A particularly difficult aspect of the activities of medical specialists is the collision with the death of patients. This circumstance requires a lot of emotional restraint on the part of healthcare providers. Moreover, it implies the observance of certain professional and personal values to provide support not only to the dying but also to their relatives and loved ones. This aspect is particularly concerned with following personal values when caring for dying patients or adhering to professional norms and rules.
The medical field has a certain set of legislation and norms determining the procedure for providing palliative care. However, this aspect is difficult for many nurses and doctors because it is difficult for them to overcome personal beliefs and values. Thus, they apply actions that can contradict the treatment plan and contribute to maintaining the condition of patients on their death bad. Because of this, moral distress arises, which is a particular form of distressing and demanding feeling that arises when a person is obliged to act contrary to her/his beliefs and values (Maffoni et al., 2019, p. 245). In this case, medical professionals prefer to follow personal values rather than professional ones.
An alternative position, which is most often held, despite internal debates, is following professional values. Thus, this point of view is based on the concept that the goals of care are the allowance of suffering, the optimization of the quality of life until death occurs, and the provision of comfort in death (Akdeniz et al., 2021, p. 2). Therefore, medical professionals main task is to provide the most satisfying life for patients and peace of mind for loved ones.
In conclusion, the care and treatment of dying patients imply adherence to certain professional values and norms. However, this aspect of activity causes a dilemma for some specialists who cannot transcend personal principles. This can cause moral and emotional distress, which can affect the quality and effectiveness of palliative care for the patient. To avoid this problem, healthcare providers must be carefully prepared both emotionally and professionally.
On my first day at the antepartum unit, I had three patients. The first patient was not pregnant; she came in for a digital examination after having preeclampsia childbirth. She noted that she had a slight headache, and her risk for postpartum preeclampsia was high due to her condition during delivery and her age she gave birth at 35. This experience was notable to me, as postpartum preeclampsia is a rare and serious condition. Therefore, a nurse should be prepared in all spheres related to her specialization and consider patients needs during each visit.
My two other patients were pregnant and had similar complications. One patient, a 37-year-old female, was 36 weeks pregnant and came in with a complaint of high blood pressure. The patient had a history of herpes, which did not appear to be present now, and human papillomavirus (HPV). The latter part of the patients records does not present much danger to the fetus, as there is no supported link between HPV and miscarriage or pregnancy complications. Nevertheless, the patient also had a 20-week loss, which could potentially inflict mental stress on her, negatively affecting her wellbeing. Upon examination, her blood pressure (BP) was 137/74, and she was alert and oriented x4. Overall, she appeared to be in good health with good fluid intake and no other concerns.
The last patient I saw on that day also came in with concerns about high BP. The patient was 36 weeks and three days pregnant at 36 weeks, she was admitted with a BP of 154/93, but on the day of the examination, her BP was 146/86. She did not have any history before the pregnancy that could raise the risks of miscarriage or other complications. However, several days ago, she had an incident where her contractions started prematurely before being sent back to the antepartum unit. Overall, her current condition is improving, although her BP still raises concerns about preeclampsia. By reviewing two similar cases, I saw the patterns in patients symptoms and was able to practice my examination and communication skills.
Olanzapine is an atypical antipsychotic principally prescribed to treat schizophrenia and bipolar disorder (it is also marketed under the brand name Zyprexa (Image 1)). FDA-approved indications related to the medication are presented in Table 1.
Olanzapine has the research supporting it for the off-label uses of dementia, anxiety, and OCD (Thomas & Saadabadi, 2022).
Classification
Olanzapine belongs to the group of drugs known as atypical antipsychotics. It functions by altering the way that a few organic brain chemicals behave.
The Medication Mechanism of Action
The drug mainly affects dopaminergic receptors in order to function. It functions as an inhibitor of the mesolimbic pathways d2 Receptors, preventing dopamine from potentially acting at the post-synaptic receptor.
The medication pharmacokinetics
Within the permitted dose spectrum, the pharmacokinetics of the medication is simple and dosimetric. In healthy people, it had a mean half-life of 33 hours and a range of 21 to 54 hours. The observed plasma clearance ranged from 12 to 47 L/h, with a mean of 26 L/h (Thomas & Saadabadi, 2022).
The Medication Pharmacodynamics
The medication is a second-generation antipsychotic that exhibits a variety of receptors sensitivities for neurotransmitter systems HTR2A and HTR2C, dopamine receptors (DRD1-DRD4), H1 Receptor, alpha1 transactivation, and neuromuscular junction receptors (CHRM1- CHRM5) (Thomas & Saadabadi, 2022).
Appropriate Dosing
Once daily, without regard to meals, the medication should be provided; the usual starting dose is 5 to 10 mg, with a goal dose of 10 mg/day in a few days. Given that a steady state for olanzapine would not be reached in the average patient for about one week, any more dose changes should typically take place at intervals of no less than one week. It is advised to increase or decrease the dosage by 5 mg QD as needed (Guzman, n.d.).
Considerations of Use and Dosing
In people who are elderly, have a history of hypotensive responses, are debilitated, display other characteristics that may impede the absorption of olanzapine, such as non-smoking women, or who are more pharmacodynamically responsive to olanzapine, the suggested beginning dose is 5 mg (Guzman, n.d.). The suggested beginning dose of oral olanzapine for teenagers is 2.5 or 5 mg, with a goal dose of 10 mg/day, and it should be given once daily without regard to meals. The drug is not recommended for children and during pregnancy.
Half-life
For any particular medication, understanding the idea of half-life is helpful in calculating steady-state levels and excretion rates. The half-life of olanzapine ranges from 21 to 54 hours, with a typical of 30 hours. The stable plasma levels of olanzapine are reached after roughly a week of daily treatment. Olanzapine thus exhibits linear pharmacokinetics within the FDA-approved dosing range (Thomas & Saadabadi, 2022).
Side Effects
Possible side effects include increased hunger, constipation, sore throat, dizziness, lightheadedness, stomach discomfort, and weight gain. The likelihood of falling might rise if one feels lightheaded or dizzy.
Contraindications
Patients who have a known sensitivity to olanzapine or drugs in its class should not use it. Olanzapine carries a black box warning for dementia-related psychosis. Due to a higher risk of death, olanzapine should not be administered to elderly dementia sufferers who also exhibit psychotic symptoms (Thomas & Saadabadi, 2022). Additionally, doctors should prescribe this drug cautiously in patients who are obese or even have diabetes owing to the negative consequences of gaining weight and metabolic disorders.
Overdose
CNS depression with drowsiness, impaired vision, hypotension, respiratory depression, neuroanatomical and antispasmodic effects, as well as unusually high temperature are the most typical symptoms that come from olanzapine overdose.
Diagnostics and labs monitoring
The concentration of olanzapine in the blood is dose-dependent, but many other factors can have a significant impact on its level in the blood. For this reason, when prescribing olanzapine, it is advisable to conduct drug monitoring. Diagnostics and lab monitoring of olanzapine are of particular importance in the absence of response to therapy with this drug. In such a situation, a low concentration of the drug in the blood may indicate non-compliance of the patient with the drug regimen. Drug monitoring allows one to timely adjust the dose of the drug and prevent the occurrence of side effects. This is of particular importance, given that the development of side effects often leads to the patients reluctance to follow the drug regimen and self-withdrawal of the drug.
Comorbidities Considerations
Olanzapine has cardiometabolic side effects and is linked to weight gain. Weight gain brought on by antipsychotics is connected to treatment pauses, thus raising the likelihood of recurrence and hospitalization (Meftah et al., 2020).
Legal and Ethical Considerations
No legal considerations are associated with the medication except the apparent fact that this drug can be sold only with the necessary prescription from the physician. From an ethical perspective, it is debatable whether antipsychotics should be used to treat dementias behavioral and psychological symptoms. Antipsychotics have negative effects, and evidence-based recommendations discourage their usage. It is argued that the palliative paradigm may be used to justify the use of antipsychotics by lowering severe suffering in people with short life expectancies.
Patient Education
Olanzapine should be taken every day at about the same time. One should ask their physician or pharmacist to clarify any instructions on the prescription label that one is unsure about. The patients should never take it in larger or fewer amounts or more frequently than directed by the doctor. Moreover, it is essential for patients to monitor their weight, given that the drug is associated with weight gain (Citrome et al., 2019). The latter indicates that the organism cannot manage the medication appropriately, and alternative treatment or drug is needed.
References
Citrome, L., McEvoy, J. P., Todtenkopf, M. S., McDonnell, D., & Weiden, P. J. (2019). A commentary on the efficacy of olanzapine for the treatment of schizophrenia: The past, present, and future. Neuropsychiatric Disease and Treatment, 15(1), 25592569.
Meftah, A. M., Deckler, E., Citrome, L., & Kantrowitz, J. T. (2020). New discoveries for an old drug: a review of recent olanzapine research. Postgraduate medicine, 132(1), 8090.
Thomas, K., & Saadabadi, A. (2022).Olanzapine. StatPearls.
There are many factors to consider when choosing further nurse education. Among the most important aspects are the duration, cost, availability of training, as well as features of the program. ADN to BSN and ADN to MSN programs have advantages and disadvantages that can be crucial when choosing further education.
Advantages and Disadvantages of an ADN to BSN versus ADN to MSN Programs
After completing the ADN nursing program, one can choose the BSN or MSN program for further education. The main advantage of the Bachelor of Science in Nursing is that the program is extensive and provides knowledge in various areas of healthcare. On the other hand, the Master of Science in Nursing often focuses on a specific site of nursing and provides basic knowledge in administration and management.
At the same time, MSN opens up more job opportunities for nurses, and as a result, nurse education has an expanded list of competencies beyond primary patient care. A study by Sabio and Petges (2020) found that often ADN students do not have enough financial and career motivation to join BSN nursing programs and choose MSN instead. Furthermore, MSN programs require fewer financial resources due to their shorter duration. However, ADN to MSN programs often imply a high intensity of study and, as a result, a lack of free time for students.
For those who want to get further nursing education but at the same time have a little more free time, BSN is the best option. The standard four-year program is suitable for those who do not have enough practice and experience as a nurse. On the other hand, working nurses can earn an abbreviated bachelors degree, which will also help save time and financial resources.
Traditional and Online Programs
The main advantage of online programs is their availability and flexibility. Online learning can be effective for mastering theoretical material. However, experience and practice in clinical settings are also of great importance in nursing. Most BSN and MSN nursing programs have a blended learning style with online lectures and the opportunity to gain personal experience in a clinical setting. However, in online programs, it is crucial to consider that the assimilation of knowledge and information is heavily influenced by meaningful communication and personal connections made within online courses (Cipher et al., 2019, p. 207). Therefore, for me, the best option for further education would be a mixed type of program, but well-established communication with teachers and coaches is of great importance.
Accreditation for Nursing Programs
For further nurse education, it is necessary to choose programs and educational institutions accredited by professional organizations. According to Iheduru-Anderson (2021), accreditation indicates the quality of a nursing program. Completing an accredited program requires nurses to pass a test and receive a certificate and license. Moreover, most hospitals are only willing to hire nurses who have completed accredited training programs. In addition, only accredited study programs can offer grants and loans to students.
Accreditation of programs can be carried out by NLNAC or CCNE, between which there is a specific difference. Accreditation by CCNE is a prerequisite for the BSN and MSN programs. This organization focuses on standards for nursing in terms of healthcare. Moreover, this type of accreditation ensures that all nurses at the same level in the country will be able to provide the same services to patients upon completion of training. On the other hand, accreditation by NLNAC also uses established nursing standards to accredit programs. Consequently, courses with this type of accreditation also comply with national nursing practice standards. However, this organization also considers students needs and provides them with assistance programs, including financial.
Conclusion
Thus, both ADN to BSN and ADN to MSN programs have advantages and disadvantages that must be considered when choosing a course of further education. In addition, online programs are more accessible, and face-to-face programs provide more hands-on experience. Also, when selecting a program, it is essential to pay attention to accreditation since it guarantees the possibility of certification and obtaining a license after the end of the program.
Olanzapine is marketed under the trade name Zyprexa; there are also Alonzap, Bloonis, Clingozan, Oferta, Olzapine, and other generics (FDA, 2022).
FDA Application Statement
According to the FDA, Zyprexa is an atypical neuroleptic used to treat schizophrenia, bipolar disorders, and depression, proving its clinical effectiveness (2022).
Research for Use outside the FDA
Olanzapine is one of the most well-studied anti-schizophrenia drugs and is popularly prescribed by physicians. Studies prove the effectiveness of Olanzapine, despite the relatively frequent side effects (Citrome et al., 2019). Intramuscular injections of the drug have one of the fastest effects for stopping an acute attack (Prabhakar, Mahajan & Kapoor, 2020; Alastanos et al., 2022).
Classification
Olanzapine and its derivatives belong to psychotropic drugs, neuroleptics, and antipsychotics (FDA, 2022).
Mechanism of action
Pharmacokinetics
Absorption of Olanzapine is independent of food intake. After oral administration, Olanzapine is well absorbed, and its maximum plasma concentration is reached after 5-8 hours (FDA, 2022). Olanzapine binds to plasma proteins and is metabolized in the liver.
Pharmacodynamics
Zyprexa is an antipsychotic, antimanic, and mood-stabilizing agent with a broad pharmacological profile. The drug has a high affinity for serotonin, dopamine, muscarinic, and histamine receptors (FDA, 2022). Zyprexa enhances the anti-anxiety effect and reduces delusions and hallucinations.
Dosage, Route of Administration, Dosage Changes
The daily dose must be selected individually, depending on the patients clinical condition. The recommended starting dose of Zyprexa is 10 mg once daily (FDA, 2022). Increasing the dose above the standard is recommended only after an appropriate clinical examination. Gradual dose reduction should be considered if Zyprexa is discontinued. A reduction in the initial dose may be recommended for patients with a combination of factors that may slow down the metabolism of Olanzapine. The most common uses are tablets; in acute cases, intramuscular injections can be used.
Patients
Children
Teenagers
Elderly
Suicidal Behavior
Pregnant Women
Used with extreme caution, high risk of complications
Proven effectiveness, along with adult patients
Used under medical supervision, high risk for comorbidities
Effective in reducing suicidal behavior
Use during pregnancy is prohibited
Half-Life
The half-life of a substance is the time it takes to lose half of its effect. It generally refers to the cleansing of the body through the kidneys and liver function. The importance of understanding the half-life of drugs lies in the drugs effectiveness, calculating the dosage and time of administration, and assessing addiction and interaction with other medications. In Zyprexa, the half-life reaches 33 hours; respectively, more than two days are needed for complete elimination (FDA, 2022). Such a long period of action is vital to achieving the drugs effectiveness.
Side Effects
Adverse reactions from the use of the drug are pretty common and range from mild to severe. The most commonly reported reactions are drowsiness, weight gain, and increased appetite (FDA, 2022). Increases in prolactin, cholesterol, swelling, and general fatigue are also standard (FDA, 2022). The main side effects appear in the first days of use.
Adverse Potential Reactions
Often side effects from the use of the drug negatively affect the liver. Potential adverse reactions include eosinophilia, elevated hepatic aminotransferases, and elevated alkaline phosphatase levels (FDA, 2022). In addition, when taking the drug, cholesterol and glucose levels may increase (FDA, 2022). These adverse effects are often noted among patients at different stages of treatment.
Contraindications
Zyprexa should be used with caution in smoking patients. Zyprexa may reduce the effects of direct and indirect dopamine agonists (FDA, 2022). Fluoxetine causes an increase in the maximum concentration of Zyprexa (FDA, 2022). Fluvoxamine, a specific inhibitor, significantly reduces the clearance of Zyprexa (FDA, 2022). Taking ethanol with Zyprexa may increase the pharmacological effects of olanzapine, including sedation.
Overdose Issues
The first symptom of an overdose is tachycardia, overexcitation, and cognitive impairment. The minimum dose for acute fatal overdose was 450 mg (FDA, 2022). Standard overdose procedures, such as gastric lavage, may be prescribed. Symptomatic treatment is shown following and control over the functions of vital organs.
Diagnostics and Laboratory Monitoring
An overdose is diagnosed in the case of taking the medication and the presence of the above symptoms. It is necessary to monitor the cardiovascular system to identify possible arrhythmias. Careful medical supervision and monitoring should continue until the patient has recovered.
Concomitant Disease Considerations
Zyprexa has a severe number of restrictions for patients with comorbidities. Zyprexa is not recommended in elderly patients with dementia (FDA, 2022). Age over 75 years, vascular dementia, or mixed dementia have been identified as risk factors for developing cerebrovascular adverse reactions with Zyprexa therapy (FDA, 2022). In some cases, using Zyprexa may develop hyperglycemia (FDA, 2022). An increase in the patients body weight may predispose to developing these side effects. Therefore, drug use in people with existing diabetes is not recommended.
Legal and Ethical Considerations
Olanzapine has no ethical controversy and is widely used in various treatment regimens. The US FDA approved Olanzapine for the treatment of depressive episodes associated with bipolar disorder, bipolar disorder (2022). Olanzapine is also approved to treat schizotypal conditions (FDA, 2022). Olanzapine is approved for both long-term and short-term use in treating schemes.
Patient Education Recommendations
Since the prevalence of side effects is relatively high, teaching patients to watch for warning symptoms is necessary. First, it is required to demonstrate the principle of measuring blood pressure, which can indicate heart problems. Patients should be aware of the need to avoid alcohol and smoking, which increase the risk of complications. One of the main side effects is weight gain, so switching to a healthier diet may be the solution. Most importantly, patients should undergo regular medical examinations to monitor their health status.
To define and assess the benefits of screening mammography through the prism of significant and recent research, including important surveys, arguing that the conclusion of the United States Preventive Services Task Force (USPSTF) regarding the disproportion in benefits and harm of the mentioned screening is puzzling.
Main findings
RCTs tend to underestimate the essential advantages that the implementation of mammographic screening provides. These RCTs evaluate the reduction in mortality rates among females who were randomized to the groups of the invited ones to conduct mammographic screening but not those who took part in this screening indeed. It should be emphasized that invited women who had never had mammograms and died due to breast cancer are perceived as the ones who had been screened. Hence, the approved statistics by the USPSTF within the scope of the issue are irrelevant to an exact extent.
The authors state that there have been two observational studies that involved females who have undergone screening mammography. These studies report a 30 to 40% reduction in breast cancer mortality rates. Nevertheless, the findings of the mentioned two studies were not taken into account by the USPSTF while stating its official position regarding mammographic screening, which narrowed its focus to RCTs. Moreover, despite there being an exact degree of harm in mammographic screening, a survey has shown that the majority of females consider the positive effects of the procedure as a reasonable tradeoff.
Conclusions
Mammographic screening is the only test today that provides the opportunity to reduce mortality rates caused by breast cancer. Screening mammography that is undertaken once a year is proper for females who have reached the age of 40, given the fact that women assess benefits from the procedure as more significant than the harm.
References
Author: Wendie, B.
Title: Benefits of screening mammography Journal: JAMA 2010; 303(2): 168-169.
Medicare Advantage (MA) provides beneficiaries with health plans covered by Medicare-approved private companies. In Los Angeles, CA, the key players are Humana, UnitedHealthcare, Blue Cross Blue Shield, CVS Health, Centene, Cigna, and Kaiser Permanente (Freed et al., 2021b). Six large health systems account for half of the total market, but the market share of each system does not exceed 11% (Yegian & Connolly, 2021).
Major business models in MA in Los Angeles are the partial and complete downside risk, with the full risk being used by UnitedHealthcare and Humana (Galewitz, 2018). In particular, a part of UnitedHealthcare called Optum has full-risk contracts with about a half million people in Los Angeles (Yegian & Connolly, 2021). Insurance companies also employ or are affiliated with physicians and integrated physician organizations; for example, Optum employs more than 7,000 physicians in Los Angeles (Yegian & Connolly, 2021). Physicians take clinical responsibility and risk through fixed per-person per-month payments called capitation.
The Impact and Drivers
MAs impact can be assessed in the number of people enrolled in the plans. In Los Angeles, 50.5% of people were enrolled in MA plans in 2019 (Yegian & Connolly, 2021). Furthermore, the share of people enrolled in special needs plans are increasing (Freed et al., 2021a). These outcomes are driven by such factors as federal reimbursement, Medicare population growth, decreased employer-sponsored retiree insurance, ease of entering the MA business, and the growth of SNPs (Blum & Hsieh, 2020). Although patients are mostly satisfied with the coverage, they may sometimes be losers because of such issues as high deductibles, limited provider networks, and surprise medical bills (Pollitz et al., 2019). The winners in the market are healthcare providers included in the network and insurance companies.
Based on the situation and the circumstances, the nurse should receive additional information about fetal activity, sensations in the lower abdomen and genitals, the degree of the urge to urinate and defecate, and the presence of other existing diseases (for example, diabetes). Moreover, it is also required to clarify details about lifestyle, professional activity, nutrition, the emotional situation at home, and the last visit to a medical institution. To one degree or another, all these aspects determine the risks and consequences for the pregnant woman.
Nursing Intervention
One of the most appropriate nursing interventions in this situation is accelerating the hospitalization process. Thus, in this case, the client must observe bed rest, being under the wing of experienced professionals and specialists in the healthcare system. The client is recommended to use a lateral recumbent position to improve uterine blood flow and reduce uterine irritability in a medical facility.
Screening Tests
To define and determine the risk for preterm labor, the client should undergo several current screening tests. They include ultrasonographic cervical length assessment, fetal fibronectin (fFN) test, serum proteomics, analysis of genetic contribution, as well as the use of maternal serum, amniotic fluid, and cervicovaginal fluid inflammatory biomarkers (Glover & Manuck, 2018). Each indicated method, approach, and strategy are designed for competent, effective, correct, and, most importantly, safe examination of the woman and to determine the chance of preterm birth (PTB).
Conclusion
As practice shows, the nurse needs to order medications such as magnesium sulfate (4-6 g intravenously over 20 minutes), calcium channel antagonists (4-6 g over 15 to 30 minutes), nonsteroidal anti-inflammatory drugs (200 mg to 400 mg every 4 hours as needed), and beta-adrenergic receptor agonists (5 mg three times a day) in case of premature labor. In this situation, the priorities for the healthcare specialist in the post-administration assessment are the initial examination of the patients pain level, continuous analysis, and evaluation of side effects, as well as active interaction with the attending physician about changes in the clients conditions (Ernstmeyer & Christman, 2021). Potential side effects from taking medications include irregular heartbeat, chest pain, pulmonary edema, intensive care unit transfer, respiratory or cardiac arrests, and death. Consequently, the expected treatment results suggest an increase in the chances of having a healthy child with a minor share of complications or complete absence.
The article written by Honkala et al. (2011) discusses dental caries lesions using a clinical study as the main type of research. ICDAS is one of the possible indexes that could be used to detect the nature of lesions, and the chosen study helps to identify the problems that could be associated with permanent and primary molars with ICDAS among a certain group of children (Honkala et al., 2011, p.1). The study was conducted by four professional examiners at the University of Tartu Dental Clinic in 2008. The authors gave important descriptions and explanations to prove the importance and worth of this project in the sphere of dental public health.
Summary
Nowadays, a number of people suffer from dental caries diseases and lesions and want to have enough information about the nature of lesions, the importance of index identification, and the type of teeth that should be analyzed. The authors clarify that they want to use a mixed dentition stage that usually includes children between 2 and 12 years. It is the period when permanent teeth could erupt, and primary teeth exfoliate. Participants of the study were chosen in regards to their county and school size. The parents of 485 children were informed about the possibilities of their children participating in the clinical examination. There were 221 boys and 264 girls aged between 7 and 9 years. The authors discussed ICDAS as one of the recommended methods with the help of which it was possible to investigate caries in dental studies. T helped to detect the enamel caries lesions in order to plan further therapies and provide patients with effective recommendations (Honkala et al., 2011, p.4). All statistical data and findings were organized with the help of Excel software and investigated with the help of SPSS and SAS programs. The main findings of the project indicate that despite the fact that ICDAS codes are hard to distribute, this method is one of the most effective ways to get enough information about the caries process and investigate enamel caries lesions.
Benefits of the Article
The chosen article is based on a clinical study conducted by the authors at the University of Tartu Dental Clinic. In addition to the fact that real people with real problems were involved in the study, the authors relied on past studies. Still, the studies of such authors as Shoaib, Deery, Ricketts, and Nugent (2009) were not copied or paraphrased. They were just taken as the basis for further investigations and conclusions. Other benefits of the article include the possibility to understand why people should know the importance of indexes and why the type of teeth is important for understanding the peculiarities of measuring dental caries processes. The authors also wanted to underline the importance of a geographical location and its impact on measuring dental caries among children of a particular age.
Recommendations
Though the authors did not give certain recommendations on further investigations, it is possible to say that the topic of measuring dental caries in mixed dentition with the help of ICDAS can be discussed and investigated further. It is possible to choose a new age group of people from different schools and compare the results to prove the importance of location and age among patients, who want to know about the methods for measuring dental caries.
The connection between art and health has become one of the major concerns over the last several years. Multiple books and movies honestly demonstrate the flaws of the health care system. This is going to hurt is a compelling example of artwork that depicts personal stories in daily clinical conditions. The series is the adaptation of Adam Kays book of the same name; the text explores obstacles junior doctors face. Although the field of hygiene and dentistry is not usually attributed to high risks, the series represents the burdens of the young doctor, who has to fight against professional and personal problems. It is essential to see how the series denote the medical field to see its interconnection with obstacles that can arise in dentists.
This is Going to Hurt Reflection
Clinical professionals have to deal with daily stress and exhaustion, identified as the main arguments within the series. Harsh working conditions and health care system disadvantages make the process difficult and complex for doctors and patients (Deeb et al., 2018). Moreover, Adam Kay, the main character of the series, has to manage his problematic issues; for example, he sleeps in the car (De Pear et al., 2022). He suffers from private difficulties but has to disguise them at work. In addition, professional ethics make Adam Kay hide his struggles and divide the two spheres of life. It adds to the overall image of Adam Kays character; he is a young dental professional who has to organize personal and clinical hardships. Accordingly, his private life often goes wrong; Kay has to keep secrets from his mother and argue with colleagues. For Adam Kay, respect for patients confidentiality and comfort become fundamental values; indeed, he suffers from personal instability.
The series demonstrates how clinical specialists attempt to manage pressure. According to the study, a large amount of stress in clinical specialists can cause burnout and suicidal intentions (Deeb et al., 2018). The series portrays Shruti, Adam Kays colleague, who becomes impatient with her work because of a large amount of daily anxiety (De Pear et al., 2022). She realizes that multiple flaws in the hospital influence her, as everything goes wrong during the emergency surgery. Shruti died by suicide; she had no power to fight against the significant disadvantages of her difficult work. This episode demonstrates how complicated it is to be a devoted and stress-resistant professional, as clinical specialists are primarily ordinary people with personal concerns, which can be challenging to separate from the profession. Dental hygiene specialists manage tension daily, and following a healthy balance of professional worries and private life is vital.
Moreover, doctors have to deal with patients adverse and fatal outcomes. In several episodes, patients die, affecting doctors psychological stability. The series demonstrates how doctors try to manage stress, leading to significant problems. For example, one of the junior doctors breaks down with her mother after a difficult day at work (De Pear et al., 2022). Life-work balance is one of the crucial aspects for clinical professionals, as stressful work significantly impacts doctors mental condition (Deeb et al., 2018). Thus, the series provides valuable insight into the daily life of clinical specialists, who often struggle to separate their professional debt from households. No dental hygiene specialist is insured from professional burnout, and the series emphasizes the importance of keeping a doctors psyche healthy to avoid adverse outcomes.
Dental Hygiene Principles
Several competencies can interconnect in the professional debt of a clinical specialist. For example, Adam Kay executes multiple tasks, which become vital for the patient; he helps to deliver a baby (De Pear et al., 2022). Furthermore, dentistry is influenced by gender stereotypes to a great extent. The dental practice is not typically associated with males; established prejudices claim that dental hygiene is a female profession (Wadia, 2022). Gender presuppositions can influence males entering the profession, as they feel uncomfortable in the field which women usually take.
Adam Kay works primarily with female practitioners and helps them solve their problems through conversations. Dental hygiene combines various competencies and practices obligatory for professionals in the relevant health care scope (Yoon & Moon, 2018). For instance, ethics and professionalism are core values that dentists must comply with, and Shruti makes everything possible to hide her inner sufferings to avoid the patients upset. Dental care specialists should prioritize positive outcomes for their patients, demonstrate dignity and respect for patients, and differentiate between ethical situations which require appropriate professional behavior (Ohrn et al., 2020). Although doctors in This is going to hurt try to follow medical ethics, Adam Kay faces racism struggles and cannot manage it. Accordingly, dedication becomes a binding domain, as dental hygiene professionals have to deal with stress and pressure and stay dedicated to their primary mission. Thus, This is going to hurt interconnects dental hygiene ethics and truthfully portrays how difficult it can be to stay professional in stressful conditions.
Conclusion
Overall, This is going to hurt represents the lifelike realities of medical professionals who attempt to monitor their professional and private scopes of life. It draws parallels between work and life, which can be tight to combine and trace. In dental hygiene, practitioners face similar difficulties as the heroes of the given series do; they struggle with financial confidence, relationships, and friendship and have to forget their problems once they are at work. The series demonstrates how various circumstances can affect professionals mental health and how complicated it is to balance work and life. It reflects dental hygiene specialists burdens and shows how they prioritize professionalism, respect, and a client-centered approach at a loss of their psychological health and stability.
References
De Pear, N., Featherstone, J., Jones, K., Kay, A., Kay, J., McDermott, D., Qureshi, M., & Whishaw, B. (Executive Producers). (2022). This is going to hurt [TV series]. BBC Studios.
Deeb, G. R., Braun, S., Carrico, C., Kinser, P., Laskin, D., & Golob Deeb, J. (2018). Burnout, depression and suicidal ideation in dental and dental hygiene students. European Journal of Dental Education, 22(1), 70-74.
Ohrn, K., Danielsen, B., & Field, J. (2020). A common European curriculum for dental hygiene domain I: Professionalism. European Journal of Dental Education, 24(4), 616618.
Wadia, R. (2022). Men working in dental hygiene. British Dental Journal, 232(10), 717.
Yoon, S. J., & Moon, K. H. (2018). Major satisfaction and professionalism according to DISC behavior patterns of dental hygiene students. International Journal of Clinical Preventive Dentistry, 14(4), 241246.
