Introduction: Corona viruses are a family of viruses that causes illness such as respiratory diseases or gastrointestinal diseases. Respiratory diseases can range from the common cold to more severe diseases. Corona viruses are zoonotic, meaning that the viruses are transmitted between animals and humans. It has been determined that MERS-CoV was transmitted from camels to humans and SARS-CoV from cats to humans. Objective: 1. to assess the knowledge of old age person about physiological -psychosocial problems by pre-test in Shree Ambika niketan old age home due to Corona Pandemic situation. 2. To assess effectiveness of planned teaching program regarding physiological-psychosocial problems by post-test in Shree Ambika Niketan old age home due to Corona Pandemic Situation. Methods: The quasi-experimental study was conducted in Surat city by using structured questionnaire. The sample comprised of 30 samples of old age people in Shree Ambika niketan old age home, Surat. During pre-test, old age people were handed over the questionnaire and told them to fill it with an informed consent. Confidentiality and privacy of the details provided by the old age people was assured. The questionnaire consisted of 30 questions. Planned teaching program regarding physiological -psychosocial problems was given to enhance knowledge of old age people. The data gathered were analyzed using descriptive and inferential statistics in terms of frequency, percentage, mean and standard deviation. Results: The mean post-test knowledge score was higher than mean pre-test knowledge score with the mean difference of 10 which revealed that the planned teaching program was effective in terms of knowledge among samples. The chi-square calculated value was less than the chi-square tabulated value at 0.05 level of significance relationship between the knowledge and the selected demographic variable of the samples. Conclusion: Research finding highlighted that the knowledge of old age people was improved after implementation of planned teaching program regarding physiological-psychosocial problems. it is established that planned teaching program related to physiological-psychosocial problems was effective in enhancing the knowledge of old age people regarding physiological-psychosocial problems. It shows that the planned teaching program was effective, acceptable and also useful method of teaching for old age people.
Heart surgery encompasses not only physical concerns but also long lasting psychological harms depleting postsurgery quality of life. Complementary therapies as progressive muscle relaxation (PMR) is undertaken to decrease the fatigue and improve the quality of sleep among these patients. This study was undertaken to assess the effect of PMR on sleep quality and fatigue among these patients. Randomized controlled design was undertaken, 33 patients in experimental group and 32 patients in control group were selected. Quality of life and fatigue was assessed using standardised questionnaires before surgery, post surgery at 2 weeks and 6 weeks. Experimental group was provided with PMR program preoperatively. Statistically significant reduction in fatigue, sleep quality improvement at 6 week (p<0.05) and no significant reduction in fatigue (p-0.797) and sleep quality improvement was noted at 2 week (p- 0.822). Benefits of PMR are established with the findings of the present study. PMR is an effective way to ease the patient’s journey from a major surgery to routine life with less of pharmacological dependence.
Background: Valvular heart diseases (VHD) are significant cause of mortality and morbidity globally with rheumatic heart disease (RHD) contributing to major burden in India. Management of progressive VHD requires mechanical or bioprosthetic valve replacement. Mechanical valve replacement requires lifelong anticoagulation which carries the risk of serious bleeding and thromboembolic events unless INR is maintained within the prescribed narrow therapeutic range. Effectively managing the determinants of INR control like patient education, drug- adherence, lifestyle habits, drug and food interactions and frequency of INR monitoring can help improve patient outcome. Aim: To assess the effect of structured patient education programme on knowledge regarding anticoagulation therapy and INR Control among patients undergoing mechanical valve replacement. Materials and methods: This quasi-experimental study was conducted among 60 admitted adult patients undergoing valve replacement surgery. Structured patient education programme was provided to the experimental group whereas control group had routine care. The baseline knowledge of both groups was assessed using a self-structured questionnaire preoperatively and post-intervention knowledge was assessed at 1-month follow-up. INR values of the patients were recorded at 7 days and 1-month follow-up. Results: Majority of the patients in both groups (87 versus 83.3%) had poor knowledge regarding anticoagulation therapy at baseline. Median knowledge score of patients improved significantly (p<0.05). The proportion of patients within therapeutic range of INR in the experimental group was higher (23.3%) at 1-month follow-up as compared to 13.7% in the control group which was statistically not significant (p-0.59). Higher knowledge score was associated with higher monthly income and urban residence. Conclusion: Structured patient education programme significantly improved the knowledge of patients regarding anticoagulation but had no significant effect on INR control. Patient education programme should be implemented in hospital settings in order to improve patient outcome. Keywords: structured patient education programme, anticoagulation knowledge, INR Control, mechanical heart valve replacement.
From the principles of respiratory care developed during the poliomyelitis epidemics, neurological intensive care has grown into a wide area encompassing both acute and severe aspects of neurological disease. A neuro-ICU is a form of intensive care unit dedicated to the treatment of patients with life-threatening neurological conditions. Neuro-ICUs were created about 25 years ago in response to a growing demand for more advanced expertise in the increasingly sophisticated techniques for recognising and treating neurological disorders. A neuro-ICU is a form of intensive care unit dedicated to the treatment of patients with lifethreatening neurological conditions. Neuro-ICUs were created about 25 years ago in response to a growing demand for more advanced expertise in the increasingly sophisticated techniques for recognising and treating neurological disorders. In the acute and perioperative treatment of cerebrovascular disease, the neurological intensive care unit plays a critical role. The cornerstone of neurocritical treatment understands how to use intracranial pressure (ICP) control and how to apply the necessary intervention for ICP elevation to ensure sufficient cerebral perfusion. Preventing secondary brain injury requires careful control of the interplay between cerebral and systemic physiology, especially in disorders of cerebral autoregulation. Finally, knowing the pathophysiology of the damaged brain in acute stroke, subarachnoid haemorrhage, and arterial stenosis will help direct the best use of interventional endovascular procedures in these conditions [1].
Antibiotic acts by attacking the pathogenic bacteria on different levels in the human body. These medicines prevent bacterial infection. Overuse or misuse of antibiotics increases the risk of the spread of resistant strains of bacteria. Antibiotic resistance occurs when bacteria change in some way that eliminates the effects of drugs chemicals which are providing to cure or prevent infections. Aim: This study will help nurses to increase the knowledge, attitude, and practice regarding antibiotics. Background: Examining the knowledge, attitude, and practice of the nurses regarding antibiotic resistance and usage can help us in commendable proper educational involvements for nurses. Methods: This study is done on 105 tests of nurses out of 600 nurses by Colvin's strategy and is conducted by exploiting a cross-sectional method that incorporates a distinctive Likert scale rating. Results: Senior staff nurse and generic nurses have a good knowledge regarding antibiotic resistance as compared to diploma nurses. Conclusions: Demoralization is considered to be further investigated for better understanding.
The majority of coronary surgical procedures are conducted for multiple vessel disease, and coronary artery bypass surgery (CABG) remains an established form of treatment for coronary artery disease. Overall, coronary artery surgery has a low fatality rate. Post-surgical neurocognitive impairment is also a source of worry. Percutaneous coronary intervention has had a significant impact on CABG, halting the explosive rise of the procedure in the 1980’s and directing surgeons' attention to patients with severe coronary disease and several concomitant diseases. This has prompted surgeons to improve coronary revascularization techniques in order to improve clinical efficacy, lower costs, and decrease invasiveness. The current study shows that better discharge planning and home support services are needed. Further research should compare the experiences of cardiac patients and their caregivers to those of other surgical groups, as well as analyse methods of periodic follow-up and mechanisms for mutual support.
*Corresponding author: Jansson K, University of Oulu, Oulu, Finland; E-mail: jankfin02@yahoo.com Received date: February 1, 2021; Accepted date: February 20, 2021; Published date: February 27, 2021 Citation: Jansson K (2021) An Overview on Critical Care Nurses: Challenges & Workload. J Perioper Crit Intensive Care Nurs 7: 170. doi:10.35248/2471-9870.21.7.170 Copyright: © 2021 Jansson K. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. INTRODUCTION
Pulmonary critical care, also known as critical care medicine, is a subspecialty of emergency medicine that deals with injuries and diseases of the respiratory or pulmonary system, which includes the lungs, trachea, diaphragm, and other associated structures. Intensive treatment Pulmonologists are specially trained to treat patients with respiratory problems such as multi-system failure and other life-threatening conditions. They also work in intensive care units (ICUs) in hospitals, alongside other critical care doctors and intensivists, to perform resuscitation and other procedures [1]. Gas exchange, especially the absorption of oxygen and the removal of carbon dioxide, is the primary goal of the respiratory system. The latter is crucial for acid-base homeostasis to be maintained. This necessitates close ventilation regulation by the brain stem's respiratory centres. The respiratory drive measures the mechanical performance of the respiratory muscles by the strength of the respiratory centres' output (also known as breathing effort) [2]. Critical care providers and critical care pulmonologists are essential for patients with life-threatening pulmonary conditions at any stage of the process, from initial assessment to diagnosis and treatment. Since so many of these pulmonary diseases affect the rest of the body, a cystic fibrosis patient can develop a complication that necessitates surgery on an otherwise unrelated part of the body. Critical care pulmonologists are present and interested with every general health problem that the patient has in order to ensure the patient's respiratory health.
One of the treatments for many life-threatening liver illnesses is liver transplantation. A growing number of liver transplant surgeries are now possible thanks to advancements in liver transplant surgery, anaesthesia, and perioperative care. The goal of this study is to look at some of the significant developments in perioperative care for liver transplant patients, such as preoperative evaluation, intraoperative monitoring, and postoperative monitoring. Many life-threatening liver illnesses can still be treated by liver transplantation. In Denver, Colorado, the first human liver transplant was conducted in 1963. Between 1995 and 2011, around 350 liver transplants were conducted in India. Numerous advancements in perioperative management, such as expertise in surgical techniques, better pre-operative optimisation, intraoperative monitoring and management, changes in immunosuppression regime, and advances in post-operative management, have increased the number of procedures performed as well as the outcome. After a liver transplant, oneyear survival has increased from 72 percent to 79 percent in 1998 to 85 percent to 90 percent in 2008. The ten-year survival rate has grown from 33% in 1998 to 53% in 2008 and 66% in 2010.
A 28 year old pregnant patient with pre-existing comorbidities admitted with fever, shortness of breath, decreasing blood oxygen saturation levels at COVID 19 suspected ward, was shifted to covid area after her- PCR reports came out to be positive. Her symptoms gets worsen, hence started on mechanical ventilation and baby was delivered by emergency cesarean section. Her blood oxygen saturation levels were 80-90% in spite of full ventilator support. Later on RT- PCR report came negative and patient was managed in ICU, where holistic management of patient was and patient was discharged on room air with minimal complications.
*Corresponding author: Reper P, Critical Care Department, CHU UCL Namur, Yvoir, Belgium; E-mail: paskal.reper@chrhautesenne.be Received date: February 05, 2021; Accepted date: February 20, 2021; Published date: February 28, 2021 Citation: Reper P (2021) Pregnant Women Care during Covid-19. J Perioper Crit Intensive Care Nurs 7: 171. doi:10.35248/24719870.20.7.171 Copyright: © 2021 Reper P. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. INTRODUCTION
Medical problems can't always be fixed, despite advancements in modern medicine. Death and dying are unavoidable aspects of life, and each one is a personal experience. No two end of life situations are the same. If an individual has a life-limiting illness, meaning it cannot be healed and will cause them to die, the focus of their treatment will change from attempting to heal them to providing the best quality of life possible. Palliative care isn't just about those in their final days. An individual can receive palliative care for many years, months, weeks, or days, depending on their circumstances. Palliative care may be given at a person's home, in a residential aged care facility, at a hospice, or in a hospital. It is open to anyone of any age, culture, history, beliefs, or place. The current paper give an overview on palliative care & its importance and nurses role as well as discussion on the challenges that faced by nurses during palliative care.
One of the most significant variables in encouraging and inspiring nurses (who make up the vast bulk of the healthcare workforce) to practice at the highest level of their licensing is nursing leadership. “A nurse who is interested in excelling in a career path, a leader within a healthcare organization who represents the interests of the nursing profession, a seasoned nurse or healthcare administrator interested in refining skills to differentiate themselves from the competition or to advance to the next level of leadership,” according to the ANA Leadership Institute. Nursing management and leadership is most effective when the entire team is successful. While attributes such as encouraging, motivating, and supporting are commonly included in the definition of nurse leadership, genuinely successful nursing leadership must be able to grow as the nursing sector changes and shifts. This nurse leadership style has been associated to better patient outcomes, less medical errors, and higher staff retention, all of which benefit the healthcare industry as a whole [1].
