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Thesis on aetiology of anxiety disorder in workforce
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A challenge that I had during my first clinical rotation was the first performed transvaginal scan that came earlier than I expected. It was my first contact with a transvaginal transducer, inside of a woman's body and my first scan of ectopic pregnancy. In spite of all the nervousness and without any knowledge of how the procedure is or how to find the organs by looking internally, I kept my calm and “poker face” together.
Everything started as a regular clinical day, eager to learn new scanning techniques and be helpful to the sonographers that I follow during my clinical rotation. This new case that I was about to observed, according to the previous notes were an emergency exam with a suspicion of ectopic pregnancy, however, no one was expected to be a large
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It gives you a clear image of the female pelvic organs where the organs are very close to the transducer. Even though you as a sonographer are very close to the patient, the privacy is always respected. That was my basic information about this procedure, however, nothing in how the transducer is maneuvered to find the organs or how far can be pushed in or out without hurting the patient or in this case the baby. Those are information that we introduced to us later in class.
After a laborious scanning in which the sonographer took nice and clear images of the organs and we found out the baby was 9 weeks the sonographer handed me the transducer and asked if I would like to scan. Knowing the difficulty of this case my heart stopped for the moment and I panicked inside, however, I did not hesitate to keep my calm and give a positive answer even though I did not really know what I was doing. I know how limited the scanning chances are, especially for those transvaginal procedures and I did not want to miss this opportunity due to my
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies and is provided by obstetric and gynecologic sonographers, who also provide imaging of the female reproductive system. Other types of sonography include; abdominal sonography, breast sonography, musculoskeletal sonography, neurosonography and cardiovascular sonography. Due to the vast nature of uses in sonography, most professionals study one field that they choose to specialize in. Diagnostic medical sonography is a rapidly growing field because of the increase in medical advances. The area of Cleveland, Ohio has continued to rise in the medical field with great strides, providing better career prospects with the availability of numerous employment positions.
As an ultrasound technician/sonographer I will have the ability to see dangerous defects within the human anatomy and begin a lifelong profession with many benefits. The Ultrasound was first invented in the early 1900’s and was surprisingly not used to produce photos of a fetus. In 1917 Paul Langen a marine life scientist used a form of ultrasound equipment in his attempt to detect submarines. After many failed attempts at using high frequency sound waves Dr. Ian Donald and his team in Glasgow, Scotland invented the first ultrasound machine in 1957. Dr. Donald even tested his machine on patients within a year of completing the invention, by the late 1950’s ultrasounds became routine in Glasgow hospitals.
The bulk of the patient interaction is going to take place during the actual ultrasound procedure. “The most appropriate procedure plan seeks to optimize patient safety and comfort, diagnostic ultrasound quality and efficient use of resources, while achieving the diagnostic objective examination” (CITATION). Here it is the job of the sonographer to take all the previously gathered information and develop a diagnostic procedure plan for the patient. It is important for the sonographer to keep the patients age and gender in mind and use professional medical judgment to adapt the procedure to meet the patient’s needs and enhance examination results.
Moreover, I will let the patient become familiar with any instruments such as a speculum, and demonstrate the tools that will be used to obtain tissue samples that would be used during the examination. Explaining the procedure is also a significant step; this will allow the patient have a sense of control during the examination as we ask and answer questions about their current state, that would help disseminate any concern they may have. Meanwhile, they can learn about what may happen, related to any body sensations or feelings they can experience during the procedure, all while the provider continues to develop rapport and patient’s trust
Ultrasound Technicians are very valuable in the world of health care. Also known as Diagnostic Medical Sonographer, an Ultrasound Technician uses special machines and equipment that operates on sound waves to determine or diagnose medical problems for patients. There are specializations within this field in which some individuals explore. For instance, areas of specialization includes but not limited to; pregnancy, heart health, gynecology, and abdominal sonography. Although each specializing branch has its own distinctive function, they all involve probing the body to facilitate doctors with diagnoses.
So what is ultrasound technology and how in the world does it work? The word “ultrasound” is actually the practice of using sound waves to produce an image called a sonogram. This works by the machine producing sound waves at a frequency higher than humans can hear, and sending them through a targeted area on the body. As these waves travel through the body, they hit objects such as organs, blood, and air, and bounce off of them. The more dense the surface of the object the stronger the waves will bounce, or echo back. A machine then converts these echoes into digital imaging, where a technician known as a sonographer, can view it on a computer screen in real time. For example, if gallstones are present in the gallbladder, sound waves passing through will echo off of these dense stones and they will show...
Being able to identify lumps, swelling, tissue damage, cysts, and the overwhelming news of the sex of a baby all have something in common, an ultrasound. Swelling of the spleen, kidney stones, blood clots, aneurysms, cancer and so much more can be identified through the works of an ultrasound’s imaging technique. Ultrasound involves many concepts, procedures, and careers. The amount of medical possibilities involved with ultrasounds is useful in major medical diagnostics. The field of ultrasounds and career opportunities are widely growing. As medical careers flourish, needs for technicians in many fields of medicine are increasing. Instead of a doctor choosing complex and risky surgery to find out problems within the body, they can now choose a safer path; the ultrasound path. Patient’s history and physical evaluation are building blocks to diagnostics but ultrasounds are much greater. They are powerful tools used to see beyond the skin into the depths of a person’s body. What ultrasounds are, what types there are, and what they are used for, and the education and careers available are the major themes found in research on the subject. Knowledge of ultrasound and its background may help one decide what career is best for them. Understanding the wide array of diagnostic tests and their uses are essential to figuring out what a career as a sonographer entails and the type of education that is needed. Because there are plenty of possibilities for specializing with different technologies, there is a wide variety of job opportunities in the medical imaging career. The call for ultrasound’s assistance opens new paths in future high-quality careers.
Many wonder how do ultrasounds truly work. Ultrasounds are actually more complex than what they seem to be. First, the ultrasound machine transmits high-frequency sound pulses into your body using a probe, and then sound waves travel into your body and hit a boundary between tissues (Freudenrich, 2011). An example of this would be between fluid and soft tissue and soft tissue and bone. After that, some of the sound waves get reflected back to the probe, while some travel on further until they reach another boundary and get reflected, the reflected waves are then picked up by the probe and relayed to the machine. The machine calculates the distance from the probe to the tissue or organ using the speed of sound in tissue and the time of the each echo's return. Finally, the machine displays the distances and intensities of the echoes on the screen, forming a two dimensional image like the one shown below (Freudenrich, 2011).
“Second, eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity to
..., it is necessary to describe them in detail to the patient and to give a prognosis, as far as available medical knowledge will allow, regarding the outcome of pregnancy and postnatal development. To assist the patient in making a decision on the disposition of the pregnancy, prognostication should include medically documented risk figures. Ethically, pregnancy termination should not be recommended made to the patient and her family and significant others. This option should be discussed, but the ultimate decision of whether to continue the pregnancy should be left to the patient and her family and significant others. Furthermore, I think, it is better to refer her to the teratogen or genetic counselor to help her by providing the patient with as much information as possible and encourage her to make her own decision regarding whether to continue the pregnancy.
There is also a high-resolution ultrasound scanning that can detect chromosomal and physical abnormalities in the first trimester as opposed to the second trimester. A technology such as this can create many ethical problems. Mcfadyen describes the biggest problem as being informed consent. “They may believe that it will provide information only about gestational age and be unaware of the range of abnormalities that can be detected. Recent research suggests that many women are not told beforehand of the first scan’s potential to detect fetal anomalies.”
In general, ultrasound waves produced by an instrument called transducer are sent into a patient. Some of the waves are absorbed, but the other portion of these waves are reflected when tissue and organ boundaries are encountered. The echoes produced by the reflected waves are then picked up by the transducer and translated in a visible picture often referred to as ultrasound. In the paragraphs that follow, the physics of how the transducer functions, what the ultrasound waves do, and how the image is formed will be explained.
An obstetrician is one thing, and a gynecologist is another. The job is combined together, but the two branches can be worked separately. An obstetrician is a physician who focuses and is trained in the management of pregnancy, labor, and pueperium (the period following childbirth). A physician who has specialized and trained in the health of the female reproductive system is a gynecologist. The reason the jobs are combined is because they’re both all about women. Obstetricians and Gynecologists are physicians who provide general medical care to women. They equip medical care associated with pregnancy or childbirth, and they diagnose, treat, and help prevent diseases, especially those affecting the female
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
When I was at my rotation in medical school, after seeing patients in the medicine unit and learning about diabetes, hypertension, and various other diseases, I immersed myself in the field. I tried to figure out ways of contributing to the specialty even though I was just a medical student, and made up my mind to become an internist. After finishing my internal medicine rotations, I was sent to complete obstetrics and gynecology rotations. During the rotation, I was watching the senior doctors delivering babies and treat different diseases that women encountered. I looked at the new mothers and witnessed their happiness which drove my motivation in obstetrics and gynecology. After three months of obstetrics and gynecology rotations, I began a pediatrics rotation. Seeing the children there growing and overcoming whatever ailed them, with all their tears, pain, and joy, made me so overwhelmed I wanted to become a pediatrician.