Wildlife in the Western Cape of South Africa

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The Western Cape of South Africa has many wildlife reserves and national parks for residents and visitors to enjoy. The wildlife that can be found in the Western Cape of South Africa includes hundreds of thousands of fish, reptiles, birds, and mammals. Some of the most popular forms are buffalo, leopards, lions, elephants, and rhinoceros'.

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Sanbona Wildlife Reserve

The Sanbona Wildlife Reserve derives its name in part from the name of the indigenous peoples who lived there for generations, the San. The Sanbona Wildlife Reserve has over one hundred thirty thousand acres at the base of the Warmwaterberg. The reserve includes the only free ranging lions on a private reserve in the Western Cape of South Africa.

While the San people roamed this area of the Western Cape of South Africa for thousands of years they created a variety of art that can now be enjoyed by guests of the reserve. There are seven separate sites of rock art within the reserve. Many of these religious art works are more than thirty-five hundred years old.

Some of the lions being bread in this area of the Western Cape South Africa is the extremely rare white lion. While this species of lion has always been rare in this region it has now largely been completely eliminated in many areas. It is the hope of the owners of this private reserve to be able to one day release these lions into the wild.

This Western Cape of South Africa wildlife reserve offers guided tours to guarantee that guests have an unforgettable experience. The reserve also has a variety of luxurious lodges for guests to enjoy when they aren't out watching the amazing wildlife.

Ko-Ka Tsara Game Reserve

The Ko-Ka Tsara Game Reserve is located near the city of Cape Town in the Western Cape of South Africa. This thirty thousand acre reserve has more than twenty species of animals and almost two hundred different varieties of bird.

Guests to the Ko-Ka Tsara Game Reserve in the Western Cape of South Africa can go on night or day guided drives to observe the wildlife. There are also hiking trails and bird watching areas for those who want a more private experience. After a day of animal and bird watching guests are invited to enjoy a nightly campfire and gaze at the stars.

This Western Cape of South Africa reserve offers guests a choice of seven stylish chalets as well as a conference center and lounge. All of the chalets have been built using local materials to help them blend more easily into their surroundings. The reserve offers a kitchen for guests to cook their own meals or guests can request a cook to cater their meals.

There are more than a dozen wildlife reserves and parks located in the Western Cape of South Africa. No matter which location you choose you are sure to view a vast array of wildlife. The Western Cape of South Africa has such a diversity of wildlife that no two trips will ever be the same.

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Managing Pain For Hospice Patients

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Patients on hospice care often contact pain or ache whether from the disease or being bed or chair bound all day. Our bodies are full of muscles and bones which are designed for movement, if we don't move, our muscles stiffen and ache. What do we all do in the morning? We give a good stretch. Fantasize how uncomfortable you would be if you couldn't?

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The administration of pain or other unpleasant symptoms is a team effort. Doctors, nurses and hospice pharmacists all work together to rule the right medication or blend of medications which will best suit the needs of the patient. This takes much judgment and skill. Many times a pharmacist may mix together combinations of separate medications to make one, practice medication for a patient. This is called, "compounding" and requires a specialized pharmacist. Many times, tablets made for the mouth can be given in by other routes, rectally or under a tongue.

Many times patients are under medicated. For some age or cultural groups, admitting pain is a sign of weakness. For others, they may be in denial about the seriousness of their illness and to take medications is to "give in". Frequently, family members and caregivers are fearful of "killing" the sick person with too much medication, or that the sick person may be "getting addicted". Sometimes patients choose to have more pain because the side affects such as, constipation, if a bigger question for them. Sadly, these scenarios are all quite common and can beyond doubt be avoided. Medications are very safe and many times, patients are beyond doubt more active and less sedated when they use pain meds. They sleep better and if their pain is well treated. The potential of life skyrockets and hospice patients plainly do not become "addicted" to their medications anymore that a diabetic becomes "addicted" to their insulin!

There is a divergence between, "addiction" and "dependence". plainly put, if a man takes pain meds because they like the, "whoo whoos" they are taking medications inappropriately. If, one the other hand, man reaches for their pill bottle and takes medication because they are hurting, or want to forestall pain, they are, "dependent". There is a huge difference. No one accuses the diabetic of being "addicted" to their insulin but population who suffer from pain have a healing health that can be treated beautifully with the right medication or blend of medications.

No sick person needs to suffer pain at the end of their life. It will take the skill of hospice professionals to prescribe the best medication for the patient. Do not listen to your cousin who is an Icu nurse or well-meaning population who want to give advice. Look to your hospice team members. They are experts in indication of illness and pain management. They will all the time work with your physician to prescribe the best medications. No one needs to pass from this life in pain or discomfort.

Caregivers should watch for nonverbal symptoms that a sick person is hurting. Moaning, guarding or grimaces are universal symptoms of pain. When caregivers see these symptoms, they should use the medication until the patient's face relaxes or the moaning stops.

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History Of Electronic Medical Records

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In the 1960s, a physician named Lawrence L. Weed first described the concept of computerized or electronic medical records. Weed described a system to automate and reorganize patient medical records to enhance their utilization and thereby lead to improved patient care.

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Weed's work formed the basis of the PROMIS project at the University of Vermont, a collaborative effort between physicians and information technology experts started in 1967 to develop an automated electronic medical record system. The project's objectives were to develop a system that would provide timely and sequential patient data to the physician, and enable the rapid collection of data for epidemiological studies, medical audits and business audits. The group's efforts led to the development of the problem-oriented medical record, or POMR. Also, in the 1960s, the Mayo Clinic began developing electronic medical record systems.

In 1970, the POMR was used in a medical ward of the Medical Center Hospital of Vermont for the first time. At this time, touchscreen technology had been incorporated into data entry procedures. Over the next few years, drug information elements were added to the core program, allowing physicians to check for drug actions, dosages, side effects, allergies and interactions. At the same time, diagnostic and treatment plans for over 600 common medical problems were devised.

During the 1970s and 1980s, several electronic medical record systems were developed and further refined by various academic and research institutions. The Technicon system was hospital-based, and Harvard's COSTAR system had records for ambulatory care. The HELP system and Duke's 'The Medical Record' are examples of early in-patient care systems. Indiana's Regenstrief record was one of the earliest combined in-patient and outpatient systems.

With advancements in computer and diagnostic applications during the 1990s, electronic medical record systems became increasingly complex and more widely used by practices. In the 21st century, more and more practices are implementing electronic medical records.

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