Stranded Indian Nurses in Iraq Move to New Area

NEW DELHI — Jul 3, 2014, 7:58 AM ET

By ASHOK SHARMA Associated Press

Dozens of Indian nurses who have been stranded at an Iraqi hospital are safe but are being forced to move to a new area controlled by Islamic militants, an Indian official said Thursday.

Forty-six nurses have been holed up for more than a week in Tikrit, where militants from the Islamic State of Iraq and the Levant have taken over.

Indian External Affairs Ministry spokesman Syed Akbaruddin said the nurses were unharmed, but were being taken Thursday to a new area under the extremist group's control. He would not say who was moving the medical workers, but said the nurses "did not go on their own free will."

He described the situation as one of "grave difficulty" because the area is not under the control of the Iraqi army and is not accessible to humanitarian organizations.

He denied reports that there was a bomb blast as the nurses left Tikrit, but said some received minor injuries when some glass broke as they were leaving the hospital.

He said Indian embassy officials in Baghdad had spoken to some of the nurses as they left Tikrit.

Akbaruddin also said 39 Indian construction workers abducted two weeks ago near Mosul were still being held, but were safe and unharmed.

About 10,000 Indians work and live in Iraq, but only about 100 are in violent, insecure areas.

The abducted construction workers were mostly from northern states including Punjab and had been employed by the Tariq Noor al-Huda construction company.

Even when the mind forgets (Cute Alzheimer's story)

http://www.huffingtonpost.com/2014/05/28/man-with-alzheimers-buys-wife-flowers_n_5398917.html

Alzheimer's Report

http://www.nia.nih.gov/alzheimers/publication/2012-2013-alzheimers-disease-progress-report

'Hell on Earth,' California killer's family says

By Mariano Castillo, CNN

updated 3:14 PM EDT, Thu May 29, 2014

Chris Martinez, 20, was later gunned down at a deli. He dreamed of being a lawyer like his dad. Now his grieving father, Richard Martinez, has emerged as the public face of gun control advocates in the aftermath of the six killings in Isla Vista.

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Isla Vista victims

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STORY HIGHLIGHTS

• NEW: Firearms shop manager recalls talking to Rodger when he bought a gun
• NEW: "It's no different than the guy that sold him the knife that he used," manager says
• Elliot Rodger's family released a statement Thursday
• Rodger fatally stabbed three and shot three others Friday

(CNN) -- The killer's parents won't talk about him.

That at least is what their friend told CNN on Thursday.

Their thoughts are on the other six victims of Friday's killing spree in Santa Barbara, the friend said.

Elliot Rodger, who fatally stabbed three people and shot three others, himself was found dead with a gunshot wound to his head after crashing his black BMW.

Gun store: Shooter wasn't acting strange

Gun store: Shooter wasn't acting strange

Rodger was 'stuck in rejection denial'

"We are crying in pain for the victims and their families. It breaks our hearts on a level we didn't think possible," Rodger's family said in a statement read by a family friend on "New Day."

"The feeling of knowing that it was our son's actions that caused the tragedy can only be described as hell on Earth."

In a 137-page document, not to mention videos and musings on social media, 22-year-old Rodger hinted that years of rejection and jealousy led him to lash out against beautiful women and popular men.

Simon Astaire, the family friend, shed some light on the kind of person that Rodger was.

"As soon as you met him, he was unbearably reserved, self-contained; he seemed to merge into the walls," he said.

In one brief conversation, Rodger asked Astaire, a novelist, whether writing was a lonely experience.

Astaire described the process as "solitary," and Rodger replied with "I know what you mean" and turned away.

"He seemed the loneliest person in the world," Astaire said.

As the tragedy unfolded near the University of California, Santa Barbara campus, Rodger's parents were putting the clues together that it might be their son who was involved.

His mother received Rodger's manifesto, and after reading just four lines, she immediately went to YouTube to look at the videos her son had posted, Astaire said.

She watched the first 20 seconds of a video titled "Retribution" and then called her ex-husband. Both got on the road toward Santa Barbara as the shooting was unfolding.

The mother's fears were realized when she heard on the radio that a black BMW, like Rodger's, was involved.

"It was the longest journey of their lives and, I would suggest, everyone's nightmare," Astaire said.

Among the victims were Rodger's two roommates and a visitor, Cheng Yuan Hong, 20; George Chen, 19; and Weihan "David" Wang, 20. Each was stabbed to death.

But Rodger didn't stop there. He embarked on a shooting rampage Friday night, killing two young women: Katherine Cooper, 22, and Veronika Weiss, 19, both members of the Delta Delta Delta sorority.

He then went into a deli and killed UCSB junior Christopher Martinez, 20, who was getting a sandwich.

Martinez's father, Richard Martinez, has publicly called for stricter gun control laws.

One of the parents of a child killed in the Sandy Hook school shooting in Newtown, Connecticut, wrote an open letter to Richard Martinez.

The tragedy of losing a child to gun violence has made them part of the same extended family, Mark Barden wrote.

"My heart breaks for you because I know just a little about the long road ahead of you," he wrote, encouraging Richard Martinez to continue being an advocate for gun safety regulations.

"You will find your own path down this difficult road," Barden wrote. "But know that we are here for you and all of you who have been touched by this tragedy. Together we can and will build a safer world for all our children."

The firearms shop Shooters Paradise of Oxnard sold Rodger a gun just before the killings, manager Kevin White said.

Rodger had an Isla Vista address and wasn't acting strangely when he bought the gun, White said.

White, an alum of UCSB, said he spoke briefly with Rodger about Isla Vista.

There was a 10-day waiting period -- no red flags arose in the background check -- and then Rodger picked up the gun, White said.

The manager pointed out that a gun wasn't the only weapon used in the killings.

"It happens from time to time, but what about the guy who sold him the knives or the swords that he used, or what about the guy who sold him the car that he was driving around and hit people?" White said.

"Do they feel bad, or did they know he was going to do something bad with it? I mean, we sell tools. They're items. It's no different than the guy that sold him the knife that he used," White said.

California lawmakers push 'gun violence restraining order' after mass shooting

Opinion: Fix mental health care or expect more shootings

CNN's Chris Cuomo, Greg Botelho, Holly Yan, Michael Martinez and Chuck Conder contributed to this report.

Male stripper goes to nursing home, elderly resident's son goes to court

By Steve Almasy, CNN

updated 8:10 AM EDT, Wed April 9, 2014

Nursing home hires stripper

STORY HIGHLIGHTS

• A man visits his mom in a nursing home, finds a picture of her and a male stripper
• Now there's a lawsuit seeking damages
• Attorney for the nursing home says it was a board-approved activity
• Lawsuit says stripper told 86-year-old to "place her hands about and upon his body"

(CNN) -- Somebody at a New York nursing home apparently thought it would be a great idea to bring in a young hard body for the elderly residents to watch dance.

In other words, a male stripper.

But after a man found a picture in his 86-year-old mother's belongings of a man wearing only "tighty whiteys" hovering very much in his mom's personal space, the lawyers got involved.

Bernice Youngblood, the wheelchair-bound resident whose son, Franklin, is suing the home on her behalf, told CNN affiliate WCBS, "I felt terrible. I was shaken and going on."

WCBS reported that the East Neck Nursing and Rehabilitation Center in West Babylon said all 16 people on a panel of residents approved the show.

"There is nothing inappropriate about it," the facility's attorney, Howard Fensterman, told reporters on Tuesday.

Fensterman, according to the WCBS report, said that Bernice Youngblood enjoyed the event and was chaperoned by her son's live-in girlfriend, who the nursing home said appears in the photo.

The family said the woman in the photo is a nursing-home staff member.

According to a lawsuit filed last month, Bernice Youngblood, who the suit says has partial dementia, was "confused and bewildered" when the stripper approached her and directed her to "place her hands about and upon his body, including his genital area."

The suit contends the home has hired male strippers on other occasions for the "perverse pleasure of the defendant's staff."

Franklin Youngblood said his mother was forced to tip the stripper with her own money, which is supposed to be locked away at the nurses' station.

"There's too much sex and craziness that's going on. Now they're bringing it to the nursing home, and it don't belong here," he told WCBS.

The suit is asking for a financial judgment of unspecified amounts from a jury at trial. It is unclear from the legal documents when the stripping incident occurred

CNA class virtual day

Beautiful weather called for a CNA field trip

Skills test notes

Testing Procedure:

Need to be on time, wear scrubs, have hair pulled back, have a wrist watch and have I.D. and voucher.

What are students tested on?

·         Vital Signs:

Temp:                     How to correctly obtain a tympanic temperature: many forget to pull back on the ear gently.

Pulse:                     How to locate a radial pulse.  Please teach them how to obtain an apical pulse.

Respirations:

B/P:                        Don't re-inflate cuff.  Do NOT tighten B/P valve too tight, just turn until it stops.

Make sure students know how to time for 30 seconds or 1 minute and do any math involved. Students are allowed to use a calculator for the skill and written tests.

·         Beginning/Ending Procedure:

Many are forgetting to verbalize/demonstrate-WEARING GLOVES, providing privacy, raising bed to working height, return bed to lowest position & report and document.

·         Critical Criteria:

Critical criteria include behaviors that are part of EVERY skill tested.

1. Infection control and universal precautions:  (Following all rules of medical asepsis)

2. Safety: (Protecting resident and self from physical harm)

3. Residents’ rights:  (Taking action to prevent or minimize emotional stress to resident)

4. Communication:  (Explaining procedure to resident prior to initiating it)

5. Recognizing and reporting changes: (Observing and reporting abnormalities)

·         Hand Washing: Demonstrating hand washing is necessary and is evaluated as part of the critical criteria. Approximately 40% of students are doing this WRONG!!!

Hand washing Procedure

1. Don’t touch the sink with your uniform

2. Turn water to warm

3. Wet and soap hands

4. Wash hands with fingers down for 15-30 seconds, including wrist, nails and between fingers

5. Rinse with fingertips down

6. Use dry paper towel to dry hands

7. Use same paper towel to turn off faucets

8. Discard paper towels appropriately (Do not use it to finish drying your hands)

Prompts: Each student will be given 2 prompts (helpful hints during the test, if needed).  What is a prompt?

 What skills do I think most people struggle on?

Right vs. Left:  (Right vs. left side of resident, this will count as a prompt.  I give at least one prompt a day for this), hand washing, placing Nasal Cannula, obtaining accurate height, log roll with hip fracture precautions, dressing/undressing, PROM and ambulating (placing cane and wheelchair on strong side).

Overview of Skills:

Each student will be given a scenario with 5 skills from the list below.

 Students are expected to demonstrate skills. 

Students need to physically practice each skill, not just watch.

SKILL 1: PRESSURE ULCER PREVENTION

Most students do this skill very good!!!

SKILL 2: POSITION FOLEY CATHETER/BAG/TUBING

Some students forget to place tubing over leg and attach to bed frame (not over or on side rail) always-below level of bladder.

SKILL 3: OXYGEN

MANY students have never placed a nasal cannula before.

SKILL 4: OCCUPIED DRAW SHEET CHANGE

Many students forget to raise the side rail when turning patient. Some students do not know what the draw sheet is.

SKILL 5: APPLY COLD PACK OR WARM COMPRESS

Most students do fine with this skill, they will need to verbalize how often to check/remove compress.

SKILL 6: MEASURE AND RECORD FLUID INTAKE

They need to calculate intake by subtracting what is remaining in container from the amount they are told was originally in the container.

SKILL 7: CONVERTING OUNCES TO ML’S

Some students forget the conversion rate.

SKILL 8: EMPTY DOWN DRAINAGE BAG AND MEASURE/RECORD URINE OUTPUT

Many students do fine with this skill.

SKILL 9: ISOLATION PRECAUTIONS

Some students forget what order to put on/remove PPE.

SKILL 10: POSTMORTEM CARE:

Due to the length of time it would take to perform all of the steps we have students verbalize the bathing and oral care.

SKILL 11: ABDOMINAL THRUST (Conscious Patient only)

They need to remember to ask “Are you choking”.  Many students do not know correct placement.

SKILL 12: OBTAIN AND RECORD WEIGHT AND HEIGHT

Most students do fine measuring the weight.  Many students do not know how to measure height.

SKILL 13: APPLICATION OF ANTI-EMBOLISM STOCKINGS (TED hose)

Some students do not know how to place the heel in the correct location.

SKILL 14: PASSIVE RANGE OF MOTION 2 JOINTS

Most students do not do this properly.  They need to know the terms flexion, extension, adduction, abduction or rotation- how to take the joint through all ranges of motion.

SKILL 15: MOVING AND POSITIONING RESIDENTS

Most students do well at positioning.  Many students forget to raise side rail while turning patient.

SKILL 16: ASSISTING TO AMBULATE

Many students forget cane should be placed on residents’ strong side.

SKILL 17: TRANSFERRING FROM A BED TO A WHEELCHAIR

Many students are forgetting to lock the wheelchair brakes. MANY DO NOT KNOW WHERE TO PLACE THE WHEELCHAIR WHEN THEY TRANSFER.  They do not know what a “Pivot Transfer” is.

SKILL 18: RESTRAINTS

Some students forget how to tie a quick-release knot.

SKILL 19: DENTURE CARE

  Some students forget to line the sink.

SKILL 20: LOG ROLLING RESIDENT WITH HIP FRACTURE PRECAUTIONS

This is a very difficult skill for MOST students.  They are forgetting to use at least 2 persons and the draw sheet. Resident should not be rolled onto injured side and they also forget to place abduction splint or pillows between legs to support hip.

SKILL 21: ORAL CARE FOR AN UNCONSCIOUS RESIDENT/ASPIRATION PRECAUTIONS

Most students do fine with skill.  A few students do not know they should not use toothpaste and a toothbrush for this skill.

SKILL 22: BACK RUB/MASSAGE

Most students do fine with this skill.

SKILL 23: FOOT/TOENAIL CARE

Most students do fine with this skill.

SKILL 24: DRESSING/UNDRESSING RESIDENT

Many students forget to dress weak side first and undress weak side last.

SKILL 25: SHAVING

Most students do fine with this skill.

SKILL 26: PROVIDE PERI-CARE

Most students are doing fine with this.

SKILL 27: ASSISTING WITH A BEDPAN/FRACTURE PAN

Some students do not know how to properly place fracture pan.

SKILL 28: COLLECTING A STOOL SPECIMEN

Most students do not know to place the label on the specimen container and not just in the bag.