Nursing Path

CARING is the essence of NURSING. -Jean Watson

Nursing Path

Knowing is not enough, we must APPLY. Willing is not enough, we must DO. -Bruce Lee

Nursing Path

Treat the patient as a whole, not just the hole in the patient.

Nursing Path

Success is not final. Failure is not fatal. It is the courage to continue that counts. -Winston Churchill

Nursing Path

A problem is a chance for you to do your best. -Duke Ellington

Olympic champion nurse interviewed as she prepares to return to ward

Ahead of her return to work as a nurse this week, Olympic curling champion Vicky Wright has spoken to Nursing Times about her gold medal win, the similarities between her sport and her job, and how nursing will “definitely” be part of her future. Ms…

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Hopes raised for end of palliative care ‘post-code lottery’ in England

Nurses providing end-of-life care to patients in England are set to receive a “boost”, thanks to an amendment of the Health and Care Bill being debated in the House of Lords this week. The amendment, expected to pass through the House of Lords on Tuesday,…

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Incoming student loan changes could ‘deter’ future nurses, warns RCN

Concerns have been raised over future changes to the student loan repayment system which will see newly registered nurses start paying their debts sooner and over a longer period of time. The Royal College of Nursing has warned that plans put forward by the government…

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Nursing community expresses solidarity with nurses in Ukraine

Nurses from the UK and around the world are sending messages of solidarity and support to their colleagues in Ukraine, as shocking news and images show nurses struggling to keep working while under Russian attack. The International Council of Nurses (ICN) issued a statement saying…

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RCN to launch ballot over 4% pay offer for nurses on Isle of Man

Nurses on the Isle of Man are to be balloted on whether they deem a 4% pay increase acceptable or not. The latest and final pay offer from the island’s health and social care provider, Manx Care, for 2021-22 has come after nine months of…

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Staff burnout ‘threat’ to future success of Covid-19 vaccination programme

The Covid-19 vaccination programme in England has saved lives and reduced serious illness and hospitalisation, but staff burnout poses a risk to its ongoing success, according to a report from the National Audit Office (NAO). The NAO reports that the vaccination programme in England met…

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Nurses walking ‘a marathon a week’ while on shift, survey suggests

Nursing staff in the UK are walking the equivalent of a marathon at work every week, according to a snapshot survey of frontline workers. Research conducted by the Blue Light Card, a discount service for NHS, social care and other emergency services, showed “nursing” was…

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Severe Covid-19 infection linked to increase in risk during pregnancy

Pregnant women who are admitted to hospital with severe Covid-19 are at increased risk of serious birth complications, a UK study has shown. Women in their third trimester, those who are aged 30 or over or who have gestational diabetes, and women who are of…

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Health secretary promises first ‘digital health plan’ this spring

A first-of-its-kind Digital Health Plan is to be published this spring, the health and social care secretary has announced. It will cover how the government plans to drive “digital change” across the NHS and social care, and build on lessons learned during the coronavirus pandemic.…

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Covid pressure on community mental health ‘leading to more sections’

Pandemic pressures on community mental health services may be leading to more people being detained under the Mental Health Act (MHA), a report from the Care and Quality Commission (CQC) has suggested. The CQC’s Monitoring Mental Health Act report for 2020/21, published this week, is…

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Nurses with Covid-19 ‘should not attend work’, confirms guidance

Nurses employed across health and social care settings in England should not go to work if they test positive for Covid-19, new guidance has confirmed. The UK Health Security Agency (UKSHA) has today outlined how health and care providers should manage staff, patients and residents…

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Government puts forward 3% pay uplift for NHS nurses in England

The government has recommended a 3% pay uplift for NHS nurses and other health workers in England for 2022-23. In written evidence submitted by the Department of Health and Social Care to the NHS Pay Review Body for this year’s pay round, it said there…

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Mental health service access targets ‘need backing with funding’

New access and waiting time measures for mental health services would be welcomed by NHS staff and patients, but meeting them will require significantly more investment in services and workforce, mental health nursing representatives have said. The results of an NHS England consultation, carried out…

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NMC outlines steps for closing Covid-19 emergency register

The Nursing and Midwifery Council has released fresh details on the closure of its Covid-19 emergency register, in line with the government’s plans for ‘living with’ the virus. The nursing regulator will stop accepting new nurses and midwives onto its emergency register from 24 March,…

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Call to improve supernumerary time for ward managers in Wales

Action must be taken to address “unacceptably high” levels of ward managers working as part of shift numbers and without protected supernumerary time in Wales, according to a new report. More than a quarter of ward managers surveyed by the Royal College of Nursing Wales…

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Exercise may up impact of pre-surgical chemo for oesophageal cancer

Exercise in patients about to start oncology treatment may increase the positive impact of pre-surgical chemotherapy for those with oesophageal cancer, according to UK researchers. In a small trial, the first study of its kind, they found tumour shrinkage was greater in patients who did…

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Daily exercise in early old age may stave off later heart disease

At least 20 minutes of exercise a day at the age of 70 may best stave off major heart disease, including heart failure, in late old age, according to Italian researchers. As a result, cardiovascular benefits might be achieved by improving physical activity “earlier in…

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Boosting MS nurse provision ‘matter of urgency’, warns charity

An additional 150 multiple sclerosis (MS) specialist nurses are needed across the UK to meet demand, according to a leading charity, which has laid bare the concerning number of staff working above recommended caseload levels. The MS Trust has today revealed the results of two…

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Living with Covid-19: What new plan means for nurses

The emergency nursing register and free testing for NHS nurses are among the Covid-19 measures that look set to end, under the prime minister’s new plan for living with the virus in the long term. Speaking in the House of Commons yesterday, Boris Johnson said…

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Open letter calls on ONS to update ‘nurse’ occupational category

The body that leads on the collection and publication of statistics in the UK is being urged to update the way it records data relating to registered nurses. A group of nurses has written an open letter, which is accepting signatories, to the Office for…

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Ketamine an ‘effective treatment’ for some suicidal hospital patients

Ketamine can be a fast-acting, efficient treatment for patients hospitalised for severe suicidal thoughts, according to a clinical trial in France. The results suggest that some patients with severe suicidal ideation, particularly those with bipolar disorder, could benefit from ketamine, as current treatment options are…

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Physical activity monitors have ‘small to moderate’ impact in adults

Physical activity monitors, such as fitness apps and wearable activity trackers, that provide direct feedback to users, do help to boost activity levels in adults, according to researchers. However, the effects are small to moderate, equivalent to around 1,200 extra steps a day and 50…

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‘Most vulnerable’ to be offered extra Covid-19 booster jab this spring

An additional Covid-19 booster is to be offered to individuals across the UK who are deemed most vulnerable, including residents in care homes for older adults, the government has announced. Today, health and social care secretary Sajid Javid confirmed he had accepted latest advice from…

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Mental health nurses ‘sharing what role is actually like’ on awareness day

Social media is being flooded with posts about why mental health and mental health nursing are important, as part of an annual campaign launched by a nurse. Today marks the third Mental Health Nurses’ Day, which was created by mental health nurse Ed Freshwater in…

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Nurse part of team bringing home Olympic gold for Team GB

A surgical nurse from Scotland has been crowned an Olympic curling champion at the 2022 winter games. Vicky Wright, of NHS Forth Valley, and her teammates have brought home Great Britain’s only gold medal, after beating Japan 10-3 in the women’s curling final on Sunday.…

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‘Increased risk’ of mental health disorders after Covid-19 infection

Covid-19 is associated with an increased risk of mental health disorders, including anxiety, depression, substance use, and sleep disorders, up to a year after initial infection, a study suggests. The findings, published in the British Medical Journal, suggest that tackling mental health disorders among survivors…

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Amphetamine use linked to five-fold heightened risk of psychosis

The illicit use of amphetamines, commonly known as ‘speed’, is linked to a five-fold heightened risk of psychosis, according to findings from a long-term study. Those behind the research said the increased risk was seen across all age groups, but was especially noticeable in women…

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TISSUE

Definition: Tissue may refer to a group of biological cells that perform a similar way to function.

Histology: It is a branch of medical science which deal with the study of tissue.

Types of Tissue

1.     Epithelium Tissue:

·       (EpI-Upon Thelium-membrane)

·       This tissue grows upon a basement membrane.

·  Epithelial layers contain no blood vessels, so they must receive nourishment via diffusion of substances from the underlying connective tissue, through the basement membrane.

Classification of Epithelium Tissue:


A.    Based on number of layers:

·       Simple Epithelium: It is a single layered or one cell thick. Every cell in direct contact with the underlying basement membrane

·       Stratified Epithelium: It is multi-layered.

B.    Morphology of their cells:

·       Squamous epithelium (flat and scale like cells)

·       Cuboidal epithelium (Cube-shaped cells)

·       Columnar epithelium (Column-Shaped cells)

Epithelium tissue is present in outer layer of skin, inner lining of mouth, digestive tract, visceral organ, blood vessels and glands.

Functions of Epithelium Tissue

·       This tissue is responsible for absorption of water & nutrient, elimination of waste, secretion of enzymes, hormones and protection.

 

2.     Connective Tissue: Connective tissue that connects supports, bind or separates other tissues or organs. All connective tissue consists of three main components:

·       The cells of connective tissue include fibroblast, adipocytes, macrophages, mast cells etc.

·       The fibers: elastic, collagenous fibers.

·       The ground substances (matrix)

Types of Connective tissue:

There are three types of connective tissue:

a)     Fibrous connective tissue: e.g. Adipose tissue, Areolar tissue

·       Ligaments: the fibrous connective tissue which joint bone to bone strongest ligaments of human body is illio femoral ligament which joint hip joint (ilium) to femur in front of the joint.

·       Tendon: The fibrous connective tissue which joint bone to muscle. Strongest tendon of human body is Achilles tendon of heal cord or calcaneal tendon, situated at back of the leg, which joint the heal bone to calf muscle.

b)    Skeletal connective tissue: It include bone and cartilage

·       Osteoblast: bone forming cell.

·       Osteoclast: bone destructing or shaping cell.

·       Chondroblast: cartilage forming cell.

v The fibrous connective tissue and skeletal connective tissue provide the mechanical support to human body.

c)     Fluid connective tissue:

·       It includes blood, plasma and lymph.

·       The matrix of fluid connective tissue is in liquid state.

 

3.     Muscular Tissue: muscular tissue is soft tissue that composes muscle and gives rise to muscle ability to contract.

·       Myocyte: Muscle forming cell.

·       Myogenesis: The process of muscle formation.

Types of Muscular tissue:

There are three types of muscle in human body:

a)     Skeletal muscle: they are striated in structure and under voluntary control is situated in association with skeletal muscle are multinucleated usually. The skeletal muscles form 40 to 50% of body mass.

·       Sarcomere: it is defining as the structural and functional unit of skeletal muscle. It is also called the basic contractile unit of muscle.

·       Functions: they carry out movement of the body, maintain the posture of the body and support the body.

b)    Smooth muscle: Smooth muscle is situated in association with visceral, it is also called visceral muscle. They are Non-striated and Involuntary in nature.

·       Function: they are responsible for the contractility of hollow organs, such as blood vessels, GI Tract, bladder etc.

c)     Cardiac Muscle: They forms the musculature (myocardium) of the heart. These muscles are striated and Involuntary in nature.

·       Function: cardiac muscles are the self –contacting, automatically regulated and must continue to contract in rhythmic fashion for the whole life of the human.

4.     Nervous Tissue: Nervous tissue consists of Neurons and supporting cells.

·       Neuron or nerve cell is defined as the structural and functional unit of nervous system.

·       Neuron is similar to any other cell in the body having nucleus and all the organelles in cytoplasm, however, it is different from other cell by two ways:

                      i.          Neuron has branches or processes called Axon and Dendrites.

                    ii.          Neuron does not have centrosome, so it cannot undergo division that’s why have minimum power or regeneration.

Types of Nervous tissue:

On the basis of function, nerve cells are classified in to two types:

a)     Sensory or afferent Neurons: They carry the sensory impulses from periphery to CNS.

b)    Motor or Efferent neurons: They carry the motor impulses from CNS to periphery.

v Synapse: The junction by which the neurons communicate with each other.

Anatomy and Physiology Quiz Series 

Coronary Artery Disease 



Health bodies demand ‘cautious and evidence-led approach’ to ending Covid-19 rules

Any move to scrap remaining Covid-19 restrictions must be done with caution and with the backing of “sound” scientific evidence, nursing and other health leaders have warned. Next week the government is expected to outline its plan for “living with Covid-19”, which is rumoured to…

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Switching asthma patients to dry powder inhaler is ‘greener option’

Switching patients with asthma from a metered-dose inhaler to a dry powder inhaler more than halves the carbon footprint of treatment without worsening symptoms, according to UK researchers. They suggest that such a substitution would be an acceptable and worthwhile “green” option for most patients…

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Nuffield Health appoints former Army CNO as new clinical director

The former chief nursing officer of the British Army, who helped the NHS set up the Nightingale Hospitals in response to Covid-19, is taking on a new role in the independent health sector. Alison McCourt has been appointed as Nuffield Health’s clinical services director to…

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Third of older adults ‘develop new conditions’ after Covid-19 infection

A high proportion of older patients go on to develop a new condition requiring contact with healthcare services, following infection with Covid-19, according to researchers. They said their findings could help anticipate the scale of future health complications and improve planning for use of healthcare…

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