Meleney's synergistic gangrene: a case study

1995 ◽  
Vol 15 (6) ◽  
pp. 59-64 ◽  
Author(s):  
EA Howse

Meleney's synergistic gangrene is caused by S aureus and streptococcus organisms. One of the identifying symptoms is the presence of extremely painful lesions, which usually form in the second week after surgery or minor trauma. The ulcers that form at the center of the lesion are usually covered by a black eschar and encircled by a gangrenous margin. With knowledge of the pathophysiology and characteristics of this process, nurses can aid in the recognition of this unexpected complication. Nursing interventions can be planned around the needs of these patients. The key to recovery is early identification of the infection and prompt treatment.

2017 ◽  
Vol 11 (12) ◽  
pp. 5163
Author(s):  
Patrícia Peres Oliveira ◽  
Carolina Eloi Miranda ◽  
Eduardo Henrique de Oliveira Lima ◽  
Marina Bueno Dias ◽  
Edilene Aparecida Araújo da Silveira ◽  
...  

RESUMOObjetivo: operacionalizar o processo de Enfermagem para adolescentes em cuidados paliativos, baseado no Modelo de Adaptação de Roy, utilizando NANDA, Classificação dos Resultados de Enfermagem e Classificação das Intervenções de Enfermagem. Método: estudo qualitativo, no qual se adotou, como estratégia metodológica, o estudo de caso, realizado com dois adolescentes e famílias, por meio de visitas domiciliárias. Como referencial teórico, foi utilizado o Modelo de Adaptação de Callista Roy. Resultados: observou-se que os cuidados aos adolescentes e suas famílias favoreceram a adaptação, pois os jovens apresentaram melhora significativa frente aos estímulos; as condições socioeconômicas identificadas interferiram no bem-estar da família e da adolescente do sexo feminino e, consequentemente, percebeu-se o impacto gerado. Todavia, deve-se propor intervenções como orientações sobre o manejo dos sintomas apresentados e sessões de musicoterapia, contribuindo para a melhora no ambiente familiar, além da redução da ansiedade. Conclusão: as intervenções implementadas foram importantes para a substituição de respostas ineficazes por respostas adaptativas. Descritores: Cuidados Paliativos; Neoplasias; Saúde do adolescente; Processos de Enfermagem.ABSTRACTObjective: to operationalize the Nursing process for adolescents in palliative care, based on the Roy Adaptation Model, using NANDA, Nursing Outcomes Classification and Nursing Interventions Classification. Method: a qualitative study, in which the case study, was adopted, as a methodological strategy, carried out with two adolescents and families, through home visits. As a theoretical reference, the Callista Roy Adaptation Model was used. Results: it was observed that the care to the adolescents and their families favored the adaptation, since the young showed a significant improvement in front of the stimuli; the identified socioeconomic conditions interfered with the well-being of the female family and adolescent, and consequently, the generated impact was perceived. However, one should propose interventions as guidelines on the management of the presented symptoms and sessions of music therapy, contributing to the improvement in the environment reduction of anxiety. Conclusion: the interventions implemented were important for the substitution of ineffective responses by adaptive responses. Descriptors: Palliative Care; Neoplasm; Adolescent health; Nursing Process.RESUMENObjetivo: operacionalizar el proceso de Enfermería para adolescentes en cuidados paliativos, basado en el Modelo de Adaptación de Roy, utilizando NANDA, Clasificación de los Resultados de Enfermería y Clasificación de las Intervenciones de Enfermería. Método: estudio cualitativo, en el cual se adoptó, como estrategia metodológica, el estudio de caso, realizado con dos adolescentes y familias, por medio de visitas domiciliarias. Como referencial teórico, se utilizó el modelo de adaptación de Callista Roy. Resultados: se observó que los cuidados a los adolescentes y sus familias favorecieron la adaptación, pues los jóvenes presentaron una mejora significativa frente a los estímulos; las condiciones socioeconómicas identificadas interfirieron en el bienestar de la familia y de la adolescente femenina y, consecuentemente, se percibió el impacto generado. Sin embargo, se debe proponer intervenciones como orientaciones sobre el manejo de los síntomas presentados y sesiones de musicoterapia, contribuyendo para la mejora en el ambiente familiar, además de la reducción de la ansiedad. Conclusión: las intervenciones implementadas fueron importantes para la sustitución de respuestas ineficaces por respuestas adaptativas. Descriptores: Cuidados Paliativos; Neoplasia; Salud del Adolescente; Procesos de Enfermería.


2021 ◽  
Vol 30 (2) ◽  
pp. 116-119
Author(s):  
Makoto Oe ◽  
Kahori Tsuruoka ◽  
Yumiko Ohashi ◽  
Kimie Takehara ◽  
Hiroshi Noguchi ◽  
...  

Objective: Early identification of pre-ulcerative pathology is important to preventing diabetic foot ulcers (DFU), but signs of inflammation are difficult to detect on the feet of patients with diabetic neuropathy due to decreased sensation. However, infrared thermography can objectively identify inflammation. Therefore, a device that allows patients to visualise thermograms of their feet might be an effective way to prevent DFU. We aimed to determine the effects of a novel self-monitoring device to prevent DFU using a thermograph attached to a smartphone. Method: A self-monitoring device comprising a mobile thermograph attached to a smartphone on a selfie stick was created, and its effects in two patients with diabetic neuropathy and foot calluses assessed. Results: For one patient, he understood that walking too much increased the temperature in the skin of his feet (a sign of inflammation). The other patient could not detect high-risk findings, because the temperature of his skin did not increase during the study period. Conclusion: This device might provide self-care incentives to prevent DFU, although some issues, such as the automatic detection of high-risk thermographic changes, need to be improved.


1990 ◽  
Vol 10 (10) ◽  
pp. 60-67
Author(s):  
C Barden ◽  
R Lee ◽  
Y Parchment ◽  
RM Dempsey

Werdnig-Hoffmann Disease, its pathophysiology, and the resulting symptoms are described in this article. A case study is presented with treatment goals outlined, and the appropriate nursing interventions are delineated.


2020 ◽  
Vol 29 (Sup17) ◽  
pp. S10-S13
Author(s):  
Richard Parker

Early identification and prompt treatment of hepatic encephalopathy can help reduce its progression into its overt form. As the initial signs and symptoms of this complication can be extremely subtle, diagnosis can be difficult, particularly for non-specialists. This article describes how the use of simple and widely available tests can help facilitate this


Technovation ◽  
2003 ◽  
Vol 23 (8) ◽  
pp. 655-667 ◽  
Author(s):  
Pietro Moncada-Paternò-Castello ◽  
Jaime Rojo ◽  
Felix Bellido ◽  
Frédéric Fiore ◽  
Alexander Tübke

2008 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Patricia Josefa Fernandes Beserra ◽  
Maria Miriam Lima da Nóbrega ◽  
Greicy Kelly Gouveia Dias Bittencourt

ABSTRACTThe traumas represent a great problem of public health, being the traffic accident the most frequent type of trauma and its victims considered high risk patients due to the immediate unknowing of the happened lesions. In spite of time limitations in the service to the trauma victim patient, a care of better quality can be rendered through the systematized attendance, once, it allows to discover relevant data, to judge situations, to make decisions and to manage the care discriminating the priorities and reactions, in a minimum of time and with a maximum of efficiency. This case study was accomplished during the service to an accident, that happened on a public road, with the objective of describer the nursing attendance to a trauma victim, taking as base the Model of Adaptation of Callista Roy, especially the physiologic way of the adaptation, and the International Classification for the Nursing Practice - ICNP© Version Beta 2. After the data collecting, an individual process of judgment on the trauma victim's answers and on the stimulus that were provoking those answers took place. Starting from the collected data, it was possible to build the nursing diagnosis considering the components in the physiologic way of adaptation; to establish the nursing goals and the nursing interventions. Descriptors: nursing process; classification; accidents; nursing theory; nursing diagnosis.RESUMOOs traumas representam um grande problema de saúde pública, sendo o acidente de trânsito o tipo de trauma mais freqüente e suas vítimas consideradas pacientes de alto risco devido ao desconhecimento imediato das lesões ocorridas. Apesar das limitações de tempo no atendimento ao paciente vítima de trauma, pode-se prestar um cuidado de melhor qualidade mediante uma assistência sistematizada, uma vez que, ela permite descobrir dados relevantes, julgar situações, tomar decisões e administrar o cuidado discriminando as prioridades e reações, em um mínimo de tempo e com um máximo de eficiência. Este estudo de caso foi realizado durante o atendimento de um acidente, que se deu em via pública, com o objetivo de descrever a assistência de enfermagem prestada a paciente vítima de trauma, utilizando o Modelo de Adaptação de Callista Roy e o sistema de Classificação Internacional para a Prática de Enfermagem - CIPE® Versão Beta 2. Após a coleta de dados, realizou-se um processo individual de julgamento sobre as respostas da vítima de trauma e sobre os estímulos que estavam provocando essas respostas. A partir dos dados coletados, foi possível construir os diagnósticos de enfermagem levando-se em consideração os componentes do modo fisiológico de adaptação; estabelecer as metas e as intervenções de enfermagem. Descritores: processo de enfermagem; classificação; acidentes; teoria de enfermagem; diagnóstico de enfermagem.RESUMENLos traumas representan un gran problema de la salud pública, siendo el accidente de transporte el tipo más frecuente de trauma y sus víctimas consideradas pacientes de elevado riesgo, debido al desconocimiento inmediato de las lesiones sufridas. A pesar de las limitaciones de tiempo en la atención al paciente víctima del trauma, se puede prestar un cuidado de mejor calidad a través de la atención sistematizada, una vez que, permite descubrir datos relevantes, juzgar la situación, tomar decisiones y administrar el cuidado discriminando las prioridades y las reacciones en un mínimo de tiempo y con un máximo de eficiencia. Este estudio de caso fue realizado durante la atención de un accidentado, que sucedió en una vía pública, con el objetivo de describir la atención de enfermería a una víctima del trauma, tomando como base el modelo de Adaptación de Callista Roy, especialmente el modo fisiológico de adaptación, y la Clasificación Internacional para la Práctica de Enfermería - CIPE® Versión Beta 2. Después de la recolección de datos, se procedió a un proceso individual de evaluación de las respuestas de la víctima del trauma y de los estímulos que estaban provocando esas respuestas. A partir de los datos recogidos fue posible construir los diagnósticos de enfermería con base en los componentes del modo fisiológico de la adaptación, establecer las metas y las intervenciones de enfermería. Descriptores: proceso de enfermería; clasificación; accidentes; teoría de enfermería; diagnóstico de enfermería. 


1990 ◽  
Vol 1 (2) ◽  
pp. 331-338
Author(s):  
Barbara Sechrist Cavender

Bronchopulmonary dysplasia (BPD) requires collaborative management in the pediatric health care setting. Because of the nature of the medical diagnoses, BPD can be viewed by nurses using selected nursing diagnoses. With the pediatric client, nursing diagnoses can assist the nurse to identify system alterations, and thereby address nursing interventions most appropriate for the child. Nursing interventions are based on collaborative decision making using both medical and nursing diagnoses. This case study will identify selected nursing diagnoses useful in the care of the child with BPD and nursing interventions used to treat frequently occurring health problems


2020 ◽  
Vol 23 (80) ◽  
pp. 11-14
Author(s):  
Katarina Đukanović ◽  
Slobodanka Bogdanović-Vasić

Palliative care involves a holistic approach in the treatment of patients with terminal illness with the aim of achieving the best possible quality of life and support for the patient and his family. It involves teamwork and the greatest responsibility is on the nurses because they spend the most time with patients and their family. Nursing interventions are aimed at early identification and treatment of pain and other psychological, physical and social suffering of this patients. In order for the nurse to successfully respond to all the challenges of daily work, it's necessary that she owns professional competencies which include communication, collaboration with other team members,understanding the disease and supporting the patient and family during of the illness.


2020 ◽  
pp. 026142941989994 ◽  
Author(s):  
Mimi Wellisch

This case study outlines the challenges of eight Australian mothers with intellectually gifted preschoolers. The ideal ways of nurturing children’s giftedness, the parents’ role in early identification and the effect of maternal depression and possible association with twice exceptionality (gifted with a disorder) are discussed. The narratives of case study parents then describe how and whether the needs of their preschoolers were understood or met in early childhood services, and the advice they received about early entry. It was found that early entry met the needs of children whose parents chose this acceleration option and that the preschoolers who missed out because of intervention by their educators did not fare so well. Findings also indicated an urgent need for the inclusion of compulsory early childhood giftedness courses for Australian pre-service educators and an equally urgent need for professional development courses about giftedness for educators already working in early childhood services.


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