Oxford Handbook of Respiratory Nursing

2021 ◽  
Author(s):  
Terry Robinson ◽  
Jane Scullion
Keyword(s):  
Full Range ◽  
Tertiary Care ◽  
Special Focus ◽  
Nursing Management ◽  
Care Needs ◽  
Mortality And Morbidity ◽  
Psychosocial Concerns ◽  
Significant Burden ◽  
Respiratory Conditions

Respiratory disease is one of the leading causes of both mortality and morbidity, causing a significant burden on healthcare resources, the economy, and on individual patients and their carers. Respiratory conditions are managed in many different settings, from home and residential care through the full range of primary to tertiary care. The multifaceted nature of both diseases affecting respiration and the care options is comprehensively covered in this second edition of the Oxford Handbook of Respiratory Nursing. Offering a systematic description of the main respiratory diseases found in adults, the Handbook covers the assessment, diagnosis, and nursing management of each condition. With a special focus on the role of the multidisciplinary team in meeting the multiple care needs of respiratory patients, the Handbook covers both physical and psychosocial concerns, and both pharmacological and non-pharmacological therapies.

scholarly journals Integrality of care: challenges for the nurse practice

2017 ◽  
Vol 70 (3) ◽  
pp. 504-510 ◽  
Author(s):  
Solange Meira de Sousa ◽  
Elizabeth Bernardino ◽  
Karla Crozeta ◽  
Aida Maris Peres ◽  
Maria Ribeiro Lacerda
Keyword(s):  
Teaching Hospital ◽  
Participant Observation ◽  
Single Case ◽  
Team Work ◽  
Nursing Management ◽  
Care Needs ◽  
Units Of Analysis ◽  
Integration Of Services

ABSTRACT Objective: to understand the role of the nurse in the collegiate management model of a teaching hospital, in the integrality of care perspective. Method: a single case study with multiple units of analysis, with the theoretical proposition "integrality of care is a result of the care offered to the user by multiple professionals, including the nurse". Data were obtained in a functional unit of a teaching hospital through interviews with 13 nurses in a non-participant observation and document analysis. Results: from the analytical categories emerged subcategories that allowed understanding that the nurse promotes integrality of care through nursing management, team work and integration of services. Final considerations: the theoretical proposition was confirmed and it was verified that the nursing management focus on attending to health care needs and is a strategy to provide integrality of care.

scholarly journals Study of drug utilization and antimicrobial prescription pattern of indoor paediatrics cases in tertiary care hospital

2017 ◽  
Vol 7 (1) ◽  
pp. 98
Author(s):  
Vivek Virbhan Bamel ◽  
Savita Ramesh Shahani ◽  
Nimain C. Mohanty
Keyword(s):  
Drug Utilization ◽  
Tertiary Care ◽  
Systemic Steroid ◽  
Care Hospital ◽  
Prescription Pattern ◽  
Mortality And Morbidity ◽  
Institutional Ethics ◽  
Tract Infections ◽  
Respiratory Conditions ◽  
Antimicrobial Prescription

Background: Infectious disease represent a major cause of mortality and morbidity in India. Pattern of use of antibiotics need to be studied separately as they vary from adult, however there is limited data is available, Therefore the aim of our study is to observe the drug utilization and antimicrobial prescription pattern and drug utilization in department of pediatrics at our tertiary care hospital.Methods: This was a prospective observational study carried out among indoor patients admitted to paediatric ward after obtaining approval by Institutional Ethics Committee. Written informed consent obtained from a parent or legal guardian of participants.Results: 100 patients were enrolled. The maximum number of antibiotics were prescribed from cephalosporin class (75; 43.6%) out of which ceftriaxone (42;56%), Cefixime (20;26.6%), cefotaxim (11;14.6%), cefpodoxime (3;4%), cefazolin (1;1.33%). The majority of cephalosporins were prescribed in Gastrointestinal tract infections (60.66%) followed by respiratory (27.2%) and least in cvs (2.66%), secondly higher group of antimicrobial prescribed was from Aminopenicillin class accounting of (36; 21.9%) which includes amoxiclav (35;97.2%), ampicillin (1;2.7%) and other beta lactamase (3;1.7%) consisting meropenem (2;66.7%), piperacillin with tazobatcam (1;33.3%). The majority of aminopenicillin were prescribed in respiratory tracts infections and very less in other systems. Miscellaneous drugs used in respiratory conditions were bronchodilator, systemic steroid and nasal decongestant; in CNS disorders antiepileptic and diuretics; in cardiovascular disease NSAID, inotropic, antihypertensive, diuretics; in genitourinary tract infections alkalizing agent and steroid and in GIT disorders minerals, rehydration fluids, antispasmodic probiotic were used.Conclusions: We conclude that commonly prescribed drugs were from 3rd generation cephalosporins followed from extended spectrum penicillin with β lactmase inhibitor. Majority of the antimicrobials are used empirically.

scholarly journals Paperless partogram: a simple clinical tool in effective labour management

2021 ◽  
Vol 10 (6) ◽  
pp. 2308
Author(s):  
Shaik Reshma ◽  
Sri Lakshmi Ambarkar
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Clinical Tool ◽  
Maternal Deaths ◽  
Mortality And Morbidity ◽  
Obstructed Labour ◽  
Labour Room ◽  
A Prospective Study ◽  
User Friendly

Background: Maternal mortality is unacceptably high, about 830 women die from pregnancy or child birth related complications around the world every-day. Prolonged and obstructed labour is one of the major causes of maternal and perinatal mortality and morbidity worldwide. In developing countries like India, around 5% of total maternal deaths are caused by prolonged and obstructed labour. The purpose of the present study is to evaluate the role of paperless partogram in management of labour, identification of abnormal labour and early intervention to prevent the maternal and perinatal morbidity. The objective of this study was to assess the role of paperless partogram in labour monitoring and decision-making in overburdened Indian labour room setup and to evaluate the outcome of the cases.Methods: A prospective study was conducted at a tertiary care hospital, Kurnool, Andhra Pradesh, between January 2020 to March 2020. A total of 300 pregnant mothers in established labour who fulfilled the inclusion criteria, were included in the study after taking informed consent.Results: In our study, of all the pregnant women 23 crossed the alert ETD but 16 had delivered vaginally and 2 by caesarean section before action ETD and 5 women crossed the action ETD. Among the 5 who crossed action ETD 3 delivered vaginally and 2 had cesarean section. Majority, of the women who crossed the alert and action ETDs were primigravidae.Conclusions: From our study, it is concluded that paperless partogram was effective and user friendly in management of labour and prevention of abnormal or prolonged labour.

scholarly journals A prospective study of obstetric and gynaecological emergencies in a tertiary care hospital

2020 ◽  
Vol 9 (5) ◽  
pp. 1992
Author(s):  
Shahna Anishbhai Jindani ◽  
Asha Bhagwatibhai Sailor ◽  
Dipti A. Modi ◽  
Somika Kaul ◽  
Bijal D. Rami
Keyword(s):  
Prospective Study ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Care Hospital ◽  
Emergency Case ◽  
Mortality And Morbidity ◽  
Obstetrics And Gynaecology ◽  
Septic Peritonitis ◽  
A Prospective Study

Background: The management of obstetrics and gynaecological emergency is directed at the preservation of life, health, sexual function and the perpetuation of fertility. The main aim of the study was to access the burden of surgical emergency and to study the course of management at a tertiary care hospital.Methods: This prospective study was carried out in the department of obstetrics and gynaecology, S. S. G. Hospital, Baroda for a period from January to December 2018.Results: A total of 73 patients presented to our emergency room who required urgent surgical intervention. All patients were resuscitated and surgery was done at earliest possible time. The age of patient ranged from 18 to 45 years.  About 75.8% of female presented with the complaint of acute abdomen, followed by 32.9% with bleeding per vaginum. 16.4% had vomiting, 6.8% with fever and 4.1% with mass per abdomen. In majority of cases a diagnosis of ruptured ectopic pregnancy (34 patients) was made, followed by PPH in 14 patients and 12 cases of rupture uterus. Four cases of torsion of ovarian mass and 3 cases of septic peritonitis were operated. The most common surgery performed was salpingectomy followed by subtotal obstetric hysterectomy. A mortality rate of 8.2% was noted.Conclusions: This study emphasized the great role of timely surgical intervention as lifesaving procedures. Skilled clinicians and immediate intervention in a tertiary care is the main-stay of the emergency case management and are indispensable for decreasing mortality and morbidity.

scholarly journals Awareness of nursing students towards cancer and their comparison with medical students

2020 ◽  
Vol 8 (7) ◽  
pp. 2542
Author(s):  
Radhika S. ◽  
Najma R. A. ◽  
Ira Bharadwaj
Keyword(s):  
Cervical Cancer ◽  
Medical Students ◽  
Nursing Students ◽  
Care Center ◽  
Tertiary Care ◽  
Upper Aerodigestive Tract ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Preventive Methods

Background: Cancer is the 2nd leading cause of mortality worldwide. The three leading cancers in India are cervical cancer, breast cancer and upper aerodigestive tract carcinoma. Cervical carcinoma is the 2nd most common cancer in women next to breast carcinoma. This study has been done to assess the knowledge, causation and preventive methods about the common cancers in India amongst Medical and Nursing students in a tertiary care center in rural Kerala. Preventive measures and early diagnosis of cancer can lead to decrease in mortality and morbidity. This can be achieved by creating awareness. A special emphasis has been made regarding cervical cancer and HPV vaccination in this study.Methods: A total of 337 medical and 148 nursing students from 1st year to final year were included in this study and the results were analysed by descriptive statistics.Results: Out of 337 medical and 148 nursing students, there was significant difference in knowledge between pretest/posttest and amongst the medical/nursing students. Medical students were found be more aware about the cancer, their causation and preventive methods as compared to the nursing students. 76.4% of nursing students were aware about the role of HPV (Human Papilloma Virus) in the causation of cervical cancer pretest. 98.6% of nursing students were aware about the role of HPV in causation of cervical cancer posttest following a short lecture. Following a short lecture both medical and nursing students were found to have more awareness.Conclusions: Creating awareness to the medical and nursing students who are intouch with the community and the patients is essential. Targeted health education in very important in creating a great impact about the knowledge of cancer in the community, thereby leading to decrease in mortality and morbidity.

TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ca 125 ◽  
Care Hospital ◽  
Serum Samples ◽  
Roc Curve Analysis ◽  
Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

FAITH–BASED COMMUNITIES AND POLITICS IN DULLSTROOM-EMNOTWENI: LOCAL STORIES OF IDENTITY

2016 ◽  
Vol 1 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Christina Landman
Keyword(s):  
Higher Education ◽  
Service Delivery ◽  
Special Focus ◽  
Traditional Role ◽  
Cultural Conflicts ◽  
Local Identities ◽  
Political Interests ◽  
Local Municipality ◽  
The Face

A majority of the black community of Dullstroom-Emnotweni in the Mpumalanga highveld in the east of South Africa trace their descent back to the southern Ndebele of the so-called ‘Mapoch Gronden’, who lost their land in the 1880s to become farm workers on their own land. A hundred years later, in 1980, descendants of the ‘Mapoggers’ settled in the newly built ‘township’ of Dullstroom, called Sakhelwe, finding jobs on the railways or as domestic workers. Oral interviews with the inhabitants of Sakhelwe – a name eventually abandoned in favour of Dullstroom- Emnotweni – testify to histories of transition from landowner to farmworker to unskilled labourer. The stories also highlight cultural conflicts between people of Ndebele, Pedi and Swazi descent and the influence of decades of subordination on local identities. Research projects conducted in this and the wider area of the eMakhazeni Local Municipality reveal the struggle to maintain religious, gender and youth identities in the face of competing political interests. Service delivery, higher education, space for women and the role of faith-based organisations in particular seem to be sites of contestation. Churches and their role in development and transformation, where they compete with political parties and state institutions, are the special focus of this study. They attempt to remain free from party politics, but are nevertheless co-opted into contra-culturing the lack of service delivery, poor standards of higher education and inadequate space for women, which are outside their traditional role of sustaining an oppressed community.

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