Health care organizations struggle with educating staff on the same topics & issues in a meaningful way year after year. At The Jewish Home & Hospital in New York City, the Social Work & Staff ...Development departments collaborated on a unique staff training program for all employees. Using exercises & scenarios developed from actual situations, all staff were trained in ensuring residents rights -- specifically how they could empower themselves & their peers to create an ongoing health care culture which supports Residents Rights. Every session ended with a written personal pledge from each staff member to change one negative behavior that impacted on the residents' day-to-day experience. Creating training that addresses the specific & unique needs of each facility is always a challenge. In order to overcome this challenge, this training strategy allows staff to identify barriers within the agency that create conflicts among staff, residents, & residents' families. This identification leads to meaningful solutions. 5 References. Adapted from the source document.
This community-based investigation studied patients with acute back/neck pain and prospectively examined risk factors for chronic pain.
One hundred twenty residents (64 men, 56 women) of a rural ...community in Sweden who were off work or had been examined by a physician rural community in Sweden who were off work or had been examined by a physician because of acute low back/neck pain during a 1-year period were randomly selected to participate in the study.
All subjects were examined by a physical therapist and completed questionnaires relating to their functional ability during activities of daily living. The subjects were then prospectively followed to examine treatment content and possible factors for predicting the development of chronic pain.
The most common symptom was a dull ache (44%), mostly in the low back (56%). In spite of early care, 16 patients who were randomly selected for further study developed chronic pain during the follow-up year. The patients with chronic pain did not differ from those without chronic pain in age, amount of pain, or handicaps. The risk of developing chronic pain, however, was nearly five times higher for those patients whose pain was provoked by trunk movements in several directions at the first clinical examination. When signs of possible nerve root affection were present, the risk for chronic pain development was nearly eight times higher.
These results suggest that more attention may need to be paid to patients with these risk factors, so that effective preventive measures may be developed.
Parametric instabilities have long been studied as a potentially limiting effect in high-power interferometric gravitational wave detectors. Until now, however, these instabilities have never been ...observed in a kilometer-scale interferometer. In this work we describe the first observation of parametric instability in an Advanced LIGO detector, and the means by which it has been removed as a barrier to progress.
... in Calgary, the city said it would continue its measured approach to evicting protesters from Olympic Plaza on Wednesday despite an early morning tent fire caused by a candle that sent two young ...men to hospital with burns to their hands.\n
