication to treat these factors, which are linked to a higher risk of heart attack and stroke in other patients, doctors assumed they would also be reducing the risk in people with diabetes. (See TIME's special report on how to live to 100.)
Now, in the aftermath of reports concluding that these targets do not cut the risk of heart disease in diabetes patients, and in some cases may even do harm, researchers are struggling to make sense of the seemingly counterintuitive data, and physicians are trying to figure out how to incorporate the findings into their practice.
Already, researchers anticipate that more careful analyses of the trial data over the coming months and years may lead to more nuanced conclusions; it may turn out, for instance, that certain subgroups of patients like younger, newly diagnosed diabetics actually benefit from the medications, even while the larger population of diabetes patients do not. (Comment on this story.)
The data come from the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial, a three-part federal study launched a decade ago to investigate whether the aggressive lowering of those key risk factors — blood sugar, cholesterol and blood pressure — would reduce heart risks in diabetes and prediabetes patients. Two years ago, the blood-sugar arm of the study was terminated, when people who drastically reduced glucose levels ended up having a higher overall mortality rate than those not receiving such intensive therapy.
See how to prevent illness at anyThe Shamrock
St. Patrick is credited with taking Christianity to Ireland around A.D. 432. To sell his message, Irish legend says he chose the shamrock as a symbol of the Christian church. Its three leaves were meant to represent the Holy Trinity: God, Son and the Holy Spirit, joined together by a common stalk. Apparently, the shamrock campaign worked: by the time of St. Patrick's death on March 17, 461, he had created a number of churches, schools and monasteries dedicated to the faith.
Read more: http://www.time.com/time/specials/packages/article/0,28804,1972553_1972551,00.html#ixzz0iR3X4aIx
Find Them!!!
Top 10 Notorious Fugitives
On March 14, the FBI's most-wanted list celebrated its 60th anniversary. Here's a look at some of the most infamous fugitives in its history
news Ule!!
Saturday night TV usually follows a predictable pattern: quiz shows, movies and sports. So Georgians were in for the shock of their lives when the progovernment Imedi station reported during prime-time viewing over the weekend that Russian tanks were yet again invading their land, barely 18 months on from the short lived war of 2008. What's more, according to the channel, the country's pro-western leader Mikheil Saakashvili had been murdered. Panic understandably ensued as people piled onto the streets, and the cell phone network collapsed. Thankfully, war had not broken out but rather Imedi had mistakenly shown details of how events might unfold if the president had been killed.
Apparently the broadcast was introduced as a simulation of possible events but this warning was clearly lost on many Georgians: people were taken to hospital suffering from stress and it's been reported that one woman, whose son was in the army, had a heart attack and died. Imedi later apologized but not before "events" in Georgia filtered across to Russia where state news agency, Interfax, broke news of the apparent invasion and Saakashvili's demise. But as foreign correspondents began to spring into action, they were soon halted in their flak jacket tracks by former reporter David Cracknell. Now working for the Georgian government, Cracknell put a swift end to the story. He sent journalists a two word text message: "Not true."
For NurSes!
Nursing
Ethics
The Center for
Ethics and
Human Rights
The Center is committed to addressing the complex ethical and human rights issues confronting nurses and designing activities and programs to increase the ethical competence and human rights sensitivity of nurses. Through the Center, ANA's abiding commitment to the human rights dimensions of health care is demonstrated.
News!!
FORT JACKSON, S.C. – New soldiers are grunting through the kind of stretches and twists found in "ab blaster" classes at suburban gyms as the Army revamps its basic training regimen for the first time in three decades.
Heeding the advice of Iraq and Afghanistan combat veterans, commanders are dropping five-mile runs and bayonet drills in favor of zigzag sprints and exercises that hone core muscles. Battlefield sergeants say that's the kind of fitness needed to dodge across alleys, walk patrol with heavy packs and body armor or haul a buddy out of a burning vehicle.
Trainers also want to toughen recruits who are often more familiar with Facebook than fistfights.
"Soldiers need to be able to move quickly under load, to be mobile under load, with your body armor, your weapons and your helmet, in a stressful situation," said Frank Palkoska, head of the Army's Fitness School at Fort Jackson, which has worked several years on overhauling the regime.
"We geared all of our calisthenics, all of our running movements, all of our warrior skills, so soldiers can become stronger, more powerful and more speed driven," Palkoska said. The exercises are part of the first major overhaul in Army basic fitness training since men and women began training together in 1980, he said.
The new plan is being expanded this month at the Army's four other basic training installations — Fort Leonard Wood, Mo., Fort Sill, Okla., Fort Benning, Ga., and Fort Knox, Ky.
Drill sergeants with experience in the current wars are credited with urging the Army to change training, in particular to build up core muscle strength. One of them is 1st Sgt. Michael Todd, a veteran of seven deployments to Iraq and Afghanistan.
Top Love Quotes & Sayings of All Time
The following is our collection of Quotes about love or Romance that we feel are the top quoted quotes of all time. We have not placed these quotes in any particular order. Make sure to check them all out, they are great! (See what users like yourself ranked as the top Love Quotes.)
1. "A kiss is a lovely trick, designed by nature, to stop words when speech becomes superfluous."
--Ingrid Bergmen
2. Love is a temporary madness. It erupts like an earthquake and then subsides. And when it subsides you have to make a decision. You have to work out whether your roots have become so entwined together that it is inconceivable that you should ever part. Because this is what love is. Love is not breathlessness, it is not excitement, it is not the promulgation of promises of eternal passion. That is just being "in love" which any of us can convince ourselves we are.
Love itself is what is left over when being in love has burned away, and this is both an art and a fortunate accident. Your mother and I had it, we had roots that grew towards each other underground, and when all the pretty blossom had fallen from our branches we found that we were one tree and not two.
- Captain Corelli's Mandolin6. "Love is the beauty of the soul."
--St. Augustine
3. "My night has become a sunny dawn because of you."
--Ibn Abbad
4. "In real love you want the other person's good. In romantic love you want the other person."
--Margaret Anderson
5. "In dreams and in love there are no impossibilities."
--Janos Arnay
7. "Love is composed of a single soul inhabiting two bodies."
--Aristotle
8. "Each moment of a happy lover's hour is worth an age of dull and common life."
--Aphra Behn
9. "Your words are my food, your breath my wine. You are everything to me."
--Sarah Bernhardt
10. "In my wildest dreams, you always play the hero. In my darkest hour of night, you rescue me, you save my life."
--Bliss and Cerney
Love POems.. For Who Are InLove
| LOVE POEM OF THE WEEK | |||
| |||
Saturday, March 13, 2010
REEL Nursing!!
The polite term for task allocation
On 11 August 2006, steven222, a Health Care Support Worker, submitted his view of team nursing:
Team nursing is the polite term for task allocation. It completely destroys all lines of accountability and responsibility as no individual nurse has both control of and responsibility for the care of any individual patient.
Team nursing consists of dividing the nursing workforce into two groups and then treating one group (staff nurses ) as too important ever to do any manual labour whilst treating the other group (HCSWs) as too gormless ever to do anything else. Then we go around looking puzzled at the fact that we don't get on! It does however make for a good ideology to justify ignoring the patients call bell if you are a staff nurse.
Team nursing reminds me of the joke about the office where four people called Everybody, Nobody, Somebody and Anybody worked - Everybody thought that Somebody would do it ; Anybody could have done it but in the end Nobody did it. Each job and patient needs one nurse who IS responsible for them not four who might be.
Team nursing also means all HCSWs are permanently confined to basic tasks regardless of their level of knowledge and experience which will ensure that the good ones quit and only the timeservers remain. Team nursing does my head in. We need a national database of all wards which practise patient allocation and which practise bloody team nursing so we know which places to go and work and which to avoid like the plague!
Not a quick fix for understaffed wards
Andrew Heenan wrote this in 2004
There really is no quick and easy answer; there are so many variables; you could just as well argue "nothing works".
A better question would be "How does it work", followed by "(How) can I apply it my area.
Team nursing will not, by itself, improve morale or reduce staff turnover; but it can (applied appropriately in suitable environment) improve nursing care, which can then contribute to staff job satisfaction, then morale, then staff turnover.
If, for example, the nursing home is on two levels, then there is a good case for considering having a team for each level; staff would know where they'd be working each day, thus reducing instantly a major anxiety for some people. If one area is seen as 'harder work' then you could arrange to periodically rotate staff, or adjust staff numbers in each area. Such increased stability would lead to better staff understanding of the need for flexibility in the case of sickness, for example, rather than (for them) a random allocation with no continuity for them or the residents.
'Geographical' division is just one perspective; are there any other ways the resident group naturally divides?
There are other issues, such as skill mix and leadership - could it be practical to have two teams, but one leader (it would need to be a good leader!)
That's just one scenario; it all depends on your local situation.
To me, primary nursing is the ideal, as I believe it offers the patient the best continuity and least potential confusion; team nursing - in practice - has almost always been about stretching resources, not really about improving anything.
In recent years, team nursing has increasingly involved RNs leading a team of untrained staff, whose 'care' the RN is accountable for. This means (of course) that the one person with nursing skills cannot actually use them, because of admin and safety responsibilities. The end of Real Nursing as we know it.
But primary nursing (in my view) cannot work in an under resourced unit, as the primary nurse and the relationship stand to 'take the blame' for the failings of the organization.
Personally, I prefer a 'group nursing' system; smallish teams, with primary nursing within the group - each member being associate nurse for the other nurses' patients. This can reduce the number of individuals involved in each patient's care, and can allow for mentorship and teambuilding within the group.
In fact, I don't know of any system that is safe when nursing is under resourced - but while nursing models have had their reputation blackened by a plethora of time wasting jargon-ridden twaddle based on poorly researched undergraduate course work, promoting independence and involving significant others remains a "least worst" option.
When planning a system of nursing, there is never - ever - a 'quick fix'.
Team Nursing CAN Work:
Ari Haytin, Student Nurse, UCSF, Submitted this 7th April 2007:
I would like to respond to the article that took the perspective that team nursing was more detrimental than beneficial. First the author believed that team nursing “destroys all lines of accountability and responsibility.” This can be the case if the unit is not a well-organized team. There are teams that people are enthusiastic and committed to being a part of and others where the morale is low and the members are not satisfied to be there.
The author’s experience of team nursing has been one of hierarchy and division, which is one way of organization, but it is important to be aware that there are other ways to organize teams. I am currently a nursing student that came from a counseling position in a community oriented public health clinic and never planned on working in a hospital partly due to the organization of many hospital units that lack a true team environment.
When I say true team environment I mean one that values all of the players on the team, that gives them all a voice and opportunities to grow and expand in their position. I have had the opportunity to observe many different units and truthfully to my surprise found that there are some units in the hospital that have amazingly well-organized teams. My first day observing at the Emergency Department the MD’s introduced themselves to me and welcomed me. The staff gave each other a lot of respect, trust and were there to assist one another when they needed it. I think this organization especially common in ICU and ED departments that have a high rate of success with their patients’ outcomes. I hope that some of the teams with low morale would look for ways of reorganizing their team instead of giving up on the team.
© July 2004, revised February 2005, June 2007
Subscribe to:
Posts (Atom)
