Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking

AbstractThirst is distressing but overlooked by healthcare professionals. Patients experience thirst due to comorbidities, physical or cognitive limitations, and iatrogenesis. Nasogastric tube (NGT) use and nil-by-mouth(NBM) orders are common practices that can lead to thirst. However, thirst in these populations has never been formally studied. We aim to examine prevalence of recognition and treatment of thirst among NGT + NBM and NBM patients. Our descriptive study was conducted intermittently over 25 weeks, across 1.5 years, in 12 adult general medicine wards of a tertiary hospital. Cognitively intact NGT + NBM or NBM inpatients, defined as Abbreviated Mental Test score ≥ 8, were studied. One-time questionnaire was administered. Variables included: demography, co-morbidities, clinical condition, feeding route, thirst defined by thirst distress and/or intensity ≥ 3, pain, hunger and volume status. 88 NGT + NBM and NBM patients were studied. 69.3% suffered from thirst. Thirsty patients experienced significant thirst-related distress (mean score ± SD: 5.7 ± 2.5). Subjects with previous stroke and who were euvolemic tended towards thirst. 13.6% were asked about thirst by doctors or nurses. Thirst was a major source of patient distress in our study. We suggest that thirst needs to be actively identified and targeted to achieve person-centred care.

Download Full-text

She “didn’t see my weight; she saw me, a mom who needed help breastfeeding”: Perceptions of perinatal weight stigma and its relationship with breastfeeding experiences

Journal of Health Psychology ◽

10.1177/1359105320988325 ◽

2021 ◽

pp. 135910532098832

Author(s):

Rachel Dieterich ◽

Judy Chang ◽

Cynthia Danford ◽

Paul W Scott ◽

Caroline Wend ◽

...

Keyword(s):

Social Support ◽

Healthcare Professionals ◽

Body Image Dissatisfaction ◽

Descriptive Study ◽

Self Esteem ◽

Weight Stigma ◽

Depression And Anxiety ◽

Self Confidence ◽

Qualitative Descriptive ◽

Suboptimal Breastfeeding

Weight stigmatization is related to emotional and psychological distress including low self-esteem, body image dissatisfaction, depression, and anxiety; all linked with suboptimal breastfeeding outcomes. This qualitative descriptive study explored postpartum individuals’ recalled experiences of weight stigma during interactions with perinatal healthcare professionals and its perceived influence on their breastfeeding experiences. Semi-structured phone interviews were conducted with (n= 18) participants. Three themes emerged: (1) “Size Doesn’t Matter: They Looked Beyond the Scale,” (2) “My Self-Confidence and Desire to Breastfeed is More Important than Weight,” and (3) “I Was on My Own”— Limited Social Support not Weight Stigma Influenced Breastfeeding.

Download Full-text

Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052434 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2434

Author(s):

Yoshito Nishimura ◽

Tomoko Miyoshi ◽

Hideharu Hagiya ◽

Yoshinori Kosaki ◽

Fumio Otsuka

Keyword(s):

Healthcare Workers ◽

Healthcare Professionals ◽

Healthcare Delivery ◽

General Medicine ◽

Maslach Burnout Inventory ◽

University Hospital ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Past

The coronavirus disease 2019 (COVID-19) global pandemic has drastically changed how we live and work. Amid the prolonged pandemic, burnout of the frontline healthcare professionals has become a significant concern. We conducted a cross-sectional survey study to provide data about the relationship between the COVID-19 pandemic and the prevalence of burnout in healthcare professionals in Japan. Healthcare workers in a single Japanese national university hospital participated in the survey, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks and the Maslach Burnout Inventory. Of those, 25.4% fully answered the survey; 33.3% were doctors and 63.6% were nurses, and 36.3% engaged in care of COVID-19 patients in the past 2 weeks. Compared to those belonging to General Medicine, those in Emergency Intensive Care Unit were at higher risk of burnout (odds ratio (OR), 6.7; 95% CI, 1.1–42.1; p = 0.031). Of those who engaged in care of COVID-19 patients, 50% reported burnout while 6.1% did not (OR 8.5, 95% CI; 1.3–54.1; p = 0.014). The burnout of healthcare workers is a significant concern amid the pandemic, which needs to be addressed for sustainable healthcare delivery.

Download Full-text

A Descriptive Study of Clients’ Perspective on Psychoeducation in a Nigerian Tertiary Hospital

Journal of Psychiatry ◽

10.4172/2378-5756.1000282 ◽

2015 ◽

Vol 18 (4) ◽

Author(s):

Takai MG ◽

Aghukwa Nkereuwem Chikaodiri

Keyword(s):

Descriptive Study ◽

Tertiary Hospital

Download Full-text

STUDY ON CARDIAC MANIFESTATIONS AND ELECTROCARDIOGRAPHIC CHANGES IN SNAKE ENVENOMATION.

10.36106/gjra/5211980 ◽

2020 ◽

pp. 172-174

Author(s):

Aravind Reddy. Gangula ◽

M Manasa

Keyword(s):

General Medicine ◽

Tertiary Hospital ◽

Medical Problem ◽

Cross Sectional Study ◽

Warning Signs ◽

Clinical Profile ◽

Cross Sectional ◽

Snake Envenomation ◽

Electrocardiographic Changes ◽

Cardiac Manifestations

Snake bite is an occupational disease of farmers, plantation workers herdsmen, fishermen, snake workers and other food producers.It is therefore a medical problem that has significant implications for the nutritional and Economy of the countries. Snake envenomation is a common presentation in rural tertiary hospitals . The clinical profile of snake envenomation has been well established. However data on Electrocardiographic changes in snake envenomation particularly patients presenting to SouthIndian rural tertiary hospital are scant Aims and objectives: To study on the cardiac manifestations and electrocardiographic findings of patients with snake envenomation. Place of study : Department of General medicine,kamineni Institute of Medical sciences, Narketpally. Duration of study- sep 2018 to sep 2020. Study design – Cross sectional study. Sample size – 60. The clinical profile of snake envenomation is varied, in its severity and type of species, hence the ECG may be cheap and simple tool to detect warning signs early to initiate timely and appropriate management .

Download Full-text

The Patients’ Experience of Severe Asthma Add-On Pharmacotherapies: A Qualitative Descriptive Study

Journal of Asthma and Allergy ◽

10.2147/jaa.s296147 ◽

2021 ◽

Vol Volume 14 ◽

pp. 245-258

Author(s):

Vanessa L Clark ◽

Peter G Gibson ◽

Vanessa McDonald

Keyword(s):

Severe Asthma ◽

Descriptive Study ◽

Qualitative Descriptive ◽

Patients Experience

Download Full-text

Gastric bypass - ingen snarvei til ny livsstil. Pasienterfaringer to år etter kirurgi

Nordisk tidsskrift for helseforskning ◽

10.7557/14.4125 ◽

2017 ◽

Vol 13 (1) ◽

Author(s):

Åshild Torgersen ◽

Rebecca Jane Foreman ◽

Sissel Eikeland Husebø ◽

Marit Hegg Reime

Keyword(s):

Social Support ◽

Change Process ◽

Healthcare Service ◽

Healthcare Professionals ◽

Lifestyle Changes ◽

Focus Group Interviews ◽

Knowledge To Action ◽

Group Interviews ◽

Patients Experience

The aim of the study was to examine which factors affect the patient's ability to cope with lifestyle changes, the importance of social support to maintain lifestyle changes and how patients experience follow-up from healthcare professionals, two years after surgery. A qualitative exploratory design was chosen. Three focus group interviews were conducted with 13 patients. Content analysis was used to analyse the interviews. The findings revealed three themes; from knowledge to action, the importance of social support, and insufficient follow-up from the healthcare service. The patients need structure in everyday life, self-discipline and social support to reinforce self-efficacy and to manage and maintain lifestyle changes. Information and support from healthcare professionals should be tailored to where the patient is in the change process.

Download Full-text

A HOSPITALIZAÇÃO DO ADOLESCENTE NA ÓTICA DOS PROFISSIONAIS DE ENFERMAGEM

Enfermagem em Foco ◽

10.21675/2357-707x.2018.v9.n2.1057 ◽

2018 ◽

Vol 9 (2) ◽

Author(s):

Nathália Da Silva Pimentel Reis ◽

Maria Fabiane Galdino Dos Santos ◽

Inez Silva De Almeida ◽

Helena Ferraz Gomes ◽

Dayana Carvalho Leite ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Nursing Care ◽

Medical Records ◽

Rio De Janeiro ◽

Descriptive Study ◽

Tertiary Hospital ◽

Legal Aspects ◽

Quantitative Approach ◽

Patient Identification

Objetivo: Compreender a ótica dos profissionais de enfermagem sobre a hospitalização de adolescentes. Metodologia: Pesquisa qualitativa, descritiva, utilizando entrevista com perguntas semi-estruturadas, realizada em uma enfermaria especializada em saúde do adolescente no Rio de Janeiro, no período de fevereiro a abril de 2016, com 15 profissionais de enfermagem. Resultados: A partir da análise de conteúdo de Bardin, definiram-se três categorias: a inexperiência no cuidado de enfermagem ao adolescente como um desafio, especificidades da adolescência, e sentimentos gerados pela hospitalização do adolescente no profissional de enfermagem. Conclusão: Conclui-se que os profissionais de enfermagem se colocaram inexperientes em cuidar desse público e declararam que o cuidado a essa população é um desafio para a equipe.Descritores: Adolescente, Enfermagem, Hospitalização.THE ADOLESCENT’S HOSPITALIZATION IN THE OPTICS OF NURSING PROFESSIONALSObjective: Analyze the contents of nursing notes in patients’ records in an intensive care unit (ICU) of a public tertiary hospital in Fortaleza, CE. It is a descriptive study with quantitative approach that analyzed 151 medical records of patients admitted to an ICU, from September 2014 to February 2015, whose 48 hour and discharge notes were evaluated. Data revealed notes with poor content, which did not express the patients’ situation, nor the nursing care provided. Data concerning date, time, and patient identification were adequate. However, the COREN number and the professional’s signature raised concern given the high percentage of non-compliance regarding ethical and legal aspects. Nursing notes did not reflect the severity of patients, nor the dynamics in the ICUDescriptors: Adolescent, Nursing, HospitalizationADOLESCENTE EN PERSPECTIVA DE LOS PROFESIONALES DE ENFERMERÍAComprender la óptico del profesional de enfermería de hospitalización de los adolescentes. Metodología: cualitativos, investigación descriptiva, utilizando entrevistas con preguntas semi-estructuradas en una sala especializada para la salud de los adolescentes en Río de Janeiro, en el período de febrero a abril 2016 con 15 profesionales de enfermería. Resultados: A partir del análisis de contenido de Bardin, definido tres categorías: la falta de experiencia en la atención de enfermería a la adolescente como un desafío, características de los adolescentes y los sentimientos generados por la hospitalización de los adolescentes en profesionales de enfermería. Conclusión: Se concluye que los profesionales de enfermería se colocaron inexpertos en cuidar de ese público y declararon que el cuidado a esa población es un desafío para el equipo.Descriptores: Adolescente, Enfermería, Hospitalización

Download Full-text

How nurses' attire affects elderly psychiatric patients' ability to recognise them

Psychiatric Bulletin ◽

10.1192/pb.22.4.236 ◽

1998 ◽

Vol 22 (4) ◽

pp. 236-238

Author(s):

Hugh Joseph McCreedy ◽

Peter William Bentham

Keyword(s):

Elderly Patients ◽

Test Score ◽

Psychiatric Patients ◽

Mental Test ◽

Mental Test Score ◽

Abbreviated Mental Test

The ability of elderly patients to identify a nurse wearing a uniform as opposed to mufti was investigated together with the effect of administrator attire on the Abbreviated Mental Test score (AMT). Thirty-six out of 71 patients identified a nurse wearing mufti increasing to 59/71 when wearing uniform (P < 0.005). Patients rated by a uniformed nurse had significantly higher mean AMT scores (6.1) than when rated by a nurse in mufti (5.6) (P < 0.01), and this also had a significant effect on the sensitivity in predicting an organic diagnosis.

Download Full-text