Psychotherapy, specifically cognitive behavioural therapy (CBT), is world renowned and considered the leading type of treatment to address issues such as anxiety, depression, post-traumatic stress disorder (PTSD), and bipolar disorder. Consisting of identifying problematic thoughts and feelings that lead to negative behaviours and substituting them with more positive patterns to trigger healthier responses, below are reasons why psychotherapy is a proven and effective method of treatment.
Wrong-site surgery can be a devastating experience for the physician, patient, and hospital. If you’re a physician and haven’t been sued for medical malpractice yet, then the sad truth is that there’s a 75% chance that you will during the course of your career. Being accused of medical malpractice as a result of wrong-site surgery can be a devastating experience. It can negatively affect your practice, your financial standing, and reputation. For this reason, we have come up with a list of strategies for wrong-site surgery prevention.
Validate Information on Site and Side
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The night before the surgery, you should validate the patient’s information needed the next day. Doing this helps prevent the last-minute rash to get everything in order. The patient also gets the chance to confirm the details of the surgery. This not only helps the staff to validate information but also helps the patient mentally prepare for the surgery the next day.
Check That All Documents Match
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A member of staff should go through all the patient’s documents to ensure that all the surgical site information matches up. Look at the informed consent form the patient signed, the procedure on the typed schedule, and the pre-operative notes written by the physician. If there are any inconsistencies, then they should be discussed by the patient and physician to confirm the site of surgery and the way forward.
Site Should Be Marked
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The surgeon performing the procedure should mark the surgical site. Doing this helps hold the surgeon performing the procedure accountable and responsible for the entire procedure. Assigning any other member of staff the responsibility to mark the surgical site increases the chances of wrong-site surgery significantly.
Put “Red Rules” in Place
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Anybody on the surgical team can stop the procedure at any point when they notice something has gone against the standard practice. This is what is referred to as the “red rules”. The surgery should only proceed after the issues raised have been resolved. No one should ignore the “red rules”, not even the lead surgeon.
Proper Training on the Use of the Surgical Checklist
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All staff members should be well trained on how to utilize the surgical checklist to prevent wrong-site surgery. The circulating nurse should be charged with the responsibility of checking off items on the list before a surgical procedure. The hospital should encourage staff members to take checklists seriously as they can be a deterrent to wrong-site surgery.
Keep the Patient in the Loop During Site and Side Marking
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The patient should be involved in the checklist process and the site and side marking that follows. Not only will the patient feel more confident about the safety policies of the facility, the chances of wrong-site surgery will be next to nil.
Share Wrong-site Surgery Incidences
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To make staff aware of the grave consequences of wrong-site surgery, it is important to share incidences that take place in the facility. Involve malpractice lawyers in the process to explain the legal implications. Care should be taken not to victimize the staff members who made the mistake during the process. It should only serve as an awareness creating tool to emphasize the importance of following safety policies.
Ensure Checklist Compliance Through Random Sampling
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Do random checks of procedures in the facility to determine compliance to the safety policy around. Make sure staff members use checklists as prescribed and involve the patient in the site and side identification process. Sampling random surgical procedures and tracking compliance will give a clear picture of the success rate of the safety policies meant to curb wrong-site surgery.
Moving can be a nightmare. Not only are you moving into a completely new environment, you have to make new friends, get a new job and replace your dentist. This doesn’t even take into account the hassle of packing, renting a moving truck and all other nitty-gritty details that come with moving. Today we’ll focus on how to find a good dentist in your area after you have moved. Check out the tips below.
ADA Certification
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Did you know that all ADA (American Dental Association) certified dentists are required to abide by a code of ethics? This is why you should start your search for a skilled and trustworthy dentist on the ADA Find a Dentist Tool. The association has a database of dentists across the country so you can be sure to get a few recommendations.
Recommendations
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You can find a dentist by asking around for one. Your friends, neighbors, and co-workers are a great place to start. You could actually use this as a reason to start a conversation with your new neighbors. If you’re still feeling a bit shy, you could simply post the question on social media. You might get tons of recommendations for dentists in your new location. Look for social media groups and communities of people in your new town to ensure you’re getting a dentist within the area.
Consultation
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Do not commit to a new dentist until you have scheduled a consultation. Use the consultation to find out about the services provided, the common procedures, dental insurance, as well as the policies and protocols. Make sure to ask any questions you might have about switching to the new dentist. Take time to talk to the dentist so that you can get a feel for whether they’re the right fit. Everything else may be great but if your personalities don’t gel, then it might be a problem. Make a point of consulting with 2 or 3 dentists before making a decision.
Consider Your Family
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If you have kids, then you might want to get a dentist that provides pediatric dentistry. If you don’t want to have to deal with multiple dentists, then go for one with a family practice that caters to everyone’s needs under one roof.
Records Transfer
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To help make your switch to the new dentist a breeze, you might need to move your records from the old dentist. To effect the transfer, call your former dentist and request them to transfer records of your checkup records, medications taken and surgeries done. This information will come in handy when the new dentist starts seeing you.
Evaluate
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To ensure you have made the right decision, schedule a consultation for an actual procedure with the new dentist. A routine cleaning will do. You will be able to see first hand how the staff performs and how the dentist treats you. Some of the other things you should look out for include cleanliness of the office, level of comfort, conversations with the dentist, and overall experience during the procedure.
You can always use the above tips to find an Oshawa dentist near you.
Are you trying to gain muscle? If the answer is yes, then you need to get outdoors and strengthen your frame. On the surface, the outdoors seems to be the last place to train when your goal is to build muscle. The reason being that in the absence of training equipment, building muscle appears to be impossible. Below are tips on how to build muscle fast when training outdoors.
Ascending/Descending Push-Ups Bleacher Workout
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Do you live close to a school with a stadium? If so, you can put the bleachers to good use. This exercise begins at the first level of the bleacher seats. Place your hands on the first seat and your feet on the ground. Execute a single push up. Ascend the entire range of steps in this manner – do a single push up with your hands on the seat above and the feet on the seat below. Once you get to the top, reverse the motion by performing a push up on each seat as you descend. Push-ups build up the triceps. Ascending push-ups build the mid and upper chest muscle. Descending push-ups build the lower chest muscles.
Beach Workout
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Working out on the beach is the second way to gain muscle. This can be attributed to one thing – resistance. This pushback is generated by the presence of both sand and water. The shifting of the sand and the waves of the water actively engage the lower part of the body.
According to the Journal of Strength and Conditioning, running in the sand increases calf circumference. Seconds sprints back and forth across the beach combine both cardiovascular conditioning and strength movements.
There are dos and don’ts with regard to this sort of workout. For starters, do not perform this workout barefoot. Wear protective footwear to avoid any sort of ankle injury. This workout should be done with as minimal downtime as possible in between exercises. However, if you are fatigued take a break and resume once you are ready to proceed.
Sailing and Rowing
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Sailing is an exercise that works out the entire body. This workout builds up body endurance, flexibility, and coordination. Add rowing to your exercise regimen and you get to develop the leg and the core muscles. This low impact cardio can result in the burning up of more than 800 calories per hour.
Mountain Biking
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Mountain biking has two distinct advantages. First, it is a form of cardiovascular exercise. Second, it builds awesome legs. As you climb steep terrain, the pressure exerted on the core and leg muscles results in the growth of muscle. Similarly, the descent downwards serves as an interval of recovery. Mountain biking challenges you both at the physical and mental level. Apart from sculpting the body, you also get an adrenaline rush that makes outdoor training much more interesting than cycling at a stationary point.
The above four exercises can be performed outdoors at no cost and in the absence of gym equipment. The target area is the core, upper, and lower body muscles. This is how to build muscle fast when training outdoors.
Due to its successful effect of freezing muscles, Botox was originally developed to treat spasms, more precisely, overactive eye spasms. However, by using Botox for this purpose, doctors saw the opportunity to use it for the treatment of superficial wrinkles because it freezes the face. On the other side, what the beauty industry does today is a terrible forcing of the fact that there is a standard of beauty that we should all aspire to. As a result, more and more people, both men and women, decide to undergo various expensive cosmetic treatments and surgical procedures to achieve the desired look. However, the most common procedure that people undergo is Botox, which is not a scary thing, given the fact that there are no side effects when it comes to this procedure. Still, what most people certainly do not know is that there are many advantages of Botox that are not reflected only in the fact that an outside appearance is improved or brought to perfection. This list will just deal with some incredible benefits of Botox that we have never known before. Let’s have a look.
Chronic migraines
A huge number of people who have strong headaches or migraines have reported that, after undergoing a Botox treatment, they experienced fewer headaches. This is also FDA approved, but doctors also do not exclude the possibility of a placebo effect. Eventually, the most important thing is that it actually helps, so this may be your long-term solution!
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Excessive underarm sweating
Underarm sweating can be a very unpleasant thing, especially during hot summer days. No matter what you use, it is always impossible to get rid of that completely. However, doctors noticed that the patients who were treated for facial spasms were sweating less, and this was also FDA approved. Some people also say that they also use Botox to treat overly sweaty hands and feet.
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Overactive bladder
One study that was conducted at the University of Chicago said that more than half of women who were treated with Botox reported about three leaks a day, compared with the average of five leaks a day at the start of the study. However, people who overuse Botox tend to have problems with the bladder in terms of completely shutting it down. This was also FDA approved.
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Depression
Believe it or not, some people who undergo Botox treatment report that certain symptoms of depression have been reduced. One small study that was conducted in 2014 including people found that 52% of people who received Botox reported a drop in symptoms of depression, compared with 15% of the people given a placebo. However, this is still not FDA approved.
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Abnormal heartbeat
One additional benefit of Botox that is almost unbelievable is the prevention of the abnormal heartbeat patterns after open-heart surgery. However, this was still not FDA approved but is taken into consideration that Botox may help patients with heart issues.
