scholarly journals Evaluation of inhalation technique in patients using a dry powder device (DPI) at chest clinic in Dhulikhel Hospital – Kathmandu University Hospital, and the effect of patient education on it

2019 ◽  
Vol 19 (Suppl 3) ◽  
pp. 64-66
Author(s):  
Sudeep Shrestha ◽  
Sandhya Shrestha ◽  
Maun Ranjan Baral ◽  
Sambhawana Bhandari ◽  
Swati Chand ◽  
...  
2019 ◽  
Vol 19 (Suppl 3) ◽  
pp. s64-s66
Author(s):  
Sudeep Shrestha ◽  
Sandhya Shrestha ◽  
Maun Ranjan Baral ◽  
Sambhawana Bhandari ◽  
Swati Chand ◽  
...  

Author(s):  
Sofie Walming ◽  
Eva Angenete ◽  
David Bock ◽  
Mattias Block ◽  
Hanna de la Croix ◽  
...  

Abstract Patients with colorectal cancer may lack information about the disease and treatment. In 2017, a group consultation before start of surgery was introduced at a university hospital in western Sweden to inform about the disease, treatment, and ongoing scientific studies. The primary aim of this study was to explore the experience of the patients attending the group consultation. Based on semi-structured interviews with patients with colorectal cancer, a questionnaire was constructed and administered to patients, both those attending and those not attending the group consultation. In total, 124 patients were included and the response rate was 86%. A majority of patients attending the group consultation would recommend it to someone else with the same illness. Of the patients attending the group consultation, 81% (30/37) patients agreed, fully or partially, that attending the group consultation had increased their sense of control and 89% (33/37) that the information they received at the group consultation increased their feeling of participation in the treatment. Preoperative group consultation is a feasible modality for informing and discussing the upcoming treatment for colorectal cancer with the patients, and the patients who attended the group setting appreciated it. Attending the group consultation increased the patients’ feeling of active participation in their treatment and their sense of control, which could possibly both improve their experience of their illness and facilitate recovery. ClinicalTrials.gov identifier NCT03888313


CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 707A
Author(s):  
Jaehyung Lee ◽  
Sang-Hoon Kim ◽  
Byoung Hoon Lee

2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Martina Santambrogio ◽  
Marta Lazzeri ◽  
Gianluca Bonitta ◽  
Riccardo Guarise ◽  
Edoardo Simonetta ◽  
...  

Inhaled therapy is widely used for treatment of many respiratory disorders. Drug delivery in lungs is dependent on the correct use of aerosol devices and patients’ training is vital for a correct therapy administration. Therefore, is very important to assess the skills of professionals involved in training patients to the correct use of inhaler devices. The aim of this study was to check the practical skills and the theoretical knowledge of health care personnel in our University Hospital in using aerosol therapy and to determine differences among professional figures in the management of inhaler devices. Three hundred and fifteen (315) volunteers including physicians, residents, nurses and respiratory physiotherapists were enrolled; an independent professional, not working in our University Hospital, assessed their theoretical knowledge related to aerosol throughout a questionnaire. Practical skills were assessed through placebo simulation with the devices that participants declared to use frequently with patients. None of the respondents correctly answered all questions evaluating theoretical knowledge on the proper use of aerosol therapy. Respiratory physiotherapists obtained significantly better results with 17.2 (1.3) average points compared to 10.3 (3.7) obtained by doctors, 9.0 (3.0) by nurses and 9.1 (4.5) by residents. Analysing in detail physicians’ results, pneumologists showed better theoretical knowledge than other specialists. Concerning the practical skills, about 80% of those stating they knew how to use metered dose inhalers, made mistakes in the basic steps for proper inhalation technique and over 50% of respondents were unable to properly simulate placebo administration of dry powder inhalers. Also here, respiratory physiotherapists and pneumologists had significant better performances, when compared to other health professionals. Our data are in line with those published in the literature in other international clinical settings, noting inadequate practical and theoretical knowledge of the available devices for aerosol therapy.


2020 ◽  
Vol 19 (1) ◽  
pp. 43-48
Author(s):  
Avinash Aujayeb ◽  
Karl Jackson ◽  
Robert Johnston

A 61 year old male presented to chest clinic with a lung abscess. This ruptured and resulted in an empyema that required a small bore chest drain. Pus started bypassing the drain, spilling out subcutaneously. This was probably due to the impending formation of an empyema necessitans. To stem the flow, a large bore drain was inserted. An ambulatory bag was connected to the end of that drain which enabled outpatient management through the ambulatory care unit over a ten week period. The chest drain stayed in for nine weeks. Risk stratification using the RAPID score was applied. This is a routine medical presentation with well-known and accepted investigations with routine organisms (mixed aerobic and anaerobic microbiota) and treatment with classical broad spectrum antibiotics. The striking feature of the case is that with strict supervision, patient education and motivation, ambulatory management is perfectly feasible and safe.


Author(s):  
Agata Dorosz ◽  
Tomasz Urbankowski ◽  
Krzysztof Zieliński ◽  
Marcin Michnikowski ◽  
Rafał Krenke ◽  
...  

2015 ◽  
Vol 1 (1) ◽  
pp. 91-101 ◽  
Author(s):  
Marwa O. Elgendy ◽  
Mohamed E. Abdelrahim ◽  
Randa Salah Eldin

2017 ◽  
Vol 28 (5) ◽  
pp. 567-582 ◽  
Author(s):  
Ayla Keçeci ◽  
Sadiye Toprak ◽  
Seçil Kiliç

The aim of this research was to evaluate the patient education materials prepared and published by nurses and physicians in terms of the qualitative properties of these materials, including readability, understandability, and actionability. A total of 38 patient education materials prepared by nurses and physicians in a university hospital in Turkey were evaluated. The readability of the materials was assessed using the formulas proposed by Atesman and Cetinkaya. The Patient Education Materials Assessment Tool (PEMAT) form was used for estimating the understandability and actionability. Data were analyzed using the percentile and mean values, and the Kendall’s Tau-c and correlation tests were used for interobserver agreement. According to the assessments based on the readability formulas, 55.3% of the materials were moderately difficult, while 81.6% had instructional-level readability (U.S. Grades 8 and 9) with a moderate to low level of understandability and actionability. Consequently, the patient education materials evaluated in our study had a moderate level of readability, understandability, and actionability.


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