RESPIRATORY EFFECTS Dexmedetomidine is able to achieve its sedative, hypnotic and analgesic effects without causing any clinically relevant respiratory depression unlike opioids. The changes in ventilation appeared similar to those observed during natural sleep. Dexmedetomidine do not cause any changes in arterial oxygenation, pH and respiratory rate. (67) It also exhibited a hypercarbic arousal phenomenon, which has been described during normal sleep and is a safety feature. The obstructive respiratory pattern and irregular breathing seen with high doses of 1-2µg/kg given over 2 minutes and are probably related more to deep sedation and anatomical features of the patient and this could be easily overcome by insertion of an oral airway.
Case Study 1.7 1.The lesions are diagnostic of shingles also known as Herpes Zoster. This was derived from the chief complaint of the child’s mother. The mother of the child explained that the spots on the child’s back popped up two to three days back and the baby had no fever and seemed well. Upon examination it was noted that there was a group of seven to eight blister like lesions localized to the left of the babies spine. Patrick Guilfoille explains in his book “Chicken Pox Deadly Disease and Epidemics” that shingles is a viral infection characterized by blisters that are usually located on one side of the body.
Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Mrs. Gwen Jones is a 70 year old woman who has been admitted to your ward after arriving from her doctor’s surgery. Her GP has included a letter stating that he has assessed Mrs. Jones and requests she is admitted. She is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused. She complains of back pain.
However, he was developing his own psychoanalysis system and coupled with the difficulty he experienced hypnotising some patients, he abandoned hypnosis and concentrated on free association. Milton Erickson (5 December 1901 – 25 March 1980) was an American psychiatrist. He had colour blindness and could only see the colour purple. Erickson also suffered polio in his teens and nearly died. While confined to bed, he began observing the various people around him and discovered that “what people said and what they did were often very different” (BSAP notes Module 1 2014).
Dr. Jack Kevorkian, also known as "Dr. Death", believed in assisted suicide. He believed that, with the consent of the patient, he was able to relieve the patient of their long time painful suffering. A 54 year old female from Portland, Ore., by the name of Janet Adkins was Dr. Kevorkian's first patient, or as some will say, his first victim. She had been diagnosed with Alzheimers disease. After going through experimental drug treatment, which were unsuccessful, Mrs. Adkins decided to contact Dr. Kevorkian.
A young mother is in intensive care after having a rare but serious reaction to a friend's prescription antibiotics that caused her to "burn" from the inside out. Yassmeen Castanada, 19, wasn't feeling well on Thanksgiving, so she took a pill that her friend had left over from a previous illness. Soon, Castanada's eyes, nose and throat began to burn, and she was rushed to the emergency room, her mother, Laura Corona, told ABC News. Her body erupted in blisters over the next few days, Corona said. She had to be sedated and placed on a ventilator.
This is not so easy to precisely define as there are many different interpretations as to what hypnosis means to different people. Below are just a few of examples of this. ‘A temporary condition of altered attention in the subject, which may be induced by another person and in which a variety of phenomena may appear spontaneously or in response to verbal or other stimuli. These phenomena include alterations in consciousness and memory, increased susceptibility to suggestion, and the production in the subject of responses and ideas unfamiliar to him in his usual state of mind. Further, phenomena such as anaesthesia, paralysis and rigidity of muscles, and vasomotor changes can be produced and removed in the hypnotic state’ (The
As she was preparing to return to Australia, she was requested to give a presentation at the Mayo Clinic in Minnesota. [v] Here she spoke of ‘mental alienation’ of the muscles along with spasms and her treatment of ‘muscle re-education’ these terms put the doctors in an uproar and they discounted her as uneducated. However there were a few doctors that believed the treatment might work and let her work with some of their worst cases of Polio in
Dr James Esdaile was working in India and used hypnosis to conduct about 400 operations successfully, ‘Whereas such a procedure may well be applicable to the Indian, we would scarcely consider it appropriate for a European or Britisher’, was an extremely politically incorrect response to his success by today’s standards! Another doctor, John Elliotson was the first doctor to use hypnosis in British medicine, in front of an audience of 200 medics he cured a dump epileptic using mesmerism and also used hypnosis in his operations, but this did not make him popular, so he was hounded until his death in
This essay will attempt to dispel the fears and myths that surround hypnosis. A brief history of hypnosis will be followed by an explanation of the physical and psychological effects of hypnosis along with the role that relaxation has to play. The roots