scholarly journals Zdravstvena nega odojčeta sa hidrocefalusom / Case of infant with hidrocefalus by nursing proces

2016 ◽  
Vol 3 (1) ◽  
pp. 17
Author(s):  
Biljana Stojanović-Jovanović ◽  
Vesna Tripković

Modern methods of treatment of neonatal hydrocephalus, still does not give satisfactory results. The treatment of children with hydrocephalus requires intensive monitoring, emergency diagnosis and therapy. Preventing complications in the pre and postoperative period is vital for the quality of life of these children. This requires a high level of knowledge, greater commitment, maturity, responsibility and ability of nurses. By implementation of methods of medical care precess, nurse can notice the condition and care needs, definie nursing diagnosis and goals of care and genuine individual care plan. Based on an evaluation of the results of the work, it can be concluded that the nursing actions are most effective in addressing the problems of children with hydrocephalus. It also allows the nurse to assess their expertise and competence. Evaluation of accomplished, can give directions and guideline for improvement of the quality of work. Improving and developing the health care process brings the ability to improve the work of nurses.

Author(s):  
Lisa Freitag

Parents caring for children with special health care needs or long-term disabilities are called to a new level of competence as medical caregivers, often as soon as the child is discharged from the hospital. There is no accepted measure for success with this task, though failure can be met with repeated hospitalization or removal of the child from the home. This chapter evaluates, through parent narratives, how parents obtain and view their competence. Some parents perform in-depth research into their child’s medical problems and achieve a surprisingly high level of knowledge. This is often discounted by both the parents and health care providers. The moral work done in this area is significant. Parents must change their priorities and re-align their expectations for their child’s success. They must adapt to a slower developmental pace, and create for the child a safe haven where the child’s disability becomes the accepted norm.


2007 ◽  
Vol 19 (3) ◽  
pp. 559-592 ◽  
Author(s):  
Henriëtte G. van der Roest ◽  
Franka J. M. Meiland ◽  
Raffaella Maroccini ◽  
Hannie C. Comijs ◽  
Cees Jonker ◽  
...  

Objective: Insight into the individual care needs of the growing number of people with dementia is necessary to deliver more customized care. Our study aims to provide an overview of the literature on the subjective needs of people with dementia.Method: Electronic databases were searched for publications on subjective needs between January 1985 and July 2005, and reference lists were cross-referenced. Extracts of needs were classified within problem areas of the (Dutch) National Dementia Program and quality of life domains, and the extracts were classified as a “need” (an implicitly communicated felt state of deprivation), “want” (expression of a need) or “demand” (suitable solution to fulfill a need).Results: Subjective needs were found in 34 studies with various research aims, such as awareness and coping. Few studies aimed to measure needs of people with dementia. The most frequently reported needs of people with dementia were the need to be accepted and respected as they are, the need to find adequate strategies to cope with disabilities, and the need to come to terms with their situation. Explicit wants or demands were reported less frequently than needs.Conclusion: The high number of reported needs and the limited number of wants and demands show that people with dementia do not frequently mention how they want their needs to be met. Most reported needs are not instrumental, but are related to well-being and coping. Further research to inventory these needs could help achieve more demand-directed and better attuned care in the future.


2017 ◽  
Vol 24 (5) ◽  
pp. 1253-1268
Author(s):  
Thamaraiselvan Natarajan ◽  
Sridevi Periaiya ◽  
Senthil Arasu Balasubramaniam ◽  
Thushara Srinivasan

Purpose The purpose of this paper is to identify and analyse the typology of employee branding in an airline company using fuzzy c-means (FCM) clustering to improve the quality of employee brand (EB). Design/methodology/approach Data were collected from employees of Air India, Chennai division, using a questionnaire and analysed using FCM to find the optimum cluster number. The nature of each cluster was analysed to know its type. Findings The results prove the presence of four types of EB, namely, all-stars, injured reserves, rookies and strike-out kings in the aviation company. It is proven that employees in all-star have high level of knowledge of the desired brand (KDB) and psychological contract (PC), those in injured reserves have high KDB and low PC, rookies have low KDB and high PC and strike-out kings have low KDB and PC. Research limitations/implications The results of this study are limited to the Air India employees. This study contributes to employee branding by empirically substantiating the proposed typology using FCM. It proposes the need to analyse organisations individually before comparisons. Practical implications The management must focus on the quality of training and development programmes to enhance the position of rookies and strike-out kings. It must also receive regular feedback from injured reserves and strike-out kings to evaluate their perception of PC. Originality/value This is the first paper to empirically prove the typology of employee branding and to implement FCM in clustering employees for enhancing the EB’s quality.


Author(s):  
Mohammad A. Abu Sa'aleek ◽  
Bader T. Al zawahra

Heart failure is considered as a chronic disease and the management of such condition is complex and challenging. Nurses play a significant role in managing heart failure by enhancing self-care practices among patients. This paper aims to evaluate evidence from the literature regarding nurses level of knowledge about the educational principles in heart failure. The nine selected studies included a total number of 1181 patients. These studies were conducted in the USA and Europe from 2002 until 2019.the uniqueness of those selected studies that all the authors use the same instrument titled “nurses knowledge of heart failure education principles”. The results revealed that there was an inconsistency in the level of knowledge among nurses in hospital-based, ambulatory, primary care or home care settings. More randomized studies are needed to solve this discrepancy. The level of knowledge ranged from (60.4-79.85%). Six topics have been identified as areas of weakness in which education is needed. Educating nurses in different settings is the gold stander to raise their level of knowledge which in turn will be in a better position to provide a high level of education for patients in order to alleviate their suffering, improve the quality of life and reduce the frequent hospitalization.


2019 ◽  
Vol 10 (1) ◽  
pp. 24-47 ◽  
Author(s):  
Ivan Harsløf ◽  
Mirela Slomic ◽  
Ole Kristian Sandnes Håvold

Several countries have introduced devices for coordination of complicated individual cases across care, health and welfare services. This study examined one such device: the individual care plan (ICP), introduced in Norway in 2001 to enhance user involve­ment and coordination across sectors and service providers. Despite strong political imperatives, however, ICPs have remained significantly underused. To understand why, this study investigated the experiences with ICPs among staff in municipal coordinating units, tasked with organising rehabili­ta­tion efforts and case­workers in local labour and welfare services. In focus groups, participants discussed the fictitious vignette of a patient with traumatic brain injury, a person clearly within the ICP target group. They praised ICPs for advancing the rehabilitation process but acknowledged that they were applied too rarely. Through abductive-retroductive recontextualisation, this study identified a practice of de-facto self-targeting: in some municipalities, patients had to request ICPs themselves. We argue that this mechanism may have emerged from ambiguous propensities of rehabilitation, simultaneously emphasising needs and potentials, and ultimately from ambiguities in the Norwegian welfare model balancing universalism and local autonomy.


Author(s):  
David José Murteira Mendes ◽  
Manuel José Lopes ◽  
José Manuel García-Alonso ◽  
Jorge Santos ◽  
Luís Manuel Mota Sousa

The individual care plan (ICP) is a metamorphic being. The only steady reality that it maintains is its final objective, stated and explained in the previous chapter where the ICP is thoroughly introduced and debated. It is a fantastic beast, better described as a system of systems that is severely polymorphic due to its coverage both in level of care as well as sources of data to handle. Patient monitoring generates large volumes of data. There is the evident need of an advanced approach that can deal with these huge amounts of healthcare data extracted from various sources such as the wearable sensors, medical, and nursing records that are currently called big data. The purpose of this chapter is to introduce and discuss the software platform that is adequate to develop and deploy the system paying attention to the needs of high-availability, sensitive information security; service-level agreements for multiple healthcare interoperability; law and ruling conformance; as well as other technical and ethical aspects.


Author(s):  
Manuel José Lopes ◽  
César Fonseca ◽  
Patrícia Barbosa

The idea of the need for healthcare planning, whether in the individual or collective dimensions, is consensual among all health professionals. Despite this consensus, as well as a discourse that values teamwork, planning focused on health professionals has prevailed. Due to the current circumstances, particularly those resulting from changes in the epidemiological profile of the population, a new way of planning individual healthcare is required that must meet the following criteria: be of an individual nature, integrate the active participation of the citizen/family caregiver, be focused on care in the course of life, safeguard interdisciplinarity, assist in decision making about care, and be able to record decisions about care.


2013 ◽  
Vol 14 (11) ◽  
pp. 791-800 ◽  
Author(s):  
Athanase Benetos ◽  
Jean-Luc Novella ◽  
Bruno Guerci ◽  
Jean-Frederic Blickle ◽  
Jean-Marc Boivin ◽  
...  

2021 ◽  
Vol 5 (9) ◽  
pp. 14-21
Author(s):  
Gora Miljanović ◽  
Vida Čolaković ◽  
Dragana Terzić-Marković ◽  
Vesna Jovanović ◽  
Mirjana Smuđa ◽  
...  

Introduction: Breast cancer is the transformation of healthy breast cells into malignant cells. The disease is characterized by metastases that can range from limited bone metastases to wide-spread and life-threatening metastases. The main goal of caring for these patients is to successfully control the symptoms of the disease, the side effects of the tumor while preserving the quality of life and surviving as long as possible. Objective was to show the specifics of interventions in the health care of a patient with breast cancer with metastatic changes in the endocranium Methods: We used a descriptive method and a conservative direct method: case study of a patient with breast cancer and metastatic changes in the brain according to the method of the Nursing Care Process (NCP). Discussion: Modern nursing care implies patient care according to a scientifically based method, universal in the nursing practice NCP, according to which care is focused on the patient/family, re-specting their preferences. NCP includes: continuous assessment of the patient's condition and defining problems and care needs, setting goals and selecting optimal care strategies. The most COM-mon collaborative problems for our patient were: pain, fatigue, anemia, insomnia. The problems that the nurses solved through independent interventions were: deficit in self-care, prevention of falls and injuries, lack of knowledge regarding the radiation pro-cedure, risk of infection, and the possibility of excess fluid volume. Conclusion: Patients with advanced breast cancer and their families have complex needs, the failure of which can result in impaired quality of life. An individual approach is needed in as-sessing the patient's condition, identifying needs, and planning interventions based on scientific evidence, available health re-sources, and preferences of patient/family. Patient care according to the NCP method promises a more comprehensive approach, improved patient experience as well as improved medical out-comes.


2014 ◽  
Vol 1 (1) ◽  
pp. 32
Author(s):  
Vesna Cmiljanić

Aggression is an act of threats directed at others who may be verbal, physical or sexual nature. Medical management of aggressive behavior among the psychiatric emergency area in which decisions must be made quickly in a short period of time. Quality of medical services largely depends on the level of knowledge and training of nurses. High frequency and diversity of occurrence of aggressive and violent behavior by the medical staff not only to the psychiatric ward, the necessity to a wider range of health professionals meet and train to work with such patients in first aid, health care and therapy. For emergencies in psychiatry, particularly aggressive behavior, most often there is no time for planning and setting goals of care. These conditions require a high level of expertise, training and knowledge of the medical technicians to act “here and now”. Working with these patients has its own characteristics and is different from other medical interventions in emergency situations.


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