scholarly journals Preoperative information needs of children

2016 ◽  
Vol 06 (02) ◽  
pp. 040-043
Author(s):  
Priya Reshma Aranha

AbstractInformation seeking and receiving is the universally accepted right of children. When the children gets hospitalized and preparing for a surgery, it's the responsibility of the health care professionals to provide them with adequate information. Before giving the information it is essential to know what the children really wants to know. The main purpose of the study was to assess preoperative information needs of children undergoing surgery. With the non experimental research approach, a descriptive survey design was used in the study which was conducted in a selected hospital Mangaluru. Using non probability purposive sampling technique, 100 children of age 6-18 years were selected as study participants. The tool used were – the baseline proforma and the children's desire for preoperative information scale. The study results showed that majority of the children wanted to know the information regarding all the major happenings in their pre, intra and post operative events. Thus the study concludes that a structured preoperative teaching programme can be developed by the health care facility for the children undergoing surgery.

2018 ◽  
Vol 12 (2) ◽  
pp. 5-10
Author(s):  
Chanda Karki Bhandari ◽  
Gehanath Baral

Aims: The aim of the review is to understand the concept of abuse in health care in general and its various forms. It includes- review what is meant by healthcare and health care abuse; identify its various forms and to recognize who may be the most potential victims; find out the reasons of abuse by health care providers; and know the role of  ethical guidelines and institutional policy in confronting abuse in health care.Methods: Literatures and publications on the subject were searched in order to identify research studies investigating abuse in health care that were studied, analyzed and presented.  Results: Abuse in health care today is an emerging concept in need of a clear analysis and definition. At the same time, boundaries to the related concepts are not demarcated. Medical professionals and institutions are being targeted worldwide today for negligence and the medical litigation has become a huge challenge. Throughout history, health care professionals have been trusted because of their competency and caring abilities. However, the disturbing reality is that physical and psychological maltreatment of patients do occur in the health care settings throughout the world. The abuse can vary from treating someone with disrespect in a way which significantly affects the person's quality of life, to causing actual physical suffering. Differently able and dependent people are more susceptible to such abuse. Work overload, Staff burnout, lack of information and instructions were also indicated to underlie instances of abuse in health care.Conclusions: We in the healthcare facility should first accept that abuse in health care does occur and causes distress. This change needs to occur at individual, cultural and structural level. Next step will be for the staffs to be aware of abuse in health care when it happens and recognize it as such. It is always better to create a situation where we could prevent abuse from happening at health centers. Hospital personnel must implement a change in workplace culture to stop abusive behaviors wherever they occur. Each and every health care facility should be client friendly and respecting their rights. Effective ethical guidelines were needed to minimize abuse as existing ethical codes were found to be ineffective and above all there was a lack of awareness of the contents of the relevant ethical documents.


Author(s):  
Yamuna B. N. ◽  
Ratnaprabha G. K. ◽  
Prakash Kengnal

Background: Morbidity and lack of health facility especially in the first five years of life would cause irreparable damage. Therefore it is important to assess the magnitude of morbidities, and their health seeking behaviour. The objectives of the study were to assess the prevalence of acute morbidities and their associated factors among Under-five (U5) children residing in slums of Davanagere city, Karnataka, and to assess the health-seeking behaviour of their mothers/caregiversMethods: It was a cross sectional study done in the slums of Davanagere city during August-September 2016. Using 30 cluster sampling technique, the estimated sample size was 656. A total of 22 children were included in each cluster. Questionnaire consisting of demographic details, history of acute morbidities in the past two weeks and their treatment details was administered to the mother/caregiver. Data was entered in Microsoft Excel sheet and analyzed using SPSS Version 20.Results: Totally 656 mothers/caregivers of U5 children were contacted, majority of the children were in the age group of 13 to 60 months. Total of 348 (53%) children suffered from some acute morbidity in the past 2 weeks, of whom 282 (81%) children were taken to some health care facility, and majority preferred private practitioner (73.4%). Most common reason for poor health seeking behaviour was “following the medicines which were prescribed for previous illness”.Conclusions: More than half of the children suffered from some acute morbidity in the past 2 weeks and 81% of them were taken to health care facility. 


Author(s):  
Rintu Jayan ◽  
Riya Paul ◽  
Riyamol Abraham ◽  
Riyamol Roy ◽  
Roniya Dominic ◽  
...  

Background: Hands are the principal route of nosocomial infections or hospital acquired infections or health associated infections. Hand hygiene is effective in reducing infection rates. Hand hygiene among the health care professionals play a pivotal role in preventing the transmission of hospital acquired infections. The aim of the study was to assess the attitude regarding hand hygiene among students of healthcare professions.Methods: Quantitative research approach and descriptive survey design were used for the study. The purposive sampling technique was adopted to select 100 samples, 25 each from MBBS, BDS, B.Sc. Nursing and BPT. A structured attitude scale was used to collect the data. The collected data was analyzed using descriptive and inferential statistics.Results: The study results showed that majorities (55%) of sample were in the age of 22 years, majorities (90%) were females, and majority (98%) of sample had previous information regarding hand hygiene. The entire study sample had favorable attitudes towards hand hygiene. The study showed a significant association between attitude scores and receiving previous information on hand hygiene.Conclusions: The study concluded that health professional students have favorable attitude towards hand hygiene. 


2018 ◽  
Vol 25 (06) ◽  
pp. 876-880
Author(s):  
Hamzullah Khan ◽  
Fazli Bari

Objectives: To determine the frequency and characteristics of dengue patients.Study Design: Cross sectional observational study. Setting: Qazi Hussain Ahmed MedicalComplex Nowshera. Period: 5th July to 25th Sept 2017. Material and Methods: A total of72 cases were received for dengue serology. Relevant information’s were collected on a predesignedquestionnaire prepared in accordance with the objectives of the study. Results: Atotal of 117 patients were referred from fever clinic and emergency OPD for dengue serology.72(61.5%) were males and 45(38.5%) were females. 24(20.5%) cases were dengue positive.14(12%) were NSL1 positive, 8(8.8%) were IgM positive and 2 (1.7%) were IgM&IgG positive.We received patient in the range of 4 years to 60 years, Mean with SD was 27 +3 years. Out of14 NSL1 positive cases 8 were males and 6 females. 2 females were IgG positive. The spectrumof dengue in correlation with gender was significantly positive with p value .026. In two casesplatelet at first visit were 58000/cmm3 that were both IgM&IgG positive. Out of 24 positivedengue cases two cases were also positive for plasmodium vivax (ring tropozoites). 6 caseswere managed in hospital and discharged home with an average stay of 3 days and 4 casesreferred to Lady Reading Hospital Peshawar for repeated platelet transfusion. Mortality waszero in our cases. Conclusion: The suspicion rate of the clinician for dengue from fever clinicwas 1:7. The cause of poor rate can be contributed to the patient insist for doing the denguetest before they are screened for MP and FBC etc. NSL1 was positive in 6 cases that showsthat people reach the health care facility for screening well in time and patient are educatedabout the dengue. Females 50% positive cases were IGM and IGG positive that shows femalereceive the health care later than males as NSL1 positivity in female gender is less than males.The spectrum of dengue in correlation with gender was significantly positive with p value .025that shows mosquito has some affinity for specific gender, or dengue virus has it for differencein gender or the inside immunity of the both gender is involved that causes different mode ofpresentation and activation of antibodies.


Author(s):  
Priyadharsini R. ◽  
Raja TAR ◽  
Dhayaguruvasan M.

Background: Health care providers/professionals (HCPs) play a critical role in ADR surveillance. Only 6% of all ADRs are reported and under-reporting acts as great impedance in exchange of drug information.Methods: This was a prospective questionnaire-based study. Structured questionnaire was issued to HCPs before and after the conduct of Pharmacovigilance awareness program and scores given to each question was analyzed statistically.Results: Of the 69 participants, 46.4% were nurses, 40.6% were residents of a tertiary health care facility and 13% were general practitioners in Pondicherry. The response rate was found to be 62.7% and 100% both before and after the awareness program respectively. Creation of awareness amongst HCPs is the most important factor (77%) influencing spontaneous reporting.Conclusions: Our study suggests that HCPs were aware of the concept of ADR but the majority did not know how and where to report. Thus, creation of awareness amongst HCPs is the most important determinant influencing spontaneous reporting of ADRs.


2021 ◽  
Vol 07 (03) ◽  
pp. 36-41
Author(s):  
Sheeba Annie Chacko ◽  

Introduction: Palliative care is one of the most integral part of health care system which offers a support system to help the patients live peacefully until his last breath. Assessing the knowledge and attitude towards the palliative care can help us to understand the neglected area of concern and can enhance the student nurses to be competent while providing the care to the needy. Objectives: The aim of the study were to assess the knowledge and attitude regarding palliative care among student nurses and to find the association between the knowledge and with their socio-demographic characteristics. Materials and Methods: A quantitative research approach with descriptive survey design was selected for the study. The non-probability convenient sampling technique was used to select 100 student nurses (in the age group of 18-21 years and above 21 years) in selected college of nursing, New Delhi. A valid and reliable structured questionnaire to assess the knowledge and likert scale to assess the attitude among student nurses, were used to collect data in 1 week. A significant association was found between the knowledge score and with nursing course, area of residence and religion as selected sociodemographic variables. Maximum (54%) of student nurses had inadequate knowledge score, but their attitude towards palliative care was (58%) good. Due attention should be given towards palliative care by all the health care institutions and needs to be incorporated in the curriculum of nurse education.


2020 ◽  
Vol 9 (2) ◽  
pp. 51-58
Author(s):  
Katarzyna Snarska ◽  
◽  
Ewa Chmur ◽  
Cecylia Dolińska ◽  
◽  
...  

Introduction. Ticks can infect people with numerous pathogens causing various infectious (viral, bacterial) or invasive (parasitic, fungal) diseases. Aim. The main objective of the present work included the epidemiologic analysis of the occurrence of tick-borne diseases at the Independent Public Health Care Facility in Bielsk Podlaski. Material and Methods. An analysis of medical documentation stored in the hospital’s IT database of patients hospitalized in 2016, 2017 and 2018 was performed. Sixty-six patients admitted to the Observation and Infectious Disease Ward diagnosed with tick-borne diseases, were qualified for the study. Results. Analysis of the data showed that Lyme disease was diagnosed most often. It affected mainly middle-aged and elderly men. The second most-often diagnosed illness was TBM characterized by its seasonality. No other ticktransmitted diseases were recorded. Although not all patients were aware of having been bitten by a tick, their symptoms allowed the diagnosis of tick-related illnesses. After treatment relevant to each ailment all patients were discharged in a good state of health. Conclusions. The completed retrospective analysis of the documentation of hospitalized patients shows consistency with the work of other authors both with respect to the frequency of tick-borne disease diagnoses and the most often reported symptoms. It also confirms an upward trend with respect to tick-borne disease hospitalizations. (JNNN 2020;9(2):51–58) Key Words: tick-borne diseases, epidemiology, various infectious, invasive diseases


Author(s):  
Durr-e-Shahwar Malik ◽  
Mirza Tasawar Baig ◽  
Ayaz Ali Unar ◽  
Faraz Qurban Rajper ◽  
Khalida Unar ◽  
...  

The aim of study was to assess the irrational use of antibiotics among the local population of Shaheed Benazir Abad, Sindh, Pakistan. Rational or proper medication means patients consume proper medicines for said diagnostic disease and after its consumption, the symptoms disappear. For rational use, selection of medicines is very important along with its proper dosing and it is also necessary to check the adequate time for proper treatment. Cross-sectional study was conducted at various out-patient settings located in Peoples University of Medical & Health Sciences, District Shaheed Benazir Abad for the period of 06 months. Total 374 study samples were collected by using simple random sampling technique. From the total study subjects, 209 were males and 165 females. 129 people had only primary qualification. 188 study subjects were married and 149 were unmarried, people use to take antibiotics due to less knowledge and trust on the medical prescriber and take as self diagnosis found among 48 and they didn’t have proper time to visit health care facility so the shortage of time was observed among 151 people. Ciprofloxacin and co-trimaxazole were frequently used by the participants due to different causes. Health Care professional should take proper action against the pharmacies and medical stores as they sale the drugs without any prescription and proper counseling session should be conducted, in order to educate the community regarding rational and irrational use of medicaments.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.


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