News – Page 2674
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Not there yet
Despite the increasing proportion of women in medicine and the changes they have brought to medical practice, they are still grossly under-represented in areas such as surgery. Barbara Millar reports
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Round the world, but still the lone female
Iona Reid has travelled the world to get to the top in her chosen career as a surgeon.
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Encouraging growth: hospital medicine
Since 1988 there has been a steady increase in the percentage of women hospital medical staff in all the main grades. Their total number has risen by 72 per cent since 1988, to 20,210 in 1998.
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'Without family support it would be
Alison Lannigan, a specialist registrar at Glasgow Royal Infirmary, has two children, aged four and 18 months, and - just a step away from becoming a consultant surgeon - has little time to spare.
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Careering down a radical path
How far will work roles change, as new technologies and service delivery patterns take shape? One trust came up with some radical ideas. John Langan and John Rogers explain
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A service scenario for asthma patients
Current reasons for admission Rapid deterioration and need for ventilation.
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The healthcare practitioner's role
Assessment of patient's condition Case history Observations (pain, blood pressure, temperature, pulse, respiratory rate, blood-glucose measurement, oxygen saturation measurement) Physical examinations and assessments Chest examination (respiratory assessment, heart, heart sounds) Abdominal examination (tenderness or guarding, swelling or oedema, bowel sounds, abnormalities) Rectal examination Vaginal examination Central nervous system assessment Patient ...
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Diagnostic tests
Decide, order and undertake appropriate tests within agreed protocols (ECG, x-ray, haematological and biochemical analysis, blood-gas analysis, request blood for transfusion, analysis of urine, stools, sputum and swabs) Order (but not perform) microbiological and virology analyses Examine and interpret the results of the tests
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Diagnosis and treatment plan
Provisional diagnosis Develop and implement treatment plan (commence oxygen, prescribe medication within agreed protocol, administer medication, catheterisation: male and female, further tests, mobilisation and rehabilitation, pulmonary rehabilitation, dietary assessment and advice, p rescription of dietary supplements, prescription and administration of IV therapy, swallowing assessment, change a peg tube, change supra-pubic ...
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Admission and discharge
Decision to admit or discharge on the basis of an x to y scoring system. For example, if the patient's score is greater than y, admit; if less than x, discharge. If the score is between x and y, refer for decision.
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Acute beds on the up - or the down
Acute bed numbers could be increased by 35,000 in the next 20 years - or cut by 23,000 - according to a longawaited report by the government's national beds inquiry.
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Waterhouse calls for more checks
A specialist NHS hospital for children with psychiatric problems has come under attack in the Waterhouse report into child abuse in north Wales.
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Watchdogs pour scorn as trusts volunteer to be CHI guinea pigs
As many as 10 trusts have volunteered to be inspected by the Commission for Health Improvement when it starts work in April.