Aim of the Study: To assess the effectiveness of planned teaching on assisting self-care activities of patients with plaster of Paris casts of lower extremities among caregivers. Study Design: The design that will be used in the study is One Group Pretest Posttest research design. Methodology: A study used a pre-test post-test design with no control group and a pre-experimental design. The impact of planned teaching on assisting self-care activities of patients with plaster of Paris casts of the lower extremities among caregivers will be assessed using the purposive sampling technique. In this study Evaluatory research approach will be used. Selected 100 caregivers of patients with plaster of Paris cast of lower extremities will be assessed primarily for knowledge in assisting self-care activities by structured questionnaires and then planned teaching will be given to the selected sample developed by researcher as intervention. Expected Results: To assess the effectiveness of planned teaching on assisting self-care activities of patients with plaster of Paris casts of lower extremities among caregivers. In this study the planned teaching will be useful in improving the caregivers knowledge in assisting selfcare activities. Conclusion: The conclusion will be drawn from the results and will be published in per review journal.
Monkeypox is a zoonotic infection that causes painful or pruritic dermatologic lesions on the face, trunk, limbs, genitals, and mucosal surfaces. Monkeypox cases increased exponentially in 2022, prompting the World Health Organization and the United States Department of Health and Human Services to proclaim it a public health emergency. The role of community health nurses towards monkeypox prevention and control in transmission. We searched various databases like World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), American Nurses Association (ANA), EMBASE, Web of Science, CINAHL, PubMed, and Cochrane databases were comprehensively searched. This review article focuses on the monkeypox pandemic, the transmission of the infection, vaccination and the role of healthcare workers. The healthcare role is crucial in preventing and promoting the monkeypox pandemic. These results can be consolidated when policymakers plan to increase the implementation of the healthcare worker in the face of monkeypox and future global threats.
Introduction: Severe acute respiratory syndrome (SARS) is a potentially life-threatening. Severe acute respiratory syndrome (SARS) is the rapidly progressive respiratory illness which may be due to the pathogens that have potentials for large scale epidemics. MERSCOV AND H7N9 (Avian influenza) has been described by SARS. The causative organism of a SARS yet not being identified or it cannot be easily established. SARS increases morbidity and mortality which is associated with the COVID -19. COVID-19 can be complicated by severe acute respiratory syndrome (SARS) and may often cause multisystem involvement is encountered. SARS patients had mandatory needs of intensive care unit hospitalization and mechanical ventilation. Main Symptoms and/or Important Clinical Findings: A 50 years old female was admitted in A.V.B.R.H. with chief complaints of cold, cough (dry, non-productive, non-bloody), vomiting, loose stool, breathlessness since 3 days. The patient was hypertensive for which she was taking Tab Amlo. After undergone certain investigation like complete blood test, HRCT, ECG and diagnosed as SARS and shifted to Intensive care unit. The Main Diagnoses, Therapeutic Interventions, and Outcomes: A 50 years old female with severe acute respiratory syndrome (SARS) with chief complaints of cold, cough (dry, non-productive, non-bloody), vomiting, loose stool, breathlessness, the doctors manage her initially withantibiotic, steroids, vitamin C, multivitamin and anticoagulant and adequate nursing management. Nursing Perspectives: The nursing interventions initiated for managing present case aremonitor the vital sign i.e., blood pressure, pulse, respiration, temperature, maintain oxygen level and intake output. BIPAP site observed and ensure that the patients is comfortable. Patient assessed for GCS, Glucose level and sign of cyanosis, monitoring the ESR, D-DIMER, RT PCR, FERRITIN other investigations like HRCT. Conclusion: In the Present case the patient of 50-year-old female with severe acute respiratory syndrome (SARS) it has been managed with the therapeutic treatment, right now the patient condition is worsened.
Background: Breast cancer is the most commonly diagnosed type of cancer in the world and it is a major stressor in women's lives. Breast cancer cases are increasing in both rural and urban settings. Mastectomy is a procedure that removes the breast to prevent cancer cells from returning. Many complications can develop after a mastectomy but lymphedema and limited range of motion are the most prevalent. The present study aimed to assess the effectiveness of post mastectomy exercises in breast cancer patients on reduction of lymphedema and improving range of motion among patients undergone mastectomy. Objectives: To assess pre interventional level of lymphedema among patients undergone mastectomy. To assess pre interventional range of motion among patients undergone mastectomy. To evaluate the effectiveness of post mastectomy exercises in reducing lymphedema among patients undergone mastectomy To evaluate the effectiveness of post mastectomy exercises in improving range of motion among patients undergone mastectomy. To associate demographic variable with post mastectomy exercises. To associate correlation of post mastectomy exercise with lymphedema and range of motion. Methodology: A pre interventional one group pretest posttest design would be adopted to assess the effectiveness of post mastectomy exercises in breast cancer patients on reduction of lymphedema and improving range of motion among patients undergone mastectomy. In this study interventional analytical study will be used. Purposive sampling technique will be used to collect the data. The study will include 30 patients undergone mastectomy will be assessed by using American lymphology lymphedema scale and Elvaru STJ (Subtalar joint) range of motion and range of motion reliability tool with the help of inch tape and goniometer and then post mastectomy exercises will be teach by researcher as intervention. Expected Results: The goal of this study is to see how effective post-mastectomy exercises are at reducing lymphedema and improving range of motion in breast cancer patients who had undergone mastectomy. Teaching post-mastectomy exercises can help the respondents reduce lymphedema and improve their range of motion.
Disease awareness is an essential factor and has been defined as knowing about disease and being aware of preventive measures and the outcome as well as lifespan; all the informatics about the condition has to be provided.Evaluating the understanding of home care management among COPD patients and examining the impact of the self-care module on their knowledge, taking into account demographic factors. The research design used in the study is one group pretest-posttest research design-a hundred COPD patients, including fifty males and fifty females. Quantitative variables were described as percentage and frequency. A structured demographic sheet revealing age, gender, residence, occupation, nutritional patterns, habits, allergies, living near an industrial area and exposure to biogas, along with a self-care module on home care management, was given to the patients with COPD as an intervention. The analysis was done using inferential and descriptive statistics. A significant improvement in knowledge of home care management was observed from the pretest to the posttest scores, indicating the effectiveness of the self-care module for COPD patients. The calculated tvalue, i.e., 39.83 and the p-value was 0.001. Therefore, it can be concluded that the self-care module had a statistically significant impact on increasing the knowledge of home care management among COPD patients. A considerable number of COPD patients had a deficiency in knowledge regarding the home care management of COPD. The self-care module on home care management for COPD showed remarkable effectiveness. As a result, promoting continuous health education programs can help enhance knowledge of home care management.
COVID-19 from Wuhan, China has spread easily all over the world. Most of the COVID-19 infected patients have fever and breathing disorders. Here, we report a case of Guillain-Barre syndrome (GBS) with a COVID-19 infection. GBS is a very rare disease with corona virus infection. It is really hard to diagnose. In this state the limbs of the patient are slowly weakened. The condition worsens daily with weakness of the limbs. The Guillain-Barre syndrome is a complex and acute or chronic neurological condition. Campylobacter jejuni and other viruses, including cytomegalovirus and Epstein Barr Virus, are causing this condition.1 It is a disorder that is progressive, symmetric, proximate, distal, and characterised by weakness. Muscle reflexes are reduced to absent. Aetiology is unclear, Death is uncommon. The diagnosis of GBS can be made by cerebrospinal fluid analysis and nerve conduction studies.2 We present a case of Guillain-Barre syndrome with COVID-19 infection, who presented to the emergency Outpatient department with complaints of weakness against his bilateral upper and lower limb.
Introduction: Subacute sclerosing panencephalitis (SSPE), frequently referred as Dawson disease, is a kind of sclerosing panencephalitis, and is an uncommon long-term, continuous cerebral inflammatory condition triggered by a gradual infection with particular faulty types of hyper mutated measles virus. Main Symptoms and/or Important Clinical Findings: Patient came with the complaint of gait abnormalities, sudden fall while walking, loss of speech, staring look, abnormal smile and loss of bladder control, hemiplegia and contracture of all four limbs, seizures, Grade III Malnutrition. The Main Diagnoses, Therapeutic Interventions, and Outcomes: Patient undergone investigation i.e. Blood Test: Hb- 9.8 gm%, TLC- 14,700/mm, Platelet- 2.24 lacs /cu.mm, Total Protein- 8.4 g/dl, HCT- 29.8, Serum Bilirubin- 1.0mg/dl, ALP- 99IU/L, Serum Urea-32mg/dl,SerumCreatinine-0.5mg/dl,SerumSodium-153meq/L,SerumPotassium-.2mmol/L. .CSF igg Measles test was done EEG which revealed burst of periodic complexes with well-preserved back ground activity. Doctor manages with Tab. Valparin 200mg BD, Tab. Frisium 5mg BD, Tab. Baclofen10mgBD,Tab. Samion D3 OD, Syp Q-Carni 5ml BD, Tab. Augment375mg BD. Outcome: After treatment, the child showed some improvement. The patient was admitted to Pediatric Ward No- 22, AVBRH with known case of Subacute sclerosing panencephalitis (SSPE) and he had complaint of swelling over right jaw with caries tooth since4month.
Breast cancer is commonly treated with a surgical intervention called mastectomy. The feared complication of mastectomy is lymphedema. Postmastectomy exercises are very essential for patients who have undergone mastectomy which help to prevent constriction of muscle and joint contractors and also improve lymph and bloodstream. To assess pre interventional level of lymphedema and effectiveness of exercises after mastectomy at reducing lymphedema in breast cancer patients and associated with demographic variables. The research design used in the study is one group Pre test Post test research design. Sixty post-mastectomy patients took part in the research. Quantitative variables were described as frequency and percentages. A structured demographic sheet that includes information on age, marital status, co-morbid illnesses and family history, as well as the American Lymphology Lymphedema Scale by using inch tape and a goniometer. Both descriptive and inferential statistics was used do analysis. There is a significant difference between the pre-interventional and post-interventional level of lymphedema score interpreting effective post-mastectomy exercises on reduction of lymphedema among patients undergoing mastectomy. The calculated 't' value i.e., 20.47 and the p-value was 0.001. Hence it is statistically interpreted that post-mastectomy exercise in the reduction of lymphedema among patients undergoing mastectomy was effective. An effective intervention in the prevention of lymphedema in women following mastectomy involving dissection of axillary lymph nodes could be early exercise after surgery. Breast cancer survivors can exercise safely after their mastectomy at any point during their cancer journey, including while receiving treatment.
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