General Considerations Because a discussion of reproductive issues may be difficult for some women, it is important to obtain the history in a relaxed and private setting. The patient should be clothed, particularly if she is meeting the provider for the first time. Ordinarily, the patient should be interviewed alone. Exceptions may be made for children, adolescents, and mentally impaired women, or if the patient specifically requests the presence of a caretaker, friend, or family member. However, even in these circumstances, it is desirable for the patient to have some time to speak with the clinician privately. The manner of address should be formal using the title Mrs., Ms., Miss, or Dr. with the patient’s surname, unless the patient requests otherwise. In some settings, it may be appropriate for nursing staff to be involved with history taking. A nurse may be perceived as less threatening, and may be able to take the history in a less hurried manner.1 The provider can verify the history and focus on areas of concern. Alternatively, it may be helpful to ask the patient to complete a self-history form on paper or by computer prior to speaking with the provider. This allows the provider to devote time to addressing positive responses, and ensures that important questions are not missed. Hasley2 showed that responses to a computer-based questionnaire designed to update a patient’s gynecologic history were equivalent to those obtained during a personal interview. Several studies involving patients in non-gynecologic settings have shown that patients are more likely to provide sensitive information when responding to a computer-based questionnaire as opposed to a personal interview or even a paper questionnaire.3 In order to increase a patient’s level of comfort during the interview, questions should be asked in an open-ended and nonjudgmental way. Assumptions should not be made about aspects of the patient’s background such as sexual orientation. At the conclusion of the interview, patients should be asked whether there are concerns that they would like to discuss that were not addressed previously in the interview.

The obstetric examination is distinct from other examinations in that you, the clinician, are trying to assess the health of two individuals – the mother and the fetus – simultaneously. From the initial history, you should be able to judge the health of the pregnancy, any risk factors that need to be addressed, and any concerns from the parents. The history is an opportunity for you to find out how much the parents know about pregnancy, labour and delivery and if they have any preferences to which these events are carried out. A carefully taken history will also direct your attention to specific signs during the examination. As such, it is important that you develop a concise and systematic method of taking the history and carrying out the examination so that you do not miss any important information. This article focuses primarily on the examination. Pregnancy is a sensitive issue, especially for the primigravida’s. Therefore, extra care is needed when you approach a pregnant woman. Always obtain expressed informed consent before examining her and have a chaperone accompany you throughout the examination. A walk-through of what you will be doing is a good way of reassuring the patient and allows the examination to go on smoothly. It is also important to let your patient know that if the examination is too painful, she can stop at any time she wants. Finally, before you begin, you should always wash your hands, especially at an OSCE station.

#HerniaRepair #HerniaSurgery #LaparoscopicHerniaRepair #OpenHerniaRepair #InguinalHernia #UmbilicalHernia #VentralHernia #MeshRepair #HerniaRecovery #HerniaComplications

hernia operation

hernia treatment

hernia

hernia treatment at home

hernia operation and recovery

hernia surgery and recovery

terapi hernia

inguinal hernia treatment without surgery

harnia

hernia surgery

hernia surgery animation

harniya operation

hernia symptoms men

harniya

hernia ka ilaj

hernia laparoscopic surgery animation

abdominal hernia treatment without sur...

hernia symptoms

turun berok

abdominal hernia

hernia exercises without surgery

hernia operation in 3d animation

inguinal hernia surgery

umbilical hernia symptoms and treatment

harnia operation

harniya ka ilaj

hernia animation

hernia belt

hernias

how to treat hernia without surgery

inguinal hernia recovery after surgery

ngiri

open hernia surgery

skates

turun bero

3d surgery

after hernia surgery recovery

appam kaise banate hain

hernia belt for men

hernia belt how to use

hernia exam

hernia inguinal sintomas

hernia ka operation kaisa hota hai

hernia operation ke baad exercise

hernia operation video

hernia repair

hernia repair mesh complications

hernia repair surgery animation

hernia surgery recovery tips

hernie abdominale

herniya

Try our MULTIPLE CHOICE QUESTIONS and WATCH MORE VIDEOS at www.boxmedicine.com!

Inguinal and femoral hernias need not be confusing. In this tutorial you will be presented with colourful diagrams and animations to cover important areas, such as the anatomy of what goes on in these two conditions, the examination of groin hernias and a simple explanation of the difference between incarceration, strangulation and obstruction, in and amongst a systematic look at the clinical topic. More tutorials at www.boxmedicine.com.

the video will shed some light on congential lobar emphysema. Please visit my website for discliamer. www.academyofprofessionals.com

Physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills and tools of health history and physical exam. To collect data- information about the client’s health, including physiological, psychological, sociocultural and spiritual aspects To establish actual and potential problems To establish the nurse-client relationship Method: The history is done first, then the physical examination focuses on finding data associated with the history. Health History- obtained through interview and record review. Physical exam- accomplished by tools and techniques ** A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. On admission, you will do an admission assessment (not necessarily including everything presented here) and document it on the admission form. You will do a daily shift assessment (patient systems review). And, if client has a specific problem, you may assess only that part of the body (focused). Data Collection: Information is organized into objective and subjective data: Subjective: Apparent only to person affected; includes client’s perceptions, feelings, thoughts, and expectations. It cannot be directly observed and can be discovered only asking questions. Objective: Detectable by an observer or can be tested against an acceptable standard; tangible, observable facts; includes observation of client behavior, medical records, lab and diagnostic tests, data collected by physical exam. ** To obtain data for the nursing health history, you must utilize good interview techniques and communications skills. Record accurately. DO NOT ASSUME. D. Frameworks for Health Assessment There are two main frameworks utilized in health assessment: Head to Toe- systematic collection of data starting with the head and working downward. Functional Health Assessment- Gordon’s 11 functional health patterns that address the behaviors a person uses to maintain health. PERSON is the ACC-ADN framework for assessment. It is similar to Gordon's functional health patterns.

LDL (Bad) Cholesterol LDL cholesterol is considered the “bad” cholesterol because it contributes to plaque, a thick, hard deposit that can clog arteries and make them less flexible. This condition is known as atherosclerosis. If a clot forms and blocks a narrowed artery, heart attack or stroke can result. Another condition called peripheral artery disease can develop when plaque buildup narrows an artery supplying blood to the legs. View an animation of cholesterolHDL (Good) Cholesterol HDL cholesterol is considered “good” cholesterol because it helps remove LDL cholesterol from the arteries. Experts believe HDL acts as a scavenger, carrying LDL cholesterol away from the arteries and back to the liver, where it is broken down and passed from the body. One-fourth to one-third of blood cholesterol is carried by HDL. A healthy level of HDL cholesterol may also protect against heart attack and stroke, while low levels of HDL cholesterol have been shown to increase the risk of heart disease.

Watch Dr. Robert Thomas, of Panorama Orthopedics & Spine Center, perform a Mako Knee replacement. He narrates each step of the process.

SSFTV is the official YouTube channel of the Seattle Science Foundation. Subscribe now to be updated on the latest videos: tinyurl.com/yt8kt8mg.


The Seattle Science Foundation is a not for profit organization dedicated to advancing the quality of patient care through education, research, innovation and technology. As a physician driven organization, we have created a trusted community of nationally recognized experts from the world’s best medical and academic institutions.

To join our upcoming meeting for CME credit, visit https://www.ssfcme.org.

Get Social With SSF:
On Instagram: https://www.instagram.com/seattlesciencefoundation
On Facebook: https://www.facebook.com/SeattleScienceFoundation
On Twitter: https://twitter.com/seattlescifdtn
On LinkedIn: https://www.linkedin.com/company/756824
On YouTube: http://www.ssfyoutube.org

Learn More at http://www.seattlesciencefoundation.org



Dr. Rod J. Oskouian, is a neurosurgeon who specializes in the diagnosis and treatment of complex spinal disorders. Dr. Oskouian is currently the Chief of Spine at the Swedish Neuroscience Institute and President and CEO of the Seattle Science Foundation. His research and clinical focus is on scoliosis, spinal deformities and anomalies, osteoporosis, spinal cord injury, degenerative disc disease, spinal oncology, stereotactic spinal radiosurgery, and minimally invasive spinal surgery. He has published in numerous medical journals and textbooks, including Neuroscience, Neurosurgery, Neurosurgical Clinics of North America, the Journal of Neurosurgery, Neurosurgical Focus and Spine.

Few facts and information are summed up in this short video related to Mental Health, Psychiatry and Depression.

The spleen is an organ in the upper far left part of the abdomen, to the left of the stomach. The spleen varies in size and shape between people, but it’s commonly fist-shaped, purple, and about 4 inches long. Because the spleen is protected by the rib cage, you can’t easily feel it unless it’s abnormally enlarged. The spleen plays multiple supporting roles in the body. It acts as a filter for blood as part of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight certain kinds of bacteria that cause pneumonia and meningitis.

Knee replacement involves replacing a knee joint that has been damaged or worn away, usually by arthritis or injury. Find out more here: http://bit.ly/MAdfmE

The content is intended for general information only and does not replace the need for personal advice from a qualified health professional.

With help from Trisolt Video Productions. We created a video to help payer sources, caregivers, and Healthcare Profesionals relate to the concept of not recycling Intermttent Catheters. Take a look and let us know what you think. If you would like to learn more about our Service Plus Program. Please call 800-747-0246 or visit www.colonialmed.com

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. However, you may meet the diagnostic criteria for premature ejaculation if you: Always or nearly always ejaculate within one minute of penetration Are unable to delay ejaculation during intercourse all or nearly all of the time Feel distressed and frustrated, and tend to avoid sexual intimacy as a result Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

Laparoscopic varicocellectomy

High Quality Surgical videos and uncut stories ▶ https://surgeoncut.com

DMC Pediatric Plastic and Reconstructive Surgeon Dr Arlene Rozzelle and her team of specialists repair a newborn’s cleft lip.

The language is chinese mandarin(Putonghua)