Burns are the most intensely painful injuries. All patients will experience pain, regardless of the cause, size, or depth of the burn. In spite of advances in topical wound care and pharmacological management and palliative care, wound care is the main source of the pain associated with burn injury. A deeper understanding of the many aspects of treating burns and their associated pain can help nurses to provide more effective analgesia. Nurses play a vital role in understanding the management of burn wound, prevention of infection and pain management
Pressure ulcer (PU) has now become a common problem among the Paediatric population. The risk factors can be classified into intrinsic and extrinsic factors. There are several scales for assessment of pressure ulcer for children but the Braden Q scale is found to be more valid and reliable, and for the new born, it is the Neonatal Skin Risk Assessment Scale (NSRAS). All children who are admitted should have a comprehensive assessment and those with pressure injuries are staged as per National Pressure Ulcer Advisory Panel. Nurses have got a pivotal role in prevention of pressure ulcer among children by adopting various preventive strategies.
The Wurn technique is a manual physical therapy technique used as a form of alternative medicine gives often dramatic improvements in urogenital, reproductive, sexual function, and to treat endometriosis, pelvic inflammatory disease, pelvic spasms, polyps, and tubal obstruction. The wurn technique focuses on decreasing pain and increasing mobility and function of abdomino-pelvic and reproductive organs by diminishing adhesions.
India has the second largest geriatric population in the world. Of the 300 million over-60s, 200 million are likely to be suffering from chronic ailments, and so it is essential to concentrate on Home healthcare includes supportive, preventive, promotive and rehabilitative services with the facilities available at the patient\'s home. Home health care helps them get better, regain independence, and become as self-sufficient as possible. It also helps to ensure a “good quality of life.”This article focuses on the Current Trends in Home health Care and the Standards, Challenges and the future plans in Home health Care nursing.
“Take any suicidal talk or behavior seriously. It\'s not just a warning sign that the person is thinking about suicide—it\'s a cry for help.” International Association for Suicide Prevention
According to the most recently available data presented in the Statistical Abstract of India, 17, 100 young Indians (15 to 44 years old) died in 2011 due to suicide. At no other time during the life span were suicide rates so high. Suicide among college and university students is estimated to be 50% higher than for other age group. Not only suicide is considered by many researchers to be the number one health problem on the nation\'s campuses but the suicide rate for this population has tripled over the past 25 years. Professional nursing students could perhaps be at an even higher risk for suicide than other college students. “Nursing students are more doubtful than other college students about their academic performance. They encounter stress in adjusting to a rigorous program of theory and practice. The reality is often far different from a prospective student\'s image of it”. Because of the longevity of contact hours spent with nursing students in both lecture and clinical milieus, nursing faculty are in a uniquely favorable position to identify and assess those students who appear to be at risk for suicide. In addition, as most nurse educators provide supportive relationships, rich with caring and trust for their students, distressed students are usually open to talking to a faculty member. If a suicidal risk is found during the assessment interview, the faculty member should then provide an immediate referral for further psychiatric evaluation and intervention. To assist faculty in the quick recall of the essential components of this helping process the acronym S.A.V.E. is used: S - Signs of suicidal thinking. A - Ask questions. V - Validate the student\'s experience. E- Encourage treatment and Expedite care/getting help.
Nurses are integral part of the multidisciplinary team, providing care from planning, implementing and evaluating patient\'s condition. Neurological patients which includes stroke, head injury, paralyzed patients, post operative craniotomy patients, seizure and coma patients are totally dependent on the care giver.. Therefore it is imperative for the nurses to have keen rounds and care for these patients towards recovery. The nurse led ward rounds delineates three phases which depicts the activities that, a nurse should carry out before, during and after nurse led ward rounds. The nurse takes up multiple roles such as Advocate, Chaperone, Transitor, Informator, Organizer and Nurse centered. Although it is important to have interprofessional staff collaboration for successful patient management, nurse-physician collaboration during rounds occur infrequently. To improve the way nurses manage neurological patients in an acute setting, a nurse-led ward round helps to ensure patient care and safety.
In the critical care population, heart rate and rhythm, blood pressure, respiratory rate, and oxygen saturation are monitored continuously, providing immediate feedback regarding any changes in patient status. Hemodynamic instability is a term commonly used by clinicians to describe labile changes in cardiopulmonary status. The clinician\'s perception of hemodynamic instability may cause a delay or omission in turning, repositioning, and other interventions to advance patient mobility and may contribute to pressure ulcer formation. The intensive care unit\'s practice culture and individual clinician perceptions regarding hemodynamic instability may lead to staff not turning patients out of fear that they are “too unstable to turn.”Critical care personnel determine the quality of patient care and patient outcomes. Interdisciplinary care is based on a comprehensive approach that includes standards and guidelines consistent with high quality evidenced based care.
The little body of a preterm baby still have underdeveloped parts that include the lungs, digestive system, immune system and skin. At birth, neonates undergo physiological adaptations, especially those related to breathing and few minutes of severe oxygen deprivation can cause irreversible brain damage. Thankfully, medical technology has made it possible for preemies to survive the first few days, weeks or months of life until they are strong enough to make it on their own. A specially focused nursing care is very essential to care the babies that are born too soon. It includes the total care of the preterm like thermal regulation, feeding, respiratory support and infection prevention. This article serves on the nursing care that is essential for the preterm baby to prevent the risk and is a brief description of what to expect in the care for a newborn preemie.
Labour induction involves the stimulation of uterine contractions to produce delivery before the onset of spontaneous labour. This procedure has been commonly used since the synthesis of oxytocin (Pitocin) in the 1950s; labour is currently induced in about 13 percent of live births in the United States. Most labour inductions are for postdate pregnancy which occurs in about 10 percent of live births. Intrapartum nurses bear significant responsibility for assessing, supporting, documenting, and verbally communicating labour progress to birth attendants, families, and the women themselves. Contemporary research allows for a wider range of normal labour progress than in the past. Reduction in the rate of primary cesareans is needed to improve maternal and neonatal outcomes. Application of the contemporary evidence on induction of labour is an important aspect of the challenge being faced, to translate the evidence into practice.
M Aruna Devi,
K Ruma Shanthini.,
The spectrum of infectious disease is changing rapidly in conjunction with dramatic societal and environmental changes. Worldwide, explosive population growth with expanding poverty and urban migration is occurring; international travel and commerce are increasing; and technology is rapidly changing, all of which affect the risk of exposure to infectious agents. Infectious diseases are emerging, re-emerging, and increasing in the United States, taking a toll in both morbidity and mortality. A major cause of the emergence of new diseases is environmental change (for example, human encroachment into wilderness areas and increased human traffic through previously isolated areas). The re-emergence of some diseases can be explained by evolution of the infectious agent (for example, mutations in bacterial genes that confer resistance to antibiotics used to treat the diseases). In partnership with representatives from health departments, other federal agencies, medical and public health professional associations, and international organizations has developed a strategic plan to address emerging infectious disease threats. The plan contains four goals that emphasize surveillance, applied research, prevention and control, and public health infrastructure. To ensure sustainability, plan implementation will be approached in stages, as a long-term endeavor with emphasis on extramural programs. As health-care reform proceeds priority should be given to strengthening partnerships between health-care providers, microbiologists, and public health professionals to detect and control emerging and re-emerging infectious diseases.
Mental health services in India are neglected area which needs immediate attention from the Government, policymakers, and civil society organizations. Despite, National Mental Health Programme since 1982 and National Rural Health Mission, there has been very little efforts so far to provide mental health services in rural areas. With increase in population, changing life-style, unemployment, lack of social support and increasing insecurity, it is predicted that there would be a substantial increase in the number of people suffering from mental illness in rural areas. Considering the mental health needs of the rural community and the treatment gap, it is an attempt to remind and advocate for rural mental health services and suggest a model to reduce the treatment gap.