Poor communication by health care professionals may lead to life-threatening complications: examples from two case reports

Tiwary, Abhishek; Rimal, Ajwani; Paudyal, Buddhi; Sigdel, Keshav Raj; Basnyat, Buddha

doi:10.12688/wellcomeopenres.15042.1

“…Poor [27,30]. This finding is consistent with literature [45,46]. Thus, the need for continuous education from qualified health professionals cannot be overemphasized based on these findings.…”

Section: Discussionsupporting

confidence: 87%

Adherence to Antidiabetic Medications among Women with Gestational Diabetes

Asiedu-Danso

¹

,

Kretchy

²

,

Sekyi

³

et al. 2021

Journal of Diabetes Research

4

1

0

View full text Add to dashboard Cite

Background. Optimal adherence to prescribed medications in women with gestational diabetes is relevant for perinatal outcomes. Objective. To summarize available information on the prevalence and factors contributing to medication adherence in women with gestational diabetes from the biological and psychosocial perspectives. Methods. A literature search on adherence in gestational diabetes was conducted in PubMed/MEDLINE, CINAHL, Scopus, and the Directory of Open Access Journals for studies published on the topic. The Arksey and O’Malley framework for scoping reviews was used to explore and summarize the evidence. Results. A total of 2395 studies were retrieved of which 13 fully met the eligibility criteria. The studies were reported in Zimbabwe ( n = 5 ), Iran ( n = 1 ), Mexico ( n = 1 ), South India ( n = 1 ), the United States of America ( n = 4 ), and one multinational study covering Australia, Europe, North and South America. The main types of antidiabetic medications used were insulin ( n = 6 ), metformin ( n = 4 ), and glyburide ( n = 2 ). The prevalence of adherence ranged from 35.6% to 97%, with the assessment tool being self-report measures ( n = 8 ). The main factors associated with nonadherence included worsening pregnancy symptoms, side effects of medications, perceived risks, mental health symptoms, poor social support, and socioeconomic status. Recommendations that evolved from the studies to improve adherence included education, counselling, improved support networks, and social interventions, while the main reported interventional study employed continuous education on the impact of adherence on perinatal outcomes. Conclusion. Medication nonadherence in gestational diabetes seems to be influenced by multiple factors with some educational interventions positively impacting adherence behaviours. Thus, future research in women with gestational diabetes could consider interventions from a multifactorial perspective to improve therapeutic outcomes.

show abstract

“…Similar to our findings, previous studies found that the environment of ICU is very hostile for staff and the vulnerable critically ill elderly patients in terms of physical and mental stressors [27], [28], [29], [30]. In particular, the intensive care setting can be an obstacle to providing intensive care for long-stay elderly patients who have complex vital conditions [31].…”

Section: Discussionsupporting

confidence: 86%

Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research

Heydari

¹

,

Sharifi

²

,

Moghaddam

³

2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Enhancing the quality of care for elderly patients needs an understanding of the challenges and obstacles experienced by the intensive care unit (ICU) staff in providing care. AIM: To explore the most challenging issues experienced by ICU staff, in particular, nurses, in the care of elderly patients in the general adult ICU. DESIGN: A qualitative research design was employed. The Standards for Reporting Qualitative Research (SRQR) were followed. METHODS: Based on theoretical sampling, we carried out 34 in-depth semi-structured interviews from two medical adult ICUs. Data analysis was carried out using qualitative conventional content analysis. RESULTS: Data analysis led to the identification of three interrelated categories and 12 subcategories. Three main categories were factors related to nurses’ attitude in elderly care, factors related to the system of care, and factors related to the models of patient care delivery. These categories came under the main theme of "Inappropriate and unfair system for elderly care". CONCLUSION: The findings of this study increase scholarly understanding of challenges and barriers to providing care to elderly patients in the general adult ICU. We found that the provision of care to elderly patients is inappropriate and unfair. Various obstacles must be overcome to improve the care of these patients. For example, negative attitudes toward elder care, inappropriate environments, lack of resources, lack of knowledge and skills, a specialized model of care delivery, respect for humanity, care without considering patient age, and separating professional conflicts from patient care. These findings may be used by ICU’s caregivers and managers to improve the quality of care. IMPLICATIONS FOR PRACTICE: Various obstacles were documented that need to be overcome by hospital administrators, nursing managers, clinical nurses, nursing educators, nursing researchers to improve the care of elderly patients admitted to ICU.

show abstract

“…In our case, the lack of proper communication between involved hospitals and doctors might be one of the reasons for his loss to follow-up [ 18 , 19 ]. Besides his financial constraints and ignorance, inadequate counselling about the diagnosis may have led to the discontinuity of care, which is very common in developing countries [ 18 , 19 ]. Due to limited resources in hospitals, it is common in developing countries to refer patients to other centers for further care [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Spindle cell sarcoma: a case report of diagnostic and therapeutic quandary in a low resource setting

Panthi¹,

Poudel²,

Khanal³

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Sarcomas can present differently in different parts of the body and showcase varied histopathological features and tend to recur locally and metastasize to distant sites. We discuss a case of a 37-year-old male with local recurrence of spindle cell sarcoma of the paraspinal muscles of size 20 × 20 cm2 with overlying ulceration and discharge with possible pulmonary metastasis. The mass was evaluated using magnetic resonance imaging/computed tomography and the histology was confirmed by biopsy. Wide surgical resection of the mass was done and the patient was referred to another center for radiotherapy and further treatment. The large size of the sarcoma and the possible pulmonary metastasis poses a risk of significant morbidity and mortality in this patient. This case showcases the scenario of many patients in developing countries where the patients are lost to follow-up due to various reasons and present later with grave consequences.

show abstract

Poor communication by health care professionals may lead to life-threatening complications: examples from two case reports

Cited by 66 publications

References 5 publications

Adherence to Antidiabetic Medications among Women with Gestational Diabetes

Adherence to Antidiabetic Medications among Women with Gestational Diabetes

Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research

Spindle cell sarcoma: a case report of diagnostic and therapeutic quandary in a low resource setting

Contact Info

Product

Resources

About