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Wound Measurement- Understand Wound Care
 
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More information at http://www.woundphysicians.com, http://understandwoundcare.com or 1-877-866-7123. Vohra Wound Physicians: Healing Wounds, Saving Lives Understand Wound Care: Wound Measurement Demonstration Summary- This is a demonstration of a wound care physician exhibiting the correct measurement of a wound. Japa Volchok, DO explains how to accurately and consistently measure wounds. Volchok discusses the importance of proper measurement and documentation in the wound healing process. This demonstration is performed by a trained wound care physician for educational purposes only and should not be tried at home. Understand Wound Care: Wound Measurement Demonstration Commentary: Japa Volchok, DO In this demonstration we will be exhibiting the correct measurement of a wound. For wound measurement you will want to have a disposable paper or similar measuring device as well as a cotton-tipped applicator. The measuring device is either a paper or plastic disposable measuring tape. It is generally marked in centimeter markings with sub-markings in millimeters. A cotton-tipped applicator is useful for measuring depth and checking for any undermining. This model demonstrates a wound. By convention, the superior aspect of the wound would also usually coincide with the head. The inferior aspect would be the foot. We measure length from a head to foot direction. Width is measured from left to right or right to left. Depth is measured at the maximum location of depth in the wound. The left to right or right to left convention does not matter in terms of the documentation. It is important however, that length and width are correctly measured and documented. As the convention from head to feet for length and left to right for width are important in being able to reproduce measurements between measurers. In this particular instance, we would start off by measuring the wound in the length dimension. Where there is the maximum length of this wound of approximately 5.7 centimeters. The width would then be measured at its maximum point of width which is 2.5 centimeters. The depth we then would determine by probing the wound with our cotton-tipped applicator using the cotton end. We would probe all areas of the wound to determine where the most depth was located. It appears to be approximately in the middle of the wound. We would then slide our finger down the cotton-tipped applicator to where it is flush with the intact skin. Pinch the applicator at that point and withdraw from the wound. This can then be laid over your measuring device and the depth determined. In this particular instance, it appears to be 1.8 or 1.9 centimeters. Once the length, width and depth of the wound have been measured, it is important to then record any evidence of undermining and what the dimensions of that undermining are. In determining undermining, gently probe the wound with your cotton-tipped applicator circumferentially around the wound. You can see that over on this side of the wound we are starting to see some undermining. It appears at this location, the cotton-tipped applicator slips deeper under the wound then it does at any other point. This would be the maximum area of undermining. As you can see, by convention, the superior aspect of the wound or the head aspect of the wound would be 12 o'clock. If we then progress clockwise around a clock face, the area of maximum undermining is approximately 10 o'clock. Similar to how we measured the depth of the wound, you would want to slide your finger down the cotton-tipped applicator. Pinch it with your nail. Then, bring it up to your measuring device. In this particular instance, it appears that the undermining is approximately 1.7 centimeters. As you will recall from the last image, the undermining is located at 10 o'clock. This will be recorded as 1.7 centimeters of undermining at 10 o'clock. For more information visit http://www.woundphysicians.com or http://www.understandwoundcare.com
Views: 147120 Vohra Wound Physicians
Tunneling and Undermining - Wound Care Demonstration
 
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What is the difference between undermining and tunneling of a wound? This wound care demonstration will help you understand the concepts of undermining and tunneling in wounds. Wound Care Demonstrations: by Dianne Murray Rudolph, APRN, GNP-BC, CWOCN, UTHSCSA Related Videos: Part 1: The Science of Wound Healing https://youtu.be/Ypo7Ql8twWY Part 2: What is Wound Healing - https://youtu.be/1x0ml0GPtdQ How to Perform a Diabetic Foot Exam - https://youtu.be/tRdKOIi6hYU Leg Wrap / Compression - https://youtu.be/ReaLJfu7WS0 We value your opinion - please let us know what you think of this video: http://www.mmlearn.org/survey
Views: 3910 mmlearn.org
What Is The Difference Between Tunneling And Undermining?
 
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13 aug 2013 to its ability to promote wound healing in different types of wounds with granulation although the white foam for tunneling or undermining wounds is when these therapies are used together, a decrease in the amount of differentiate between the types of wounds and risk factors involved in prevention. Common wound depth, tunneling, and undermining select a consistent, uniform How to assess wounds for tunneling. Tunneling and undermining. Today's wound care getting to the depth of tissue national center quick reference guide pressure ulcer advisory panel. The best outcomes are often include undermining and tunneling. Unstageable full patients in the us. Undermining vs tunneling in wound caredifference undermining. Levens responded they are the same. Wound identification & assessment. Learn about the similarities and differences between tunneling means that a small cavity is present, think q tip could be pushed into body, void like cave in tissues. Undermining wounds and tunneling are very serious wound classifications. The difference between tunneling and undermining wounds is in the damage to tissues beneath skin 1 mar 1998 answer managing a wound requires first determining extent of or. These wounds are much like icebergs, in that they actually bigger than what appears on the surface. Measure undermining using the face of a clock as well, and measure depth direction no single discipline can meet all needs patient with wound. 25 jun 2014 the term 'sinus tract' is often used interchangeably with 'tunneling wound'. Chronic fibrous plaques in the arterial wall as a result 35so what's difference? . For example, if you are dealing with a sacral coccyx pressure ulcer, undermining wound tunneling and in wounds both very serious conditions. The biggest difference between sinus tracts or tunneling and undermining is that are unidirectional, whereas may occur in more than one direction 6 dec 2017. Outline the total assessment of wound for undermining and tunneling is discussions about many similarities between npuap epuap pressure difference will remain an issue when comparing cross country data. Tunneling and undermining wound care demonstration youtubeundermining know the difference ahc what it is? Undermining vs tunneling of wounds. Tunneling and undermining how to assess wounds for tunneling undermining woundsource "imx0m" url? Q webcache. Pairing advanced wound care therapy with npwt. Undermining is less extensive, while tunneling penetrates more deeply into tissue. Undermining is similar in carpal tunnel syndrome when the median nerve compressed by pressure builds up canal at wrist. Tunneling versus undermining flexible tunnelling machineshearing in wound care what's the difference? Wcei measuring wounds advisor. A stage 4 ulcer is the deepest type of pressure difference between undermining and tunneling what in regards to ulcers? They are 20 aug 2015 wound care providers exactly friction shape, irregular or jagged edges, tunneling? . Au
Views: 39 Badman 360 Planet
Undermining
 
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Views: 9451 SWRWoundCareCenter
Tunneling and Undermining
 
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Manuakahd or Manukahdlite can be cut into strips and used for packing tunnels and undermining.
Views: 6459 ManukaMed USA
What Is Gas Gangrene Disease?
 
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Gas gangrene causes, symptoms & diagnosis healthlinegas medlineplus medical encyclopedia. It is a medical emergency. Gas gangrene wikipedia gas causes, symptoms & diagnosis healthline health url? Q webcache. Gas gangrene, bacterial infection caused by anaerobic clostridium gangrene causes, symptoms, treatment, diagnosis and treatments webmd. About 1000 cases of gas gangrene occur yearly in the united states 10 dec 2015 people most at risk usually have blood vessel disease (atherosclerosis, or hardening arteries), diabetes, colon cancer clostridial is a highly lethal necrotizing soft tissue infection skeletal muscle caused by toxin and producing clostridium species 6 2011 potentially deadly form death (gangrene) gasclostridial life threatening mainly anaerobic bacteria perfringens several other 11 feb 2016 gangrene, myonecrosis, bacterial microorganisms belonging to genusclostridium. Sep 2002 clostridium perfringens gas gangrene is, without a doubt, the most fulminant necrotizing infection that affects humans. Buerger's disease can also sometimes cause dry gangrene 13 jul 2017 a condition called septic shock occur if bacterial infection that originated gas is most commonly caused by with the 12 mar 2014 synonym clostridial myonecrosis this life threatening which has following three features muscle general toxi infection, mostly result of contamination muscles from traumatic or post operative origin. Definition of gas gangrene by medical dictionary. Gas gangrene looking for online definition of gas in the medical dictionary? mellitus. Gangrene (myonecrosis, gas gangrene, flesh eating disease gangrene causes nhs choices. Gas gangrene wikipedia. 16 feb 2016 gas gangrene is most commonly caused by the clostridium perfringens bacterium. Gas gangrene generally develops at a recent surgical or injury site gas (also known as clostridial myonecrosis and myonecrosis) is bacterial infection that produces in tissues. Muscular necrosis 23 nov 2015. In victims of traumatic 12 may 2016 clostridial myonecrosis (gas gangrene) is a life threatening muscle infection that develops either contiguously from an area trauma or gangrene (myonecrosis, gas gangrene, flesh eating disease, necrotizing erysipelas, phagedena, putrid ulcer, meleney's fournier's read about the different types what causes them and who's most at where deep inside body 11 feb bacterial caused by anaerobic clostridium bacteria, it can affect tissues least 20 kinds cause. This deadly form of gangrene usually is caused by clostridium perfringens bacteria. Clostridial gas gangrene background, pathophysiology symptoms, diagnosis, treatment of infections merck manuals consumer versiongas. In some cases, it may be caused by group a streptococcus bacteria. The infection occurs suddenly and spreads quickly. Googleusercontent search. Gangrene symptoms and causes mayo clinic[gas gangrene a military disease? ]role of clostridial toxins in the pathogenesis gas myonecrosis uptodate. Serious diseases that inter
Views: 216 Question Box
Gangrene in hindi | Types of gangrene | Sign and symptoms of gangrene in Hindi/English.
 
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#THEDRxFAMILY A family of medical students. Link for part 2 : https://youtu.be/byo8MC-AC-s Hello there everyone once again welcome back to my channel, today as per request of one of my subscriber i am uploading the lecture on gangrene. Gangrene may be defined as a medical condition in which localized death of soft tissues of our body is seen. Actually the soft tissue die at that time when they don’t receive blood supply. Generally the blood supply gets interrupted either because of the injury such as severe burn, freezing or because of bacterial infections. The lecture will cover all the points that are discussed below : 1. What is gangrene? or define gangrene. 2. Types of gangrene. 3. Sign and symptoms of gangrene. 4. Treatment of gangrene. 5. Risk factor  6. The link or relationship between diabetes and gangrene Types of gangrene : There are several types of gangrene, among them some are discussed below : 1. Wet gangrene. 2. Dry gangrene. 3. Gas gangrene. 4. Necrotizing fasciitis :  an infection that spreads deep into the body 5. Internal gangrene : affects internal organs. 6. Fournier’s gangrene: involves genital organs. 7. Meleney’s gangrene : rare, occurs after surgery 8. Noma :  is a gangrene of the face.  is a gangrene of the face. #Sign and symptoms of gangrene: Depending upon the type, the sign and symptoms may vary but the common thing which is manifested in all the type of gangrene are listed below : 1. Skin discoloration : change in skin colour is seen, skin will become red to black. 2. A clear line will be seen between healthy and damaged skin. 3. One may feel a Severe pain which is followed by feeling of numbness. 4. The affected area may be cool. 5. A foul smelling discharge may leak out from the sores. So all of these points may match with your syllabus, so go through and study about gangrene. LASTLY I WANT TO SAY THAT IF YOU HAVE NOT SUBSCRIBED THE CHANNEL THEN KINDLY GO FOR IT AND SUBSCRIBE THE CHANNEL AND DON'T FORGET TO HIT THE BELL ICON. SHARE AND LIKE 0UR VIDEOS AND DO COMMENTS. IF YOU FIND THAT VIDEOS OF YOUR INSTREST ARE NOT PRESENT ON THE CHANNEL THEN IN THAT CASE YOU CAN CONTACT US BY SIMPLY LEAVING A COMMENT IN THE COMMENT SECTION AND WE WILL DEFINATELY REPLY YOU BACK. KINDLY LIKE OUR FACEBOOK PAGE WHICH IS @THEDRXFAMILY. JOIN OUR WHATSAPP GROUP AND SHARE YOUR NOTES. REGARDS : ANKITE PANDEY.
Views: 411 The DRx family
MDS 3.0 Wound Staging- Understand Wound Care
 
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More information at http://www.woundphysicians.com, http://understandwoundcare.com or 1-877-866-7123. Vohra Wound Physicians: Healing Wounds, Saving Lives MDS 3.0 Wound Staging: This is a demonstration of a wound care physician explaining the proper staging of wounds using the MDS 3.0 staging convention. Japa Volchok, DO discusses the indications for each wound stage and explains why proper staging is important in documenting wounds. This demonstration is performed by a trained wound care physician for educational purposes only and should not be tried at home. Today we will be discussing the correct staging of a pressure ulcer as it pertains to MDS 3.0. MDS 3.0 is a staging convention used for the resident assessment. In the staging under MDS 3.0, there are some differences when compared to the older MDS 2.0 staging system and the more commonly known National Pressure Ulcer Advisory Panel staging. The MDS 3.0 staging convention uses four stages and an additional stage for an unstageable wound. MDS 3.0 does not allow for reverse or back-staging of wounds. The first stage is a stage one. This is an area of localized redness or erythema that is non-blanchable in intact skin. A Stage 2 pressure ulcer presents as a shallow ulcer with an area of open epidermis. There is no evidence of slough. A Stage 2 may also present as an intact or a ruptured blister. The blister may contain serum fluid-filled or a bloody fluid-filled blister. These are both staged as a Stage 2. If the underlying tissue with a blister shows evidence of deep tissue injury, or there is significant surrounding deep tissue injury, this should be staged as an unstageable secondary to deep tissue injury or DTI. A Stage 3 pressure ulcer involves full thickness tissue loss including the epidermis and the dermis. It extends into the subcutaneous tissue but does not extend below the depth of the subcutaneous tissue. It may include tunneling or undermining as well as slough or necrotic tissue. A Stage 4 pressure ulcer involves full thickness tissue loss involving the epidermis, the dermis, the subcutaneous tissue and includes exposed muscle, fascia, bone or other underlying structures such as tendon. There may be undermining and tunneling. In addition, there may be areas of necrosis or eschar present in the wound bed. Depending on the anatomic location on the body, the depth of the wound can vary dramatically. The subcutaneous tissue over an area such as the ankle and the lateral malleolus or on the hands can be fairly thin. An area such as the heel or the back can have significant subcutaneous tissue before you reach the level of muscle or fascia. The actual depth of the wound does not dictate the stage. Rather, the anatomic structures that are involved such as muscle, tendon or bone are what determines the stage of the wound. If the bed of this wound was obscured by necrotic tissue it would be staged as an unstageable. However, it is clear that there are muscle fibers present in the base of the wound as well as bone. This would then be categorized as a Stage 4 pressure ulcer. The final category of staging under MDS 3.0 includes unstageable. There are several reasons that a wound may be unstageable. If there is suspected deep tissue injury, the wound should be staged as unstageable. This is because deep tissue injury often progresses to a much deeper extent than has originally appeared on the surface of the wound. Other signs of DTI include color change, bogginess or tenderness. Other reasons for staging a wound as unstageable include necrosis that covers the full extent of the wound or eschar that prevents visualization of the entire depth of the wound and identification of the anatomic structures. Additionally, under MDS 3.0, there is a category unstageable secondary to a non-removable device. This would be appropriate for staging a wound that has been present under a cast that could not be removed or some other type of medical device that would not be normally removed. This does not include wounds that are covered by negative pressure. Unless the negative pressure device has explicitly been ordered not to be removed except by the licensed physician that ordered the device. Under MDS 3.0, only pressure ulcers are staged with this convention. Pressure ulcers of a Stage 3 or 4 are measured and recorded in the MDS 3.0 resident assessment. In addition, diabetic foot ulcers are recorded under a separate category and are not staged using the aforementioned staging structure.
Views: 116828 Vohra Wound Physicians
What Is Congential Diaphragmatic Hernia and Survival Odds
 
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Dr. David Kays from Johns Hopkins All Children's Hospital gave a lecture at the 2017 CHERUBS conference in Utah on his team's success in treating and defeating Congenital Diaphragmatic Hernia. Dr. Kays and his team have the best survival odds in the country for babies with congenital diaphragmatic hernia for babies without other fatal fetal anomalies.
Wound Care Packing
 
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There was an abcess on the front of my leg caused by an infection from the open wound on the back of my heel. They took me to surgery, cleaned out the wound, cut open the abscess and drained it and packed it. It has to be unpacked and repacked two times a day. The wound was deep all the way to the bone. It hurts like hell when it is repacked. I have an extremely high pain tolerance. Higher than the average person. So when I am making noises about the pain, believe me it hurt like hell. I had been in a very bad motorcycle accident. They tried to save my leg. I spent 20 months in the hospital and had 57 surgeries to put the leg back together and save it, so my leg was already in a lot of pain. That should answer the smart ass comment about why the noises were made. They completely removed my stomach muscles on the left side to use to rebuild my foot. That is what you are seeing in that area next to the wound.
Views: 169954 Dal Texas
Eschar (Medical Condition)
 
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Symptoms, risk factors and treatments of Eschar (Medical Condition) An eschar is a slough or piece of dead tissue that is cast off from the surface of the skin, particularly after a burn injury, but also seen in gangrene, ulcer, fungal infections, necrotizing spider bite wounds, and exposure to cutaneous anthrax This video contains general medical information If in doubt, always seek professional medical advice. The medical information is not advice and should not be treated as such. The medical information is provided without any representations or warranties, express or implied. We do not warrant or represent that the medical information on this websiteis true, accurate, complete, current or non-misleading Music: 'Undaunted' Kevin Macleod CC-BY-3.0 Source/Images: "Eschar" CC-BY-2.5 https://www.freebase.com/m/03_m2p
How to  Measure Wound Depth with Slough and Eschar in the Way
 
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Got a minute? Make it a Wound Care Minute™. In this short video, WCEI co-founder Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS, explains how to measure the depth of a wound that is covered in slough or eschar.
What is PAPA SYNDROME? What does PAPA SYNDROME mean? PAPA SYNDROME meaning & explanation
 
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What is PAPA SYNDROME? What does PAPA SYNDROME mean? PAPA SYNDROME meaning - PAPA SYNDROME definition - PAPA SYNDROME explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/by-sa/3.0/ license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6UuCPh7GrXznZi0Hz2YQnQ PAPA syndrome is an acronym for pyogenic arthritis, pyoderma gangrenosum and acne. It is a rare genetic disorder characterised by its effects on skin and joints. PAPA syndrome usually begins with arthritis at a young age, with the skin changes more prominent from the time of puberty. The arthritis is the predominant feature, noted by its juvenile onset and destructive course. Individuals often recall episodes of arthritis precipitated by a traumatic event. With repeated episodes the joints become damaged with multiple joint replacements required. Hopefully, with improved treatment options, the damage will be limited in new cases. Pyoderma gangrenosum is variably expressed, which means that it is not always present in all individuals with the disease. It presents as poorly healing ulcers with undermined edges. Pathergy is an important feature (this term refers to the tendency of ulcers to arise at points of injury). There are reports of lesions developing at the site of a joint replacement wound, central venous line and intravenous drip insertion. Acne affects most individuals with PAPA syndrome but to a variable degree. It is usually of a severe nodulocystic type which if untreated results in scarring. PAPA syndrome is inherited in an autosomal dominant fashion, which means that if one parent is affected, there is a 100% chance that a child will inherit the disease from a homozygous affected parent and a 50% chance that a child will inherit the disease from an affected heterozygous parent. Recently the responsible gene has been identified on Chromosome 15. Two mutations have been found in a protein called CD2 binding protein 1 (CD2BP1). This protein is part of an inflammatory pathway associated with other autoinflammatory diseases such as familial Mediterranean fever, Hyperimmunoglobulinemia D with recurrent fever, Muckle–Wells syndrome, neonatal onset multisystem inflammatory disease, and familial cold urticaria. Clinical features along with the familial tendency may be enough to make a diagnosis. Genetic testing may also be used. Acne treatment may require oral tetracycline antibiotics or isotretinoin. Treatments directed at tumor necrosis factor (TNF) (infliximab, etanercept) and interleukin-1 (anakinra) have shown a good response in resistant arthritis and pyoderma gangrenosum. Other traditional immunosuppressant treatments for arthritis or pyoderma gangrenosum may also be used.
Views: 389 The Audiopedia
Types of gangrene | Risk factor | Relationship between diabetes and gangrene in Hindi/English.
 
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#THEDRxFAMILY A family of medical students. Link for part 1 : https://youtu.be/RFFJacemXag Link for part 2 : https://youtu.be/byo8MC-AC-s Hello there everyone once again welcome back to my channel, today as per request of one of my subscriber i am uploading the lecture on gangrene. Gangrene may be defined as a medical condition in which localized death of soft tissues of our body is seen. Actually the soft tissue die at that time when they don’t receive blood supply. Generally the blood supply gets interrupted either because of the injury such as severe burn, freezing or because of bacterial infections. The lecture will cover all the points that are discussed below : 1. What is gangrene? or define gangrene. 2. Types of gangrene. 3. Sign and symptoms of gangrene. 4. Treatment of gangrene. 5. Risk factor  6. The link or relationship between diabetes and gangrene Types of gangrene : There are several types of gangrene, among them some are discussed below : 1. Wet gangrene. 2. Dry gangrene. 3. Gas gangrene. 4. Necrotizing fasciitis :  an infection that spreads deep into the body 5. Internal gangrene : affects internal organs. 6. Fournier’s gangrene: involves genital organs. 7. Meleney’s gangrene : rare, occurs after surgery 8. Noma :  is a gangrene of the face.  is a gangrene of the face. #Sign and symptoms of gangrene: Depending upon the type, the sign and symptoms may vary but the common thing which is manifested in all the type of gangrene are listed below : 1. Skin discoloration : change in skin colour is seen, skin will become red to black. 2. A clear line will be seen between healthy and damaged skin. 3. One may feel a Severe pain which is followed by feeling of numbness. 4. The affected area may be cool. 5. A foul smelling discharge may leak out from the sores. So all of these points may match with your syllabus, so go through and study about gangrene. LASTLY I WANT TO SAY THAT IF YOU HAVE NOT SUBSCRIBED THE CHANNEL THEN KINDLY GO FOR IT AND SUBSCRIBE THE CHANNEL AND DON'T FORGET TO HIT THE BELL ICON. SHARE AND LIKE 0UR VIDEOS AND DO COMMENTS. IF YOU FIND THAT VIDEOS OF YOUR INSTREST ARE NOT PRESENT ON THE CHANNEL THEN IN THAT CASE YOU CAN CONTACT US BY SIMPLY LEAVING A COMMENT IN THE COMMENT SECTION AND WE WILL DEFINATELY REPLY YOU BACK. KINDLY LIKE OUR FACEBOOK PAGE WHICH IS @THEDRXFAMILY. JOIN OUR WHATSAPP GROUP AND SHARE YOUR NOTES. REGARDS : ANKITE PANDEY.
Views: 112 The DRx family
Buruli Ulcer Disease: Buruli Nodule
 
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Buruli ulcer is a chronic, progressive skin disease caused by infection with Mycobacterium ulcerans. It is currently considered to be one of the neglected tropical diseases; less common than tuberculosis but more common than leprosy. The initial lesion is a painless subcutaneous nodule, usually less than 5 cm diameter and adherent to skin. The nodule typically breaks down centrally after days to weeks forming an ulcer with undermined edges. Thus, the external appearance of the ulcer underestimates the true size of the affected area. The patient remains well and there is no pain unless secondary bacterial infection occurs. Other forms of M. ulcerans disease include a firm plaque lesions that behaves in the same way as the nodule or an oedematous lesion that is more aggressive and extends rapidly resulting in a very large ulcer. Any age group can be affected by Buruli ulcer diseases, but the incidence peaks at 5 to 15 years. Ulcers are most frequently on the limbs but can be on the trunk or head, sometimes with catastrophic consequences such as loss of sight or loss of breast or genital tissue. Healing close to a joint can result in contracture, and sometimes there is so much tissue destruction on a limb that amputation is unavoidable. Occasionally osteomyelitis occurs in bone adjacent to a skin lesion but involvement of other organs is rare. Disseminated disease with HIV has been reported.
Views: 775 OER Africa
Section M: Skin Conditions
 
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This video from the LTCH QRP Provider Training held August 11, 2016, provides guidance on Section M of the IRF-PAI v1.4. The intent of the section is reviewed and coding instructions with examples related to the documentation of presence, appearance and change of pressure ulcers.
Views: 159 CMSHHSgov
Mohs Surgery on the nose: Part 1 of 2, Taking Mohs Layers
 
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Mohs Micrographic Skin Cancer Surgery is a specialized technique, designed to remove skin cancers, most commonly basal cell carcinomas and squamous cell carcinomas, removing as little normal tissue as possible with the lowest rate of reoccurrence. We most commonly use this technique on the face, since we want to remove as little normal tissue as possible, so that the resulting scar will potentially be small as possible. In Part I, I show how I take Mohs layers, removing skin cancer and actually looking at the tissue and checking all the edges for any skin cancer under the microscope, while the patient waits. When I determine that the margins of the tissue are free of skin cancer, then I can repair the defect. Part 2 shows me repairing the defect created on the right side of my patient's nose, using an advancement flap. Thank you for watching!! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: Dr Sandra Lee Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee
Section M: Skin Conditions
 
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This video from the IRF QRP Provider Training held May 18 and 19, 2016, provides guidance on Section M of the IRF-PAI v1.4. The intent of the section is reviewed and coding instructions with examples related to the documentation of presence, appearance and change of pressure ulcers. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 748 CMSHHSgov
Section M: Skin Conditions
 
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This video from the IRF QRP Provider Training held August 9 and 10, 2016, provides guidance on Section M of the IRF-PAI v1.4. The intent of the section is reviewed and coding instructions with examples related to the documentation of presence, appearance and change of pressure ulcers.
Views: 117 CMSHHSgov
Pressure Ulcers Quality Measure Associated OASIS-C2 Items: M1311 and M1313
 
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This video from the May 2017 Home Health (HH) Quality Reporting Program (QRP) Provider Training held May 3 and 4, 2017, provides an overview of the Percent of Patients with Pressure Ulcers That Are New or Worsened quality measure and specific response instructions for M1311. Current Number of Unhealed Pressure Ulcers at Each Stage and M1313. Worsening in Pressure Ulcer Status since SOC/ROC.
Views: 536 CMSHHSgov
Figure 8 suture: Proper Technique Example 1
 
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Proper Technique for a Figure 8 suture, often used for hemostasis or to secure a bleeding vessel.
Views: 18295 Andrew Wright
Gastric Cancer |Stomach Cancer Tips & Guide!
 
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Deskripsi: http://newculturehealth.blogspot.com/2011/10/gastric-cancer.html Chinese scientists have found that the main incentive for gastric cancer Infection, stress, bad habits ... ... in the end, what is the cause of human suffering from stomach cancer "culprit"? Recently, the Chinese Academy of Sciences, Kunming Institute of Zoology, according to the latest research shows the answer, The researchers in the molecular pathology of gastric cancer research in the new progress Found a lack of protease receptor is the main reason leading to gastric cancer. China is a high incidence of gastric cancer, detected each year, about 400,000 patients with gastric cancer, gastric cancer accounts for the number of the world about 40%, gastric cancer mortality rate is 4-8 times that of developed countries in Europe and America. Previously, the medical profession agreed that, Helicobacter pylori infection,Life emotional stress, unhealthy eating habits, preferences, such as smoked, high salt, spicy food and alcohol, would undermine and damage the gastric mucosa, causing gastritis, ulcers and other diseases, lead to a high risk of gastric cancer. But the exact cause is not clear. Kunming Institute of Zoology, Chinese Academy of Sciences researcher Zhang Yun and Zhang Yong, Dr. Yu Guoyu and other researchers found that Protease activated receptor 4 (PAR4 receptor) is widely expressed in gastric mucosa, In gastric mucosal protection and injury repair, In gastric cancer have a positive effect. Researchers further with the First Affiliated Hospital of Kunming Medical College, co- The use of molecular biology,cell biology and clinical pathology research techniques that gastric mucosal injury and repair of the "intermediary" - PAR4 receptors in gastric cancer patients was significantly decreased, the absence of lymph node metastasis of gastric cancer, poorly differentiated degree of correlation; PAR4 receptor gene promoter hypermethylation is causing the main reason for the lack of receptor expression, revealing unhealthy living habits and environmental factors important in the pathogenesis of gastric cancer in the inducement. Researchers said, the results of human gastric mucosa protection for in-depth analysis, gastric injury repair and the physiological and pathological mechanisms provides new perspectives and clues, process for clinical pathology and prognosis of gastric cancer detection provides new possibilities. to read more about health topics simply visit : http://newculturehealth.blogspot.com/2011/10/gastric-cancer.html
Views: 2058 lily1005hartaja
The World As I See It by Albert Einstein
 
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Support New Wellness Living and this 'New Thought Series': Via Paypal: paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=PQRGZ58MG9EDA The World as I See It is a book by Albert Einstein published in 1949. Composed of assorted articles, addresses, letters, interviews and pronouncements published before 1935, it includes Einstein's opinions on the meaning of life, ethics, science, society, religion, and politics. These fragments form a mosaic portrait of Einstein the man. Each one is, in a sense, complete in itself; it presents his views on some aspect of progress, education, peace, war, liberty, or other problems of universal interest. Albert Einstein was a German-born theoretical physicist and philosopher of science. He developed the general theory of relativity, one of the two pillars of modern physics (alongside quantum mechanics). He is best known in popular culture for his mass–energy equivalence formula E = mc2 (which has been dubbed "the world's most famous equation"). He received the 1921 Nobel Prize in Physics "for his services to theoretical physics, and especially for his discovery of the law of the photoelectric effect". The latter was pivotal in establishing quantum theory. Near the beginning of his career, Einstein thought that Newtonian mechanics was no longer enough to reconcile the laws of classical mechanics with the laws of the electromagnetic field. This led to the development of his special theory of relativity. He realized, however, that the principle of relativity could also be extended to gravitational fields, and with his subsequent theory of gravitation in 1916, he published a paper on the general theory of relativity. He continued to deal with problems of statistical mechanics and quantum theory, which led to his explanations of particle theory and the motion of molecules. He also investigated the thermal properties of light which laid the foundation of the photon theory of light. In 1917, Einstein applied the general theory of relativity to model the large-scale structure of the universe. Einstein published more than 300 scientific papers along with over 150 non-scientific works. His intellectual achievements and originality have made the word "Einstein" synonymous with genius. Source: Wikipedia.org
Views: 16916 New Wellness Living 2
Зависть | Большой скачок
 
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Почему чужие достижения и успехи вызывают у нас буквально физические страдания, а чужие неудачи радуют? Подпишись на "Науку": https://www.youtube.com/c/naukatv?sub_confirmation=1 Из-за нее начинались войны, брат убивал брата, а сосед - соседа. Она отравляла жизнь примитивным народам и продолжает отравлять ее современному человеку. Зависть - смертный грех, предрасположенность к которому, по некоторым теориям, заложена в каждом из нас с рождения. Почему чужие достижения и успехи вызывают у нас буквально физические страдания? А чужие неудачи радуют? Большой скачок - цикл научно-популярных фильмов, посвященных достижениям российских ученых, инженеров и изобретателей. В каждой программе прослеживается развитие той или иной области науки и техники – "большой скачок", который произошел за последнее время. Смотрите все выпуски подряд: https://www.youtube.com/playlist?list=PLS93_pp5BAdVikDwmRmbaJ-iJtLn29snu Наши ресурсы: Официальный сайт: http://www.naukatv.ru/ ВК: https://vk.com/tv_nauka Facebook: https://www.facebook.com/nauka20 ОК: http://ok.ru/group/52977282973900 Официальный канал "Наука 2.0". Научно-популярный познавательный канал о достижениях российской и мировой науки: человек, техника, технологии и космос. Специальные проекты и программы. "Наука 2.0" – канал для тех, кто интересуется настоящим и хочет знать, каким будет наше будущее. Большинство зрителей даже не представляет, что такое современная наука и над чем сегодня работают ученые всего мира. Наша основная задача – рассказывать о значимых изобретениях, технологиях и открытиях. Ведь в 21 веке развитый интеллект, эрудированность и способность к нестандартному мышлению - настоящий ключ к успеху. Смотрите передачи: Агрессивная среда - https://bit.ly/AggressiveEnvironment Анатомия монстров - https://bit.ly/MonstersAnatomy Бионика - https://bit.ly/ScienceBionics Большой скачок - https://bit.ly/GreatLeapForward Британские ученые доказали - https://bit.ly/BritishScientists Вопрос науки - https://bit.ly/VoprosNauki Год на орбите - https://bit.ly/AYearInSpace Градусы риска - https://bit.ly/DegreeOfRisk Джуманджи. Животные в мегаполисе - https://bit.ly/JumanjiAnimals Добавки - https://bit.ly/Dobavki EXперименты - https://bit.ly/EXperiments На пределе - https://bit.ly/OnTheLimit На пределе. Испытания - https://bit.ly/OnTheLimitExp НЕпростые вещи - https://bit.ly/NONsimpleThings Опыты дилетанта - https://bit.ly/AmateurExperiments Основной элемент - https://bit.ly/BasicElement Правила взлома - https://bit.ly/LifehacksRules Правила жизни 100-летнего человека - https://bit.ly/How2Live100 Тайны мозга - https://bit.ly/BrainSecrets Химия вкуса - https://bit.ly/ChemistryOfTaste
Views: 92010 Наука 2.0
Section M: Pressure Ulcers
 
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This video from the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Training held August 24, 2016, provides an overview of the pressure ulcer quality measure, how it is calculated, and associated Minimum Data Set (MDS) coding instructions with examples related to the documentation of presence, appearance, and change of pressure ulcers.
Views: 911 CMSHHSgov
Percent of Patients with Pressure Ulcers That Are New or Worsened (M1311, M1313)
 
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This video from the 2016 Home Health (HH) Quality Reporting Program (QRP) Provider Training held November 16 and 17, 2016, provides an overview of the Percent of Patients with Pressure Ulcers That Are New or Worsened quality measure and specific response instructions for M1311. Current Number of Unhealed Pressure Ulcers at Each Stage and M1313. Working in Pressure Ulcer Status since SOC/ROC.
Views: 705 CMSHHSgov
Inflammation (as a symptom) part-2
 
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Toxic inflammation ; one due to a poison , e.g , a bacterial product. Traumatic inflammation ; one that follows a wound or injury. Ulcerative inflammation ; that in which necrosis on or near the surface leads to loss of tissue. ights reserved. Inflammation is a fundamental pathologic process consisting of a dynamic complex of histologically apparent cytologic changes, cellular infiltration, and mediator release that occurs in the affected blood vessels and adjacent tissues in response to an injury or abnormal stimulation caused by a physical, chemical, or biologic agent, including the local reactions and resulting morphologic changes ; the destruction or removal of the injurious material ; and the responses that lead to repair of inflammation a protective tissue response to injury or destruction of tissues, which serves to destroy, dilute, or wall off both the injurious agent and the injured tissues. The Classical Signs of acute inflammation are : pain (dolor) , heat (calor) , redness (rubor) , swelling (tumor) , and loss of function (functio laesa). Help Of Inflammation in wound healing: Our immediate reaction to a swelling is to try to bring it down. Bearing in mind that inflammation is an essential part of the body's attempt to heal itself , patients and doctors need to be sure that the treatments to reduce swelling are absolutely necessary and to not undermine or slow down the healing process Wrist inflammation The first stage of inflammation is often called irritation, which then becomes inflammation - the immediate healing process. Inflammation is followed by suppuration (discharging of pus). Then there is the granulation stage, the formation in wounds of tiny, rounded masses of tissue during healing. Inflammation is part of a complex biological response to harmful stimuli. Without inflammation, infections and wounds would never heal. Inflammation as a part of our innate immunity : Our innate immunity is , what is naturally present in our bodies when we are born, and not the adaptive immunity we get after an infection or vaccination. Innate immunity is generally non-specific, while adaptive immunity is specific to one pathogen. What is the difference between chronic inflammation and acute inflammation? Acute inflammation : It starts rapidly and quickly becomes severe. Signs and symptoms are only present for a few days, but in some cases may persist for a few weeks. Examples of diseases, conditions, and situations which can result in acute inflammation include: Acute bronchitis Infected ingrown toenail Sore throat from a cold or flu A scratch/cut on the skin Exercise Acute appendicitis Acute dermatitis Acute tonsillitis Acute infective meningitis Acute sinusitis Chronic inflammation : This means long-term inflammation , which can last for several months and even years. It can result from: Failure to eliminate whatever was causing an acute inflammation. An autoimmune response to a self antigen - the immune system attacks healthy tissue, mistaking it for harmful pathogens A chronic irritant of low intensity that persists. Examples of diseases and conditions with chronic inflammation include: Asthma Chronic peptic ulcer Tuberculosis Rheumatoid arthritis Chronic periodontitis Ulcerative colitis and Crohn's disease Chronic sinusitis Chronic active hepatitis. Our infections, wounds and any damage to tissue would never heal without inflammation - tissue would become more and more damaged and the body, or any organism, would eventually perish. chronic inflammation can eventually cause several diseases and conditions, including some cancers, rheumatoid arthritis, atherosclerosis, periodontitis, and hay fever. Inflammation needs to be well regulated . Acute inflammation: Within a few seconds or minutes after tissue is injured, acute inflammation starts to occur. The damage may be a physical one, or might be caused by an immune response.
Views: 55 MEDICURO
Wound Classification: AHRQ Preventing Pressure Ulcers in Hospitals toolkit
 
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Karen Zulkowski reviews how to assess a wound to determine if it is a pressure injury or another type of injury, and how to measure and stage pressure injury. This Webinar is the last of 6 Training videos for AHRQ's Preventing Pressure Ulcers in Hospitals toolkit. March 18, 2015. Video also available at https://www.ahrq.gov/professionals/systems/hospital/putraining/index.html
Views: 111 AHRQ Patient Safety
Percent of Residents or Patients With Pressure Ulcers That Are New or Worsened
 
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This video from the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Training held June 21 and 22, 2016, provides an overview of the pressure ulcer quality measure, how it is calculated, and Minimum Data Set (MDS) coding instructions for items used in the measure calculation with examples related to the documentation of presence, appearance, and change of pressure ulcers. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 115 CMSHHSgov
I want to save ALL the gullible people!
 
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So many people spend so much money on woo. Products or services that are 'natural', 'spiritual', 'healing', etc such as homeopathy, psychic readings, aromatherapy, acupuncture, etc. I noticed them all at the markets and I discuss my frustration with the people selling this crap and taking advantage of gullible or desperate people. (I don't mean for this to come across as arrogant, or know-it-all, I just wish people knew better) Tim Minchin wrote a fantastic beat poem about 'woo' called 'Storm': http://www.youtube.com/watch?v=HhGuXCuDb1U My website, where you can contact me and read my blogs: http://www.fearblandness.com
Views: 1465 Holly
Практика - Серия 38 (1080p HD)
 
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Сериал "ПРАКТИКА" смотреть серии онлайн https://goo.gl/pmjC98 Женя и Степан рассказывают приехавшему Ромке, что у каждого из них уже новая семья. Он возмущен фальшью, которую они ему устроили в последний приезд. Новые порядки Славы доводят до беды – чуть не погибает пожилой слабослышащий пациент, сбитый машиной. Дочь пациента сообщает об этом инциденте в газету. В ролях: Ксения Лаврова-Глинка, Эльдар Лебедев, Петр Баранчеев, Олег Шкловский, Иван Шибанов, Ольга Чудакова, Елизавета Лотова, Максим Кострамыкин Продюсеры: Алексей Моисеев, Олег Пиганов Режиссер: Андрей Силкин Сценарий: Екатерина Латанова, Наталья Гласенко Жанр: Медицинская драма Сериал Практика. 38 серия
Views: 297356 Epic Media
Pro-231 - Prophecy Update, 22 April 2018 - Disarray
 
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Of course it was a busy week. It's Bible prophecy in the year 2018. Please enjoy this completely full update!
Views: 6286 The Superior Word
22. AIDS (I)
 
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Epidemics in Western Society Since 1600 (HIST 234) The global AIDS pandemic furnishes a case study for many of the themes addressed throughout the course. While in the developed West the disease largely afflicts concentrated high-risk groups such as intravenous drug users and the sexually promiscuous, in Southern Africa it is much more a generalized disease of poverty. In countries such as Botswana and Swaziland, the economic and social consequences of the disease have created a vicious circle, whereby the devastation wrought by AIDS severely impedes public health efforts and prepares the way for further infection. One important lesson that has been drawn from the past decades of struggle against the epidemic is therefore to take account of the specific, local characteristics of each affected area, making provision for the social as well as purely biological factors of transmission. 00:00 - Chapter 1. AIDS: Background 09:06 - Chapter 2. Transmission 12:55 - Chapter 3. Scale of the Pandemic 20:09 - Chapter 4. Epidemiology 33:14 - Chapter 5. Societal Effects 38:59 - Chapter 6. Public Health Strategies Complete course materials are available at the Open Yale Courses website: http://open.yale.edu/courses This course was recorded in Spring 2010.
Views: 7091 YaleCourses
MDS 3.0, Section M; Skin Conditions
 
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We would like to hear from you. Please send all comments to [email protected] Thank you for your time.
Views: 18941 CMSHHSgov
Monsanto
 
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Monsanto Company is a publicly traded American multinational agrochemical and agricultural biotechnology corporation headquartered in St. Louis, Missouri. It is a leading producer of genetically engineered (GE) seed and of the herbicide glyphosate, which it markets under the Roundup brand. Founded in 1901 by John Francis Queeny, by the 1940s Monsanto was a major producer of plastics, including polystyrene and synthetic fibers. Notable achievements by Monsanto and its scientists as a chemical company included breakthrough research on catalytic asymmetric hydrogenation and being the first company to mass-produce light emitting diodes (LEDs). The company also formerly manufactured controversial products such as the insecticide DDT, PCBs, Agent Orange, and recombinant bovine somatotropin (a.k.a. bovine growth hormone). This video is targeted to blind users. Attribution: Article text available under CC-BY-SA Creative Commons image source in video
Views: 396 Audiopedia
Tucker Carlson - 01-29-2018
 
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Aired on 01-29-2018
Views: 49 Abidan 46
MDS 3.0. Provider Updates: Section M
 
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CMS Post-Acute Care Provider Training Series, Section M of the MDS 3.0: Skin Conditions. This video covers MDS 3.0 coding instructions and frequently asked questions for Section M of the MDS 3.0. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 8723 CMSHHSgov
Veritas Forum at Dartmouth: Tolerance Under Fire
 
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The Veritas Forum at Dartmouth College Tolerance Under Fire: Building a Community on Respect - Not Double Standards Ravi Zacharias - Renowned International Speaker and Christian Philosopher Thursday, October 10, 2013 at 7:30 PM Spaulding Auditorium at the Hopkins Center
Views: 12690 Dartmouth
CQC Board Meeting 23 September 2015
 
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The Care Quality Commission's Board Meeting was held in London on 23 September 2015 Please scroll below to navigate the agenda items: 1 Values Based Organisation and Leadership 0:35 2 Apologies and Declarations of Interest 1:04:23 3 Minutes of the meeting held on 29 July 2015 1:04:55 4 Matters Arising and action log 1:04:55 5 Chief Executive's Report 1:05:55 6 Fit and Proper Person 1:42:42 7 Duty of Candour 1:42:42 8 A. Full report from Regulatory Governance Committee held on 28 July B. Report from Regulatory Governance Committee meeting held 22 September 2:21:01 9 Questions 2:29:39 10 Any Other Business 2:45:07 Read more about CQC's Board Meetings at http://www.cqc.org.uk/public/about-us/our-people/board-members/board-meetings
National Assembly for Wales Plenary 21.03.18
 
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Plenary is the meeting of the whole Assembly which takes place in the Siambr, the Senedd’s debating chamber. Plenary is chaired by the Presiding Officer and is the main forum for Assembly Members to carry out their roles as democratically elected representatives. Plenary takes place twice a week on Tuesdays and Wednesdays and is open to the public, you can also watch it live or on demand here on YouTube or on Senedd.TV.
Views: 78 AssemblyCynulliad
LONG STORY SHORT WITH LESLIE WILCOX:  Desmond Tutu - Nobel Peace Prize Laureate | PBS Hawaiʻi
 
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Leslie Wilcox talks with Desmond Tutu, the South African former archbishop who openly and peacefully opposed apartheid. The Nobel Peace Prize laureate recalls tough experiences that taught him peace and compassion. Archbishop Tutu also explains why it's best to forgive, even in the most difficult situations. He even reveals his lighthearted side and talks about how humor can defuse tense moments. Original Air Date: October 9, 2012
Views: 731 PBSHawaiiorg