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* Scholarships / Bode Amao Foundation Scholarships for Nigerian Students by Idowu Olabode: Today at 07:41:08 PM
Bode Amao Foundation (BAF) is a non-profit organization, founded in 2002, funded by Chief Bode Amao OON, and dedicated to the service of humanity and glory to God. BAF has so far supported 143 students in twenty two (22) Universities from year of award to graduation in all geopolitical zones of Nigeria.
 
Applications are invited from qualified bonafide and registered Nigerian students from the catchment institutions for consideration for the award of scholarships to pursue first degree courses under the Chief Bode Amao Scholarship Award.
 
Applicants are expected to satisfy the following requirements:
 
COVERAGE INSTITUTIONS FOR 2017/2018 ACADEMIC YEAR:
University of Ibadan, Ibadan
Lagos state university ojo lagos
University of Nigeria Nsukka
Ahmadu Bello University Zaria
University of Maiduguri Maiduguri
Usman Dan Fodio University Sokoto
University of Jos, Jos
 

 
ELIGIBILITY/CRITERIA
The eligibility of candidates will largely depend on the following criteria:
- Attainment of high academic excellence with CGPA as the determinant factor
- Undergraduate candidates should be at least at the 200 level of their course of study at the time of completing the forms
- The Registrar of their respective Universities must certify the candidates are TRULY INDIGENT
- The award is N70,000 per beneficiary per academic session and is active throughout the course of study
 
METHOD OF APPLICATION
Application forms are obtainable free of charge form the Registrar's office of their respective institutions or online thru bodeamaofoundation.org
 
The printed forms should be completed and supported by the attestation from the Registrar of their institutions, that, they have registered for the current academic year. The attested forms must reach the Secretariat not later than Wednesday January 17 2018
 
Candidates are advised to make ONE ENTRY ONLY, and fill the forms correctly. Any false information will attract automatic disqualification.
 
Registrars of universities where students are currently enjoying scholarship awarded by BAF are requested to forward copies of the results of the affected students for the last academic sessin to BAF Secretariat by post or scanned to the email address below
 
Scholarships@bodeamaofoundation.org
All applications by post should be addressed to:
 
Bode Amao Foundation (BAF)
P.O.Box 7088, Secretariat Post Office, Ibadan, Oyo State
* News / Profile of the Newest Nursing Professor in Nigeria Prof. Irinoye Omolola by katty: Today at 03:34:06 PM
Yesterday witnessed another breakthrough for Nigerian Nurses when a new Professor Irinoye became the 5th professor of Nursing to be appointed this year. Below is the profile of a determined woman who started from School of Nursing and rose to the zenith of the profession.


PERSONAL DATA

Full Names: IRINOYE, Omolola Oladunni
Date of Birth: 15th July 1956
Nationality Nigerian
State of Origin Osun
Present Status & Position: Professor Department of Nursing Science, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
Present Mailing Address: P.O. Box 1100 Obafemi Awolowo University Post Office Ile-Ife, Osun State NIGERIA
Telephone: +234 (0) 8034095406 +234 (0) 8080806806
E-mail: oirinoye@oauife.edu.ng

EDUCATIONAL BACKGROUND

2001- 2005 Doctor of Philosophy, School of Nursing, University of Kwazulu-Natal, Durban, South Africa.
Thesis Title: Conceptions of Sexual Intercourse Among the Yoruba People of South Western Nigeria

1997 – 1998: M.Sc. (Women, Development and Administration) at the University of York, York, United Kingdom.
Dissertation Title: Intrafamilial power relationships and domestic violence: dimensions of social change with particular reference to the Yoruba people of western Nigeria.

1988 – 1991: MSc (Nursing) at the Obafemi Awolowo University, Ile-Ife, Nigeria
Thesis Title: Congruency between expected roles and actual role performance of nurses in the surgical units of a teaching hospital in Nigeria

1981 – 1984 B.Sc. Nursing - Second Class, (Upper Division) at The University of Ibadan, Ibadan, Nigeria.
Major: Nursing Education
Dissertation: A study of the utilisation pattern of Jaja Clinic by students at the University of Ibadan, Ibadan

1978 – 1980 Professional General Nursing Education leading to licensure as a Registered Nurse (RN) at the School of Nursing, University College Hospital, Ibadan, Nigeria.

Professional license

1984 Registered Nurse Tutor (RNT) by the Nursing and Midwifery Council of Nigeria (NMCN)
1980 Registered General Nurse (RN) by NMCN.
1991 Registered Midwife (RM), by NMCN)
1991 Registered Public Health Nurse (RPHN), by NMCN
Thesis title: Knowledge and Sexuality problems of Adolescents in a suburban' community

She has served as lecturers in universities within and outside Africa and instrumental towards the development of Nursing programs at different levels of study in various universities within the Africa continent. She is truly a mother and inspiration to all. Congratulations ma!


* Nursing Jobs / Requirement of Registered Nurses/Nursing Officer for UK by Venkatesh: Today at 03:18:46 PM
Requirement of Registered Nurses/Nursing Officer for UK

We have a wonderful opportunity for African Nurses for Permanent position for NHS Hospitals.

The NHS Trust invites applications from suitably qualified Nurses for enlistment into the Maidstone & Turnbridge Hospital.

Applications are invited for the position below:
 
Position: Nurse
 
Location: Kent, UK
Department: Medical & Surgical

General Information to Candidates:

Maidstone and Tunbridge Wells NHS Trust is a large acute hospital Trust in the county of Kent, in the south east of England.

The Trust provides a full range of general hospital services and some areas of specialist complex care to around 500,000 people living in the south part of West Kent and the north part of East Sussex.

The Trust’s core catchment areas are Maidstone and Tunbridge Wells and their surrounding boroughs. We work from two main clinical sites:  Maidstone Hospital and

Tunbridge Wells Hospital at Pembury. Tunbridge Wells Hospital provides single rooms with en-suites for all in-patients – the first of its kind in the country.

Fact and figures

1.HSJ Top 100 Employer
2.Stonewall partner
3.National awards
4.Quality Mark by Skills for Health
5.Positive staff survey result

Benefits:

1. Salary of £21,909 - £28,462 per annum.
2. Flight ticket to London
3. Visa expenses
4. 6 months of accomodation
5. Tier 2 dependent visa
6. NMC Registration Fees
7. OSCE Exam Registration and helping with preparation.
8. NHS Health Surcharge
9. Comprehensive induction and training programme to enhance your long term career prospect on United Kingdom


Requirements:

1. Completed Bachelor's In Nursing or B.NSc or equivalent with post basic qualification in a nursing field
2. IELTS Score of 7 in each section or have previous IELTS with 6.5 at least in each section. Candidates having a score of 6.5 in each need to
    reappear for IELTS again within a time period of 6 months.
3. Grade B in OET maps onto IELTS level 7.0. Applicants would need to get a grade B in all four areas of the test (reading, writing, listening
    and speaking).
4. Minimum 18 months of experience as a Nurse
5. Candidates should not be currently working in Paediatrics (Neonatal is acceptable)
6. Sub specialisations such as ICU, A&E, Operation Theatre, Emergency, Medical & Surgical, Neonatal will be an added advantage.

Interested candidates please send me the following documents on Email ID Venkatesh.Kumar@cplhealthcare.com.

1. Updated CV
2. IELTS/OET Certificate
3. Skype ID

Interested Candidates can also reach me on
1. Contact : +917930114203 / +35315360693
2. Email ID : Venkatesh.Kumar@cplhealthcare.com

NOTE: We don't charge any fees to applicant, we are professional services provider and partner with range of hospitals/Nursing Homes across UK in finding healthcare staff.
* Nursing Jobs / NURSE OPPORTUNITY IN UK by Shivangi: Today at 02:56:20 PM
Hiring Register Nurse for UK NHS Hospital!!!

Currently recruiting for UK NHS Hospital on permanent basis.

- Required At least 1 year of experience
- Have given IELTS or OET.

 What they usually offer:
* A 3 year contract
* Working 37.5 hours per week (a total of 150 hours over 4 weeks)
* Band 5 Staff Nurse salary range £21,909 to £28,642 per year
* 202.5 hours annual leave plus 60 hours Bank Holidays per annum (pro rata if part-time)
* Fund the completion of your OSCE on one occasion and training for it
* Provide 4-8 weeks on-site accommodation
* Refund the cost of your visa and flight


All the nurses in order to attend to the Skype interviews need to have clear their IELTS (7 in each section) or have previous IELTS with 6.5 at least in each section.

If Nurse get offered from the hospital They will have 3 month to clear with IELTS


Interested candidates please reach me on +44 2037954078 or shivangi.manger@medacs.com for further details & registration.

You can also inbox me your contact details with preferred a time to reach
* News / Marburg Virus Disease Facts: History,Transmission,Symptoms,Treatment & Preventio by Idowu Olabode: Today at 01:45:17 PM
Marburg virus is one of two viruses belonging to the Filovirus family. Along with Ebola virus, Marburg virus causes a severe and highly fatal haemorrhagic fever called Marburg virus disease which is clinically almost indistinguishable from Ebola virus disease.

Marburg virus affects both humans and non-human primates.

The disease was first recognised in 1967, when outbreaks of haemorrhagic fever occurred simultaneously in laboratories in Marburg and Frankfurt in Germany, and Belgrade in Yugoslavia. A total of 31 people became ill, including 25 laboratory workers, and medical personnel and a family member who had cared for them. The laboratory workers all had contact with the blood, organs or cell-cultures from a batch of imported African green monkeys from north-western Uganda.

It is generally accepted that Marburg virus is a zoonotic (animal borne) virus. Fruit bats (Rousettus aegyptii) are considered the natural host of the virus. Monkeys are susceptible to Marburg virus infection but are not considered the reservoir hosts as they die rapidly once infected.

Epidemiology

Recorded cases of Marburg virus disease are rare.

Outbreaks and sporadic cases have been reported in Angola, Democratic Republic of Congo, Kenya, and South Africa (in a person who had recently travelled to Zimbabwe).

The largest outbreak on record to date occurred in 2005 in Angola, and involved 374 cases, including 329 deaths.

Two unrelated sporadic cases occurred during 2008 following visits to the “python cave” in the Maramagambo Forest in western Uganda; this cave is home to a large colony of Egyptian fruit bats. Both people became ill after return to their home country; one in the Netherlands and one in the USA.

In 2012, it was also recorded in Southeastern Uganda. The most recent outbreak is in 2017 Uganda.

Symptoms

The incubation period of Marburg haemorrhagic fever is 3 to 10 days.

The onset of illness is sudden, with:

    severe headache
    malaise
    high fever
    progressive and rapid debilitation

By about the third day symptoms include:

    watery diarrhoea
    abdominal pain
    cramping
    nausea
    vomiting

Symptoms become increasingly severe, and many patients develop severe haemorrhagic fever after 5 to 7 days.

Fatal cases usually have bleeding, which is often from multiple sites.

Many of the symptoms of Marburg haemorrhagic fever are similar to those of other infectious diseases, such as malaria or typhoid. Diagnosis of the disease may be difficult.

Transmission

The initial infection in any outbreak occurs through exposure in mines or caves inhabited by Rousettus bat colonies.

Subsequent transmission of virus from person to person requires close contact with an infected patient. Blood or other bodily fluids (faeces, vomit, urine, saliva and respiratory secretions) contains a high concentration of virus, particularly when these fluids contain blood.

Contact with blood or other bodily fluids transmits the virus.

Sexual transmission of the virus can occur, and Marburg virus may remain in semen for up to 7 weeks after clinical recovery.

Transmission of the virus via contaminated injection equipment or needle-stick injuries is associated with more severe disease.

Close contact with the body or body fluids of people who have died of Marburg, during preparation for burial, is a recognised source of infection.

Diagnosis

Antigen-capture enzyme-linked immunosorbent assay (ELISA) testing, IgM-capture ELISA, polymerase chain reaction (PCR), and virus isolation can be used to confirm a case of Marburg hemorrhagic fever within a few days of the onset of symptoms. The IgG-capture ELISA is appropriate for testing persons later in the course of disease or after recovery. The disease is readily diagnosed by immunohistochemistry, virus isolation, or PCR of blood or tissue specimens from deceased patients.

Treatment

There is no specific treatment available for Marburg virus disease. Patients receive supportive therapy, including:

*balancing fluids and electrolytes
*maintaining oxygen status and blood pressure
*replacing lost blood and clotting factors

Fatality rate

The case-fatality rate for Marburg hemorrhagic fever is between 23-25%

Prevention

Preventive measures against Marburg virus infection are not well defined, as transmission from wildlife to humans remains an area of ongoing research. However, avoiding fruit bats, and sick non-human primates in central Africa, is one way to protect against infection.

Measures for prevention of secondary, or person-to-person, transmission are similar to those used for other hemorrhagic fevers. If a patient is either suspected or confirmed to have Marburg hemorrhagic fever, barrier nursing techniques should be used to prevent direct physical contact with the patient. These precautions include wearing of protective gowns, gloves, and masks; placing the infected individual in strict isolation; and sterilization or proper disposal of needles, equipment, and patient excretions.

In conjunction with the World Health Organization, CDC has developed practical, hospital-based guidelines, titled: Infection Control for Viral Haemorrhagic Fevers In the African Health Care Setting. The manual can help health-care facilities recognize cases and prevent further hospital-based disease transmission using locally available materials and few financial resources.

Marburg hemorrhagic fever is a very rare human disease. However, when it occurs, it has the potential to spread to other people, especially health care staff and family members who care for the patient. Therefore, increasing awareness in communities and among health-care providers of the clinical symptoms of patients with Marburg hemorrhagic fever is critical. Better awareness can lead to earlier and stronger precautions against the spread of Marburg virus in both family members and health-care providers. Improving the use of diagnostic tools is another priority. With modern means of transportation that give access even to remote areas, it is possible to obtain rapid testing of samples in disease control centers equipped with Biosafety Level 4 laboratories in order to confirm or rule out Marburg virus infection.

Sources: https://www.gov.uk/guidance/marburg-virus-disease-origins-reservoirs-transmission-and-guidelines
https://www.webmd.com/a-to-z-guides/marburg-hemorrhagic-fever#2
https://www.cdc.gov/vhf/marburg/about.html
* News / "Ebola Sister" Marbug Virus Hits Uganda as Health Ministry Confirmed one Case by Idowu Olabode: Today at 01:05:39 PM
Uganda has confirmed one case of Marburg virus, a highly infectious hemorrhagic fever similar to Ebola, the health minister said on Thursday. Here is the press release by the Ministry


Minister of Health, Hon. Dr. Jane Ruth Aceng informs the general public that there is a confirmed case of Marburg Virus Disease in Uganda 🇺🇬️
The confirmed case was a 50-year-old female from Chemuron village, Moyok Parish, Moyok sub county, Kween District in Eastern Uganda. She presented with signs and symptoms suggestive of a Viral Hemorrhagic Fever (VHF)



Preliminary Investigations indicated that prior to her death; the deceased had nursed her 42-year-old brother, who had died on September 25, 2017 with similar signs and symptoms. She had also closely participated in the cultural preparation of the body for burial. The deceased’s brother was reported to be a hunter who carried out his activities where there are caves with heavy presence of bats. However, no samples were taken off his body prior to his death.

Marburg Virus Disease (MVD) is caused by the Marburg virus, a rare but severe type of Viral Hemorrhagic Fever which affects both humans and non-human primates like monkeys , baboons. The reservoir host of Marburg virus is the African fruit bat. Fruit bats infected with Marburg virus do not show obvious signs of illness. Primates (including humans) are vulnerable to contracting the Marburg virus, which is known to have a very high mortality.

A person suffering from Marburg presents with sudden onset of high-grade fever accompanied by any of the following symptoms:
1. Headache
2. Vomiting blood
3. Joint and muscle pains
Unexplained bleeding through the body openings including the eyes, nose, gums, ears, anus and the skin.

Ministry of Health is undertaking the following measures to control the spread of the disease:
• Ministry of Health has deployed a Rapid Response Team comprising of highly experienced Epidemiologists, Risk Communication experts, Case Management, Infection Control and Prevention experts, ecological environmental experts, Laboratory specialists, among others to Kween and Kapchorwa districts. The team will support District Rapid Response Teams to investigate and assess the magnitude of the threat and to institute appropriate control measures to avert the Marburg Virus Disease threat.

• An isolation ward at the Kapchorwa District Hospital and Kaproron Health Center IV in Kween District have been established to handle cases.

• Preparations are underway to train all health workers, particularly from Kapchorwa Hospital, and Kaproron Health Centre IV on VHF Infection Prevention and Control. Infection Prevention and Control measures have been heightened in all health facilities in Kapchorwa and Kween districts.

• Personal Protective Equipment (PPE’s) and other supplies have been mobilized to support response in the affected facilities.

• The National Medical Stores is delivering emergency supplies to the affected health facilities.

• Increasing awareness in affected communities and among health-care providers on the clinical symptoms of patients with Marburg Virus Disease.

Marburg Virus Disease has the potential to spread over wide areas affecting many people especially health workers and family members nursing Marburg Viral Disease patients.

The Ministry of Health therefore appeals to the general public to remain alert and observe the following precautions to control the spread of the Marburg virus:

• Report any suspected patient immediately to a nearby health facility.
• Avoid direct contact with body fluids of a person presenting with bleeding tendencies or symptoms suggestive of Marburg virus disease.
• Health workers are further reminded to wear gloves and appropriate personal protective equipment when taking care of ill patients or suspected cases.
• Regular hand washing is required after visiting patients in hospital, as well as after taking care of patients at home.
• Avoid contact with persons who have died from the disease.
• Allow health workers perform dignified burials among victims who might have succumbed to the disease, so as to minimize its spread to others.

The Ministry of Health calls upon the general public to remain calm but be on alert amidst this epidemic.
You can report all suspected cases via the Ministry of Health hotline on 0800-100-066.
Please visit www.health.go.ug to read the Minister's statement on Marburg Virus.
* News / Nurse Practitioners in Jamaica to be allowed to Prescribe Drugs as Doctors Kick by Idowu Olabode: Today at 11:32:45 AM
A group of specialised nurses locally is beaming with pride while some doctors are up in arms about a recent Government decision.

Cabinet has approved a proposal to amend the Pharmacy Act to allow nurse practitioners to write some prescriptions for patients.

Health Minister, Dr Christopher Tufton, made the announcement while addressing the annual general meeting of the Nurses’ Association of Jamaica’s (NAJ) recently.

The nurse practitioners are specialised nurses holding at least a master’s degree.

There are some 200 nurse practitioners locally, who are trained in patient diagnosis. They operate from various service points and facilities across the country, including in some deep rural areas where doctors from the public health service are few and far between.

Dr Tufton said the Government intends to give the nurse practitioners the authority to prescribe some drugs, despite objections from some doctors.

The pending development has long been mooted by the NAJ, which has declared the concerns from some doctors to be without merit.

Source :Loop Jamaica
* News / Kenya: Nakuru County Nurses Vow to Keep off work until Government signs CBA by Idowu Olabode: Today at 11:28:16 AM
Nurses in Nakuru have vowed to continue with their strike until the government honours their Collective Bargaining Agreement (CBA).

The nurses spoke on Wednesday evening after meeting their officials from the Kenya National Union of Nurses (KNUN).

137 DAYS


They said they will not report to work unless a directive is issued by the Knun secretary-general.

Nurses have been on strike for 137 days since June 5, demanding that their CBA be implemented.

KNUN Deputy Secretary-General Maurice Opetu, who spoke to the nurses at Railway grounds, urged them to remain on strike until their grievances are addressed.

“All nurses should remain on strike until the strike is called off from the national level and no one should be cowed,” he said.

The nurses led by Nakuru branch Secretary Syprine Odera said they will not go back to work despite the county government threatening to sack them.

SOLIDARITY


“The visit by the national office leaders was meant to urge us to continue strengthening our strike in solidarity with our colleagues. We have promised our support to the national union leaders,” said Ms Odera.

In September when Nakuru Governor Lee Kinyanjui took over office, he threatened to sack all the striking nurses unless they resumed duty.

He said the situation in public hospitals in Nakuru had been wanting and nurses should heed calls by the Council of Governors to return to work.

Mr Kinyanjui made the announcement after forming a health taskforce to address issues in the county.

PROMISE

The nurses blamed the governor for not honouring his campaign promise to address their grievances.

“During his campaign he promised to stand by us and that he would address our grievances once elected as governor. We are surprised by his recent threats,” said a nurse who sought anonymity.

Source : Daily Nation
* Articles / How Euthanasia Affects Nurses by Annmarie Hosie by Idowu Olabode: Today at 10:10:52 AM
Today my brief is to talk about the adverse impact that legalising euthanasia would have on nurses and care of patients with a terminal illness. I am speaking on this topic in a personal capacity, as a former palliative care nurse and now as a researcher in palliative care.

To begin, allow me to discuss some basic concepts.

What is “euthanasia”? It is any action (or omission) that intends to cause the death of a person, whatever the circumstances and whatever the alternative terminology, 1

What is healthcare? Healthcare promotes optimal health and development throughout the human lifespan, cures illness, heals, cares, comforts and alleviates suffering.

Nurses are intimately involved in healthcare of people, and work closely with medical practitioners and in interdisciplinary teams. According to our code of ethics 2 nurses have four fundamental responsibilities: “to promote health, prevent illness, restore health and alleviate suffering”. Palliative care focuses on relief of suffering, but this focus doesn’t negate the other responsibilities. Nurses care for people in the last year of life in hospitals, private homes, aged care facilities, prisons and group homes for people with disabilities.

With the exception of prisons, I have cared for people in all of these settings, and in 30 years, I don’t recall a single person requesting physician-assisted suicide. 

Legal euthanasia would lead to confusion about ethical palliative care


If euthanasia were legal, nurses would understandably become confused about many fundamental principles of healthcare. These include long-accepted ethical principles: beneficence (to do good); non-maleficence (to do no harm); justice (fairness); and autonomy (choice).

If euthanasia were legalised, how should a nurse react if a person expresses a suicidal intent, or commits suicide, especially someone with a terminal illness? Preventing suicide is an integral responsibility of healthcare as governments are fully aware.

A nurse (indeed, any healthcare professional) who recognizes that a patient is suicidal is expected to intervene for their safety and to maintain life, guided, in New South Wales, by Suicide Risk Assessment and Management Protocols. 3 Nurses have a responsibility to act to protect the life of a person who has attempted suicide, and to report suicide deaths to the Coroner.

Both “voluntary assisted” death and suicide mean the same thing: to intentionally end one’s own life. If euthanasia were legal, some laws and some healthcare policies would clash.

What would a nurse do if caring for someone who has a lethal dose of medication in their possession and communicates a plan to use it?

What would a nurse do if called to the house of someone who was dying and found that the person was dying in distress after ingesting a lethal dose of medication? Professionally and ethically the nurse must always act for the good of the person.

Distinguishing between palliative care and euthanasia would become more confusing if euthanasia were legal. Palliative care does not intend to hasten death,8 whereas euthanasia does. However, this distinction is not always understood, because even though the causation is different, death occurs in both situations.

People eligible for assisted suicide, according to the NSW Voluntary Assisted Dying Bill (like similar bills in other states), must have a terminal illness. It’s natural to assume that many of them will be on palliative care. How would nurses effectively and ethically care for someone according to these two opposed approaches? How easily would the lines become blurred between ethical palliative care and intentionally causing someone’s death?

There is evidence, too, that nurses experience confusion and moral conflict with regards to euthansia and palliative care.

A review of the literature of nurses' attitudes toward euthanasia in 2005 9 found that nurses were dealing with blurred boundaries and felt conflicting emotions over euthanasia deaths -- compassion for the patient, but also guilt, anger, fear, and involvement in an “unnatural event”. They felt that they were vulnerable and their opinions were overlooked.

Another study of the attitudes of physicians and nurses in Flanders (the Dutch-speaking part of Belgium where euthanasia is legal) and experience of palliative sedation for refractory symptoms at the end of life found that the boundary between palliative sedation and euthansia was blurred. One nurse said:

“Sedation was frequently started with the understanding: ‘If the patient is still here tomorrow, then we will double [the dose]’. That was commonplace. So in fact they often ended life, even if this was not the initial intention of the sedation.”10

By its very nature, palliative care is challenging and complex. Legal euthanasia makes this worse. Nurses tend to suppress their own beliefs about the wrongfulness of intentionally causing death so that they can remain caring for a dying patient. If euthansia were legal, we will see increased burnout, compassion fatigue and leaving the nursing profession. 11

Furthermore, how will nurses inform and reassure the fears of patients and families, who are so often very apprehensive when a referral to palliative care is made, and many likely more so, if euthanasia were legal?

Witnessing and participating in harm to patients


Euthanasia is commonly described as “just like going to sleep”. But, as a nurse, I don’t believe that giving lethal doses of medication guarantees dying would be peaceful or gentle. 12

Nurses who provide palliative care frequently give patients medications for symptom management like pain, breathlessness and anxiety, using many of the same medications that are commonly used for euthanasia such as benzodiazepines and opioids. 6 These medications can cause distressing side-effects even at therapeutic doses13 -- dizziness, dry mouth, nausea, vomiting, irritability, hallucinations, and delirium.6,14

Delirium is an acute disturbance of awareness and cognition; it is a frightening, humiliating and isolating experience. 15 Some people have described it as “hellish”. Unconsciousness is compatible with delirium, although the person is unable to verbally communicate the experience. Not everyone will be delirious during natural dying, but he or she almost certainly would be while dying of a lethal dose of medication. 16,17

Other technical problems and complications reported in euthanasia and capital punishment deaths include: cardiac arrhythmias, difficulty accessing a vein, gasping, jerking, seizures, regurgitation of ingested medication, and longer than anticipated duration of dying.14,18

I’m sceptical of the argument that euthanasia techniques will become more refined with legislation and increased practice6. Bringing about death always requires inflicting extreme physical harm.18

If euthanasia or assisted suicide were legal, nurses would witness this harm occurring to patients. It is easy to foresee that they might even be involved in helping to administer lethal doses of medication, if a patient requests their help.

The difference between a compassionate response to suffering and a merciful one

Euthanasia is sometimes referred to as “mercy killing”. This positions euthanasia as excusable, desirable, or even necessary. But it twists the real meaning of mercy.

Mercy is inspired by love and compassion, and informed by reason. Mercy requires us to use our strengths to do everything possible for the well-being of another person. Mercy results in more goodness than the person expected in the given circumstances. Mercy fulfils the purpose of healthcare to restore human dignity during sickness. 

Earlier, I said that I don’t recall any person with a terminal illness expressing a wish for their doctor to help them commit suicide. A few weeks ago, a palliative care nurse colleague with more recent clinical experience than I have told me that several of her patients – who were all intelligent, well-educated and affluent - had talked to her about the option of euthanasia over the months that she cared for them. In the end, each one of her patients died naturally and peacefully, with family close by, including grandchildren playing on their beds. Each one said to her, “Thank God euthanasia isn’t legal, because if it had been, I would have taken that option”.

Those unexpectedly good last days with their families are another example of mercy.

Nurses have many opportunities to give mercy to a person with terminal illness. I have seen every human emotion on the faces of people close to death: sadness, pain, fear, confusion and strain, along with peace, smiles, winks, joy, love and bliss. I remember being with young parents at the bedside of their little boy, listening to them sharing a small family joke with his grandparents just minutes before he died of a brain tumour. When they laughed, peace filled the room, and he died. It’s not what you would expect in such a situation - it wasn’t what any of us in the room expected - but it happened.

When we care for people in their natural dying and see the unexpected good that can happen during such difficulties, our own fear about death can ease. We can bring peace and hope to others who are frightened about dying. As a palliative care nurse, I can honestly say I don’t fear dying or death. But I would have reason to fear being old and sick if I lived in a place where euthanasia was legal.

Rather than an effective way of relieving suffering, legal euthanasia would cause increased confusion and harm, both for and by nurses. My hope is that we will continue to aim high and strive always for merciful nursing and healthcare, and a merciful society.

Dr Annmarie Hosie is a post-doctoral research fellow in nursing at the University of Technology, Sydney

References

1.Sulmasy DP, Ely EW, Sprung CL. Euthanasia and Physician-Assisted Suicide. Jama. 2016;316(15):1600.

2.International Council of Nurses. The ICN Code of Ethics for Nurses. Geneva, Switzerland: International Council of Nurses; 2012.

3.NSW Government. Suicide Prevention Program. 2017; http://www.health.nsw.gov.au/mentalhealth/cg/Pages/mh-suicide.aspx. Accessed September 17, 2017.

4.Australian Commission on Safety and Quality in Health Care. End-of-Life Care. 2017; https://www.safetyandquality.gov.au/our-work/end-of-life-care-in-acute-hospitals/. Accessed September 17, 2017.

5.Radbruch L, Leget C, Bahr P, et al. Euthanasia and physician-assisted suicide: A white paper from the European Association for Palliative Care. Palliative Medicine. 2015.

6.Emanuel EJ, Onwuteaka-Philipsen BD, Urwin JW, Cohen J. Attitudes and practices of euthanasia and physician-assisted suicide in the United States, Canada, and Europe. JAMA. 2016;316(1):79-90.

7.Cohen J, Van Wesemael Y, Smets T, Bilsen J, Deliens L. Cultural differences affecting euthanasia practice in Belgium: one law but different attitudes and practices in Flanders and Wallonia. Soc Sci Med. 2012;75(5):845-853.

8.World Health Organisation. WHO Definition of Palliative Care. Vol 2011: World Health Organisation; 2002:http://www.who.int/cancer/palliative/definition/en/.

9.Berghs M, Dierckx de Casterlé B, Gastmans C. The complexity of nurses’ attitudes toward euthanasia: a review of the literature. Journal of Medical Ethics. 2005;31(8):441 http://www.nursesarena.com

10.Anquinet L, Raus K, Sterckx S, Smets T, Deliens L, Rietjens JA. Similarities and differences between continuous sedation until death and euthanasia - professional caregivers' attitudes and experiences: a focus group study. Palliat Med. 2013;27(6):553-561.

11.Nolte AGW, Downing C, Temane A, Hastings-Tolsma M. Compassion fatigue in nurses: A metasynthesis. Journal of Clinical Nursing.n/a-n/a.

12.Stewart F, Nitschke P. The Peaceful Pill Handbook. Exit International USA; 2008.

13.Palliative Care Expert Group. Therapeutic Guidelines: Palliative Care (Version 4). Melbourne: Therapeutic Guidelines Ltd; 2016.

14.Groenewoud  JH, van der Heide  A, Onwuteaka-Philipsen  BD, Willems  DL, van der Maas  PJ, van der Wal  G. Clinical Problems with the Performance of Euthanasia and Physician-Assisted Suicide in the Netherlands. New England Journal of Medicine. 2000;342(8):551-556.

15.O'Malley G, Leonard M, Meagher D, O'Keeffe ST. The delirium experience: a review. Journal of Psychsomatic Research. 2008;65(3):223-228.

16.Caraceni A. Drug-associated delirium in cancer patients. European Journal of Cancer Supplements. 2013;11(2):233-240.

17.Devlin J, Fraser G, Riker R. Drug-Induced Coma and Delirium. In: Papadopoulos J, ed. Drug-Induced Complications in the Critically Ill Patient: A Guide for Recognition and Treatment: Society of Critical Care Medicine; 2012:107-116.

18.Quinlan M. "Such is Life”: Euthanasia and capital punishment in Australia: consistency or contradiction? Solidarity: The Journal of Catholic Social Thought and Secular Ethics. 2016;6(1):Article 6 http://www.nursesarena.com

19.Shakespeare W. The Merchant of Venice, Act 4, Scene 1. 16th century; http://shakespeare.mit.edu/merchant/merchant.4.1.html. Accessed July 17, 2017.

20.John Paull II. Encyclical letter: Dives in misericordia of the Supreme Pontiff John Paul II on the mercy of God. 1980; http://w2.vatican.va/content/john-paul-ii/en/encyclicals/documents/hf_jp-ii_enc_30111980_dives-in-misericordia.html. Accessed July 13, 2017.

Original Source: https://www.mercatornet.com/careful/view/how-euthanasia-affects-nurses/20591
* News / A Nurse Facebook Post has set Social Media on Fire! Read What she Wrote by Idowu Olabode: Today at 09:58:29 AM
A Registered Nurse Tiffani Ellington Harpole facebook post which was shared by Love What Matters has becoming one of the most shared post on social media. Below is Tiffani Ellington Harpole's post that people are talking about:

"A few days ago someone in nursing school told me they would never stay "just a nurse" and that they would 100% go on to get their Nurse Practitioner degree. Then, I got in my car today and saw this picture. I used to have that mentality. In the picture on the left I was excited, finishing school, ready to take on the world of nursing. I was a little bit prideful, and if anyone asked me what my plans were I was pretty quick to tell them I wasn't going to be "just a nurse." Now here I am, almost two years later, and I think I'm starting to understand what it means to be "just a nurse." I really don't ever sleep, hair and makeup being fixed is a thing of the past, I'm up all night while the rest of the world is sleeping, I am gone 3/7 nights from home even though I'm newly married (makes me feel like a great wife) and I'm not allowed to get my nails done. Okay, so maybe those things are just called being an adult, but the girl on the left wasn't ready for it! Real life hit me like a ton of bricks. However, I've learned some other valuable things about life and nursing in the past two years as well.



-I am not too good to care for you, no matter your background.
-I will not judge you for what you did while or before you were pregnant, I will care for you and love you like Jesus does.
-I am not above cleaning up your blood that gravity so lovingly pulls to the floor the first time you stand up after delivery.
-If you can't sleep, I'll talk with you as long as you need me to. Even if it's midnight and I haven't charted the first thing.
-I will cry with you when your baby gets transferred to the NICU, when they can't figure out what's going on with your child, and when your pain seems too much to bear.
-I will call the doctor for you at 3:30 AM, even if my insides are shaking because I've already had to call and wake them up twice.
-I will be your hairstylist, your waitress, your babysitter, your janitor, your advocate, and your best friend, (if you'll let me.)

I am still a baby nurse. I learn new things every day. I may go on to get my nurse practitioner one day. Who knows! But one thing I know for sure is that it's pretty dang cool to be "just a nurse."

Credit: Tiffani Ellington Harpole
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