Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy's adaptation model

2021 ◽  
Author(s):  
Amelia Ganefianty ◽  
I Made Kariasa ◽  
Ratna Sitorus ◽  
Kartini
Keyword(s):  
Chiari Malformation ◽  
Perioperative Management ◽  
Type I ◽  
Roy's Adaptation Model ◽  
Adaptation Model

scholarly journals Analisis Perilaku Percobaan Bunuh Diri pada Klien Skizofrenia dengan Pendekatan Model Adaptasi Roy: Studi Kasus

2021 ◽  
Vol 14 (1) ◽  
pp. 44
Author(s):  
Eka Budiarto
Keyword(s):  
Social Support ◽  
Risk Behavior ◽  
Psychosocial Factors ◽  
Interpersonal Relationships ◽  
Suicidal Risk ◽  
Preventive Effort ◽  
Past Experiences ◽  
Roy's Adaptation Model ◽  
Adaptation Model

Abstrak. Bunuh diri merupakan respon maladaptif dari rentang respon protektif diri. Bunuh diri terjadi sebagai akibat dari stress dan depresi yang disebabkan faktor psikososial yaitu kepribadian, psikodinamika, kegagalan yang berulang, faktor kognitif, dukungan sosial, pengalaman masa lalu, dan stressor lingkungan. Model adaptasi Roy memandang manusia sebagai makhluk biopsikososial dan memiliki permasalahan yang menuntut manusia beradaptasi dengan masalah tersebut. Tujuan penulisan artikel ini adalah memperoleh penjelasan empiris dan teoris terhadap faktor psikososial kaitannya dengan perilaku resiko bunuh diri. Studi kasus ini menggunakan metode deskriptif pada kasus kelolaan di rumah sakit jiwa. Pengelolaan stress yang adapatif merupakan upaya preventif terhadap perilaku resiko bunuh diri. Perilaku bunuh diri tidak akan terjadi apabila individu dapat menggunakan mekanisme koping adaptif yang didukung oleh sosial support, hubungan interpersonal, dan kemampuan memilih strategi koping sebagai faktor protektor. Perawat dalam mengelola klien dengan riwayat bunuh diri harus melibatkan keluarga dan masyarakat untuk mengoptimalkan penggunaan faktor protektor tersebut.  Kata kunci: Adaptasi Roy, Depresi, Perilaku Bunih Diri, Psikososial, Stress  Behavior Analysis of Suicide Experiment with Roy's Adaptation Model Approach: Case study Abstract. Suicide is a maladaptive response of a range of self-protective responses. Suicide occurs as a result of stress and depression caused by psychosocial factors such as personality, psychodynamics, repetitive failure, cognitive factors, social support, past experiences, and environmental stressors. Roy's adaptation model regards the humans as biopsychosocial beings and has problems that demand the humans to adapt the problem. The purpose of this article is to obtain the empirical and theoretical explanations of psychosocial factors related to suicidal risk behavior. This case study uses descriptive methods in cases of management in a mental hospital. Adapatif stress management is a preventive effort against suicidal risk behavior. Suicidal behavior will not occur if individuals can use adaptive coping mechanisms supported by social support, interpersonal relationships, and ability to choose coping strategies as a protector factor. Nurses in managing clients with a history of suicide should involve families and communities to optimize the use of these protector factors.  Keywords  : Roy's adaptation, Suicide Risk, Depression, Stress, Psychosocial

Persistent Pain in Older Adults: Roy’s Adaptation Model

2017 ◽  
Vol 31 (1) ◽  
pp. 25-28
Author(s):  
Nina M Flanagan
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Persistent Pain ◽  
Roy's Adaptation Model ◽  
Adaptation Model

Persistent pain in older adults is difficult to assess and therefore address consistently. The experience of pain is individual, and therefore a comprehensive way to assess pain is required. Roy’s adaptation model offers a systematic way of evaluating pain in the older adult. In this column, the author shares some statistics about persistent pain and a case study using Roy’s model as a system for assessment.

scholarly journals Chiari Malformation Type I: A Neuropsychological Case Study

2014 ◽  
Vol 179 (6) ◽  
pp. e712-e718 ◽  
Author(s):  
Robert Klein ◽  
C. Alan Hopewell ◽  
Michael Oien
Keyword(s):  
Chiari Malformation ◽  
Type I ◽  
Chiari Malformation Type I

A Case Study on the Un-Used Capacity Assessment Using Time Driven Activity Based Costing for Magnetic Components

2020 ◽  
Vol 6 (1) ◽  
pp. 18-39
Author(s):  
Areena Zaini ◽  
Haryantie Kamil ◽  
Mohd Yazid Abu
Keyword(s):  
Historical Data ◽  
Manufacturing Sector ◽  
Type I ◽  
Activity Based Costing ◽  
Cost Rate ◽  
Continuous Innovation ◽  
Magnetic Components ◽  
Alignment Process ◽  
Capacity Cost

The Electrical & Electronic (E&E) company is one of Malaysia’s leading industries that has 24.5% in manufacturing sector production. With a continuous innovation of E&E company, the current costing being used is hardly to access the complete activities with variations required for each workstation to measure the un-used capacity in term of resources and cost. The objective of this work is to develop a new costing structure using time-driven activity-based costing (TDABC) at . This data collection was obtained at E&E company located at Kuantan, Pahang that focusing on magnetic component. The historical data was considered in 2018. TDABC is used to measure the un-used capacity by constructing the time equation and capacity cost rate. This work found three conditions of un-used capacity. Type I is pessimistic situation whereby according to winding toroid core, the un-used capacity of time and cost are -14820 hours and -MYR2.60 respectively. It means the system must sacrifice the time and cost more than actual apportionment. Type II is most likely situation whereby according to assembly process, the un-used capacity of time and cost are 7400 hours and MYR201575.45 respectively. It means the system minimize the time and cost which close to fully utilize from the actual apportionment. Type III is optimistic situation whereby according to alignment process, the un-used capacity of time and cost are 4120 hours and MYR289217.15 respectively. It means the system used small amount of cost and time from the actual apportionment.

Radiological and clinical associations with scoliosis outcomes after posterior fossa decompression in patients with Chiari malformation and syrinx from the Park-Reeves Syringomyelia Research Consortium

2020 ◽  
Vol 26 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Jennifer M. Strahle ◽  
Rukayat Taiwo ◽  
Christine Averill ◽  
James Torner ◽  
Jordan I. Gewirtz ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Chiari Malformation ◽  
Craniocervical Junction ◽  
Curve Progression ◽  
Posterior Fossa Decompression ◽  
Type I ◽  
Younger Age ◽  
Curve Magnitude ◽  
The Mean

OBJECTIVEIn patients with Chiari malformation type I (CM-I) and a syrinx who also have scoliosis, clinical and radiological predictors of curve regression after posterior fossa decompression are not well known. Prior reports indicate that age younger than 10 years and a curve magnitude < 35° are favorable predictors of curve regression following surgery. The aim of this study was to determine baseline radiological factors, including craniocervical junction alignment, that might predict curve stability or improvement after posterior fossa decompression.METHODSA large multicenter retrospective and prospective registry of pediatric patients with CM-I (tonsils ≥ 5 mm below the foramen magnum) and a syrinx (≥ 3 mm in width) was reviewed for clinical and radiological characteristics of CM-I, syrinx, and scoliosis (coronal curve ≥ 10°) in patients who underwent posterior fossa decompression and who also had follow-up imaging.RESULTSOf 825 patients with CM-I and a syrinx, 251 (30.4%) were noted to have scoliosis present at the time of diagnosis. Forty-one (16.3%) of these patients underwent posterior fossa decompression and had follow-up imaging to assess for scoliosis. Twenty-three patients (56%) were female, the mean age at time of CM-I decompression was 10.0 years, and the mean follow-up duration was 1.3 years. Nine patients (22%) had stable curves, 16 (39%) showed improvement (> 5°), and 16 (39%) displayed curve progression (> 5°) during the follow-up period. Younger age at the time of decompression was associated with improvement in curve magnitude; for those with curves of ≤ 35°, 17% of patients younger than 10 years of age had curve progression compared with 64% of those 10 years of age or older (p = 0.008). There was no difference by age for those with curves > 35°. Tonsil position, baseline syrinx dimensions, and change in syrinx size were not associated with the change in curve magnitude. There was no difference in progression after surgery in patients who were also treated with a brace compared to those who were not treated with a brace for scoliosis.CONCLUSIONSIn this cohort of patients with CM-I, a syrinx, and scoliosis, younger age at the time of decompression was associated with improvement in curve magnitude following surgery, especially in patients younger than 10 years of age with curves of ≤ 35°. Baseline tonsil position, syrinx dimensions, frontooccipital horn ratio, and craniocervical junction morphology were not associated with changes in curve magnitude after surgery.

Prognostic significance of C1–C2 facet malalignment after surgical decompression in adult Chiari malformation type I: a pilot study based on the Chicago Chiari Outcome Scale

2020 ◽  
pp. 1-7
Author(s):  
Michael Lumintang Loe ◽  
Tito Vivas-Buitrago ◽  
Ricardo A. Domingo ◽  
Johan Heemskerk ◽  
Shashwat Tripathi ◽  
...  
Keyword(s):  
Pilot Study ◽  
Chiari Malformation ◽  
Prognostic Significance ◽  
Foramen Magnum ◽  
Bivariate Analysis ◽  
Type I ◽  
Foramen Magnum Decompression ◽  
Swallowing Function ◽  
Chiari Malformation Type I

OBJECTIVEThe authors assessed the prognostic significance of various clinical and radiographic characteristics, including C1–C2 facet malalignment, in terms of surgical outcomes after foramen magnum decompression of adult Chiari malformation type I.METHODSThe electronic medical records of 273 symptomatic patients with Chiari malformation type I who were treated with foramen magnum decompression, C1 laminectomy, and duraplasty at Mayo Clinic were retrospectively reviewed. Preoperative and postoperative Neurological Scoring System scores were compared using the Friedman test. Bivariate analysis was conducted to identify the preoperative variables that correlated with the patient Chicago Chiari Outcome Scale (CCOS) scores. Multiple linear regression analysis was subsequently performed using the variables with p < 0.05 on the bivariate analysis to check for independent associations with the outcome measures. Statistical software SPSS version 25.0 was used for the data analysis. Significance was defined as p < 0.05 for all analyses.RESULTSFifty-two adult patients with preoperative clinical and radiological data and a minimum follow-up of 12 months were included. Motor deficits, syrinx, and C1–C2 facet malalignment were found to have significant negative associations with the CCOS score at the 1- to 3-month follow-up (p < 0.05), while at the 9- to 12-month follow-up only swallowing function and C1–C2 facet malalignment were significantly associated with the CCOS score (p < 0.05). Multivariate analysis showed that syrinx presence and C1–C2 facet malalignment were independently associated with the CCOS score at the 1- to 3-month follow-up. Swallowing function and C1–C2 facet malalignment were found to be independently associated with the CCOS score at the 9- to 12-month follow-up.CONCLUSIONSThe observed results in this pilot study suggest a significant negative correlation between C1–C2 facet malalignment and clinical outcomes evaluated by the CCOS score at 1–3 months and 9–12 months postoperatively. Prospective studies are needed to further validate the prognostic value of C1–C2 facet malalignment and the potential role of atlantoaxial fixation as part of the treatment.

Regional Brain Tissue Displacement and Strain is Elevated in Subjects with Chiari Malformation Type I Compared to Healthy Controls: A Study Using DENSE MRI

2021 ◽  
Author(s):  
Blaise Simplice Talla Nwotchouang ◽  
Maggie S. Eppelheimer ◽  
Soroush Heidari Pahlavian ◽  
Jack W. Barrow ◽  
Daniel L. Barrow ◽  
...  
Keyword(s):  
Brain Tissue ◽  
Chiari Malformation ◽  
Type I ◽  
Healthy Controls ◽  
Chiari Malformation Type I ◽  
Regional Brain
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