scholarly journals Physical Therapy’s Management for the Complex Treatment of Patients Having Had a Cerebral Vascular Accident - Case Study

GYMNASIUM ◽  
2020 ◽  
Vol XXI (2 (Supplement)) ◽  
pp. 81
Author(s):  
Elena Rabolu

Worldwide, cerebral vascular accident is one of the leading causes of morbidity and mortality. According to the World Health Organization, 6,5 million cerebrovascular accident- induced deaths were recorded in 2011. In Romania, the cerebrovascular accident is the third mortality cause, after cancer and cardiovascular diseases. The number of cerebral vasculo-circulatory diseases continues to grow, due to atherosclerosis and high blood pressure frequency. Physical therapy aims to help patients gradually recover the range of motion in their lower and upper limbs, reduce oedema, prevent bed sores, prevent or reduce joint stiffness, as well as recover the ability to perform day to day activities. The purpose of this paper was to highlight physical therapy’s beneficial outcome when applied individualised to a patient having had a cerebral vascular accident with a view to improving the psycho- motor and sensory imbalances accompanying this diagnosis.

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 195
Author(s):  
Emma Woolley ◽  
Shirley Wyver

The World Health Organization (WHO) recommends exclusive breastfeeding for six months and continuation of breastfeeding for up to two years. Formal child care has an important role in supporting breastfeeding, as many Australian infants commence care before two years of age. Currently, little is known about support or barriers in child care contexts. The present qualitative instrumental case study explores practices which protect, promote and support breastfeeding at a child care centre located in the Australian Capital Territory’s outer suburbs. Extending from a previously published collective case study, a cultural-institutional focus of analysis was used to explore the roles of proximity, flexibility and communication in supporting breastfeeding within a child care centre located close to an infant’s home. Interviews with centre staff and mothers, triangulated with observations of the centre environment and policy documents provide insight into the environment. Affirming the roles of flexibility in routine and staff rostering and two-way communication, findings suggest longer-term benefits may be derived from selecting a child care centre close to an infant’s home, provided mothers can overcome barriers to breastmilk expression in the workplace. The study recognises the role of non-lactating caregivers in the transition to formal child care, and of the support culture for educators who breastfeed. This study extends the knowledge base of breastfeeding support interventions in the child care setting to inform future research and policy.


2015 ◽  
Vol 2 (2) ◽  
pp. e15 ◽  
Author(s):  
Andreas Maercker ◽  
Rahel C Bachem ◽  
Louisa Lorenz ◽  
Christian T Moser ◽  
Thomas Berger

Background Adjustment disorders (also known as mental distress in response to a stressor) are among the most frequently diagnosed mental disorders in psychiatry and clinical psychology worldwide. They are also commonly diagnosed in clients engaging in deliberate self-harm and in those consulting general practitioners. However, their reputation in research-oriented mental health remains weak since they are largely underresearched. This may change when the International Statistical Classification of Diseases-11 (ICD-11) by the World Health Organization is introduced, including a new conceptualization of adjustment disorders as a stress-response disorder with positively defined core symptoms. Objective This paper provides an overview of evidence-based interventions for adjustment disorders. Methods We reviewed the new ICD-11 concept of adjustment disorder and discuss the the rationale and case study of an unguided self-help protocol for burglary victims with adjustment disorder, and its possible implementation as an eHealth intervention. Results Overall, the treatment with the self-help manual reduced symptoms of adjustment disorder, namely preoccupation and failure to adapt, as well as symptoms of depression, anxiety, and stress. Conclusions E-mental health options are considered uniquely suited for offering early intervention after the experiences of stressful life events that potentially trigger adjustment disorders.


Author(s):  
J. Raja Meenakshi

<p>Every human being has to face the ageing process and no one could escape from it. The understanding of ageing differs from culture to culture and it varies across nations. World Health Organization recognized that the developing world often defines old age, not by years, but by new roles, loss of previous roles, or inability to make active contribution to society. Women in India generally considered as a secondary citizens and the life of the aged women needs wide attention. Successful ageing refers to leading the life with good physical and psychological health and also with economical independence.Pre plan is highly required to lead a successful life. This study makes an attempt to study the life of elderly women and to understand how they lead a successful life. Case study method was used to study the successful life of the respondents.</p>


2021 ◽  
Vol 1 (4) ◽  
pp. 359-369
Author(s):  
Putri Ananda Salsabilla ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih

ABSTRACT : APPLICATION OF FAMILY FUNCTIONS IN ABILITY TO CARE FOR MEMBERS FAMILIES WITH STROKES Background: Stroke is a non-communicable disease that is one of the leading causes of death and disability rates in the world. Stroke becomes a health threat due to impaired cerebral function, both focal and global, which lasts quickly and lasts more than 24 hours or ends in death without the discovery of the disease other than vascular disorders (World Health, 2017). World Health Organization (2018) stroke sufferers are increasing every year.. It shows that every year there are 13.7 million new cases of stroke, and about 5.5 million deaths occur from stroke. About 70% of strokes and 87% of stroke deaths and disabilities occur in low- and middle-income countries.Objective: Identified Application of Family Function Intervention in the Ability to Care for Family Members With Stroke in the Puskesmas Area of North Meruya Village of West JakartaMethod: This type of research is case studydesign research that according to Basuki Case Study is a form of research on a problem that has the nature of specificity with individual or group targets, even the wider community. In this study, researchers conducted family function interventions in four families with strokes, namely the same four sufferers were given family function interventions.Results: The results of research conducted the influence of affective function, socialization function, economic function, and health care function with the application of nursing care in stroke patients.Conclusion: The conclusion of this study results in the application of family functions in the ability to care for family members with stroke experienced significant changes to intervention. Keywords: Family Function, Caring Ability, Stroke INTISARI : PENERAPAN FUNGSI KELUARGA DALAM KEMAMPUAN MERAWAT ANGGOTA KELUARGA DENGAN STROKE Latar Belakang: Stroke merupakan penyakit tidak menular yang menjadi salah satu penyebab utama angka kematian dan kecacatan di dunia. Stroke menjadi ancaman kesehatan karena gangguan fungsi serebral, baik fokal maupun global, yang berlangsung dengan cepat dan lebih dari 24 jam atau berakhir dengan kematian tanpa ditemukannya penyakit selain dari pada gangguan vaskular (World Health Organization, 2017). World Health Organization (2018) penderita stroke semakin meningkat setiap tahunnya. Menunjukkan bahwa setiap tahunnya ada 13,7 juta kasus baru stroke, dan sekitar 5,5 juta kematian terjadi akibat penyakit stroke. Sekitar 70% penyakit stroke dan 87% kematian dan disabilitas akibat stroke terjadi pada negara berpendapatan rendah dan menengah.Tujuan: Teridentifikasi Penerapan Intervensi Fungsi Keluarga Dalam Kemampuan Merawat Anggota Keluarga Dengan Stroke di Wilayah Puskesmas Kelurahan Meruya Utara Jakarta BaratMetode: Jenis penelitian ini adalah penelitian case studydesign yaitu menurut Basuki Case Study adalah bentuk penelitian suatu masalah yang memiliki sifat kekhususan dengan sasaran perorangan ataupun kelompok, bahkan masyarakat luas.Pada penelitian ini Peneliti melakukan Intervensi Fungsi keluarga pada empat keluarga dengan stroke yaitu keempat penderita sama – sama diberikan Intervensi Fungsi Keluarga.Hasil: Hasil penelitian yang dilakukan adanya pengaruh fungsi afektif, fungsi sosialisasi, fungsi ekonomi, dan fungsi perawatan kesehatan dengan penerapan asuhan keperawatan pada pasien stroke.Kesimpulan: Kesimpulan dari penelitian ini hasil penerapan fungsi keluarga dalam kemampuan merawat anggota keluarga dengan stroke mengalami perubahan yang signifikan terhadap intervensi. Kata Kunci : Fungsi Keluarga, Kemampuan Merawat, Stroke


2020 ◽  
Vol 13 (2) ◽  
pp. 485-490
Author(s):  
Nida Jareemit ◽  
Mongkol Benjapibal

Gestational trophoblastic neoplasia (GTN) is an uncommon group of pregnancy-related malignancies. Delayed diagnosis is a prognostic factor for worse outcome. GTN is even harder to diagnose if the site of metastasis is uncommon. The reported case is a 27-year-old G2P1A1 woman who presented to our center with acute transient generalized tonic-clonic seizure. She had developed hemoptysis for the 2 preceding weeks, which had been treated as pneumonia. She had then noticed multiple gum lesions and vaginal spotting 1 week before her presentation. Her serum β-human chorionic gonadotropin level was 77,474 IU/L without evidence of pregnancy. She was diagnosed with GTN with lung, brain, and gum metastases. The patient was staged as IV with a World Health Organization prognostic score of 14. Etoposide, methotrexate, actinomycin D alternating with cyclophosphamide, and vincristine weekly (EMACO) were given. The gum lesions disappeared after 2 cycles of the multiagent chemotherapy, and complete remission was achieved after 8 cycles. This case study will increase awareness of uncommon metastatic sites of GTN. Any associated vaginal bleeding should be considered a clue to metastatic GTN.


Elements ◽  
2010 ◽  
Vol 6 (1) ◽  
Author(s):  
Kitsy Smith

As China's coffers have swelled over the past three decades, its citizens' waistlines have also expanded. Western goods and lifestyles habits are consistently being imported into the Asian giant, including the obesity epidemic. Chinese children are particularly susceptible and future generations face tremendous health risks despite medical advances. States and international bodies such as the World Health Organization are alarmed at the damage obesity is already producing. The price tag to treat the health problems associated with obesity and the rsulting loss in economic productivity is staggering. While this essay uses China as a case study to examine the causes of obesity and its consequences, social and economic health, the grim reality is that this pattern is occurring worldwide as countries develop and their people adopt Western "nutritional" norms.


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