Jumaat, 1 Februari 2013

Of laughters and tears

Today is my last day @ Sunway Medical Centre. 31/1/13.

Glad. Its been a tough 1 year and 3 months plus.

Laughters. Tears. Happiness. All feelings are mixed up.

Been working as a team in the Radiology Department with all the Radiographers, Radiologists, front counter people, admin and my toughest reporting room colleagues, the medical transcripts.

Will miss my Radiologists. Haha. The "Abang Besar, Chief Radiologists" Dr. Adam Pany, that called my name after 8 months im working in the department. First time i typed for him, all went upside down because he want all things to be fast. No slow. Haha. Learned a lot from him.

Will miss my female Radiologist, Dr. Roshayati Basir. She will gave u a good advice, tips that she got from her Islamic class. She gave all the muslims staff a book of Al-Quran each. May Allah bless her. She will sing a song if she is doing ultrasound scan especially for kids. Love. Dr. Ros loves peanut. Always bought kacang singapore. The crunchiest kacang.

Dr. Valarmathi, someone that I adore. Independant. Elegant. Gave advice. Teach u something new. Buy u foods. Thanks a lot Dr.

Last but not least, Dr. Ng Boon Keat. I learned a lot too. Eventhough he is a bit fussy but down deep in my heart, I know that he is a nice person. Very cheerful person with other radiologists. Good at doing procedures. Reports.

To all my radiographers friends, u all help us a lot in the reporting room. Wanted to say thank you to the senior radiographers, especially Ms. Tan, Kak Bib, Mr. Yong and Mr. Liew. To Hazirah who private message me in FB to give me a message of support (to say strong even kena marah with Doctor), Hasha, En. Nazri, Cheng Hui who always panggil me Izan, Raj, Junne my housemate, Shifa, Kak Syikin who always give a good advice, Kak Zz, Sukumaran (thanks belanja me Nasi Lemak) in my last day working, Ariff, Tina and to whom i did not mention. Wish u all the best in life too. :)

To the nurses, Zaleha, Salmah, Kak Safuraa, Kak Suppu, imah and last but not least, Sister Yen. Thanks.

To my reporting room colleagues. Stay strong. Stay tough. I will miss you all. I learned a lot. Nice experience I had with you guys. If I did something that is not right, I do apologize. Wish u all nothing but success.

To my front counter colleagues, Anna. Good luck on your new upcoming job. Aileen. Thanks for ur continuous support. Thanks belanja me eat at Popeye. Izzah cashier. Ms. Goh. Sorry didnt make it to see u after ur maternity leave. Thanks for coaching and guidance.

P/s: Go. Go. Go. Radiology Department Sunway Medical Center.

In good memories (Oct 2011 ~Jan 2013)

<3











Sabtu, 3 November 2012

UNFORGETTABLE

Salam all blogerians,

Yesterday was such an another bad day for me. Seniors mc ing..just left me and another colleague, Azie.

But todays reporting is smoothly..

Conclusion of the day is..a hard moment today will definitely teach us something new or memorable thing for us to digest it or to give it a try..

Never give to to obstacles and try to tackle the situations.

Some tips for u guys out there is be nice to other and others will be nice to u.

Nite..

Izza Latiff

Khamis, 27 September 2012

IM A HUMAN BEING..YOU TOO..

Salam to all...

I just wanna share with you all,  type of defense mechanism.

I think we need to defend ourselves..Not because of we are guilty at doing something that is not right or just wanted to take opportunity of others weaknesses.

I just wanted to say things that is right, not to say that im totally perfect 100 %. They also cant blame me on something that I didnt do. A  defense mechanism is a need to project all this. Only God know. Hope they didnt misunderstood this. A kind reminder to all and myself a defense mechanism that we usually do.


Primitive Defense Mechanisms

1. Denial
Denial is the refusal to accept reality or fact, acting as if a painful event, thought or feeling did not exist. It is considered one of the most primitive of the defense mechanisms because it is characteristic of early childhood development. Many people use denial in their everyday lives to avoid dealing with painful feelings or areas of their life they don’t wish to admit. For instance, a person who is a functioning alcoholic will often simply deny they have a drinking problem, pointing to how well they function in their job and relationships.
2. Regression
Regression is the reversion to an earlier stage of development in the face of unacceptable thoughts or impulses. For an example an adolescent who is overwhelmed with fear, anger and growing sexual impulses might become clingy and start exhibiting earlier childhood behaviors he has long since overcome, such as bedwetting. An adult may regress when under a great deal of stress, refusing to leave their bed and engage in normal, everyday activities.
3. Acting Out
Acting Out is performing an extreme behavior in order to express thoughts or feelings the person feels incapable of otherwise expressing. Instead of saying, “I’m angry with you,” a person who acts out may instead throw a book at the person, or punch a hole through a wall. When a person acts out, it can act as a pressure release, and often helps the individual feel calmer and peaceful once again. For instance, a child’s temper tantrum is a form of acting out when he or she doesn’t get his or her way with a parent. Self-injury may also be a form of acting-out, expressing in physical pain what one cannot stand to feel emotionally.
4. Dissociation
Dissociation is when a person loses track of time and/or person, and instead finds another representation of their self in order to continue in the moment. A person who dissociates often loses track of time or themselves and their usual thought processes and memories. People who have a history of any kind of childhood abuse often suffer from some form of dissociation. In extreme cases, dissociation can lead to a person believing they have multiple selves (“multiple personalitydisorder”). People who use dissociation often have a disconnected view of themselves in their world. Time and their own self-image may not flow continuously, as it does for most people. In this manner, a person who dissociates can “disconnect” from the real world for a time, and live in a different world that is not cluttered with thoughts, feelings or memories that are unbearable.
5. Compartmentalization
Compartmentalization is a lesser form of dissociation, wherein parts of oneself are separated from awareness of other parts and behaving as if one had separate sets of values. An example might be an honest person who cheats on their income tax return and keeps their two value systems distinct and un-integrated while remaining unconscious of the cognitive dissonance.
6. Projection
Projection is the misattribution of a person’s undesired thoughts, feelings or impulses onto another person who does not have those thoughts, feelings or impulses. Projection is used especially when the thoughts are considered unacceptable for the person to express, or they feel completely ill at ease with having them. For example, a spouse may be angry at their significant other for not listening, when in fact it is the angry spouse who does not listen. Projection is often the result of a lack of insight and acknowledgement of one’s own motivations and feelings.
7. Reaction Formation
Reaction Formation is the converting of unwanted or dangerous thoughts, feelings or impulses into their opposites. For instance, a woman who is very angry with her boss and would like to quit her job may instead be overly kind and generous toward her boss and express a desire to keep working there forever. She is incapable of expressing the negative emotions of anger and unhappiness with her job, and instead becomes overly kind to publicly demonstrate her lack of anger and unhappiness.

Less Primitive, More Mature Defense Mechanisms

Less primitive defense mechanisms are a step up from the primitive defense mechanisms in the previous section. Many people employ these defenses as adults, and while they work okay for many, they are not ideal ways of dealing with our feelings, stress and anxiety. If you recognize yourself using a few of these, don’t feel bad – everybody does.
8. Repression
Repression is the unconscious blocking of unacceptable thoughts, feelings and impulses. The key to repression is that people do it unconsciously, so they often have very little control over it. “Repressed memories” are memories that have been unconsciously blocked from access or view. But because memory is very malleable and ever-changing, it is not like playing back a DVD of your life. The DVD has been filtered and even altered by your life experiences, even by what you’ve read or viewed.
9. Displacement
Displacement is the redirecting of thoughts feelings and impulses directed at one person or object, but taken out upon another person or object. People often use displacement when they cannot express their feelings in a safe manner to the person they are directed at. The classic example is the man who gets angry at his boss, but can’t express his anger to his boss for fear of being fired. He instead comes home and kicks the dog or starts an argument with his wife. The man is redirecting his anger from his boss to his dog or wife. Naturally, this is a pretty ineffective defense mechanism, because while the anger finds a route for expression, it’s misapplication to other harmless people or objects will cause additional problems for most people.
10. Intellectualization
Intellectualization is the overemphasis on thinking when confronted with an unacceptable impulse, situation or behavior without employing any emotions whatsoever to help mediate and place the thoughts into an emotional, human context. Rather than deal with the painful associated emotions, a person might employ intellectualization to distance themselves from the impulse, event or behavior. For instance, a person who has just been given a terminal medical diagnosis, instead of expressing their sadness and grief, focuses instead on the details of all possible fruitless medical procedures.
11. Rationalization
Rationalization is putting something into a different light or offering a different explanation for one’s perceptions or behaviors in the face of a changing reality. For instance, a woman who starts dating a man she really, really likes and thinks the world of is suddenly dumped by the man for no reason. She reframes the situation in her mind with, “I suspected he was a loser all along.”
12. Undoing
Undoing is the attempt to take back an unconscious behavior or thought that is unacceptable or hurtful. For instance, after realizing you just insulted your significant other unintentionally, you might spend then next hour praising their beauty, charm and intellect. By “undoing” the previous action, the person is attempting to counteract the damage done by the original comment, hoping the two will balance one another out.

Mature Defense Mechanisms

Mature defense mechanisms are often the most constructive and helpful to most adults, but may require practice and effort to put into daily use. While primitive defense mechanisms do little to try and resolve underlying issues or problems, mature defenses are more focused on helping a person be a more constructive component of their environment. People with more mature defenses tend to be more at peace with themselves and those around them.
13. Sublimation
Sublimation is simply the channeling of unacceptable impulses, thoughts and emotions into more acceptable ones. For instance, when a person has sexual impulses they would like not to act upon, they may instead focus on rigorous exercise. Refocusing such unacceptable or harmful impulses into productive use helps a person channel energy that otherwise would be lost or used in a manner that might cause the person more anxiety.
Sublimation can also be done with humor or fantasy. Humor, when used as a defense mechanism, is the channeling of unacceptable impulses or thoughts into a light-hearted story or joke. Humor reduces the intensity of a situation, and places a cushion of laughter between the person and the impulses. Fantasy, when used as a defense mechanism, is the channeling of unacceptable or unattainable desires into imagination. For example, imagining one’s ultimate career goals can be helpful when one experiences temporary setbacks in academic achievement. Both can help a person look at a situation in a different way, or focus on aspects of the situation not previously explored.
14. Compensation
Compensation is a process of psychologically counterbalancing perceived weaknesses by emphasizing strength in other arenas. By emphasizing and focusing on one’s strengths, a person is recognizing they cannot be strong at all things and in all areas in their lives. For instance, when a person says, “I may not know how to cook, but I can sure do the dishes!,” they’re trying to compensate for their lack of cooking skills by emphasizing their cleaning skills instead. When done appropriately and not in an attempt to over-compensate, compensation is defense mechanism that helps reinforce a person’s self-esteem and self-image.
15. Assertiveness
Assertiveness is the emphasis of a person’s needs or thoughts in a manner that is respectful, direct and firm. Communication styles exist on a continuum, ranging from passive to aggressive, with assertiveness falling neatly inbetween. People who are passive and communicate in a passive manner tend to be good listeners, but rarely speak up for themselves or their own needs in a relationship. People who are aggressive and communicate in an aggressive manner tend to be good leaders, but often at the expense of being able to listen empathetically to others and their ideas and needs. People who are assertive strike a balance where they speak up for themselves, express their opinions or needs in a respectful yet firm manner, and listen when they are being spoken to. Becoming more assertive is one of the most desired communication skills and helpful defense mechanisms most people want to learn, and would benefit in doing so.
* * *
Remember, defense mechanisms are most often learned behaviors, most of which we learned during childhood. That’s a good thing, because it means that, as an adult, you can choose to learn some new behaviors and new defense mechanisms that may be more beneficial to you in your life. Many psychotherapists will help you work on these things, if you’d like. But even becoming more aware of when you’re using one of the less primitive types of defense mechanisms above can be helpful in identifying behaviors you’d like to reduce.



*Which one do you in?   

Isnin, 2 Januari 2012

New Phase of life I&apos;m going through

Hye peeps..
Happy New Year 2012.
May all our new resolutions begin and hope that God are blessing all of us with His luck.

When I finish my secondary education, i planning to further my education to the college. The dream come true and now I've finish my college years.

It was such an amazing journey of 3 years in college of Nursing and yet I'm passing with flying colours. :)

Its time to move and start a new phase of life. Career life. Do U know that it is totally different compared to the college life.

Responsibility gets bigger and harder. I really hope that my career life would be good and amazing. Insyaallah.

Ahad, 27 November 2011

HEMODIALISIS


HEMODIALYSIS

Apakah jenis-jenis dialysis :
• Hemodialisis (HD)
• Peritoneal Dialisis (PD)
o Continous Ambulatory Peritoneal Dialisis (CAPD)
o Continuos Cycling Peritoneal Dialisis (CCPD)


Haemodialysis
Buah pinggang tiruan (haemodialyzer) disambung dengan mesin penapis yang berfungsi
membuang sisa-sisa kotoran dan cecair yang berlebihan dari badan. Prosedur ini dijalankan di
unit khas (unit hemodialisis) di hospital dan memakan masa empat jam setiap sesii untuk 3
sesi seminggu . Anak anda akan memerlukan fistula supaya darah dari badan dapat mengalir ke buah pinggang tiruan. Pakar bedah akan membuat fistula ini dengan menyambungkan
salur darah arteri dengan vena sehingga menjadi salur darah yang lebih besar.
Peritoneal dialysis
Proses penapisan dilakukan melalui selaput perut (peritoneum) anak anda. Ia boleh dilakukan
di hospital atau di rumah dan merupakan cara rawatan yang paling sesuai untuk kanak-kanak.
Proses ini memerlukan satu tiub plastik (Tenchoff catheter) dimasukkan ke dalam perut
(abdomen) melalui pembedahan . Hujung tiub akan keluar dari perut anak anda dan ia
dipanggil saluran keluar (exit site).
1. CAPD melibatkan empat pertukaran (exchanges) sehari di rumah, tanpa
menggunakan mesin. Proses ini boleh dilakukan oleh ibubapa atau kanak-kanak itu
sendiri sekiranya dia sudah cukup matang. Pertukaran (exchanges) adalah satu proses
di mana larutan dialisis yang steril dimasukkan ke dalam abdomen dan apabila
dikeluarkan ia turut membawa bahan kumuh dan lebihan air dari badan.
2. CCPD dilakukan di rumah menggunakan mesin yang dipanggil cycler. Cycler boleh
membuat pertukaran selama lapan hingga sepuluh jam lamanya, biasanya di waktu
malam semasa anak sedang tidur.
Bolehkah berlaku sebarang kesilapan dengan prosedurprosedur ini?
• Haemodialysis
o pembekuan darah dalam fistula,tiub dan buah pinggang tiruan semasa dailisis.
o masalah tekanan darah rendah semasa dialisis
o jangkitan pada fistula atau darah
• Peritoneal dialysis
o jangkitan dalam peritoneum (peritonitis)
o jangkitan kepada bahagian tiub saluran keluar (exit site)
o tiub tersumbat.
Pencegahan komplikasi
• Amalkan teknik mencuci tangan yang betul sepertimana yang diajar oleh jururawat
semasa CAPD.
• Mencuci bahagian hujung tiub (exit site) dengan kerap.
• Mengekalkan kebersihan mesin cycler dan kesemua peralatan yang digunakan dalam CAPD.

Hubungi jururawat dialisis anda atau doktor sekiranya anda mengsyaki anak anda mengalami
jangkitan peritoneum (peritonitis) atau jangkitan di saluran hujung tiub (exit site infection) Pemulihan
• Mengawal pengambilan air minuman sepertimana yang dicadangkan oleh doktor
anda.
• Jangan beri anak anda makanan yang mengandungi fosfat yang tinggi.
• Berikan makanan kurang garam sekiranya dinasihatkan oleh doktor anda.
• Galakkan senaman untuk membantu menguatkan tulang dan menggalakkan badan
berpeluh, tetapi ingat jangan benarkan anak anda minum terlalu banyak selepas itu.
• Pastikan anak anda dapat menghadiri sekolah.
• Galakkan membuat kerja-kerja sekolah, melukis, membuat kraftangan atau membaca semasa sesi hemodialisis sebagai satu cara untuk mengisi masa terluang.