scholarly journals EP.FRI.828 Accidental Placement of Nasogastric Tube into the brain

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Rafique Harvitkar ◽  
Khursheed Ansari ◽  
Harish Peri
Keyword(s):  
Health Care Providers ◽  
Nasogastric Tube ◽  
Simple Procedure ◽  
Vital Role ◽  
Care Providers ◽  
Novel Method ◽  
The Brain ◽  
Tomography Scan ◽  
Acceptable Outcome

Abstract The nasogastric tube (NGT) plays a very vital role in the early resuscitation of head injury patients for various reasons. Though considered a simple procedure, it can be associated with multiple dreadful complications. Our patient was a 44-year-old male, referred from a peripheral health center for further management of severe head and faciomaxillary injuries following a motor vehicular accident. On arrival at the hospital, the endotracheal tube and NGT were in situ. A computed tomography scan of the brain revealed the NGT piercing through the cribriform plate of ethmoid and coiling into the cranial cavity with pneumocephalus. The NGT was retrieved under C-arm guidance and his injuries were managed respectively. The patient was discharged after prolong hospitalization with an acceptable outcome. With this case report, we want to remind emergency health care providers to avoid this catastrophic complication of NGT insertion in a faciomaxillary trauma patient by doing it transorally. We report a novel method of safely removing NGT which has not been reported in the past.

scholarly journals Accidental Placement of Nasogastric Tube into the Brain: Case Report and Review of the Literature

2020 ◽  
Vol 6 (02) ◽  
pp. 74-76
Author(s):  
Khursheed Ansari ◽  
Rafique Umer Harvitkar ◽  
Saiprasad Shetty ◽  
Tushar P. Raut ◽  
Shabnam Qureshi
Keyword(s):  
Case Report ◽  
Health Care Providers ◽  
Nasogastric Tube ◽  
Simple Procedure ◽  
Vital Role ◽  
Care Providers ◽  
Novel Method ◽  
The Brain ◽  
Acceptable Outcome

AbstractThe nasogastric tube (NGT) plays a very vital role in the early resuscitation of head injury patients for various reasons. Though considered a simple procedure, it can be associated with multiple dreadful complications. Our patient was a 44-year-old male, referred from a peripheral health center for further management of severe head and faciomaxillary injuries following a motor vehicular accident. On arrival at the hospital, the endotracheal tube and NGT were in situ. A computed tomography scan of the brain revealed the NGT piercing through the cribriform plate of ethmoid and coiling into the cranial cavity with pneumocephalus. The NGT was retrieved under C-arm guidance and his injuries were managed respectively. The patient was discharged after prolong hospitalization with an acceptable outcome. With this case report, we want to remind emergency health care providers to avoid this catastrophic complication of NGT insertion in a faciomaxillary trauma patient by doing it transorally. We report a novel method of safely removing NGT which has not been reported in the past.

scholarly journals Caregiver Burden: Caregiving Workshops Have a Positive Impact on Those Caring for Individuals With Dementia in Arkansas

2021 ◽  
Vol 8 ◽  
pp. 237437352110180
Author(s):  
Robin E. McAtee ◽  
Laura Spradley ◽  
Leah Tobey ◽  
Whitney Thomasson ◽  
Gohar Azhar ◽  
...  
Keyword(s):  
Caregiver Burden ◽  
Health Care Providers ◽  
Positive Impact ◽  
Educational Programs ◽  
Vital Role ◽  
Complex Care ◽  
Care Providers ◽  
Dementia Caregivers ◽  
Before And After ◽  
Burden Scale

Millions of Americans live with dementia. Caregivers of this population provide countless hours of multifaceted, complex care that frequently cause unrelenting stress which can result in immense burden. However, it is not fully understood what efforts can be made to reduce the stress among caregivers of persons with dementia (PWD). Therefore, the aim of this pretest–posttest designed study was to evaluate changes in caregiver burden after providing an educational intervention to those caring for PWD in Arkansas. Forty-one participants completed the Zarit Caregiver Burden Scale before and after attending a 4-hour dementia-focused caregiving workshop. The analysis of the means, standard deviations, and paired t tests showed that there was an increase in the confidence and competence in caring for PWD 30 to 45 days after attending the workshop. Health care providers need to understand both the vital role caregivers provide in managing a PWD and the importance of the caregiver receiving education about their role as a caregiver. Utilizing caregiver educational programs is a first step.

“My Whole World Fell Apart”: Parents Discovering Their Child Has Anorexia Nervosa

2020 ◽  
Vol 30 (12) ◽  
pp. 1821-1832
Author(s):  
Emily P. Williams ◽  
Shelly Russell-Mayhew ◽  
Nancy J. Moules ◽  
Gina Dimitropoulos
Keyword(s):  
Health Care ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Health Care Providers ◽  
Family Dynamics ◽  
Vital Role ◽  
Care Providers ◽  
Critical Gap ◽  
Hermeneutic Inquiry ◽  
Difficult Times

This was the first study to examine the experience of parents who discover their child was living with anorexia nervosa (AN), thus fulfilling a critical gap in the eating disorder literature. Gadamerian hermeneutic inquiry was the guiding philosophy and method used to investigate this topic. Dialogues with parents revealed the ambiguity inherent within discovery; the isolation, betrayal, and loss felt by parents; and the complicated family dynamics occurring during the process of discovering one’s child has AN. As such, when discoveries are made, parents play a vital role in the development and functioning of the family’s response to the situation. This research offers health care providers a better understanding of the difficult times parents and caregivers experience when discovering their child has AN.

scholarly journals An integrative overview of the cannabinergic system and mental health

Salud Mental ◽  
2017 ◽  
Vol 40 (3) ◽  
pp. 119-128
Author(s):  
Oscar E Prospéro García ◽  
◽  
Pavel E Rueda Orozco ◽  
Octavio Amancio Belmont ◽  
Alejandra E Ruiz Contreras ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Brain Function ◽  
Endocannabinoid System ◽  
Inhibitory Neurons ◽  
Synaptic Membranes ◽  
Care Providers ◽  
Area Of Interest ◽  
Nervous System Function ◽  
The Brain

Background. The endocannabinoid system (eCBs) is one of the modulatory systems widely expressed in the brain. It consists of receptors expressed in the cytoplasmic (CB1 and CB2), the mitochondrial membrane (CB1), and the endogenous ligands known as endocannabinoids, such as anandamide, 2AG and oleamide. CB1 has been found in excitatory and inhibitory neurons in the pre- and post-synaptic membranes. It is expressed in several brain areas such as the hippocampus, dorsal, and ventral striatum, amygdala and prefrontal cortex. The eCBs has been involved in the regulation of learning and memory, mood, energy balance, sleep, and drug addiction. Objective. Integrate existing information about the eCBs and its role in brain function and mental health. Method. Review of the information of basic and clinical relevance obtained from indexed scientific journals (PubMed/Medline, Scopus). Results. Basic and clinical research on eCBs related to central nervous system function is described. Discussion and conclusion. At present, the study of eCBs is of importance. The development of drugs that affect this system may be clinically useful to control different debilitating diseases. This is an area of interest to the scientific community and health care providers.

Creating Coronary Care Units and Empowering Nurses

2015 ◽  
Author(s):  
W. Bruce Fye
Keyword(s):  
Cardiac Arrest ◽  
Health Care Providers ◽  
Vital Role ◽  
Care Providers ◽  
Vulnerable Patients ◽  
Life Saving ◽  
Life Threatening ◽  
Coronary Care ◽  
Infarction Heart ◽  
Coronary Care Units

The coronary care unit (CCU) concept was proposed in 1961 as a strategy to save the lives of patients hospitalized after an acute myocardial infarction (heart attack). The notion was to place vulnerable patients in an area where their heartbeats were monitored continuously and where specially trained nurses could initiate cardiopulmonary resuscitation (CPR) if a patient had a cardiac arrest. Cardiac defibrillators and temporary pacemakers, technologies developed in the 1950s to treat life-threatening heart rhythms, were combined with CPR in 1960 in an attempt save patients’ lives. Nurses played a vital role in CCUs, and the new care model transformed the traditional nurse-doctor relationship. Nurses were trained to initiate life-saving treatments without a physician being present. The resulting empowerment of nurses had significant implications for their status as health care providers. The CCU movement also contributed to the development of cardiac arrest teams and paramedic-staffed, defibrillator-equipped ambulances.

Review Paper on E-Smart Watch for Early Detection of Covid-19

2021 ◽  
Vol 9 (VIII) ◽  
pp. 363-366
Author(s):  
Puneeth S P
Keyword(s):  
Health Care Providers ◽  
Speech Therapy ◽  
Field Studies ◽  
Care Providers ◽  
Self Monitoring ◽  
Smart Watch ◽  
Technical Function ◽  
Patterns Of Behavior ◽  
Activity Measures

Smart watches have the potential to support health in everyday living by: enabling self-monitoring of personal activity; obtaining feedback based on activity measures; allowing for in-situ surveys to identify patterns of behavior; and supporting bi-directional communication with health care providers and family members. However, smart watches are an emerging technology and research with these devices is at a nascent stage. Seventy-three studies were returned in the search. Seventeen studies published were included. Included studies were published from 2014 to 2016, with the exception of one published in 2011. Most studies employed the use of consumer-grade smart watches (14/17, 82%). Patient-related studies focused on activity monitoring, heart rate monitoring, speech therapy adherence, diabetes self-management, and detection of seizures, tremors, scratching, eating, and medication-taking behaviors. Most patient-related studies enrolled participants with few exclusion criteria to validate smart watch function (10/17, 58%). Smart watch technical function, acceptability, and effectiveness in supporting health must be validated in larger field studies that enroll actual participants living with the conditions these devices target.

scholarly journals The practice and teaching of palpation of the head and neck: A scoping review

2017 ◽  
Vol 7 (12) ◽  
pp. 20
Author(s):  
Epstein I. ◽  
Herne P. ◽  
Masita S. ◽  
Peisachovich E. ◽  
De Silva C. ◽  
...  
Keyword(s):  
Health Care ◽  
Head And Neck ◽  
Interpersonal Relationships ◽  
Health Care Providers ◽  
Scoping Review ◽  
Interdisciplinary Collaboration ◽  
Vital Role ◽  
Care Providers ◽  
Physical Assessment ◽  
Ultrasound Technology

Objective: To explore how palpation of the head and neck is practiced and taught.Methods: The scoping review methodology was guided by Arksey and O’Malley’s five-stage approach. Three experienced and independent reviewers searched nine databases according to a predetermine inclusion and exclusion criteria.Results: A total of 15 articles from medicine, chiropractic and dentistry published between 1987 and 2016 were included. Two overarching themes emerged, a Cartesian and a Pragmatic perspective in practicing and teaching palpating of the head and neck. Although both perspectives are valuable, we advocate to practice and teach palpation of head and neck from a Pragmatic perspective particularly with the increase use of ultrasound technology to detect masses. A pragmatic perspective takes into account the patient’s context, the ethics of care and highlights the importance of health care providers fostering interpersonal relationships with others during physical assessment.Conclusions: Although nursing studies were absent from this review we believe nurses play a vital role when they are aware of the Cartesian and Pragmatics perspectives when practicing and teaching head and neck palpation as part of a physical assessment. Learning how other disciplines are practicing and teaching head and neck palpation skills will improve interdisciplinary collaboration. 

scholarly journals Presentation of COVID-19 infection with bizarre behavior and encephalopathy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Zahra Teimouri-Jervekani ◽  
Mehrzad Salmasi
Keyword(s):  
Health Care Providers ◽  
Underlying Disease ◽  
Cerebrovascular Diseases ◽  
Care Providers ◽  
Chain Reaction ◽  
Positive Polymerase Chain Reaction ◽  
Case Presentation ◽  
Polymerase Chain ◽  
Tomography Scan ◽  
Bizarre Behavior

Abstract Background Current studies show that patients with severe coronavirus disease 2019 (COVID-19) have neurological symptoms manifesting as acute cerebrovascular diseases, impaired consciousness, and skeletal muscle symptoms. Bizarre behavior is an unusual and unique presenting symptom of COVID-19 infection in our patient. Case presentation We report a case of COVID-19 infection in a middle aged Iranian man without underlying disease who presented with bizarre behavior. Results of brain imaging were normal, but COVID-19 pneumonia was detected on chest computed tomography scan. Given the respiratory problem and positive polymerase chain reaction (PCR) test for COVID-19, treatment with hydroxychloroquine was administered, and after 2 days all of the symptoms resolved. Conclusions Encephalopathy and encephalitis may be a possible presentation of COVID-19. Clinicians and health care providers should consider the presence of COVID-19 with bizarre behavior during this COVID-19 pandemic.

scholarly journals The MMR Vaccine and Autism

2019 ◽  
Vol 6 (1) ◽  
pp. 585-600 ◽  
Author(s):  
Frank DeStefano ◽  
Tom T. Shimabukuro
Keyword(s):  
Health Care Providers ◽  
Epidemiologic Studies ◽  
Vital Role ◽  
Care Providers ◽  
Mmr Vaccine ◽  
Behavioral Challenges ◽  
Vaccine Preventable Diseases ◽  
Increased Risk ◽  
One Year ◽  
Older Siblings

Autism is a developmental disability that can cause significant social, communication, and behavioral challenges. A report published in 1998, but subsequently retracted by the journal, suggested that measles, mumps, and rubella (MMR) vaccine causes autism. However, autism is a neurodevelopmental condition that has a strong genetic component with genesis before one year of age, when MMR vaccine is typically administered. Several epidemiologic studies have not found an association between MMR vaccination and autism, including a study that found that MMR vaccine was not associated with an increased risk of autism even among high-risk children whose older siblings had autism. Despite strong evidence of its safety, some parents are still hesitant to accept MMR vaccination of their children. Decreasing acceptance of MMR vaccination has led to outbreaks or resurgence of measles. Health-care providers have a vital role in maintaining confidence in vaccination and preventing suffering, disability, and death from measles and other vaccine-preventable diseases.

scholarly journals Relevance of sociodemographic characteristics in care of HIV reactive pregnant women in the context of upscaled antiretrovial therapy in India

2017 ◽  
Vol 6 (9) ◽  
pp. 4016
Author(s):  
Padmaja Y. Samant ◽  
Juhi Jayadev Puri
Keyword(s):  
Health Care Providers ◽  
Educational Status ◽  
Sociodemographic Factors ◽  
Vital Role ◽  
Hiv And Aids ◽  
Study Cohort ◽  
Care Providers ◽  
Class Iii ◽  
Health Seeking ◽  
Middle Income

Background: The burden of HIV and AIDS comes with social, monetary and health related consequences. HIV is reported to be a pandemic, but the maximum burden of the disease is in the low and middle income \ countries. In obstetric context, sociodemographic factors influence health seeking, compliance and adherence to the advised regimen. These determine vertical transmission. Present study was undertaken to study the demographic characteristics among pregnant and postpartum HIV positive women, to study the high risk obstetric conditions, morbidities and obstetric outcome, among the women, to study the neonatal outcomes among HIV reactive women and to study the postnatal choices and compliance in these women.Methods: The study was conducted after approval from the institutional ethics committee. All antenatal patients delivering at the institute in the one and a half year of study duration, who consented to be a part of the study, were enrolled in the study. The mother-baby pair was followed up for six weeks postpartum.Results: Eighty patients formed the study cohort as per the inclusion criteria. 44% belonged to the age group of 26-30 years. 56.2% had attended up to secondary schooling, 55% belonged to class III of the Kuppuswamy socio-economic class, 96.2% were married. 91.2% were homemakers. 41.8% spouses were seropositive, 25.3% spouses were not willing to be tested. 75% were registered pregnancies out of which 56% had registered before 20 weeks of gestation. 25% of neonates weighed between 2.7-2.9 kg closely followed by those more than 3 kg. Fifty-four patients opted for top feeding (66.7%). Seven mother-baby pair did not follow-up.Conclusions: Social class and educational status play a vital role in establishing awareness and ensuring the antenatal care and compliance. Empathetic, inclusive and responsive by health care providers in convincing women to get tested goes a long way.

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