A growing crop of research, including a New England Journal of Medicine study, suggests there are gains to be made by better using drugs we already have.
Hari uses his own experience of anti-depressant abuse and the discovery of a complicit system of over-prescription in the health industry to ask the one question the doctor failed to — Tell me about your life.
Fauja Singh, 114, died after being hit by a speeding car. His death renews questions about India’s deadly roads, rising accidents, and poor traffic discipline.
Mini deal will likely see no cut in 10% baseline tariff on Indian exports announced by Trump on 2 April, it is learnt, but additional 26% tariffs are set to be reduced.
India-Russia JV is also racing to deliver 7,000 more AK-203 assault rifles by 15 Aug. These are currently being made with 50% indigenisation and this will surge to 100% by 31 December.
Public, loud, upfront, filled with impropriety and high praise sometimes laced with insults. This is what we call Trumplomacy. But the larger objective is the same: American supremacy.
Its a very good step.i have seen in hospitals 70% of work is done by nurses means they have the capability to work so they need this course to work independently like developed nations.
Actually nurses they know well but the think is they can’t prescribe medication during emergency so they wait for doctors …some tym doctor don’t reach ok time so patient gets expired .in that situation nurses even can’t prescribe medication .. I think NP is the best option during emergency
I am a bsc nurse ,still we are compel to follow Homeopathy practiced dr’s order in modern Alopathy hospital system.They practised in Dr Haniman placebo theoretical medicine and doing work in modern medicine allopathic hospital name of Dr. With out any practical knowledge .In the critical scenario how can they act like our team leader and very pathetic feel to carried out orders some time,as a nurse practitioner level of knowledge and skills are worth less .
its nice step and it should be encouraged but one thing i should say here is that there are thousands of foreign medical graduates without licence ,give them licence and allow them to work indeoendently they know.much more and can do better if there is serious shortage of medicos …
This idea is a grest boon for health care system and this benefits the remote area people. But here one has to be very cautious of giving this NP only to a reslly qualifued nurse who is practically compenent and knowledgeable.As we see there are no good nurse training in some places in india some of them are half baked to get certificate they conduct ciurses and affiliates to university. This eill boost the nurses as well as the health sectors if givernment
It is certainly a good move to empower nurses to take on a bigger role in patient care.
However, also bear in mind that “MBBS proved to be nothing” is a “grapes are sour” statement. Increasing the role of nurses does not diminish the role of doctors except in the minds of the ignorant. It is not for nothing that a longer training period is required for doctors because there is a lot more to medicine than what you seem to imagine unfortunately without a doctor’s training you might not realize that.
I favour the idea of NP since she serves at the first point of contact for patients. Many decisions and actions can be taken in an emergency with the help of a qualified and experienced nurse. This move will definitely empower the medical practice. In order to implement these services in India, we can learn how other countries have applied it in their day to day practice. And I am very sure that many people will voluntarily provide guidance in this endeavour. Get going Nurses… to get India going!
If the proposed suggestion comes to pass in a developing country like India we can expect a real decrease there will be a great d morbidity &mortality rates in the rural areas,& in the hamlets which are not connected to main roads.As it is quite evident that the nurses serving in PHC s were able to transport antenatal mothers in ambulances to the nearest secondary level or tertiary care when diagnosed in early stage of complications.Also incidences like bites & stings which needs immediate care can be handled by them if given a freedom of execution.Standing orders from the department of health & family welfare can prevent the the overlap between medical,& nursing practice.
Nps is started in USA since1950′ even doctors of India following USA health policy,in USA xero mortality during cardiac arrest because all emergency in USA handle by nps they are loaded with all equipment and emergency drugs they reach on time and treat patint even iabp, ventilation intubation All don independently if any body wants me discuss about making policy in India I can tell how it can impliment and work
The government is promoting schemes to empower non-medical personnel to take on medical roles at poorly staffed health facilities at the primary/secondary levels while there are gross man power deficits in nursing and allied health sciences. This will only enhance the increasing lop sided development of Medicine in favor of specialization and tertiary care. Medical profession needs to accept that sound multi competent medical practice at primary/secondary levels is an equally important part of Medicine. Medical education should be reoriented such that: (1) medical graduates have multi-competencies sufficient to address three fourths of the morbidity spectrum in Indian conditions and thus perform adequately at the PHSs and CHCs; and (2) sufficient number of specialists are also produced as experts in this neglected area of Medicine. Such a long term approach is needed even as short term measures may also be pursued.
Its a very good step.i have seen in hospitals 70% of work is done by nurses means they have the capability to work so they need this course to work independently like developed nations.
Actually nurses they know well but the think is they can’t prescribe medication during emergency so they wait for doctors …some tym doctor don’t reach ok time so patient gets expired .in that situation nurses even can’t prescribe medication .. I think NP is the best option during emergency
I am a bsc nurse ,still we are compel to follow Homeopathy practiced dr’s order in modern Alopathy hospital system.They practised in Dr Haniman placebo theoretical medicine and doing work in modern medicine allopathic hospital name of Dr. With out any practical knowledge .In the critical scenario how can they act like our team leader and very pathetic feel to carried out orders some time,as a nurse practitioner level of knowledge and skills are worth less .
its nice step and it should be encouraged but one thing i should say here is that there are thousands of foreign medical graduates without licence ,give them licence and allow them to work indeoendently they know.much more and can do better if there is serious shortage of medicos …
It’s a need of time…. Really nice thought by govt…. Hope it will be amended soon earlier… ????
This idea is a grest boon for health care system and this benefits the remote area people. But here one has to be very cautious of giving this NP only to a reslly qualifued nurse who is practically compenent and knowledgeable.As we see there are no good nurse training in some places in india some of them are half baked to get certificate they conduct ciurses and affiliates to university. This eill boost the nurses as well as the health sectors if givernment
mbbs once again proved to be nothing.peace
It is certainly a good move to empower nurses to take on a bigger role in patient care.
However, also bear in mind that “MBBS proved to be nothing” is a “grapes are sour” statement. Increasing the role of nurses does not diminish the role of doctors except in the minds of the ignorant. It is not for nothing that a longer training period is required for doctors because there is a lot more to medicine than what you seem to imagine unfortunately without a doctor’s training you might not realize that.
I favour the idea of NP since she serves at the first point of contact for patients. Many decisions and actions can be taken in an emergency with the help of a qualified and experienced nurse. This move will definitely empower the medical practice. In order to implement these services in India, we can learn how other countries have applied it in their day to day practice. And I am very sure that many people will voluntarily provide guidance in this endeavour. Get going Nurses… to get India going!
If the proposed suggestion comes to pass in a developing country like India we can expect a real decrease there will be a great d morbidity &mortality rates in the rural areas,& in the hamlets which are not connected to main roads.As it is quite evident that the nurses serving in PHC s were able to transport antenatal mothers in ambulances to the nearest secondary level or tertiary care when diagnosed in early stage of complications.Also incidences like bites & stings which needs immediate care can be handled by them if given a freedom of execution.Standing orders from the department of health & family welfare can prevent the the overlap between medical,& nursing practice.
Nps is started in USA since1950′ even doctors of India following USA health policy,in USA xero mortality during cardiac arrest because all emergency in USA handle by nps they are loaded with all equipment and emergency drugs they reach on time and treat patint even iabp, ventilation intubation All don independently if any body wants me discuss about making policy in India I can tell how it can impliment and work
The government is promoting schemes to empower non-medical personnel to take on medical roles at poorly staffed health facilities at the primary/secondary levels while there are gross man power deficits in nursing and allied health sciences. This will only enhance the increasing lop sided development of Medicine in favor of specialization and tertiary care. Medical profession needs to accept that sound multi competent medical practice at primary/secondary levels is an equally important part of Medicine. Medical education should be reoriented such that: (1) medical graduates have multi-competencies sufficient to address three fourths of the morbidity spectrum in Indian conditions and thus perform adequately at the PHSs and CHCs; and (2) sufficient number of specialists are also produced as experts in this neglected area of Medicine. Such a long term approach is needed even as short term measures may also be pursued.