Nausea and vomiting

Author(s):  
Kimberly Chow ◽  
Daniel Cogan ◽  
Sonni Mun

Nausea and vomiting are symptoms commonly experienced in advanced disease, especially the cancer population. Clear understanding of the different concepts surrounding nausea and vomiting is essential and will aid in screening, preventing, assessing, and treating symptoms as well as improve understanding of the incidence and severity of patient distress. The cause of nausea and vomiting is often multifactorial and requires a thorough assessment and understanding of the emetic pathway and neurotransmitters involved in order to aid treatment decisions. Pharmacologic and nonpharmacologic interventions should be used to manage the distressful symptoms of nausea and vomiting. Nurses play a vital role in helping patients and family members manage and cope with nausea and vomiting.

Author(s):  
Joachim Seng

Abstract : In his autobiographical accounts, Johann Wolfgang Goethe emphasizes the vital role that his father’s collections of books and art had for his own Bildung. In fact, the library of Johann Caspar Goethe (1710–1782) played a vital role in Goethe’s education and early studies while also attesting to his family background and status. However, soon after Johann Caspar’s death, his library was dissolved – and whereas Johann Wolfgang Goethe and other family members integrated some of the books into their own collections, the majority of objects were sold and dispersed. Today, a handwritten catalog commissioned by Goethe’s mother, Catharina Elisabeth Goethe, just before the sale (in 1793/1794), is a critical tool for reconstructing the collection. This article describes the history of Johann Caspar Goethe’s library, its dispersal as well as the efforts to reconstruct the collection. As the retrieval of the original copies from Johann Caspar’s library and the re-establishment of the original collection were impossible, the Freies Deutsches Hochstift has managed to collect equivalent titles and editions in order to restore a library that allows visitors to the Goethe-Haus in Frankfurt to learn about Goethe’s family background, the cultural setting of his upbringing, and early influences on his education.


Author(s):  
Sabrina Ait Gacem ◽  
Nageeb AGM Hassan ◽  
Afnan Abdul-Hameed Al-Qaysi ◽  
Maryam Jaafar AlAani

Background: Non-adherence to medication is a fundamental problem worldwide that leads to further complications. In corresponding to this problem, The FDA approved a drug with an embedded sensor, that sends signals through the Bluetooth to the application and website and this will play a vital role in improving the adherence, as it shows whether the drug has been ingested or not. Objectives: The purpose of this study is to investigate the importance of adherence, evaluating of respondents' impression toward the new technologist medication "Digital Pill" that will be applied in the future for a range of medications, as well as discussing patients’ opinions regarding privacy issues related to digital pills use. Methods: This was a cross-sectional study involving 320 university students during the period of one month from June to July 2018. The data was obtained through hard copy and online (electronic) survey. The data was analysed using SPSS version 20. Results: The current study results show that (61.9%) of respondents sometimes forget to take their medication followed by (24.4%, 13.8%) who never/rarely and usually/always forget to take their medications, respectively. Surprisingly, the majority of respondents (35%) take their medication anyway when they forgot to take it and (33.4%) they skip the dose of the medication and only few of respondents (28.1%) stated that they ask family members to know what to do when they forget to take the medication. More than half of the respondents (53.4%) do not tell their doctor if they forgot to take the medication. Majority of respondents (44.7%) ask family members to remind them to take their medication. Approximately two-thirds of the respondents (61.3%) said that they stopped taking their medication without telling the doctor. Further statistical tests revealed that most respondents (78.8%) want to use the "Digital pill". On average, (55.9%) of respondents were shown a full agreement to allow the doctor to access their mobile application and website. Conclusion: Based on the conducted study, we conclude that most of the respondents gave positive and good feedback and agreed to use such a new technology "Digital Pill" as they found it very helpful and will lead to improved health outcomes. As well as they also agreed to allow the doctor to access their mobile application and website to check if they take medication or not.


1995 ◽  
Vol 15 (6) ◽  
pp. 44-52
Author(s):  
M Kajs-Wyllie

The patient diagnosed with TTP presents to the critical care unit with myriad life-threatening problems. Knowledge of the pathophysiology and treatment of this rare syndrome is essential to plan care appropriately. However, despite immediate diagnosis and intervention, the outcome may not be successful. Critical care nurses play a vital role in caring for these patients, as well as helping family members deal with this devastating disease.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030208 ◽  
Author(s):  
Billie Lever Taylor ◽  
Jo Billings ◽  
Nicola Morant ◽  
Debra Bick ◽  
Sonia Johnson

ObjectivesPartners and wider family members play a vital role in relation to women’s perinatal mental health. Clinical guidelines in the UK and internationally recommend that services supporting women with perinatal mental health difficulties involve and support their families too. However, little is known about family members’ needs and experiences, or whether they feel included by mental health services. This study set out to explore this.MethodsThis research formed part of a wider study exploring experiences of perinatal mental health care in England. The broader study included semi-structured interviews with 52 women across England who received treatment for a perinatal mental health difficulty, and 32 family members identified by the women as offering them some support. Data from these 84 interviews relating to how services work with partners and families were extracted and analysed thematically.ResultsAnalysis identified three overarching themes: (1) the centrality of women’s families to their perinatal mental health/access to support, (2) experiences of partners and families being excluded by services and (3) ambivalence among women and their families about increasing family involvement/support. We found that partners and families appear to have an important influence on women’s perinatal mental health, access to care and interactions with services, but that services tend to focus on individual women (and babies) with little regard for their wider family context. The complexity of involving and supporting partners and families, coupled with anxiety about this among women and their families, reinforces the tendency to marginalise them.ConclusionInvolving women’s families and providing the support they need is challenging, but important. Experiences of women and their families of services treating perinatal mental health difficulties suggests greater focus is needed on overcoming barriers to family inclusion and on challenging underlying gender roles and expectations, rather than allowing these to shape and guide practice.


2020 ◽  
Vol 7 (17) ◽  
pp. 1257-1270
Author(s):  
K. O. Nworgu

The authors set to investigate the influence of the Mass Media on adolescents' knowledge of and behavior towards sex and sexuality, especially, regarding early sex, the use of contraceptives and condoms. The participants were drawn from five secondary schools in Owerri Municipality, the Capital of Imo State, Nigeria. The simple size included 100 respondents made up of males and females between the ages of 10 and 19 years drawn from simple random sampling. Questionnaire containing semi-structured (close-ended) questions. Interview sessions involving media workers form select radio, television and newspaper houses in Owerri were conducted. Three research questions and one hypothesis were used to straighten the study. Results showed the respondents mean age for first sex is 17.8 years. The findings show that the media did not have very significant influence at 0.05 on adolescents' sexual behavior, especially, as regards, having first sex experience. This result is explained by the fact that most the respondents lived in boarding hostels and may not have access to media, while in school. It was recommended the influence of family members, including parents and peer groups should be given priority attention when adolescent sexual behavior is discussed, especially, in Nigeria where extended family members play a vital role in the socialization of the adolescents.


2022 ◽  
Vol 18 (1) ◽  
pp. 0-0

In this cashless economy era, Information and Communication Technology (ICT) plays a vital role in making payments using various payment modes. The mobile wallet app is an innovative technology for avoiding the usage of physical cash. The mobile wallet records all kinds of transactions with a clear payment reference and makes it accountable for tax payments. There are countless reasons for using mobile wallets which makes service providers confused and leads them to offer unattractive features in the wallet apps making the offer as a failure. This paper attempts to collect the data from the mobile wallet users and provide a clear understanding of the reasons for using mobile wallets. Secondly, the customer preferences towards Google Pay and PayTm are analyzed in detail with primary data collected from mobile wallet users to suggest a model for improving the business. This research was conducted to understand the customer's inclination towards the use of mobile wallets.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sasitara Nuampa ◽  
Pharuhas Chanprapaph ◽  
Fongcum Tilokskulchai ◽  
Metpapha Sudphet

PurposeThe purpose of this study was to explore the experiences of adolescent mothers who wean their babies from breastfeeding before the first six months from the perspective of a psychosocial aspect in the Thai context.Design/methodology/approachA descriptive qualitative design was applied to this study to obtain meaningful data. The adolescent mothers for the primary study and nine supplementary participants were recruited from the largest university hospital in Bangkok, Thailand. Semi-structured in-depth interviews were conducted with 20 adolescent mothers. Descriptive statistics and content analysis were used for data analysis.FindingsThe average breastfeeding duration was 3.1 months while breastfeeding exclusively lasted 1.3 months. More than half of the adolescent mothers encountered breastfeeding problems at hospitalization including sore/cracked nipples (63.6%), one side breastfeeding (27.3%) and exhaustion (9.1%). According to the content analysis, (1) breastfeeding obstacles concealed by the adolescents' dependence and (2) repetitive emotional mistakes encountered were the two main themes that emerged.Originality/valueThe influence of key family members plays a vital role in breastfeeding and psychological outcomes. Therefore, family-adolescent support programs including support from the adolescents' mothers and grandmothers may improve breastfeeding outcomes, yield positive emotions and enhance maternal attachment. Moreover, healthcare professions are important mediators to convince adolescent mothers' key family members to reach an agreement and provide suitable support.


2021 ◽  
Vol VI (II) ◽  
pp. 12-19
Author(s):  
Ashraf Iqbal ◽  
Raheela Firdous ◽  
Tanveer Hussain

This study explores to what extent social media play's role in family relationships, Results indicate that "Social media is positively predicting communication between family members with a coefficient of .320 and the dependent variables. "People prefer spending more time on social media than with family", as (55.5%) agreed and (18.5%) are strongly agreed. This study suggests social media can prove to be a useful source of family integration. Family members who do not have enough time to communicate due to their hectic schedule or not present at home, Social media can be a medium of communication for them as (62.5%) respondents agreed and (13%) strongly agreed that Social media play a vital role for a stay in touch with each other. People post wishes on Social media; it can show good gesture and love for each other.


2020 ◽  
Author(s):  
Akila Visvanathan ◽  
Gillian Mead ◽  
Martin Dennis ◽  
William Whiteley ◽  
Fergus Doubal ◽  
...  

Abstract Background Treatment decision-making by family members on behalf of patients with major stroke can be challenging because of the shock of the diagnosis and lack of knowledge of the patient’s treatment preferences. We aimed to understand how, and why, family members made certain treatment decisions, and explored their information and support needs. Method Semi-structured interviews with family members (n=24) of patients with major stroke, within two weeks of hospital admission. Data were analysed thematically. Results Families’ approach to treatment decision-making lay on a spectrum according to the patient’s state of health pre-stroke (i.e. patient’s prior experience of illness and functional status) and any views expressed about treatment preferences in the event of life-threatening illness. Support and information needs varied according to where they were on this spectrum. At one extreme, family members described deciding not to initiate life-extending treatments from the outset because of the patients’ deteriorating health and preferences expressed pre-stroke. Information from doctors about poor prognosis was merely used to confirm this decision. In the middle of the spectrum were family members of patients who had been moderately independent pre-stroke. They described the initial shock of the diagnosis and how they had initially wanted all treatments to continue. However, once they overcame their shock, and had gathered relevant information, including information about poor prognosis from doctors, they decided that life-extending treatments were no longer appropriate. Many reported this process to be upsetting and expressed a need for psychological support. At the other end of the spectrum were family members of previously independent patients whose preferences pre-stroke had not been known. Family members described feeling extremely distressed at such an unexpected situation and wanting all treatments to continue. They described needing psychological support and hope that the patient would survive. Conclusion The knowledge that family members’ treatment decision-making approaches lay on a spectrum depending on the patient’s state of health and stated preferences pre-stroke may allow doctors to better prepare for discussions regarding the patient’s prognosis. This may enable doctors to provide information and support that is tailored towards family members’ needs.


Author(s):  
Enaam Al-Ananbeh ◽  
Abeer Al-Wahadneh

Purpose: To explore the experiences of family caregiver in health decision-making for patients with chronic diseases. Study Design: Qualitative Descriptive Design. Subjects and Methods: A descriptive qualitative approach was used. A purposive sample of fifteen family caregiver for patients with chronic diseases were interviewed in Amman, Jordan; fifteen caregivers; males (n= 2), females (n= 13). Average of age = 40 years old. Data were generated through phone messages voice records over a period of two months (March & April 2020) in Amman, Jordan. Data were analyzed using a five–step technique proposed by Giorgi (1985). Results: The findings of the study revealed that three major themes related to family caregivers’ experiences in health decision-making for patients with chronic diseases: 1) The patient has the right to decide about his health, 2) Healthcare providers know better, and 3) Roles of family caregivers in the decision making process. Conclusion: The vital role of the family members in taking decisions for patients with chronic diseases is well-recognized by healthcare providers. Continuous systematic assessment of family members’ preferences and needs is crucial to provide the needed support for their patients in decision-making.


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