Reference no: EM133857274

Assignment:

The aim of this case study has been to analyze factors that hinder the provision of adequate nursing care in one emergency care unit (ECU). The research question was, What are the conditions that explain the provision of inadequate nursing care in an ECU with reported problems concerning caring attitudes? The design of the study was exploratory and interpretive within a hermeneutic tradition. Nurses were interviewed, and field notes were made from participant observations of routine work and staff meetings. An interpreted whole revealed a lack of a holistic perspective. The difficulty of these nurses in accomplishing a holistic perspective seemed to be due to overvaluation of measurable tasks, such as medical interventions, and undervaluation of nonmeasurable tasks, such as caring. As a consequence, caring interventions failed to strengthen the nurses' self-esteem in the same high degree as medical tasks.

Question 1. Has human-to-human transmission of the H5N1 avian influenza virus been described?

Question 2. In brucellosis, is it possible to see a brucella agglutination test of more than 1/160 even for years after specific and successful therapy of brucellosis?

Question 3. Please define the terms holoendemic, mesoendemic, and hyperendemic in relation to malaria.

Question 4. You only recommend malarone for malarial prophylaxis when there is a significant chlorquine resistance. Isn't malarone now widely used in travellers going to areas with low resistance.

Question 5. Parenteral vaccination with a killed suspension of Vibrio cholerae is recommended by some - isn't an oral vaccine better?

Question 6. Please suggest possible reasons why Entamoeba histolytica infection associated with bloody diarrhoea is not relieved by treatment with ciprofloxacin and metronidazole 400 mg × 2 daily over a 3-week period.

Question 7. Is there a basis for treating patients for filariasis according to the eosinophil count (except for cases of tropical pulmonary eosinophils; TPE)? Filariasis is everywhere in my part of the world; a fluorescent antibody test (FAT) might not be very useful - except when there are very high values.

Question 8. Why do patients who ingest eggs from a tapeworm in contaminated food not develop tapeworms?

Question 9. I have a query about one of the details in the book. You mention that perihepatitis is a feature of gonorrhoeal infection, but other books say that perihepatitis (Fitz-Hugh-Curtis syndrome) is a complication of chlamydial infections. Is there a possibility of perihepatitis in gonorrhoea?

Question 10. In the 7th edition of Kumar and Clark Clinical Medicine, you indicate that there is no benefit in treating the male partner of a woman diagnosed.