Nursing Interventions: Effects of Coma Arousal Technique on the Clinical Outcomes of Unconscious Patients

Mohammed, Heba

doi:10.9790/1959-0601086780

Cited by 3 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The differences between the two groups were statistically significant with respect to the intervention group. This is congruent with a national research study finding carried out by Mohammed and Hassane ( 2017 ). Worldwide, however, there is limited research on the effect of sensory stimulation on RBS among patients following TBI.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

“…Family engagement is a vital aspect of sensory stimulation for comatose patients following TBI, but research is scarce so far in the Egyptian context. In Egypt, several studies have been investigating the effect of sensory stimulation on improving TBI patients' level of consciousness (Mohamed et al, 2018 ; Mohammed & Hassane, 2017 ). However, little is known about the effectiveness of family members as the source of sensory stimulation in patients following TBI (Zuo et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

et al. 2022

View full text Add to dashboard Cite

Aim To determine the outcomes of Family‐centred Auditory and Tactile Stimulation Implementation on Traumatic Brain Injured Patients in Egypt. Background Family engagement in the care of their relatives in the Intensive care units is limited due to patients' life‐threatening conditions, in addition to the use of high technology in these settings. Auditory and tactile sensory stimulations are among the diverse sensory stimulations that have received more attention in brain injured patients than other senses as being considered safe, and effective measures. Design A Quasi‐experimental design was used to test the hypotheses of this study. Methods A convenience sample of 60 adult patients suffering from Traumatic Brain Injury and admitted to the intensive care units of two University Hospitals in Egypt was included in the study. Patients were assigned into two equal groups: control and study groups (30 patients each). The auditory and tactile stimulations were provided by trained family members, once daily for 2 weeks for the study group. Whereas routine communication was provided by the family of traumatic brain injured patients in the ICU for the control group. Two tools were used for data collection; tool one, the “Glasgow Coma Scale” to assess patient's level of consciousness, and tool two the “Physiological Adverse Events Assessment” to monitor patients for the occurrence of physiological adverse events. Data collection: January to October 2019. Results The implementation of an organized auditory and tactile stimulation by trained family members is associated with highly statistically significant positive effects . Patients in the study group showed a higher mean of consciousness, lower incidence rate of physiological adverse events, and a lower mean duration of ICU stay. Conclusions Implementation of an organized auditory and tactile stimulation by trained family members enhanced the consciousness level of comatose Traumatic Brain Injured patients, decreased the occurrence of physiological adverse events, and ICU length of stay. Thus, it is recommended for use in the daily routine nursing care of comatose Traumatic Brain Injured patients. Relevance to Clinical Practice This study gives a deeper understanding of how family engagement in the care of their critically ill relative enhances their recovery and improve their level of consciousness.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The current study reported that; existence of improvement in stroke severity among study group than control group at third and fourth measurements by proper application of care pathway; this result supported by [21] they documented that; proper identification of stroke severity is an indicator for appropriate planned care by neurologists and neuroscience nurses, wherever they observing and changes in the patient's neurological status and measuring stroke severity for early recovery and improving from stroke. On the other hand the improvement in stroke severity among study group occurred by the effect application clinical pathway which included performing of coma arousal technique; this result supported by [22] and [23] they reported that; proper nursing care and application of coma arousal technique decreased occurrence of physiological parameters adverse events by. The researcher explained that; the stroke severity among study group decreased by application of planned care and closed follow up via clinical pathway team.…”

Section: As Regards To Demographic Characteristics and Medical Datasupporting

confidence: 53%

Effect of Clinical Pathway Application on Stroke Patients’ Outcomes

2021

IJONE

View full text Add to dashboard Cite

A clinical pathway is a process for managing patient by states the goal and main elements of care based on Evidence Based guidelines, best intervention to enhance quality of care; outcomes and reduce length of patient's hospitalization. Aim of the Study:To evaluate the effect of clinical pathway applications on stroke patients' outcomes.Design: Quasi-experimental design was used to test the research hypothesis.Subjects: A purposive sample of 78 patients, they divided randomly and alternatively into two equal groups 38 patients in each as follows: (1)The study group (I): received their care by application of clinical pathway (2) The control group (II): received routine hospital care.

show abstract

“…Research has shown that the rapid spread of the COVID-19 pandemic, which necessitated decisions and adoption of appropriate control measures impose pressure on hospitals and health-care centres, with various consequences on patient’s rights in some countries during the period of the pandemic (Adeli et al , 2020). The most effective way for health-care professionals to fulfil their obligations under the “right to health” approach is to ensure that they provide the highest possible standard of care while respecting the fundamental dignity of each patient (Mohammed et al , 2015). As pointed out by Kloiber (2016), protecting patient rights requires doctors to have necessary professional autonomy that allows them to put their patients first.…”

Section: Introductionmentioning

confidence: 99%

Respect for patients’ rights in health facilities: experiences of patients during the early period of the COVID-19 pandemic in Ghana

Golo

2022

IJHRH

View full text Add to dashboard Cite

Purpose This paper aims to identify human rights violations of patients during the early periods of the COVID-19 pandemic in Ghana by investigating the experiences of people on how health-care professionals discharged their responsibilities during the time in question. Design/methodology/approach Explanatory design of the mixed methods approach was adopted, with the intention of collecting both quantitative and qualitative data sequentially, and then integrating the results at the interpretation stage. The approach enriched the quality of data collected as it offered the advantage of shedding light on the primary motivations and reasons for attitudes and behaviours and helped to provide an in-depth understanding of how individuals interpret the happenings around them and their experiences. Thus, although some amount of quantitative method was used in the data collection, the core of this paper is based on the qualitative interpretations. Findings The study reveals that health-care professionals, especially those in the Tema Metropolis, undermined certain fundamental human rights of patients during the early period of the COVID-19 pandemic. This includes failure to provide information to patients about treatment options and potential risks of medications; failure to seek the informed consent of patients before performing medical procedures; denial of access to medical files of patients for transfer; and inability or failure to provide medical ambulances services to patients on time. Originality/value Although many publications on human rights dimensions and health protective issues on COVID-19 pandemic are available on a global scale, still little information pertaining to experiences of individuals with health-care professionals during the early days of the COVID-19 pandemic, especially in Ghana through the lens of patient’s rights exists. This paper, therefore, fills an important gap in health-care management information, critical for policy decision-making processes regarding patient’s rights in times of pandemic control.

show abstract

Nursing Interventions: Effects of Coma Arousal Technique on the Clinical Outcomes of Unconscious Patients

Cited by 3 publications

References 18 publications

Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

Effect of Clinical Pathway Application on Stroke Patients’ Outcomes

Respect for patients’ rights in health facilities: experiences of patients during the early period of the COVID-19 pandemic in Ghana

Contact Info

Product

Resources

About