Lumbar Supports Help Protect Home Care Workers from Recurrent Back Pain

Lumbar supports help prevent recurrent low back pain among home care workers, reports Annals of Internal Medicine.

Some 360 Dutch workers (primarily women) with recent or current low back pain were randomized to two groups. Workers in the intervention group underwent a refresher course on healthy work methods and received lumbar supports to wear on workdays in which they either had, or anticipated developing, low back pain; the control group underwent the refresher course alone.

After adjustment for confounders including BMI and age, intervention subjects averaged 53 fewer days with low back pain over the course of a year. However, the number of overall sick days (recorded in the staff register) did not differ between the groups. (A post hoc analysis of self-reported data found fewer back-pain-related sick days among intervention subjects.)

The authors conclude that "lumbar supports may be a valuable addition to secondary prevention strategies in the workplace."

LINK(S):

Annals of Internal Medicine article (Free abstract; full text requires subscription)

Published in Physician's First Watch November 20, 2007


Source : http://firstwatch.jwatch.org/cgi/content/full/2007/1120/2
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What Types of Amenities and Comfort Does the Nursing Home Provide ?

It's important that the nursing home feels comfortable and welcoming to residents. Before you choose one, ask these questions:

  • Does the facility have a “community” feel?
  • Are the residents happy, alert, groomed, clean, well-fed, and healthy?
  • Are the interactions between co-workers, and between workers and residents caring, friendly, and supportive?
  • Does the staff know the residents by name?
  • What services does the facility provide?
  • A facility dedicated to resident comfort and service should provide laundry facilities on each floor, flat linen service, monthly housekeeping, maintenance and scheduled transportation.
  • Other amenities may include a hair salon, bank, and gift shop.
  • Each room should have individually controlled heat and air conditioning with an emergency response system.

Source : http://seniorliving.about.com
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A Good Nursing Home Provides Recreation

Quality of life is important at any age, so make sure the nursing homes you consider provide and adequate variety of recreational activities to keep the residents mentally and physically engaged.

  • What types of activities are provided?
  • How are nursing activities supervised? How often are they held?
  • Does the nursing home provide social, recreational, spiritual, fitness and wellness programs?
  • What kinds of exercise regimes are included?
  • Does the nursing home provide exercise equipment that is appropriate for residents and easy-to-use?
  • Does the nursing home have a fitness instructor on staff?
  • What types of social and individual activities are offered?
  • Does the nursing home have a computer room, meditation room, library, craft room, game room or wood shop?
  • Are religious services available, including visitation and worship?
  • Does the nursing home property include nature areas, gardens and footpaths?

Source : http://seniorliving.about.com
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What Health Services Does the Nursing Home Provide?

By , About.com Guide

  • Are different levels of nursing home care, from assisted living to health care to short term rehabilitation programs, available?
  • Is there a focus on needs assessment to determine the appropriate level of care for each nursing home resident?
  • Is there sufficient nursing and personal care, including medication management?
  • Are in-home health services available?
  • Are nurses always close at hand?
  • If the facility offers short term rehabilitation programs, is there a private wing with private rooms and a dining area ?
  • Does the nursing home facility offer care for residents with dementia? What kinds of programs are available for these residents?
  • Does the nursing home provide personal care plans? Are these plans developed by an inter-disciplinary team?

Source : http://seniorliving.about.com
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Nurse Education

Nurse education consists in the theorical and practical training provided to nurses with the purpose to prepare them for their duties as nursing care professionals. This education is provided to nursing students by experienced nurses and other medical professionals who have qualified or experienced for educational tasks. Most countries offer nurse education courses that can be relevant to general nursing or to specialized areas including mental health nursing, pediatric nursing and post-operatory nursing. Courses leading to autonomous registration as a nurse typically last four years. Nurse education also provides post-qualification courses in specialist subjects within nursing.

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Nurse Educator

A nurse educator is a nurse who teaches and prepares licensed practical nurses (LPN) and registered nurses (RN) for entry into practice positions. They can also teach in various patient care settings to provide continuing education to licensed nursing staff. Nurse Educators teach in graduate programs at Master’s and doctoral level which prepare advanced practice nurses, nurse educators, nurse administrators, nurse researchers, and leaders in complex healthcare and educational organizations.

The type of degree you are required to hold is dependent upon the state's Nurse Practice Act, the regulatory agencies that define the practice of nursing, including nursing education requirements (National Council of State Boards of Nursing) (reference: https://www.ncsbn.org/boards.htm). For instance, faculty can teach in LPN with an Associates Degree in Nursing. Most baccalaureate and higher degree programs require a minimum of a Master’s degree and prefer the doctorate for full-time teaching positions. At one time, many nurse educators have a clinical specialty background that is often blended with coursework in education. Now, many schools offer the Nurse Educator track which focuses on educating nurses going into any type setting. Individuals may complete a post-Master’s certificate in education to complement their clinical expertise if they choose to enter a faculty role.

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History of Nursing Schools - United Kingdom

United Kingdom

Florence Nightingale was one of the pioneers in establishing the idea of nursing schools from her base at St Thomas' Hospital, London in 1860 when she opened the 'Nightingale Training School for Nurses'. Her intention was to train nurses to a qualified level, with the key aim of learning to develop observation skills and sensitivity to patient needs, then allow them to work in hospital posts across the United Kingdom and abroad. Her influence flourished and nursing is now a course taught at a number of British universities. The University of Manchester was one of the first English institutions to offer the course at degree level.

Entry level courses, sought by most universities, are often five Standard Grades/GCSEs, including English, maths and a science (preferably biology), and two Highers/A-Levels. Mature students, over the age of twenty-one, have the option of entering upon completion of a college access course, and experience in jobs such as being a health/nursing assistant are also worthy for consideration into the course.

Currently, nursing is a three-year course in the UK with a balance between course work in classes and practical placements in a health care setting. The first year is foundation, where students learn anatomy and physiology and basic health care. In Second Year, students then split into one of four chosen branches—adult nursing, paediatric nursing, mental health or learning disability nursing—that they wish to specialise in and nursing placements usually involve working within the chosen branch area (for example, paediatric student nurses would only be sent to paediatric units) learning skills essential to that setting. Students complete their course after their Third Year, with the choice of undertaking degree essays during that final year or graduating with only a diploma. Those studying midwifery follow a different pathway, specialising in this area from the first day of First Year. Newly qualified nurses then have to register with the Nursing and Midwifery Council in order to apply for jobs and legally practice.

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History of Nursing Schools - United States

The Bellevue Hospital School of Nursing, New York City, founded in 1873, was the first school of nursing in the United States to be founded on the principles of nursing established by Florence Nightingale. The School operated at Bellevue Hospital until its closure in 1969. The Johns Hopkins School of Nursing founded in 1889 in consultation with Florence Nightingale was one of the very first nursing schools established in the United States. The University of Minnesota was the first university based nursing program. Yale School of Nursing became the first autonomous school of nursing in the United States in 1923. It had its own dean, faculty, budget, and degree meeting the standards of the University. The curriculum was based on an educational plan rather than on hospital service needs. In 1956, the Columbia University School of Nursing became the first in the United States to grant a master's degree in a clinical nursing specialty.

Pre-requisites often include math, English, and other basic level courses. Basic courses in biology, anatomy and physiology are required. Core coursework includes anatomy, physiology, pathology, and pharmacology. Additionally, a strong emphasis is placed on procedural education such as insertion of intravenous and urinary catheters, sterile dressing changes, proper administration of medications, physical examinations, caring bedside manner, and other vital skills. After the first semester basic skills are obtained, students rotate through Obstetrics, Mental Health, Medical, Surgical, Oncology, Critical Care and Pediatric Units to get a holistic view of nursing and what it encompasses. Many nursing students and nursing schools use medical and healthcare educational software as a study or training aid.

In the United States, students graduate from nursing education programs qualified to take one of the NCLEX (National Council Licensure Examination) exams, the NCLEX-PN for Licensed Practical Nurses (LPNs) or the NCLEX-RN for Registered Nurses (RNs).

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Nursing Diploma

A Diploma in Nursing or Nursing Diploma is an entry-level tertiary education nursing degree.

In the United States, this type of degree is usually awarded by hospital-based nursing schools. Students awarded a Diploma in Nursing are qualified to sit for the NCLEX-RN and apply for licensure as a Registered Nurse.

At one time, all nurses in the United States were diploma-prepared. The Cherry Ames series of children's books was created to encourage girls to go into the nursing profession during World War II. She was a "hospital diploma" nurse.

Although the number of hospital-based nursing schools continues to decrease, many still exist. Some require that non-nursing prerequisite courses be completed at another school prior to admission or coordinate their program with classes at a nearby school, though many are still self-contained.

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Associate of Science in Nursing

An Associate of Science in Nursing (ASN) is an entry-level tertiary education nursing degree. In the United States, this type of degree is usually awarded by community colleges or similar nursing schools. Some four year colleges also offer this degree. Students awarded an Associate of Science in Nursing are qualified to sit for the NCLEX-RN and apply for licensure as a Registered Nurse.

Some hospital-based nursing schools that granted diplomas altered their curriculum to offer associate degrees.

Many nursing schools offering a bachelor's degree have "fast-track" programs to enable practicing nurses with an associate's degree to earn a bachelor's degree in approximately two years. In some institutions this is called "Bridging."

Similar degrees
  • Associate of Nursing (AN)
  • Associate of Applied Science in Nursing (AAS)
  • Associate Degree in Nursing (ADN)

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Bachelor of Science in Nursing (BSN)

The Bachelor of Science in Nursing (BSN) is a four year academic degree in the science and principles of nursing, granted by a tertiary education university or similarly accredited school. Though one is eligible to sit for the NCLEX-RN licensing examination to become a registered nurse after graduating from either a two year program with an Associate's Degree (ADN) or from a four-year nursing program with a BSN, the BSN prepares nurses for a professional role away from the bedside with coursework in nursing science, research, leadership, and nursing informatics.

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Master of Science in Nursing (MSN)

A Master of Science in Nursing (MSN) is an advanced-level quaternary education degree for Registered Nurses. It is required to become an advanced practice nurse, such as a Nurse Practitioner, Clinical Nurse Specialist, Nurse anesthetist, Nurse Midwife, Nurse Administrator, Health Policy expert, or a Clinical nurse leader, and is considered an entry-level degree for nurse educators and managers. It is also a prerequisite for doctorate-level nursing education.

This graduate-level degree may focus in one or more of many different advanced nursing specialties such as acute care, adult, family, geriatrics, neonatal, palliative care, pediatric, psychiatric, women's health, etc.

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