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4 Things Every Healthcare Professional Should Know about Drug Abuse
Since substance abuse affects the physical, the mental, and the social well-being of an individual, several healthcare professionals, namely the physicians, the psychiatrists, the therapists, and the emergency-medicine professionals, are on the frontline of diagnosing and managing drug abuse disorders. With the increasing incidence and changing nature of substance abuse, it is crucial that these professionals keep themselves updated about all that's happening in this field. All healthcare professionals must be aware of the following four points related to substance abuse, enabling them to help patients overcome their addiction. 1. Healthcare Professionals Have a Collaborative Role to Play in Substance Abuse Disorder Management A thorough diagnosis and management of drug abuse patients require assessment by multiple addiction experts, namely the physician, the psychiatrist, the psychologist, and the therapist. This is because individuals undergoing treatment for drug abuse are also affected by other health conditions and mental disorders. The physician assesses the general health and performs drug tests to establish the levels of illicit substances within the patient's' body, whereas the other three professionals specialize in mental health. All these healthcare professionals must work together and use their skills and experience to prevent, screen, intervene, and treat patients with substance use and addiction disorders. 2. Cross Addiction Is Fairly Uncommon More often than not, physicians defer or avoid prescribing medications that are absolutely necessary but have the potential for abuse in patients with substance abuse disorders. For instance, patients recovering from alcohol abuse and suffering from anxiety or panic disorders are denied or taken off benzodiazepines for the fear that they may be addicted to these drugs. Similarly, patients requiring opioid-based pain management strategies are denied the treatment, often leaving them in agony. The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that nearly nine million American adults (aged 12 and older) suffer from both a substance use disorder (SUD) and a physical and psychological health disorder of some type. Moreover, several studies have shown that cross-addiction, where a patient stops abusing a drug and gets habituated to another seldom occurs. Thus, a medical professional is expected to listen to his/her patients' complaints with respect to their health and avoid assuming that these grievances are signs of a drug-seeking behavior. Furthermore, when managing allied health issues, the practitioner can choose a drug with less risk for abuse. For instance, drug abuse patients with anxiety disorders can be prescribed clonazepam instead of other benzodiazepines as it is less habit forming. 3. Healthcare Practitioners Must Be Ready With a Relapse Management Strategy Though drug rehabilitation is effective in the management of addiction, it cannot completely cure this disorder. Research shared by the National Institute of Drug Abuse has shown that substance abuse relapse rates can be as high as 60 percent. Recovery from drug abuse is a lifelong process that demands several lifestyle changes and management of the associated health issues and situational factors that can lead to the relapse. Healthcare practitioners play a critical role in creating a relapse management strategy. They must address substance abuse by offering the necessary interventions, referring patients to substance abuse treatment, conducting ongoing drug testing and follow-up, and working with the therapist to manage critical cases in order to help the patients recover and prevent the chances of relapse. For instance, medical professionals conduct drug screening programs using instant drug test kits during the monthly and annual routine checkups. These tests help them assess the severity of the illicit drug use and prescribe a possible treatment regimen. Most addiction centers are aware of these medications, yet do not prescribe them. Medical practitioners can easily fill this gap by being aware of and prescribing the anti-relapse medications to overcome alcohol and drug abuse. For instance, naltrexone and disulfiram can be prescribed for the treatment of alcohol abuse. Similarly, buprenorphine, an opioid partial agonist, is extremely effective in treating opioid abuse and addiction. 4. Confrontation Strategies Do Not Work in Drug Abuse Management Originally practiced within peer-based communities, confrontational strategies and lecturing soon extended to authority-based medical set-ups and rehabilitation centers. Confrontational approaches are designed to make drug abuse patients feel scared, ashamed, or humiliated, with the assumption that such experiences are curative. However, research has shown little evidence for a therapeutic benefit of such approaches in substance abuse patients. In fact, they are potentially harmful and professionally inappropriate. Medical professionals must work in collaboration with counselors to motivate the patient in order to find new ways to manage their mental state of mind, control the triggers, and work towards a drug-free future. They must approach patients with sensitivity, understanding, and honesty and pay careful attention to their body language and tone of voice. This empathic and patient-centric approach respects the patients' capacity and the natural desire to grow in a positive direction. Healthcare professionals have a significant part to play in the management of substance abuse disorders. Consequently, they must be aware of the above-mentioned facts about substance abuse, enabling them to screen and manage such cases and reduce the risk of relapse.
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6 LIFESAVING INTERVENTIONS FOR CHILDREN IN A LOW-INCOME COUNTRIES
6 Lifesaving Interventions for Children in Low-income Countries See this article with clinical pictures at http://www.healthservicecorps.org/6-interventions/ Saving the lives of children is one of the greatest joys of medical mission work. What if you could save the lives of not a few but of many children? This blog shares six very basic interventions that can help you achieve that aim. According to the World Health Organization (WHO) estimates on child mortality, 5.9 million children under age five died in 2015, about 16,000 every day. The risk of a child dying before the age of five is still highest in the WHO African Region at 81 per 1000 live births, which is a dramatic seven times higher than in developed countries. For comparison, in the WHO European Region that number is about 11 per 1000 live births. The under-five mortality in low-income countries remains unacceptably high averaging 76 deaths per 1000 live births. This is about 11 times the average in developed countries, which is 7 deaths per 1000 live births. We believe short-term and long-term medical missions have an important role to play in reducing these inequities across the world. However, the extent of the effectiveness of our medical missions on child mortality will be directly correlated to the level at which we learn and engage with international standards for the care of children in low-income countries. These six interventions, if used and promoted widely, can at help engage medical missions in this important fight. The doses listed in this blog post represent current recommendations published by the WHO although this blog post is meant only as an overview of information. It is not a comprehensive study of dosing or treatment modalities. We recommend downloading the reference from which these dosing recommendations were obtained. To download the IMCI chart booklet for dosing and process information IMCI Chart Booklet and Dosing Reference Guide. The complete computer-based IMCI training programs can be downloaded from the Christian Health Service Corps website at CHSC Clinical Resources. Please use and share these six child lifesaving interventions for children living in resource-poor communities: 1. Promotion of exclusive breast feeding for infants younger than six months This is probably the simplest of all interventions and yet it is the most effective. Communities should be educated on the importance of breast feeding. Improving exclusive breastfeeding practices of infants under six months of age has the greatest potential impact on child survival, higher than all other preventive interventions. According to Vesel et al (2009) improved breastfeeding practices could prevent over 800,000 deaths in children under age five every year. Simply counselling all mothers of young infants about the need for exclusive breast feeding can save the lives of many infants. 2. Immunizations About 10% of the diseases affecting children under five years of age are preventable with vaccines. A review of 12 studies found that measles immunization was associated with reductions in total mortality that ranged from 30–86%. Additionally, providing vitamin A supplements as part of measles case management can reduce the case fatality rate by more than 50%. Collaborating with local health departments and ministries of health to deliver vaccinations in rural unreached areas remains an underutilized strategy by medical missions and global health programs. There are many barriers to vaccination delivery in rural villages for local governments. Limited personnel and maintaining cold chain are but a couple. This medical mission strategy could help close this gap for some regional health authorities and improve vaccination coverage. Few medical mission or service learning programs engage in this type of collaborative efforts, but these projects can have lasting impact on child survival in rural areas. 3. Parasite prophylaxis Remember, many children in low income countries receive less than 50-75% of the daily-required caloric intake for growing children. Parasites further compromise the nutritional status of children. The WHO standard for parasite prophylaxis is to give all children one year or older mebendazole if they have not had a dose in the previous six months. • Give 500mg mebendazole as a single dose in clinic if 1) hookworm/whipworm is a problem in the area in which you will be working, 2) the child is one year of age or older, or 3) the child has not had a dose in the previous six months. 4. Vitamin A treatment In malnourished, micronutrient-deficient children, Vitamin A supplementation can reduce mortality by up to 23%. Vitamin A is important in interrupting the cycle of malnutrition that makes even mildly malnourished children susceptible to death in the event of a viral or bacterial illness. The vicious cycle of malnutrition and the way in which it claims the lives of even mildly malnourished children is illustrated below. It is an important topic to consider before seeing pediatric patients in developing countries. Malnutrition underlies more than 50% of the deaths of children under age five in the developing world. Diarrhea, acute respiratory illness, malaria, and vaccine-preventable diseases are the primary killers of children under five, but malnutrition is often the underlying factor that precipitates the child’s death. Children in developing countries who exhibit any signs of malnutrition should receive Vitamin A in much higher doses than practitioners trained in developed countries are familiar with prescribing. It should be noted that active collaboration with local health authorities and record-keeping is a fundamental requirement. • Give the first dose of Vitamin A any time after six months of age to ALL CHILDREN; thereafter, give Vitamin A every six months to ALL CHILDREN. • Give an extra dose of Vitamin A (the same dose as for supplementation) as part of treatment if the child has measles or PERSISTENT DIARRHEA. • If the child has had a dose of Vitamin A within the past month, DO NOT GIVE VITAMIN A. • Always record the dose of Vitamin A given on the child’s chart (i.e., AGE, VITAMIN A DOSE). • Dosage: Six months up to twelve months – 100,000 IU; one year and older – 200,000 IU 5. Zinc supplementation Zinc supplementation has been shown to reduce diarrhea incidence by 18% and pneumonia incidence by 41%. All children age two months up to five years presenting with diarrhea should receive the following: Instruct the mother on how much zinc to give (20-mg tab): • Two months up to six months – half a tablet daily for 14 days; six months or older – one tablet daily for 14 days. Demonstrate to the mother how to give zinc supplements; have her verbalize and (ideally) demonstrate how to mix and give the first dose. • Infants – dissolve tablet in a small amount of expressed breast milk, ORS, or clean water in a cup. • Older children – tablets can be chewed or dissolved in a small amount of clean water in a cup. 6. Iron supplementation for Childhood Anemia In developing countries, childhood anemia is a manifestation of micronutrient malnutrition and is often worsened by recurrent bouts of malaria. It is an extremely common symptom of mild to severe forms of malnutrition. According to the IMCI child health standards, all children who exhibit signs of anemia should receive the following: . TALC has hemoglobin color strips to use with finger-stick blood tests available at low cost for short-term global health initiatives. Palmar Pallor is the WHO standard for assessment of anemia in children in resource limited settings where there is blood hemoglobin measure available. Iron supplementation has also been shown to improve child development in children over age two and can have a significant affect on micronutrient-deficient children. Give iron daily for 14 days in the presence of childhood anemia. Give an oral antimalarial co-artemether in the presence of anemia in high malaria-risk areas as follows. Give the first dose of co-artemether in the clinic, and observe for one hour. If the child vomits within an hour, repeat the dose. The second dose is given at home after eight hours, then twice daily for a further two days as shown below; co-artemether should be taken with food. World Health Organization, 2017) Vesel, et al., 2009 Hill, Kirkwood, & Edmond, 2004 WHO/UNICEF, 2014 Hill, Kirkwood, & Edmond, 2004 WHO/UNICEF, 2014 Hill, Kirkwood, & Edmond, 2004 Hill, Kirkwood, & Edmond, 2004) WHO/UNICEF, 2014
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MISSIONS BEGIN AT HOME
I saw a movie recently about two struggling families. The husbands had lost their jobs, and one of the wives could not keep up with the swelling bills, and of course lost her job as well. Things got so bad, the two families had to live in their cars on the streets. Luckily, one of the families got a hotel voucher and left the streets. Nothing was heard about them again. But the other family kept struggling, such that feeding became so impossible, their young son had to steal lunch at school. In fact, they got attacked by mobsters at night, and would have lost their lives. Now that scene made me wonder why anyone would steal from someone living on the streets. I mean, if they had any treasures, apart from their lives, they wouldn’t be on the streets. Then I concluded that if the blind could lead the blind, then the poor could steal from the poor. It’s the case of one person having a little advantage over the other. Such is life! For days this family didn’t take a bath. They only cleaned up at pubic restrooms.  They did everything they could to keep their condition from anyone, lest the authorities be informed, and they lose their children. As I watched, I could not help but come to terms with the fact that in the midst of plenty, there are some who starved, even unto death. Even though this family lived on the street, they were not entirely invisible. Someone should have noticed them, and reached out to help. But I guess everyone was busy with their own problems and activities, missions inclusive, that they did not notice this family. If someone had taken time to look within, they would have noticed this family. Compassion has eye that sees beyond the ordinary. The story of the Good Samaritan is one with many facets of truth, but you have to dig in to know this. A young Jewish man who was an expert in the law asked Jesus what he had to do to have eternal life. Jesus asked him what the law said. Of all the laws, he chose that which he believed was the simplest, “love the Lord with all thy heart and mind. And love thy neighbour as thyself”. “Wonderful”, Jesus said, “you are really smart. Well then, go and do what it says, and you shall have eternal life”. But his conscience was pricked, because he knew down in his heart, something was not right. To justify his foolishness, he asked, “Who is my neighbour?” I believe he was expecting Jesus to say, ‘your brothers and sisters”. But as usual, Jesus disappointed him by telling a thought provoking parable. Jesus told the story of a man who was robbed and left for dead on the street. Two people passed by and did nothing. Note Jesus’ choice of characters; a Priest, a Levite, and a Samaritan. He could have used a shepherd, a carpenter and a businessman as His characters. But He did not. He chose characters that represented the highest offices in the Jewish community, and one that depicted a class system. What was He trying to say? Well, the Priest was the intercessor between God and the people. He knew exactly what God wanted, and how God wanted it. God communicated His desire and instructions to the people through him. So he very well knew God and the law. The Levite was the next in line. He served in the temple, and carried out rituals nobody else in all of Israel could do. The Levite was strictly under God’s “employment”. So, he too had a good knowledge of God and the law. The Samaritan was a nobody who didn’t share the same heritage and affluence of a Jew, as it was believed. The Jews didn’t think the Samaritans were good enough to relate with, so they had nothing to do with the Samaritans. The traveller’s identity was not revealed. He could have been a Jew or a Gentile. Regardless of who he was, he was half dead and could not identify the people who passed him by. At this point conscience and compassion are put to play. Let me try and figure out what was going on in the minds of the Priest and the Levite.  May be, as Priest and Levite of the Holy temple of God Almighty, they were hurrying up to the Temple for worship or to meet the needs of the people. They had to get to their holy duties on time! Give me a break! Well then, the Samaritan was a common man who had no privileged duty, and had all the time in the world, so he had compassion on the man and helped him to an inn, where he spent the night with this broken man as he had him taken care of.  Well, Jesus asked who amongst the three men qualified as a neighbour, and the young man answered, “the Samaritan.”  Trust me, that answer, simple as it was, was very heavy in the mouth of the Jewish man, for obvious reasons. “Well then,” Jesus said, “go and do likewise”. Ouch! The man must have gasped. I love the way Jesus humbles certain people who feel they know it all. Jesus’ answer to this young man was a blow below the belt. If you have missed the point of this story, like many do, let me help you here. The point about the story was not necessarily about who helped the injured man. The parable was not referring to the “love your neighbour as yourself’ statement that Jesus made. But it was rather referring to the “who is my neighbour”, that the young man mischievously asked. The story was an indictment on the Jews, who believed they knew the law, but fell short of its expectation. In this article, the parable about the Good Samaritan is not referenced with regards to the class system. No, as Christians, I believe we know better. The point of reference here is how we can easily forget the work around us, because of the “big deal” in front of us, like the Priest and the Levite. Jesus is thorough, and everywhere He went, He took care of the people in that place before heading out to His next assignment. As Christians, God expects more from us. We should know better than the unsaved morally inclined man or woman. Our love for humanity should go deeper, and our search engines from the inside out. Think about heaven, and walking into a lovely garden, and a man calls out to you and says you look familiar. By the time you start a conversation with the person, you found out that he lived on the street three blocks from you, and you saw him but never noticed them. And then you find out how he died: it was on a certain day you remember. You had your beautiful unique bags packed for a trip to Cambodia, and headed for the bus stop. You were so excited you were going on a mission’s trip to do the Lord’s bid.  And then the picture flashes back to you. That day as you waited at the bus stop in excitement, you did see a man on the floor, a few yards from you, writhing in pain. But you didn’t notice him, because you were headed for a very important trip.  And then in conclusion he says, “thirty minutes after your bus left, I saw myself in heaven and knew I had died”. Sad, isn’t it? We actually need the help of the Holy Spirit not to be oblivious of the lonely and destitute around us, because I believe it is sometimes an innocent error. So as we go about our missionary activities, let us pray that our eyes be opened to see “them’ that are amongst us and do the needful, being the Jesus that they need.
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HE IS THE GOD OF ALL FLESH AND HE WAITS TOO
As a child, my favourite bible story was David and Goliath. The reason was obvious; a little boy killing wild animals, and finally a giant. He was my hero. I wanted to be like him, and if I couldn’t, then I imagined him as my unseen hero. As my relationship with God grew deeper, and I began to study the bible, I came across many other phenomenal stories, and one in particular that took the place of David and Goliath.  Growing up in an environment where people are often defined by what they owned or have achieved, my mind, as I believed was the majority of others, was set on achievements for the purpose of societal acceptance. I believed you had to be of a certain status to be accepted by the society. Yes, even as a Christian, you can have acceptance issues. With the way things are structured in this life, it is so easy to crave the acceptance of man, forgetting the most important acceptance ever, which is of God. Well then, that mind set didn’t last for long. As I continued to study the bible, I realised how important we are to God.  In Luke chapter 12:22-28, Jesus puts it this way: 22Then, turning to his disciples, Jesus said, “That is why I tell you not to worry about everyday life—whether you have enough food to eat or enough clothes to wear. 23For life is more than food, and your body more than clothing. 24Look at the ravens. They don’t plant or harvest or store food in barns, for God feeds them. And you are far more valuable to him than any birds! 25Can all your worries add a single moment to your life? 26And if worry can’t accomplish a little thing like that, what’s the use of worrying over bigger things? 27“Look at the lilies and how they grow. They don’t work or make their clothing, yet Solomon in all his glory was not dressed as beautifully as they are. 28And if God cares so wonderfully for flowers that are here today and thrown into the fire tomorrow, he will certainly care for you. Why do you have so little faith? For want of clarity, let me explain this scripture in the simplest term. Jesus talked about God’s providence and care for ravens and lilies, which as humans we would care less. I mean, how many times have you looked out your window and called out to a random flying bird, “Have you had breakfast?” Or how many times have you driven by a street or road, come across flowers, and asked “have you taken a drink today?” That simply doesn’t happen! But it happens with God everyday. He takes care of them circumspectly, so much that the lilies are better dressed than King Solomon who could boast of so much glory. In verse 28 He concludes by saying the reason we ever feel deficient, afraid or less than nothing, is because we have no faith. It has always been a faith problem.  Now, let’s look at my favourite bible story, THE CITY GATE HEROES, as I entitle it. The story is found in 2nd Kings chapter 7, and I would be concentrating on verses 3-11. But I advise that you read chapters 6 and the entire chapter 7 to get a better picture of the events that unfolded.  There was a famine in the land, such that was so horrible people ate their children. Nobody knew what to do, including the government.  But there were four leprous men who sat at the city gate and were fed from there. It is noteworthy that these men were simply called lepers, even though they had names. It’s strange when people identify you by your circumstance. Bad enough, food was thrown at them, because they were unclean and not allowed to mix with  “normal” people.  But this was a season of famine, and there was no food for them, not even crumbs. These men came together and considered the best risk analysis I have ever known.  They talked amongst themselves saying, “Why should we sit here waiting to die?” they asked each other. 4“We will starve if we stay here, but with the famine in the city, we will starve if we go back there. So we might as well go out and surrender to the Aramean army. If they let us live, so much the better. But if they kill us, we would have died anyway.”  Wow! Isn’t that amazing? They didn’t ask for a sign from God, as some of us would do. They thought it through, and took a step. What did they have to lose anyway? The story continues on how these men started on their journey to the Aramean camp, and how God honoured their faith. 5So at twilight they set out for the camp of the Arameans. But when they came to the edge of the camp, no one was there! 6For the Lord had caused the Aramean army to hear the clatter of speeding chariots and the galloping of horses and the sounds of a great army approaching. “The king of Israel has hired the Hittites and Egyptians to attack us!” they cried to one another. 7So they panicked and ran into the night, abandoning their tents, horses, donkeys, and everything else, as they fled for their lives. 8When the lepers arrived at the edge of the camp, they went into one tent after another, eating and drinking wine; and they carried off silver and gold and clothing and hid it. 9Finally, they said to each other, “This is not right. This is a day of good news, and we aren’t sharing it with anyone! If we wait until morning, some calamity will certainly fall upon us. Come on, let’s go back and tell the people at the palace.” How great is our God who can make one person seem like a battalion. With the horrible situation in the country, God was waiting for someone to make a move. And He found it in four lepers; the despicable, as the society saw them. This brings to me the knowledge that God waits too. The prophet Elisha had already predicted that in 24 hours, the prices of food would crash completely. But it is not enough for the prophecy to go forth. Someone has to make a move. Humans have their part in the fulfillment of prophecy, and God is no respecter of man, He honours our faith, without which no man can please him.  Sometimes I imagine how many of us have not made progress in life, because we blame someone or the system for our predicament. Those men were very sick men; so sick they decayed even while alive. If you do not understand the depravity that comes along with that sickness, then look it up on the internet and ask if you would ever sit one feet from them to eat. As a matter of fact, they were an eyesore, but not in the eyes of God. They had the courage to take an unprecedented step of faith, and God honoured them, because that is what He saw when He looked at them. He saw faithful men, not lepers. In my opinion, they should have been featured in the book of Hebrews 11 as heroes of faith. Notwithstanding, they still hold a pivotal role in the bible as great men of faith. I must not fail to mention how they went back to the city to share the good news of their plunder. Their conscience would not let them eat alone. That tells me something about their character. They were very forgiving and of a good conscience. Remember they were treated as outcasts, and were not even allowed into the city. They could have despised the people in the city who treated them as outcasts, and kept everything for themselves. Some of us would do that today. They had enough gold and silver that they could have used in building a kingdom for themselves, if they so wished. But they were men of noble character, who by the reason of their predicament were nicknamed the city gate lepers. Above all odds, these city gate lepers eventually became the first partakers of the best in the land.  I hear people say God controls everything. I doubt it strongly. If He did, then there would be no evil in the world, and if there was evil in the world. As is written, every good and perfect gift comes from the father of light...", James 1:17. The scripture says, “the heaven, even the heavens, are the Lord’s: but the earth he has given to the children of men”, Psalm 115:16. In Luke 13:34 Jesus cried out “ O Jerusalem, Jerusalem the city that kills the prophets and stones God’s messengers! How often I have wanted to gather your children together as a hen protects her chicks beneath her wings, but you wouldn’t let me”. Well that doesn’t sound like a God who is in “control”. No folks, the will of God is rarely done on earth. Remember Jesus taught us to pray that the will of God be done on earth as it is in heaven. And no, God is not in control because He is helpless. But He has simply yielded control to man, with the bible as His instruction for life on earth. You are and I have a choice. What choice have you made today? Have you chosen to live a life complaining about everyone but you? Do you believe that the system has set a limit for any reason whatsoever, and you have decided to tag along not reaching your desired goal? Or have you considered yourself as not being educated enough, black enough, white enough, pretty enough, talented enough? What is keeping you down? Remember, those four men were as a matter of fact, an eyesore, yet they got more than what they wanted. Nothing and no one is responsible for your failure or success but you. There is a God whose word has gone forth, and is waiting for a man to make a move. He is the God of all flesh and no respecter of persons.  This Book of the Law shall not depart from your mouth, but you shall meditate in it day and night, that you may observe to do according to all that is written in it. For then YOU will make YOUR way prosperous, and then you will have good success - Joshua 1:8
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3 Steps to Make Your Medical Mission Trip a Success!
Medical mission trips can be exceedingly rewarding in that they give people with specialized skills, like medical and health care providers, a chance to be of great use to underprivileged communities. Apart from gaining a hands-on experience, volunteers also get to work outside of their comfort zone and see the world in a new light. That being said, it's important to plan and prepare well for the mission trip to be a success in terms of providing care and relief to patients. So here are three things volunteers need to do to make their medical mission trip successful! #1 Plan in Advance Decide what you want to do, where you want to go, and how you want to serve. There are various kinds of medical missions - long-term and short-term ones - providing basic health care, emergency relief, or specialized care as in dental or surgical brigades. Further, there are many duties to be undertaken on such trips, so select a mission based on your skills, interest, passion, and need. Research potential opportunities- you can look online, check with government hospitals or ask personal contacts. Religious organizations are most likely to have medical mission outreach programs, so you can enquire with them for an opportunity for service. #2 Start Preparing Early Going on a medical mission requires quite some preparation; ideally, you should be gearing up at least 6 months before you intend to travel. Do check government websites for travel alerts and warnings for the place you'll be traveling to. Get in touch with local and national organizations to confirm regulations. Approach the ministry of health and your country's embassy for support and any help required to obtain a letter of invitation from the country you'll be visiting. Make sure you have a valid passport and all your paperwork is in order. Be up-to-date on your routine vaccinations. You might need extra vaccinations against typhoid, hepatitis, polio, rabies, etc. depending on where you'll be traveling to. Some vaccine series are administered over a period of months, so you'll need to give yourself that much time to be fully protected. #3 Know What to Take Whether you go on a long-term or short-term medical mission, you'll be needing a lot of things to ensure your trip is a success. Here's a list to make it easier. Clothes Do give a thought to healthcare uniform regulations, cultural norms, climate and weather, comfort, and access to laundry before you sort out your clothes for the medical mission. Choose lightweight, quick-drying, and durable fabrics. Remember to take your scrubs along. Pack base, middle and top layers like insulating underwear, sweaters, jackets or coats, and weather wear consisting of waterproof jacket and pants, swimsuit, exercise clothes, and sleepwear. Accessories and Footwear Accessories like hats, bandannas, sunglasses, and gloves will help you brave weather extremes. Take along a pair each of comfortable, broken-in work sneakers, trekking boots, sandals or flip flops, and shower shoes or waterproof shoes. Toiletries Carry travel-size packs of face wash, soap, shampoo, conditioner, and lotion. Don't forget sunscreen and lip balm, toothbrush and toothpaste, mosquito repellent, comb/brush, razor, tampons/pads, glasses or contacts and contact solution. Do take ample amount of tissues or toilet paper and biodegradable laundry soap. You might not have access to water at all times, so carry sanitizer and wet wipes. A personal first-aid kit and medications for pain, allergy, diarrhea, and motion sickness are indispensable. Medical Supplies Since you're going on a medical mission, you might not have access to basic medicines, supplies, and facilities for the patients. So be sure to carry gloves, surgical instruments, diagnostic kits (stethoscope, BP cuff, thermometer, etc.), and any specific supplies that pertain to the mission's goals. Note that medicines that you use or prescribe in your country might not be available in the country you'll be traveling to. According to Connecticut improper medication attorneys, administering, prescribing, or dispensing improper medication not only has dangerous consequences for patients, but also legal implications for medical care providers. So do carry medical reference books and drug guides to clear doubts and avoid mistakes. Gear Carry luggage that's easily portable and separate items you'll be taking into carry-on and checked luggage. Have essentials and a change of clothing in your carry-on so you can survive in case your luggage gets lost. Take electronic devices like your cell phone, laptop, camera and memory cards, music player and headphones, batteries and charger, and electrical outlet adapter. However, determine electricity availability in the area you'll be staying in first. Pack sleep sheets or a sleeping bag, a mosquito net, portable water purification system or tablets, non-perishable snacks, a headlamp and/or flashlight, guidebook/bilingual dictionary, and a journal and some reading material. Conclusion If you intend to go on a medical mission trip in the near future, the tips in this post are sure to help you make the most of your volunteer work. So get started on planning and preparing for the mission trip right away! (Image Courtesy)