Pre- and postoperative management techniques. Before and after. Part 1: medical morbidities

BDJ ◽  
2015 ◽  
Vol 218 (5) ◽  
pp. 273-278 ◽  
Author(s):  
J. Mansoor
Keyword(s):  
Postoperative Management ◽  
Before And After ◽  
Management Techniques

scholarly journals Standardizing preoperative preparation to reduce surgical site infections among pediatric neurosurgical patients

2017 ◽  
Vol 19 (4) ◽  
pp. 399-406 ◽  
Author(s):  
Joshua K. Schaffzin ◽  
Katherine Simon ◽  
Beverly L. Connelly ◽  
Francesco T. Mangano
Keyword(s):  
Surgical Site Infections ◽  
Pediatric Neurosurgery ◽  
Postoperative Management ◽  
Neurosurgical Procedure ◽  
Protocol Adherence ◽  
Protocol Development ◽  
Published Evidence ◽  
Neurosurgical Patients ◽  
Before And After ◽  
Prevention Protocol

OBJECTIVE Surgical site infections (SSIs) are costly to patients and the health care system. Pediatric neurosurgery SSI risk factors are not well defined. Intraoperative protocols have reduced, but have not eliminated, SSIs. The effect of preoperative intervention is unknown. Using quality improvement methods, a preoperative SSI prevention protocol for pediatric neurosurgical patients was implemented to assess its effect on SSI rate. METHODS Patients who underwent a scheduled neurosurgical procedure between January 2014 and December 2015 were included. Published evidence and provider consensus were used to guide preoperative protocol development. The Model for Improvement was used to test interventions. Intraoperative and postoperative management was not standardized or modified systematically. Staff, family, and overall adherence was measured as all-or-nothing. In addition, SSI rates among eligible procedures were measured before and after protocol implementation. RESULTS Within 4 months, overall protocol adherence increased from 51.3% to a sustained 85.7%. SSI rates decreased from 2.9 per 100 procedures preintervention to 0.62 infections postintervention (p = 0.003). An approximate 79% reduction in SSI risk was identified (risk ratio 0.21, 95% CI 0.08–0.56; p = 0.001). CONCLUSIONS Clinical staff and families successfully collaborated on a standardized preoperative protocol for pediatric neurosurgical patients. Standardization of the preoperative phase of care alone reduced SSI rates. Attention to the preoperative in addition to the intraoperative and postoperative phases of care may lead to further reduction in SSI rates.

scholarly journals Postoperative Management After Tracheostomy and Laryngectomy: Improving Nursing Knowledge With Bedside Posters

OTO Open ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 2473974X2097118
Author(s):  
Sam DeVictor ◽  
Adrian A. Ong ◽  
Andrew P. Kelly ◽  
Mark S. Burke
Keyword(s):  
Patient Care ◽  
Nursing Staff ◽  
Postoperative Management ◽  
Clear Understanding ◽  
Level Of Evidence ◽  
Nursing Knowledge ◽  
Before And After ◽  
Period Data

This study sought to improve nursing staff understanding regarding the differences in postoperative management between patients who have undergone tracheostomy and laryngectomy. The intervention involved a brief didactic session followed by the placement of an informative poster and anatomic diagram above the bed of tracheostomy and laryngectomy patients over a 6-month period. Data were collected before and after the didactic session and poster implementation. Of the 50 nurses surveyed, 32% believed oral ventilation is appropriate for laryngectomy patients compared to 0% of nurses after the intervention. The percentage of nursing staff reporting self-assessed clear understanding of the patient care differences between laryngectomy and tracheostomy improved after the intervention. The use of informational posters and didactic sessions significantly improves nursing staff understanding of the differences between tracheostomy and laryngectomy patients. Level of Evidence: IV

scholarly journals Teknik Self Management untuk mengurangi perilaku terlambat datang di Sekolah

2020 ◽  
Vol 10 (1) ◽  
pp. 54
Author(s):  
Anita Dewi Astuti ◽  
Sri Dwi Lestari
Keyword(s):  
Student Behavior ◽  
Self Management ◽  
Research Subjects ◽  
Data Presentation ◽  
Purposive Sampling ◽  
Late Arrival ◽  
Before And After ◽  
Management Techniques ◽  
Three Stages ◽  
Collection Methods

<p>Penelitian ini bertujuan untuk mengetahui keefektifan teknik <em>self management </em>untuk mengurangi perilaku terlambat datang di sekolah. Penelitian ini menggunakan pendekatan kualitatif dengan fokus penelitian perilaku terlambat datang di sekolah. Subjek penelitiannya adalah siswa kelas X SMK Negeri I Panjatan yang ditentukan menggunakan teknik <em>purposive sampling</em>. Ada 3 siswa sebagai subjek penelitian yang ditentukan berdasarkan frekuensi keterlambatan siswa datang di sekolah. Metode pengumpulan data yang digunakan adalah observasi, wawancara dan dokumentasi, sedangkan analisis datanya menggunakan tiga tahapan yaitu: (1) reduksi data, (2) penyajian data, (3) verifikasi atau penarikan kesimpulan. Berdasarkan hasil penelitian dapat disimpulkan bahwa ada perubahan perilaku yang ditandai dengan menurunnya perilaku terlambat siswa antara sebelum dan sesudah diberikan layanan teknik <em>self management. </em></p><p> </p><em><strong><em>Abstract</em></strong>: This research aims to find out the effectiveness of self management techniques to reduce late arrival behavior at school. This study uses a qualitative approach with a focus on late-arrival behavior research in school. The research subjects were class X student of SMK Negeri I Panjatan who were determined using purposive sampling techniques. There are 3 students as research subjects that are determined based on the frequency of late students coming to school. Data collection methods used are observation, interviews and documentation, while the data analysis use three stages, namely: (1) data reduction, (2) data presentation, (3) verification or drawing conclusions. Based on the results of the study it can be concluded that there is a change in behavior marked by a decrease in late student behavior between before and after self management techniques are provided</em>

scholarly journals Effectiveness of group counseling services using self management techniques on aggressive student behavior

2021 ◽  
Vol 2 (2) ◽  
pp. 140-146
Author(s):  
Rita Novita ◽  
Neviyarni Neviyarni
Keyword(s):  
Aggressive Behavior ◽  
Group Counseling ◽  
Self Management ◽  
Special Treatment ◽  
Control Group ◽  
Counseling Services ◽  
Significant Difference ◽  
Before And After ◽  
Management Techniques ◽  
Experimental Group

Aggressive behavior is behavior that aims to hurt and injure others physically and psychologically. The factors that influence the occurrence of aggressive behavior are the influence of the student's environment and violent broadcasts on television and social media (Facebook, Instagram, WhatsApp, Telegram and so on). So that efforts are needed to reduce aggressive behavior in students. The aggressive behavior that occurs is physical aggressive behavior, verbal aggressive behavior, excessive angry excessive hostile behavior and behavior. One of the efforts made to reduce students' aggressive behavior at school is to carry out group counseling services with self-management techniques, where the sample in this study was 15 people divided into an experimental group of 8 students and 7 students in the control group. using a non-test instrument, namely a questionnaire. this study aims to test the effectiveness of group counseling services using self-management techniques to reduce aggressive behavior. The findings of this study are: (1) there is a significant difference in the aggressive behavior of the experimental group before and after following self-management techniques (2) there is a significant difference in the aggressive behavior of the control group before and after being given group counseling services about aggressive behavior without special treatment, (3) ) There is a difference in the aggressive behavior of the experimental group students who were given group self-management techniques with the control group who were given group counseling services about aggressive behavior without special treatment, this can be seen in the post-test average score of the experimental group falling higher than the average postest score. control group.

scholarly journals A Transcultural Spiritually Based Program to Enhance Caregiving Self-Efficacy: A Pilot Study

2003 ◽  
Vol 8 (3) ◽  
pp. 201-224 ◽  
Author(s):  
Doug Oman ◽  
John Hedberg ◽  
David Downs ◽  
Debra Parsons
Keyword(s):  
Professional Education ◽  
Health Professionals ◽  
Self Efficacy ◽  
Self Management ◽  
Sociodemographic Characteristics ◽  
Questionnaire Data ◽  
Self Perceptions ◽  
Before And After ◽  
Program Adherence ◽  
Management Techniques

This study examined how training in a nonsectarian toolkit of spiritually based self-management techniques affected the caregiving self-efficacy (confidence) of health professionals, including physicians, nurses, psychologists, and chaplains. Before and after an 8-week, 2-hour per week training in the meditation-based Eight Point Program of Easwaran (1978/1991b), participants ( n = 14) completed a newly developed 32-item caregiving self-efficacy questionnaire. Data were also gathered regarding sociodemographic characteristics, spiritual and religious self-perceptions and practices, and program adherence. Results indicated that mean pre/post self-efficacy increases were large (Cohen's d > 0.80), statistically significant ( p < 0.01), and associated with greater use of specific pro-gram practices. Three participants reported increases in self-perceived spirituality. Self-efficacy increases were largest for participants identifying themselves as least spiritual at pretest ( p < 0.05), or reporting increases in spirituality ( p < 0.05). Although preliminary, these findings support using this already widely crossculturally disseminated toolkit for a variety of purposes in clinical practice, health promotion, and health professional education.

Psychophysiological Effects of Several Stress Management Techniques

1993 ◽  
Vol 72 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Elizabeth J. Forbes ◽  
Ronald J. Pekala
Keyword(s):  
Nursing Students ◽  
Skin Temperature ◽  
Pulse Rate ◽  
Progressive Relaxation ◽  
Psychophysiological Measures ◽  
Psychophysiological Stress ◽  
Before And After ◽  
Abdominal Breathing ◽  
Management Techniques ◽  
Reducing Properties

The purpose of this study was to assess the psychophysiological stress-reducing properties of progressive relaxation compared with hypnosis, and deep abdominal breathing compared with a baseline condition, while controlling for hypnotizability. 231 nursing students experienced the baseline procedure and progressive relaxation in Session 1 and deep abdominal breathing and hypnosis in Session 2 about a week later. Before and after each technique peripheral skin temperature and pulse rate were assessed. Separate analyses of variance, computed for the first and second sets of techniques, indicated that progressive relaxation and hypnosis both increased skin temperature and reduced pulse rate, suggesting reduced psychophysiological responsivity. Deep abdominal breathing was associated with a significant reduction in physiological responsivity (skin temperature) relative to baseline. Hypnotic susceptibility had no effect on the psychophysiological measures.

scholarly journals Clinical Outcomes and Stifle Osteoarthritis Assessment of Nine Cats Before and After Tibial Plateau Levelling Osteotomy

2020 ◽  
Vol 70 (3) ◽  
pp. 346-354
Author(s):  
Roberto Tamburro ◽  
Francesco Collivignarelli ◽  
Ilaria Falerno ◽  
Ilaria Cerasoli ◽  
Massimo Vignoli
Keyword(s):  
Ex Vivo ◽  
Cruciate Ligament ◽  
Software Radio ◽  
Postoperative Management ◽  
P Value ◽  
Cranial Cruciate Ligament ◽  
Body Weights ◽  
Before And After ◽  
Osteoarthritis Progression

AbstractThis study aimed to evaluate the clinical and radio graphical outcome of cats following TPLO surgery for cranial cruciate ligament deficiency. Each cat underwent orthopedic assessment, pre-operative radio graphical evaluation, surgical procedure, postoperative management and clinical re-examination 1, 2, and 12 months following surgery. Age, body weights, TPAs, meniscal tears, implants and osteoarthritis progression were recorded. Postoperative OA score was compared with that obtained 1 year after surgery using a paired t-test with commercially available software. Radio graphical evaluation performed 1 year after surgery showed no significant OA progression (P-value > 0.1). Minor complications occurred in one case (#7) in which a mild to moderate seroma was observed ten days after surgery. No major complications were recorded. Although TPLO surgery in cats remains controversial, this study suggests that it was a suitable option for surgical treatment of feline cranial cruciate ligament rupture, but considering the ex vivo outcomes recently published, further in vivo evaluation is strongly recommended.

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