Longer Shifts = More Stress, Fatigue, and Less Satisfaction for Nurses

Longer Shifts = More Stress, Fatigue, and Less Satisfaction for Nurses

Four additional hours in a shift makes a big difference to busy nurses, according to new data published in the Journal of Nursing Education and Practice. Nurses working 12-hour shifts are more likely than those who put in 8 hours to experience anxiety, musculoskeletal disorders, disturbed sleep, and stress. The metaanalysis focused on 12 studies. The authors concluded that it was not so much the mere act of working for 12 hours, but the prolonged …

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Rash, Facial Palsy, and Ear Pain

Rash, Facial Palsy, and Ear Pain

A 65-year-old woman presents with a rash that appeared simultaneously with the onset of ipsilateral facial palsy. She reports severe ear pain in the affected ear, along with hearing loss. Physical examination reveals grouped bullae and vesicles on an erythematous base ipsilaterally involving the auricle, external ear canal, and tympanic membrane, as well as the mouth and anterior two-thirds of the tongue. View the image taken (Figure 1) and consider what your diagnosis would be.

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