The Food and Drug Administration (FDA) stipulates that siderails should not be used as mechanical containment . However, evidence in the literature suggests that this fact has been frequently ignored. The siderails are commonly used as restraint and have been used indiscriminately which in turn can compromise the safety, dignity and autonomy of the patient . To perform translation and cross-cultural adaptation of the Evaluation of Siderail Usage instrument into Portuguese. Validate the content of the translated instrument through the Judges Committee; perform a pre-test with the final version of the translated instrument evaluating its use in practice in hospitalized adults.This is a methodological research. Phases : initial translation; synthesis of translations; back-translation and evaluation of the versions by a committee of judges. The study will be submitted to the Federal University of Fluminense / UFF CEP. It is expected that the instrument can be used to evaluate the patients with siderail in hospitals, supporting the systematization of nursing care and should contribute to the reduction of the use of siderails as restraint and to improve patient safety hospitalized. It is essential to conduct an assessment to determine the removal of siderail . Reducing the use of gratings did not decrease the number of falls from the bed and resulted in significantly fewer serious injuries . An assessment of inpatients is needed to prevent siderails from being used as restraint. Descriptors / keywords: siderail; accidental fall; patient safety
Rosimere Ferreira Santana has completed his PhD from Federal University of Ceará, 2012. She is leader of the Nucleus of Studies and Research in Gerontological Nursing (NEPEG). Vice-coordinator of the Professional Master's Program in Nursing Care (MPEA). He has published more than 90 papers in reputed journals and has been serving as an editorial board member of repute.
Acute febrile neutrophilic dermatosis (Sweet’s syndrome) is characterized by pyrexia, neutrophilia, and the abrupt appearance of erythematous, painful, cutaneous plaques. We describe the case of an 83-year-old man, who was presented to our hospital with increased frequency of urination, progressive fatigue, weight loss, and fever. Along with this, patient was concerned about the rapidly developing open skin ulcers for about 3-4 weeks. Initial lab-reports showed anemia, leukocytosis and elevated PSA. Imaging was negative for any abnormality. Surgical biopsy of the skin lesion was performed, and it revealed the diagnosis of sweet’s syndrome. Patient was treated with intravenous steroids with rapid improvement in his condition and eventual complete resolution of the skin ulcers. His prostate biopsy and gastro-intestinal evaluation came negative for malignancy. Bone marrow biopsy was done for persistent anemia and thrombocytopenia and the patient was found to have high-grade Myelodysplastic syndrome. Keywords: Sweet syndrome, Myelodysplastic Syndrome, Anemia, Rare entity
Dr Abeer Arain, M.D., M.P.H, is currently a Medical Resident in the department of Internal Medicine, University of Illinois Urbana-Champaign. She completed her Medical Degree from Dow University of Health Sciences, Pakistan and Master’s in Publich Health from University of Oklahoma Health Sciences center, Oklahoma City, OK, United States. She is particularly interested in cancer research and is planning to pursue career in the field of Oncology.
Patients with Parkinson's disease must face changes in their physical, mental, and social functions. One such critical changes is that in the psychological dimension; psychological changes that can produce fatigue and depression. This study explored depression and its associated factors in patients with Parkinson's disease. In this cross-sectional correlational study, 130 participants were recruited for interview. Four inventories, namely the geriatric depression scale, fatigue inventory, social support, and basic demographic data, were completed. Data were analyzed using independent t tests, analyses of variance, the Pearson product-moment correlation coefficient, and linear multiple regression. The multiple regression analysis results revealed that marital status, Hoehn and Yahr stage, number of comorbidities, social support, and degree of fatigue could explain 28.3% of depression variance and were related to depression severity. Marital status had a significant influence on depression. Patients without spouses had higher depression scores than did married patients. The factors of having a spouse, a lower Hoehn and Yahr stage, fewer comorbidities, more social support, and a lower degree of fatigue were all correlated with a lower degree of depression. Nurses should note that patients with Parkinson's disease may experience depression and subsequent fatigue in different stages of disease progression. The rigorous provision of advice to patients with Parkinson's disease is necessary. Nurses should encourage patients to attend hospital and community activities, improve their social lives, and reduce their loneliness to enable their depression and subsequent fatigue to be reduced to the lowest possible degree..
Yi-Tung Lin has completed her Master from I-Shou University. She is the Senior Specialist of Department of Nuring, E-DA hospital. She has published more than 5 papers in journals.
Ward Rounds are a fundamental process in the care of hospital inpatients. Little attention has been paid to the organisation of ward rounds. Effective communications between patient, doctor and nurse are vital to the planning, delivery and review of progress. Since 2009 I have audited whether the Doctors on the round have been briefed by the Nurse in Charge prior to the round, whether there is a nurse present at the bedside and whether a report is given back to the primary nurse after the review. There has been a progressive fall in Nurse at the Bedside but improvements in reports before and after reviews. The main factors contributing to the improvements were moving from two wards to one and a Hospital mandate for a pre-round meeting of doctors and nurses. Understaffing appears to be the main contributor to deterioration in the statistics for nurse at the bedside. The importance of the presence of an actively participant nurse remains undervalued to the detriment of rich communications and effective patient care.
Dr Caldwell qualified from Oxford University and Kings College Hospital Medical School in 1980. He worked in Kings, Brighton, Edinburgh, Hammersmith and Newcastle Hospitals. Since 2004 he has developed an interest in the organisation of Ward Rounds. This resulted in a joint publication in 2012 by the Royal College of Physicians and Royal College of Nursing on recommendations for effective ward rounds in medicine. Dr Caldwell has published papers on the use of a Ward Round Checklist.
Diabetes mellitus is a chronic non-communicable disease andis increasingin trend due to modernization and unhealthy lifestyle. Antidiabetic medication is one of the pharmacological approach being prescribed to the diabetes patients for optimizing the blood glucose level. However, non-adherence towardsmedicationwas identified as one of the barrier to the effectiveness of diabetes management. Theaim of this study is to determine the adherence rate among type 2diabetes patients towards their anti-diabetic medications and its associationwith socio-demographic and clinical profiles.Across sectional descriptive study was conducted on427randomly selected diabetes patients who had attendedtwo public hospitals implementingTotal Hospital Information System (THIS)in Malaysia. Data collection wasperformed usingvalidated Medication Compliance Quetionnaire (MCQ).Data obtainedwere analyzed using SPSS software version 22. A multivariable logistic regression analysis was used to examine the associationbetween patients’ profile and medication adherence.The confidence interval was set at95% CI withpvalue of 0.05.Overall, a response ratefor this study was 93.4%.The adherence rate of the diabetes patients was 53.4% with theIndian and Chinese ethnics were more likely to adhere towards their medication presciprtionwith p=0.017 and p=0.046 respectively.There was also a significant assosciation betweenHbA1c level with patients’ medication adherence (p=0.001). As a conclusion, the contributing factors other than socio-demographic and clinical profile were suggested to be explored subjectively from patients’ point of view to facilitate a formulation of patient-centred strategies on adherence to antidiabetic medication.
Nor Fadhilah is now pursuing her doctoral study in Nursing at University Putra Malaysia. Nor Fadhilah has completed herMaster degree in University Sains Malaysia in year 2014.She is an academic trainee of University Sultan ZainalAbidin, Terengganu. She has published 2 papers. Currently, she has submitted one article to be published in an international journal.
Introduction: Millions of people in this world suffer with cancer. In Malaysia breast cancer is the most common cancer among women. Malaysia. Malaysia reported asone of those developing countries affected with a high incidence of breast cancer.In 2014 WHO reported breast cancer consists of 24.5% of all cancer cases in Malaysia. The Ministry of Health (MOH) used primary prevention approach during the beginning part of the prevention programme with the aim to improve breast health amongst Malaysian through education and awareness programmes. It is to empower women to taking control for their own breast health. Therefore, emphasize and promoting Breast Self-Examination (BSE) as part of breast cancer awareness program is important. BSE also have potential in improving prognosis of breast cancer outcome. Previous study in Malaysia found that the practices of BSE among female were low; 27.8% among female adolescents (Che, Coomarasamy&Suppayah, 2014) and 54.5% among ufemale university students (Abu Samah, Ahmadian&Lati, 2015) The objectives: of this study is to determine the BSE practices among female teachers and factors influencing its. Method and materials: This is a cross-sectional study among female teachers in Ipoh, Perak. A random sampling method is used to select eligible female teachers in national secondary schools in Ipoh City, Perak. A total of 510 teachers were included in this study. A validated and reliable self-administered questionnaire was used in this study. The questionnaire obtained information on sociodemographic characteristics, breast health history of respondent (personal history of breast disease and family history of breast cancer), knowledge and beliefs concerning breast cancer and BSE. Results:The study indicated that the majority of the respondents 388 (76.1%) practice BSE. There were association between knowledge on signs and symptoms of breast cancer (t=-2.95, p=0.004), risk factors of breast cancer (t=-3.15, p=0.002) and knowledge on breast self-examination (t=-5.01, p<0.0001) with breast self-examination practice; and also were significant association between perceived benefits (t=-2.59, p=0.01), perceived barriers (t=-2.64, p=0.008), confidence (t=-6.74, p<0.0001) and health motivation (t=-3.09, p=0.002) with practice of breast self-examination. Conclusion: The study revealed that the proportion of female teacher practicing breast self-examination was high (76.1%). The most common factor significantly associated with BSE practices were knowledge, perception and health motivation of the respondents
Dr. Muhamad HanafiahJuni is a Associated Professor and Public Health Medicine Specialist obtained his MD from National University Malaysia, and his post-graduate studies from University of Malaya Kuala Lumpur and London School of Economics where he obtained his Master of Public Health and Master Science (Economics) respectively. His research interest is in areas of health economics evaluation and health program evaluation. He is currently attached with the Department of Community Health, Faculty of Medicine and Health Sciences Universiti Putra Malaysia. He is also Chairman of Community Health Society Malaysia and Chief-editor for International Journal of Public Health and Clinical Sciences.