ICNP® terminology subset for the care of people with heart failure

ABSTRACT Objective: to develop an ICNP® terminology subset for the care of people with heart failure. Methods: this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed. Results: forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”. Final considerations: it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.

Persistence of Symptoms After Discharge of Patients Hospitalized Due to COVID-19

Many patients who had coronavirus disease 2019 (COVID-19) had at least one symptom that persisted after recovery from the acute phase. Our purpose was to review the empirical evidence on symptom prevalence, complications, and management of patients with long COVID. We systematically reviewed the literature on the clinical manifestations of long COVID-19, defined by the persistence of symptoms beyond the acute phase of infection. Bibliographic searches in PubMed and Google Scholar were conducted to retrieve relevant studies on confirmed patients with long COVID that were published prior to August 30, 2021. The most common persistent symptoms were fatigue, cough, dyspnea, chest pains, chest tightness, joint pain, muscle pain, loss of taste or smell, hair loss, sleep difficulties, anxiety, and depression. Some of the less common persistent symptoms were skin rash, decreased appetite, sweating, inability to concentrate, and memory lapses. In addition to these general symptoms, some patients experienced dysfunctions of specific organs, mainly the lungs, heart, kidneys, and nervous system. A comprehensive understanding of the persistent clinical manifestations of COVID-19 can improve and facilitate patient management and referrals. Prompt rehabilitative care and targeted interventions of these patients may improve their recovery from physical, immune, and mental health symptoms.

SIGNIFICANCE OF PRECAUTIONARY MEASURES, REHABILITATIVE CARE AND PHYSIOTHERAPY APPROACH DURING PANDEMIC OF COVID-19

An outbreak of the Novel Corona Virus disease in 2019 is a health disaster for the world. COVID-19 is an acute respiratory disease associated with coronavirus, SARS-CoV-2 named coronavirus disease 19 (COVID-19), coronavirus is interspecies, and can also be transmitted from human to human that has triggered a global pandemic over the past 3months. At present, there is no specific treatment exclusively available to treat COVID-19 patients. This condition is managed by symptomatic treatment for symptoms like cough, cold, fever, and other respiratory-related ailments although over a period of time since this pandemic is started patients are showing varied symptoms that are not respiratory in nature including headache, loss of taste and smell sensation, body aches and fatigue. Prominent symptoms are managed by best supportive care while secondary symptoms are treated by medicines. As no specific treatment is available at present as said prevention is better than cure must followed. A good immunity can protect us, so prevention and rehabilitation is an essential way to cope up with the dangerous situation of COVID -19 diseases.

Discriminant analysis predicted undisciplined policemen

In the wider spectrum of Taiwanese public service spheres, the herculean services and dedication of its committed Police personnel have long been recognized, respected, and admired. However, regrettably, question marks concerning their conduct, discipline, and abuse of power have surfaced on intermittent occasions. A classic example that lingers in the public memory is the bribing of Taiwanese video game companies to some unscrupulous elements of the police department, in the closing decades of the 20th century that triggered public outrage and called for scrutiny concerning serious lapses in the discipline and conduct of Police personnel. This research paper endeavors to understand, analyze and address some of those issues based on empirical data on the police personnel of certain specific work zones/areas taking into account holistically both the sentenced police officers vis-à-vis the law-abiding police officers. This module looks into and sieves through available data for seven critical variables, including their degree of variation through the Identification and Analysis Method to develop a Predictive Model on Police Ethics and the important factors that affect Police Ethics. Concretely based on the integrated research, it is proposed that this Predictive Model has good applicability as well as accurate predictive ability in addressing the core issues that affect Police Ethics. It is hoped that through this Early Warning Predictive Model—all the stakeholders that are Policy and Decision-makers, Regulatory Police Agencies but more importantly the Police personnel themselves would effectively address the criticality of the issues that affect the Police Ethics so as to undertake competent and effective measures to erase/lessen the menace and provide an early rehabilitative care/assistance to build a strong, constructive and visionary Taiwanese Police Force to meet the challenges of 21st century and beyond.

Associated Factors and Use of Health Services by Elderly Men in Northeast Brazil

The objective of the research was to analyze the factors associated with the use of health services by elderly men in the Northeast region of Brazil. Cross-sectional analytical study with a secondary database of elderly men (n = 3238). The dependent variable was composed of the profiles of the use of health services and the independent variables were factors of predisposition, capacity, and health need. The statistical association and effect were performed using the Rao-Scott test with p < 0.05 and multinomial logistic regression. Elderly men with worse social indicators had a risk effect for using medium/high complexity services and those who had better health indicators were associated with sporadic medical appointment, revealing that health care for elderly men is centered on curative and rehabilitative care and that the use of health services is associated with the worst social indicators.

Musculoskeletal Rehabilitation: State-of-the-Art

Musculoskeletal rehabilitation has been receiving growing attention in the scientific research field taking into account the functional consequences of chronic pain that have been frequently underestimated and undertreated. The usual rehabilitative care of a wide range of diseases affecting physical function and independence in activities of daily living needs to be improved with novel approaches. In this scenario, the recent literature has highlighted the great advantages of multidisciplinary and comprehensive pain management. The Special Issue highlights the importance of advancements in musculoskeletal rehabilitation in terms of instrumental physical therapies, therapeutic exercise, osteopathic manual therapy, innovative approaches and the correlation with dentistry. Physicians should be aware of the presence of novel therapeutic approaches that are changing the clinical scenario of musculoskeletal rehabilitation.

Rehabilitation in oncology

Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease. However, afterwards, most survivors have to deal with a wide range of symptoms and side effects and need rehabilitation. Personalized rehabilitation programs for such patients employ various methods of physical medicine. Physical activity is an important component of the cancer patients' treatment and rehabilitation. It improves their functional health, specifically — physical performance, cognitive function, psychological health, and makes the quality of their lives better. Physical activity increases muscle strength, alleviates the radiation and chemotherapy side effects and relieves fatigue. Personalized exercise programs are employed to monitor patient's condition and exercise tolerance. Physical and cognitive rehabilitative interventions are performed simultaneously as part of interdisciplinary rehabilitative care, so this approach can have a synergistic effect. It is necessary to factor in contraindications when prescribing regular physical activity, exercise and other methods of rehabilitation, otherwise they can lead to clinical complications.