Title: Ethical Haressment in ICU Workplaces

Abstract:

The aim of this study was to determine to what extent, healthcare practitioners in ICU worry about Workplace bullying (WPB)  and whether it affects the quality of care and patient safety from their perception.

The behaviors of individuals as well as some elements of their personality emerge the phenomenon and contribute to it becoming more intense. Interventions, therefore aim to change perceptions, attitudes and behaviors, ie the way in which individuals perceive and approach their work.They should also aim to educate individuals so that they respect the personality and accept the diversity of their colleagues, resist manipulation, respect themselves and dare to do self-criticism. For this reason, it should investigate the reasons that cause it in a workplace and review those characteristics of the organization's functioning that directly or indirectly favor its existence. Researches have highlighted the positive effects of replacing authoritarian management and regular confrontation with employees with a form of management based on the principles of cooperation, meritocracy and practical interest in the needs of individuals and the team as a whole.

The intervention of competent bodies in the ICU and in every professional sector of the hospital is considered necessary to address the problem, as individual solutions usually lead to the victim's submission or removal or leaving the perpetrator in the workplace and the continuation of unacceptable behavior of. Such solutions succeed in protecting the victim, but fail in the administration of justice.

Title: Malpractice in the intensive care unit

Abstract:

Error in the Intensive Care Unit (ICU) is a well-documented and frequent problem. This is understandable as one looks at the complexities of serious disease along with the number of invasive and potentially harmful procedures that are commonly used there. Until recently, allegations of medical malpractice resulting from suspected mismanagement in the ICU were unusual, but there has been a rise the last years.

It is difficult to determine whether the increase in lawsuits is due to a real increase in adverse incidents or to a shift in media perception. There is no question that the aggressive cover-up by law companies dealing in personal injury lawsuits offering to initiate claims on a contingency fee basis has become more common. The Medical Protection Society is experiencing an increasing number of claims generally, and the value of damages awarded is skyrocketing.

This includes the insufficient number of ICU beds in the public sector and the acute lack of appropriate nurses in both the public and private sectors. More troubling are the obstacles faced by nurses to apply for critical care and the limited number of critical care nurses graduating. Coupled with a high rate of turnover due to burn-out and greater work openings in other industries and overseas, this leads to a situation where even private ICUs fail to staff their units and retain standards. The mixture of high bed occupancy, chronically ill patients and novice nurses provides the ideal atmosphere for errors and incidents that can lead to lawsuits for damages. The condition is not any different on the medical side. The quality of treatment is that critically ill patients should be treated in ICUs by a team of health providers headed by critical care practitioners with specialty in Intensive Care. Not only surgeons, internists or anesthesiologists without specialization in Intensive Care, which they close holes in the gaps of the health system and do not have the proper education. We are all accustomed to thinking in terms of our primary specialty but this carries many risks. Intensive care training offers the skill to treat the patient comprehensively and systematically, something very important in patients of ICU. Although, we have to mention that there were few unexpected variations in malpractice claims occurring in ICU because of specific medical specialty. Preventive efforts should concentrate on procedures, regardless of the medical specialty, including: 1) retaining procedural skills, 2) well-framing of procedural hazards, and 3) adequately describing post-procedural complications. Skills that are either innate or can be developed through ICU specialization training.

While critically ill patients in the private sector are frequently handled by separate and not suitable always, physicians, these doctors prefer to see the patient at different times of the day, give contradictory orders, and make their own private records. There is no team work usually.

Title: Energy Alterations in Patients with Ground Glass Opacity in SARS-CoV-2 Infection.

Abstract:

Patients with SARS-CoV-2 can have alterations in the Lungs characterizing them as having pneumonia and they are usually treated with the use of antibiotics, with diverse outcome evolution. But there are some studies in the literature, of post mortem Lung biopsy and anatomy study, that these alterations of ground glass opacity are caused by Blood stagnation in the Lungs vessels, causing the symptoms of dyspnea and not by the virus itself.

Purpose: the purpose of this study is to show, according to these studies, that ground glass opacity in the Lungs, can be correlated with the energy status situation of the internal five massive organs previously to the SARS-CoV-2, that are responsible for the adequately flowing of the Blood inside the vessels, leading to the stagnation of Blood inside the vessels of the Lung, and causing these alterations in the Lung’s radiography.

Methods: through one case report of female patient that has COVID-19 on May 2021. After waiting to be admitted in the hospital, her clinical evolution worsened and evolve to dyspnea after 7 days taking antibiotics and other highly concentrated medications. Her Lung tomography showed that 40% of her Lung were affected “by the infection”. Her son called me and asked me for help. As I know that the majority of the population in this world are having energy deficiency in the five internal massive organs, responsible for the production of energy for the adequate flowing of Blood inside the vessels, I prescribed the use of highly diluted medications for her to have more energy to maintain the Blood flowing inside the vessels, according to the theory Constitutional Homeopathy of the Five Elements based on Traditional Chinese Medicine.

Results; After three days of beginning of their take of these medications, she did not need to be intubated any more in the hospital, even her Lungs were affected in 70%, and the doctor allowed her to stay at home because her clinical evolution become much better after the intake of homeopathy medications. She returned to my clinic after 15 days of the discharge from the hospital and I measured her chakras’ energy centers and was completely deficient in energy (rated one out of eight), with the exception of the seventh chakra, that was normal, rated in eight.

Conclusion: patients with ground glass opacity at the Lung radiography could mean that there is Blood stagnation in the Lungs vessels and not due to the virus infection itself. The understanding of this meaning is important to the physician to know how to treat this condition, giving energy to the Blood maintaining circulating inside the Blood vessels, knowing that quite entire population in this world are affected by the influences of the electromagnetic waves, leading to this energy deficiency state, predisposing them to have stagnation of Blood, mainly when using highly concentrated medications , in this case, in the Lungs Bloods vessels, leading to ground glass opacity at Lungs radiography.