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Patient assessment medical
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Subjects This study was conducted on 75 healthy University of Sydney medical science students of both sexes and varying ages and body types. All participants were given ethical and safety awareness of the experiment, and had a choice to participate. Their medical conditions (i.e. allergies) and any previous morning medication taken were considered prior to allowing them to participate.
Ischemic induced pain The ischaemic pain was produced in the participants’ non-dominant arm by using a sphygmomanometer cuff, which was inflated and maintained at 200 mmHg. The subject squeezed a handheld force measuring device, maintaining a constant force of 10 kg (females) or 20 kg (males) for 3 seconds. This was repeated at 10-second intervals
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The participants stated their pain level as it changed, following the specific assessment of pain mentioned. Scores were recorded along with time of recording (seconds) The experiment was conducted for a maximum duration of 2 minutes, where t=0 was when the participant submerged his hand. Again, a stopwatch was used to keep track of time. Once the threshold of tolerance was exceeded the experiment was ceased, preventing any risks of injury. This assessment was used consistently throughout the experiment. The ice bath consisted of a plastic container, with ice and water, where ice was added periodically to maintain the temperature throughout the course of the study. This test was conducted twice for each participant, prior to and 60 minutes after consuming …show more content…
Subjects were then single-blindedly allocated into one of three groups, all of which involved consuming two tablets orally. Medical conditions and recently consumed medications were taken into account before assigning the subjects into their respective groups. The groups were as follows; group A (n=24) consumed 2 placebo tablets, group B (n=25) consumed 2 paracetamol tablets (1000 mg), and group C (n=26) consumed 1 Panadeine (8mg codeine) and 1 paracetamol tablet (1000 mg). If the subject weight less than 51 kg, only half of the mentioned doses was given. After drug administration, participants rested for 60 minutes to allow digestion of the drugs. After which, they repeated the ischemic and cold-induced pain
The subject’s forearm was prepared by cleaning the surface of their skin (the flexor digitorum superficialis muscle) and the bony prominence of their wrist with an alcohol swab, and the EMG adhesive electrodes where placed on the belly of the flexor digitorum superficialis muscle. The positive electrode was placed more proximal to the elbow, while the negative electrode was placed more mid-distally. The grounding (noise reducing) electrode was places on the bony prominence of the wrist, and the force transducer was setup to achieve a stable baseline. The subject was then instructed to the support their forearm over the edge of the table or on their leg with the wrist in a semi-flexed position, and when ready squeeze the force grip transducer as hard as possible. For the first/”fast” time interval of the experiment, the subject made ten squeezes as fast as possible with one second per squeeze intervals, and the force onset, EMG onset, difference between force onset and EMG onset, peak EMG amplitude, and peak force amplitude were observed and recorded. The experiment was then repeated for a medium, three seconds per squeeze, and slow, five seconds per squeeze time intervals with the same variables observed and
The IRB is an administrative body which has been established to make sure research participants' rights are protected. IRBs review all aspects of the researchers' project: the study design, the recruitment process, the participant population, the informed consent document and process, the risk/benefit ratio, privacy and confidentiality, data storage and protection, and safeguards for vulnerable participants (University of St. Francis, n.d.). In this way, participants' rights are protected because the effort is made even before the research begins. The review process ensures that participants are chosen fairly and informed adequately and the information collected during research is safeguarded through collection, use, and storage. Research using human participants is such an important part of medicine that it is imperative it is performed in a way that its intrigue is not compromised.
The first article is entitled “of mice but not men: problems of randomized clinical trials,” is written by Samuel Hellman and Deborah S. Hellman discusses the issues of randomized medical testing and experiments on patients. The article describes the role of the personal physician and how the physician can take an ethical or unethical path of treating his/her patients. The relationship between the patient and physician is greatly emphasized because according to the article trust is very valuable in medicine especially when a patient’s life is at risk. A Kantian and a Utilitarian view of randomized clinical trials are debated but the authors clearly steers towards a Kantian point of view.
Anonymous. "Human Experimentation: An Introduction to the Ethical Issues." The Physicians Committee. N.p., 22 June 2015. Web. 28 Apr. 2017.
...d a gap in the number of studies conducted regarding this issue. From the studies reviewed, the results demonstrate that the increasingly health related issue of polypharmacy among the elderly requires the immediate attention of health care professionals. The studies revealed that in conjunction with medication reviews (brown bag), the STOPP criteria is a tool in which can be effective in detecting PIMs. The studies also revealed that nurses are in the position to address and assess for adverse drug reactions associated with polypharmacy by utilizing the “brown bag”, medication review, and STOPP criteria. Regarding the PICO question, the results of these studies support the essential need of medication reviews to be implemented by nurses and healthcare professionals at every provider visit to reduce the risk of polypharmacy and its associated adverse reactions.
Potent pain medication contains the aspects of utilizing medications such as morphine or demerol, how the medications are dispensed, and t...
Guidance for Ethics Review of Health-Related Research with Human Participants. Availiable at: http://whqlibdoc.who.int/publications/2011/9789241502948_eng.pdf (Accessed: 28 January).
Once subject was briefed, the pulse plethysmography was attached to the first or middle finger of their left hand to measure heart rate. The subject was asked to keep this hand at their side, hanging freely, with minimal movement to get the best reading. The respiration monitor was then placed at the bottom of the sternum approximately 1inch above the diaphragm to measure breath rate. The first set of measurements was taken after the subject was seated, calm, and breathing normally. This set of data established the
This force transfers into the arteries and arterioles in other parts of the body as the blood moves away from the heart. Once the intensity drops and the stress on the heart decreases, the pressure in the arteries also reduces due to the less forceful contractions. Therefore, the hypotheses were accepted based on the averages of the data collected during the experiment. However, in order to have more accurate data, a larger sample size would be needed. In addition, using machines to measure heart rate and blood pressure could make the data more accurate than the process that was used in this experiment. Increased accuracy could also have been seen if there were more trials done when taking heart rate and blood pressure during the exercise stages and then averaging those
...tein, G. and Stubhaug, A. (2008). Assessment of pain. British Journal of Anaesthesia. 101 (1), pp 17-24.
Firstly, nurses are expected to practice evidence-based health care hence a mastery of information about the essential and safe dose of drugs for a patient is very important for a nurse. Consequently, it could be the determinant between the life and the death of the patient. Pharmacology is a discipline which is mandatory for the nurse to excel in to be efficient in discharging his/her duties. Understanding which drug to use, the right dosage, the expected side effects which may occur and the contra-indications of the various drugs are key in the preservation of
To further my medical knowledge, I have enrolled and successfully passed several college courses at Kapiolani Community College. First, I’ve taken pharmacology to grasp a general overview on the different classes of medications frequently used and the pathophysiology behind them. In addition, I am currently enrolled in Health 160, which highlights major human diseases and conditions. With this class, I hope to further understand the common illnesses dealt with in the field and the best treatment in these situations.
in soft tissue mobilization pressure.” Medicine and Science in Sports and Exercise. April 1999: 531-5.
Cold water can cause vasoconstriction which will help stop the blood from running into an area of acute injury.1 A systematic review by Waller , Lambeck , and Daly, composed of thirty-seven aquatic therapy studies with one thousand and seven participants, and picked seven of those studies and used McGill Pain Questionnaire, Oswestry Disability Index, the number of work days lost from low back pain, and subjective assessment scale for pain to measure the outcomes. The SIGN 50 and PEDro scale assessment forms were used to assess the methodological quality. The results showed that aquatic therapy has a beneficial effect on low back pain, but, is no better than any other intervention.8 This study demonstrated that aquatic therapy can be beneficial
The first characteristic isage, which is divided into three categories 18-24, 25-50 and more than 50. According to the data, In the age group18-24 the patients taking opioids have twice the chance of treatment failure than the patient who aren’t taking opioids. Whereas the relation between opioid prescription and treatment failure in other age group is not significant.