Incidences of cancer prevalence are on the rise in Kenya. Studies have shown that as a result of cancer diagnosis, treatment and management experiences, cancer patients and caregivers endure significant levels of stress. Whereas healthcare personnel focus their attention on reducing the physical and emotional pain the cancer patient is exposed to, often the caregivers’ needs are neglected. Yet, the caregiver is a valuable partner in determining the treatment and management outcomes of the cancer patient as well as increasing knowledge about cancer prevention, treatment and management among the general population. This study sought to establish the sources of stress among caregivers of colorectal cancer patients in a hospital in Nairobi and the coping strategies they commonly used to overcome the stress. It was found that the majority of the caregivers of colorectal cancer patients were spouses. Besides the sources of stress identified in various studies, others included lack of information about a patient’s diagnosis, exclusion from decision-making on treatment, the high cost of colorectal cancer treatment, stigma, exhaustion and burnout. Their stress reactions included irritability and anger. Among the coping strategies the caregivers used included avoidance of events and thoughts associated with the cancer diagnosis, pain and treatment; and getting information and support from family members, friends, support group members and the Internet. It was found that there was no formal framework for healthcare professionals engaging caregivers. The most alienated caregivers were those not proficient in English. Since these were also likely to have limited sources of information, their levels of stress were likely to be higher than those who were proficient in English.
Purpose: The aim of this study is to evaluate the factors influencing breastfeeding among children aged 0 to 6 months received in an urban community health center in Abidjan Cocody (Côte d'Ivoire). Methods: To do this, a cross-sectional and analytical study was conducted in the Anono Urban Community Health Service with 362 mothers interviewed using survey cards. The socio-economic characteristics, the choice of breastfeeding, the type of breastfeeding influencing breastfeeding were studied. The study ran from March to April 2018. The data was processed using Excel 2007. Results: The results showed that some factors hinder exclusive breastfeeding. Mothers' function was an impediment to exclusive breastfeeding, 43.93% were civil servants and 29.56% were students and 26.51% were housewives or shopkeepers. In our study, more than 40% of mothers did not practice exclusive breastfeeding for a cosmetic problem, 31% were related to the sex of the baby, 15% associated with caesarean delivery, 11% for low education level and 2.5% because of the age of the mother. Among the civil servant mothers, or students, 100% practiced mixed breastfeeding. Overall (362) of the mothers surveyed, over 54% practiced mixed breastfeeding. The majority of these mothers introduced water (52%), fruit juice (24%), cereals (15%) and herbal teas at 9%. More than 47% were unable to practice exclusive breastfeeding for the first six months. In this study there is a problem of satiety at 25.41%, insufficient milk secretion 19.34% and other conditions contraindicated for exclusive breastfeeding. Conclusion: The factors of the non-practice of exclusive breastfeeding were low education level, function, early introduction of solid foods, aesthetic problem, and unavailability of time of mothers, satiety problem, insufficient milk secretion and conditions for breastfeeding. These factors will have to be taken into account in the strategy to increase the rate of exclusive breastfeeding and its continuation up to six months in mothers in communes where the standard of living is relatively high.
Patients with metastatic spinal tumor need effective nursing strategies in palliative medicine. And the evidences on how to manage this specific patient accepted 125I seeds implanation plus percutaneous vertebroplasty in perioperative period. Actually, effective pain control towards the end of life is difficult to manage. Besides, ideal nursing strategies may help patient to acquire high quality of life in end stage of life.
Cerebral palsy describes a group of chronic disorders that affect a person's ability to control body movement and posture, occurring in two to six cases in 1000 births. There are many types of cerebral palsy, of which spastic cerebral palsy is the most common form and is the type seen in 75 to 80 percent of cases. Spasticity is a common symptom seen after upper motor neuron syndrome. Spasticity due to neurological disorders such as cerebral palsy results from a significant increase in muscle tone and muscle tightness, limiting movement and joint mobility. Tight muscles cause a decrease in range of motion and limited joint mobility. This leads to an abnormal gait commonly observed as scissors, with 1 foot crossing in front of the other at each step. There are different physical therapies and modalities used in the treatment of muscle tightness caused by cerebral palsy, but have not yielded satisfactory results. The tightness of the bilateral adductors also influences the calf muscle, pulling the toes toward the ground and lifting the heel from the affected floor. The most commonly used techniques are passive stretching. Passive stretching uses an external force applied by the therapist to stretch the tense muscles. It shouldn't be painful, and excessive stretching can cause muscle damage. This stretching position is maintained for about 30 seconds and repeated several times to maintain the length. According to physical medicine and rehabilitation clinics in North America, passive stretching alone is not effective in improving long-term muscle tightness in children with cerebral palsy. Although passive stretching continues to be common among the long-standing component of physiotherapy programs, research has not proven effective over the long term. Passive stretching combined with active exercise has also shown little benefit in improving muscle strength. There is no specific division used which has shown an advantage in sealing the adductor muscles. Therefore, we need to look for new feelings in physical modalities or techniques that can show long-term results on muscle oppression. Reliable and valid tools should be used should be used to accurately assess spasticity in clinical practice and for research purposes. Results from several studies have shown that the interrater and intra-rater reliability of the modified Ashworth scale stated that repetition of measurements by the same physiotherapist and experience may not affect the reliability of the scale modified from Ashworth. The modified BohannonSmith Ashworth scale (MAS) was recently modified and is an ordinal measure of spasticity, which ranks the intensity of spasticity from 0 to 4. Recent studies on the modified modified Ashworth scale (MMAS) are a reliable measure to assess spasticity of the upper or lower limbs of patients with spasticity. Therefore, in this study, we used the modified Ashworth scale to record the basic study data. Matrix rhythm therapy is a basic therapy method to maintain good body health (prevention) and to support healing of musculoskeletal, postoperative and rehabilitation problems. Deficient energy metabolism at the cellular level during illness must be normalized prior to adequate therapy. Rhythmic matrix therapy Cell metabolism can be rehabilitated before subsequent gross exercises which will move and train the muscles. It also helps to cure pain and readjust the dynamic balance shifted at the cellular biological level and this healing must be activated at the cellular level.
Amyotrophic lateral sclerosis (ALS) and progressive muscular atrophy (AMP), collectively known as motor neuron disease (MND), are rapidly evolving fatal neurodegenerative diseases. There is no proven curative treatment. MND causes progressive muscle weakness and stiffness, limited mobility, slurred speech, difficulty swallowing and possibly respiratory problems. Most patients with MND die from respiratory failure. The median survival time from the onset of symptoms is three years. Being diagnosed with MND naturally leads to existential shock in patients and their caregivers, forcing them to reassess their lives. Psychological reactions to the diagnosis can range from heartache and anger to the desire for hasty death. To date, the results on the prevalence of psychological problems are inconsistent, but it would seem safe to conclude that only a minority of patients suffer from clinical depression and anxiety, and that most people with MND while having problems end of life find a way to cope with the diagnosis and demonstrate psychological resilience. In this context, the feeling of hope can play a role, as shown by patients with other terminal illnesses. Herth defined hope as an inner power which facilitates the transcendence of the current situation and the movement towards a new consciousness and enrichment of being. In fact, hope has been identified as a central need for terminally ill patients and their caregivers. To date, research in MND on the theme of hope is mostly limited to the perspective of patients. Some studies on hope in MND have been conducted, confirming the relevance of the concept and the need for healthcare professionals to take the time to explore approaches that promote hope in their patients. Deepening our understanding of hope in dyads with MND could help enrich communication between patients, caregivers and professionals, and help improve supportive care as in other terminal illnesses.
To aim of the research is to study the incidence rates, time trends and socio-demographic associated factors of colorectal cancer among patients registered in Dubai hospital for the period 2008-2016, to study some. There was about 1.4 million new cases around the world of colorectal cancer (CRC) and almost 700 000 deaths in 2012. The distribution of CRC burden varies, with more than two- thirds of all cases and about 60% of all deaths occurring in countries with a high or very high human development index (HDI). CRC is considered one of the clearest markers of the cancer transition, replacing infection-related cancers.
