About 463 million people have diabetes in the world and more than 19 million people in the African region. It is estimated that by 2045, around 47 million Africans will be diabetic (International Diabetes Federation, 2019). Zambia one of the 48 countries of the International Diabetes Federation (IDF) African, is no exemption and Diabetes Mellitus (DM) is on the increase. (International Diabetes Federation, 2019). Diabetes mellitus is a metabolic disorder characterized by high glucose level in the blood over a long period of time. It usually manifests with increased thirst, frequent micturition, unexplained weight loss, increased hunger, fatigue and blurred vision. This is a family case study of Mrs E. C, a female adult aged 47 years with diabetes mellitus type two aims to prove that a combination of the right medication, diet, exercise and change of life style can improve the quality of life of people living with diabetes. She learnt of her condition in 2015 after experiencing extreme hunger, increased thirst and frequent micturition. The client’s home environment, how the family is coping up with the condition was assessed. The process of several home visits enabled us to identify actual and potential problems for our patient in order to provide appropriate nursing interventions to sensitise, train patients and their families on aware of the signs and symptoms and treatment of DM at home. Four home visits were conducted.
Background: Alcohol is a recognized teratogen in utero because of its potential to cause damage to the brain resulting in developmental, cognitive and behavioral problems including Fetal alcohol spectrum disorders (FASDs) and mental health problems such as anxiety, depression, attention deficit hyperactivity disorders. Main objective: To explore the determinants of alcohol use among pregnant women at George Health Centre. Method: The study adopted a mixed convergent method approach. An analytical cross-sectional design recruited 255 pregnant women from which 24 participated in descriptive qualitative design collected through 4 focused group discussions from women who gave a history of drinking alcohol. Results: The study showed that 4 in every 10 pregnant women had a history of alcohol consumption prior to and during pregnancy. Significant factors associated with alcohol use included smoking which increased the odds of drinking alcohol 11.24 more times among smokers. Pregnant women’s likelihood to drink alcohol was 63% lower among those of high socioeconomic status (SES) compared to the lower classes. The results also found a behavioral gap between high levels of awareness on harmful effects of alcohol compared to the high prevalence rate recorded. Conclusion: The findings suggest a great need for assessment, identification and management of prenatal alcohol consumption among pregnant women attending antenatal care in health facilities.
Introduction: Patients’ satisfaction with the care provided by student nurses indicates that students are able to meet the patients' needs, which could also be an indicator of the quality of nursing education received by students and quality of care offered by future nurses. Quality of care influences patient satisfaction and also boost the morale of the care givers.Methods: This was a descriptive quantitative cross sectional study done on 100 randomly selected patients from four admission wards at Ndola Teaching Hospital. The data was collected using a validated semi-structured questionnaire and analyzed with the Statistical Package for Social Sciences version 25. A p-value of ≤ .05 was considered statistically significant using Chi square test.Results: The results showed that patients (79%) were dissatisfied with the nursing care provided by student nurses. The cause of dissatisfaction was low quality of care received (48%), lack of student supervision (60%), poor student patient interactions (68%) and level of training (75%). Patient satisfaction had a significant association with availability of supervisors (p = .010), level of training (p = .002), number of students per ward (p = .011) and student interactions (p = .001).Conclusions: Patients are not satisfied with the care provided by student nurses due to poor quality of care provided as students are not guided, and overcrowding in the wards making patients uncomfortable being exposed to a lot of unqualified staff, These findings will help educators to identify areas of improvement in student clinical learning to enhance quality care. Therefore it is recommended that training institutions should strengthen clinical supervision of student nurses by faculty members and senior nurses to enhance the quality of care.
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