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Bilirubin is a yellow pigment that is created in the body during the normal recycling of old red blood cells. The liver helps break down bilirubin so that it can be removed from the body in the stool.

One of these symptoms is jaundice, which is characterized by yellowish skin and eyes because of an inability of the liver to remove bilirubin from the blood. Patient with cirrhosis also suffering from itching, due to deposited bile's products in the skin. This patient also suffers from accumulation of fluid in legs that is called edema. As a result of the blockage of blood flow via the liver, fluid accumulation in abdomen which is worsen by the decrease in protein production. Other symptoms include fatigue, weakness, loss of appetite, weight loss and nausea. As the disease progress, complications may develop ,such as varices that happens with cirrhosis patient when the blood flow through the liver slows, so the blood from intestine go back to the vessels of the stomach and esophagus, these vessels are not meant to carry this much of blood so they dilate (varices), with increasing

Healthcare providers have a moral and ethical obligation not to do harm to patients. Mandatory vaccination could prevent harm from being done to patients by preventing the spread in influenza. “Nursing is the protection, promotion, and optimization of health and abilities,

Influenza results in excess of two hundred thousand hospitalizations in the United States (Tosh & Jacobson, 2010). Mortality rates for influenza related illness have risen. The purpose of this paper is to discuss mandated healthcare influenza vaccination in healthcare workers and will examine a Cochrane review summary, mandated healthcare influenza vaccination, and healthcare worker immunization practices in a Veterans Affairs Health Center.

Depression- Because some one has lost their appetite could be a sign of depression and this is a common with people with dementia. There are treaments which could help with depression which are medication or other therapies. Speak to their GP or nurse for guidance.

Vaccinations have been a topic of controversy among various populations for decades. The controversy exists around the decision to be vaccinated for certain contagious diseases or to omit receiving vaccinations for various reasons including those of medical, ethical, and religious derivation. The profession of healthcare faces a particular obstacle in regard to annual vaccinations against influenza. This review will discuss the following ethical debate: Is it ethical to mandate health care workers to receive annual influenza vaccinations? For the purposes of this review, the term ‘health care worker’ will be defined as any person who is employed by a health care institution and participates in personal interactions with patients. Undoubtedly, registered nurses (RNs) are among the most prevalent of all health care workers. This topic was chosen because influenza is a rampant and contagious respiratory virus that carries the potential to infect anyone. According the Centers for Disease Control (CDC) (2014), approximately 5 to 15 percent of the United States population becomes infected with influenza annually and roughly 200,000 people are hospitalized each year due to influenza. Clearly, influenza generates havoc for many people; however, the virus can be largely prevented by receiving an annual vaccination. Annual influenza vaccinations have been rendered the best way to prevent seasonal influenza and have also been deemed safe (CDC, 2014). Health care workers

What information about the vaccination series for Hepatitis received by healthcare workers will the nurse use in response to Chad's statement?

In conclusion, healthcare workers should have to receive a mandatory influenza vaccine to ensure a safe environment for patients to be treated. The worker’s rights are not violated

Health care governments have endorsed an assortment of vaccination policies and mediations to safeguard against the known dangers of influenza communication, with longer patient stays, absenteeism, intermissions in health care, and death. Studies assessing the consequence of health care workers vaccination found that health care workers influenza vaccination was linked with a decrease in patient death (Murana, 2014). Assessing the results of health care worker influenza vaccination on patient results anticipated that if all health care workers were vaccinated, patient influenza infections could be stopped.

With influenza vaccination rates remaining low in the HCP population, there has recently been an increased emphasis on improving vaccination rates among HCPs. Low influenza vaccination rates have caused many healthcare facilities to initiate and mandate employees to receive the influenza vaccine. Research has proven to reduce morbidity and mortality among patients in healthcare facilities as well as decrease illness and absenteeism among HCPs (Sickbert & Weber, 2013). For these reasons multiple professional organizations are recommending an annual influenza vaccine for all HCPs, if medically suitable for this vaccination. Requiring a physician waiver for non-suitable HCP, all non-suitable HCP are expected or required to wear a mask in direct patient care areas.

The problem can be better quantified by gaining understanding of the importance of receiving the flu vaccination. The manager of any health care facility should ensure that staff and patients, specifically those with a higher risk of contracting the flu, receives the yearly influenza vaccination. Health care staff that does not comply with yearly influenza vaccinations should be transferred to a unit with limited patient contact. High-risk patients who are not compliant with receiving the vaccine are to receive further education of the deadly effects associated with developing the influenza virus. In all patients it is imperative to provide proper patient

Information presented should address health care workers issues concerning vaccine safety and effectiveness. Supporting statistical data should validate the decision. There should be widespread discussions about the reasons for the policy. Allowances should be made for those nurses who have a legitimate reason for not taking it. Legitimate reasons could include but not limited to medical and religious reasons. To prevent the possibility of causing Guillain-Barre syndrome only egg free vaccine should be used. Another option would be to establish that a worker is not allergic to egg before receiving the flu vaccine. Review of the policy for effectiveness in preventing the flu and the impact on health care workers should be carried after a specified time

The liver produces bile which contains conjugated bilirubin. It is then sent to the gallbladder, and it has to be excreted properly from there. However, the gallstones are blocking the way, which makes it hard for the bilirubin to get out, and results in a build-up. This leads to jaundice, which occurs when one has and excessive amount of bilirubin.

Vaccinations to the health care providers and managers of the epidemic treatment plan would be needed regardless of age due to the

This keeps up for a few days and you begin to feel a loss of appetite as well as nausea. A low grade fever between 100 °f - 102 °f is present. A pain and discomfort in the abdomen above the liver is also common, due to enlargement of the liver. After a few days of torture, a person’s urine becomes darker than usual and then jaundice, (a yellowish discoloration of the skin) appears. Jaundice and the dark urine indicate that liver is not functioning properly in removing a reddish-yellow pigment called bilirubin from the blood.