Psychotropic drugs are being over-used in Australian aged-care facilities to chemically restrain residents, according to both researchers and several government reports. But despite all this attention, little is being done to reduce their use.
What do oxygen saturation levels measure? In a nutshell, oxygen saturations look at the haemoglobin in the red blood cells (erythrocyte), and measure how saturated or the extent to which the haemoglobin molecule is bound to oxygen. The value is reported as a percentage, with 94-99% being considered normal.
Discrimination is alive and well in today's society, and nursing is not immune to its effects. For instance, the Australian Human Rights Commission received 550 complaints under the Racial Discrimination Act, 532 complaints under the Sex Discrimination Act and 1,057 complaints under the Disability Discrimination Act for the years 2009 and 2010.
With daylight saving ending recently across most of the country and winter approaching, Australians are moving from fears of too much sun exposure resulting in skin cancer to too little sun exposure and vitamin D deficiency. While the former concern may be justified, the evidence of the importance of vitamin D is less compelling.
As health professionals we all work under a set of ethical guidelines laid down for us through our professional body, such as the Nursing and Midwifery Board of Australia, and through the unstated expectations of the public. While boundaries are in place to protect both health professionals and patients, they are not always as clear-cut as they may first seem.
Your patients condition is deteriorating, and you need to tell the doctor. You have your vitals, your chart, and a full head of information that you want to blurt out as soon as his voice crackles across the line. Chances are, this strategy of communicating with doctors is not going to get you far.