Journal of Nursing & Care

Introduction: Hepatic Encephalopathy (HE) is neuropsychiatric deterioration syndrome due to hepatic insufficiency. HE symptoms appear gradually ranging from altered mental status to deep coma and manifest as disorders of orientation, memory, perception, reasoning, focusing, rigor, and generalized convulsions. Four levels of HE exist with different symptoms.
Aim of the paper: To observe Specific Nursing Care rendered to hepatic encephalopathy patients and determining the significance of nurse education and employment length in HE patient healthcare.

Methodology: This is a cross-sectional study of 70 nurses in (Clinical Center of Serbia, Clinic for Gastroenterology and Hepatology) Between May1 to December15, 2011. The questionnaire was divided into two parts with 18 questions in total. The first part consisted of general questions (sex, professional education, working experience, working hours), while the second part had 13 questions assessing knowledge of nurses about the specificities of HE healthcare

Results: The most common cause of hepatic encephalopathy is ethylic cirrhosis with 69.2%, while 30.8% of patients with cirrhosis and HE died in period from 1.5.-15.12.2011. Nurses (N=70) declared that 91.4% of them had no adequate conditions to provide necessary HE patient healthcare. Out of N=70, 78.6% knew how to recognize first symptoms of HE while 64.3% nurses made no difference between HE and other diseases.

Conclusion: Specificity of HE patient healthcare encompassess nursing interventions and diagnosis. Through continuous education, respecting previous knowledge, it is necessary to focus on specific diseases such as hepatic encephalopathy with the aim of providing healthcare excellence.

Adolescent pregnancy was considered a private matter that only involved the pregnant adolescent and the immediate family members. This issue has now however become a public concern. An increasing awareness of social and economic consequences of adolescent pregnancy has led to a consensus among researchers and policy makers and the general public at large that adolescent pregnancy and childbearing is a serious social problem. It is linked to concerns such as the spread of HIV/ AIDS, non-marital births, sexual abuse and neglect, abortions, infant and maternal mortality, high rate of unemployment, school failure and drop-outs, and loss of self-esteem and limited future career opportunities. This paper identifies and explains factors that influence adolescent pregnancy in Namibia using the 2006/7 DHS.

Objective: To study the variation of separation of umbilical stump in newborns who received intravenous antibiotics and compare it with healthy newborns.

Method: Two groups of newborns were taken, each comprising of 100 newborns. One group had received intravenous antibiotics for sepsis and the other group comprised of healthy newborns. On follow ups, the day of separation of umbilical stump was asked to the mothers and was noted and analyzed.

Results: Newborns who received antibiotics had a delay in separation of umbilical stump (mean=18.26 days), whereas the healthy newborns had early cord separation (mean of 8.68 days).

Conclusion: Delay in umbilical stump separation in antibiotics received newborns is due to decreased infiltration by bacteria and thus leucocytes and delayed digestion by bacteria. The family members can be counselled accordingly to allay their anxiety.

Introduction: Hepatic Encephalopathy (HE) is neuropsychiatric deterioration syndrome due to hepatic insufficiency. HE symptoms appear gradually ranging from altered mental status to deep coma and manifest as disorders of orientation, memory, perception, reasoning, focusing, rigor, and generalized convulsions. Four levels of HE exist with different symptoms.

Aim of the paper: To observe Specific Nursing Care rendered to hepatic encephalopathy patients and determining the significance of nurse education and employment length in HE patient healthcare.

Methodology: This is a cross-sectional study of 70 nurses in (Clinical Center of Serbia, Clinic for Gastroenterology and Hepatology) Between May1 to December15, 2011. The questionnaire was divided into two parts with 18 questions in total. The first part consisted of general questions (sex, professional education, working experience, working hours), while the second part had 13 questions assessing knowledge of nurses about the specificities of HE healthcare

Results: The most common cause of hepatic encephalopathy is ethylic cirrhosis with 69.2%, while 30.8% of patients with cirrhosis and HE died in period from 1.5.-15.12.2011. Nurses (N=70) declared that 91.4% of them had no adequate conditions to provide necessary HE patient healthcare. Out of N=70, 78.6% knew how to recognize first symptoms of HE while 64.3% nurses made no difference between HE and other diseases.

Conclusion: Specificity of HE patient healthcare encompassess nursing interventions and diagnosis. Through continuous education, respecting previous knowledge, it is necessary to focus on specific diseases such as hepatic encephalopathy with the aim of providing healthcare excellence.

Stroke results in impairment of motor, cognitive and sensory/perceptual functions. As such, activities of daily living (ADL) after stroke can be affected. These affectations can persist for a long time depending on the extent of the affectation in the brain and rehabilitation. In fact, stroke has lately been recognized as a long term condition. Thus, stroke rehabilitation requires intensive time. When stroke occurred, the brain capitalizes heavily on learning to recover function; and the best way to induce such learning is known to be through task specific training. Effective stroke rehabilitation requires knowledge of the current available evidence base. However, to embrace the current available evidence, skills in information retrieval and critical appraisal of the literature are needed. Unfortunately, the skills of a say, entry level physiotherapists may not be adequate for them to be abreast of the evidence-based practice. Thus, there is a need to summarize the literature for such therapists to help them note some important issues in stroke rehabilitation.

The All India Institute of Medical Sciences, Bhopal is one of the pioneer institutes of health care in India. As we aim at achieving Health for all, we have to shift from medical care to health care. For achieving, it was crucial to have good rapport with the community. Therefore, we organized different awareness, generating activities among the local community. We faced various challenges and learned from them for the future activities in the community. We learned the importance of being a care manager rather than physician only to achieve health in all aspects. Our real time experiences in community and family health can help the new emerging health professional to provide more efficient health care.

Background: From the perspective of the Roy Adaptation Model, leprosy is seen as a focal stimulus with severe psychological repercussions that force persons to modify their behavior in order to avoid being rejected by the social stigma the disease creates, thus inducing in them an ineffective adaptive response of the self-concept mode. The aim of the present work was to describe the effect of the directed imagination technique at the adaptation level of the self-concept mode in persons with leprosy in Colima, Mexico during 2012.
Methods: A quantitative study with a pre-experimental, longitudinal, and prolective design was conducted. The sample was made up of 24 persons that were given a before-and-after self-concept test using the Viveros 03 instrument, which has a Cronbach’s alpha reliability coefficient of 0.8581. The technique of directed imagination was employed; this procedure promotes the adoption of desirable behavior through exercising the imagination. The Wilcoxon’s signed-rank test was used for confirming effectiveness and a p ≤ 0.05 was regarded as a statistically significant value.
Results: The resulting adaptation levels found in the self-concept mode were the following: in the pre-test, the integrated level was 91.7% (n=22); in the post-test the integrated level rose to 95.8% (n=23). The difference between both tests was significant (p= 0.007).
Conclusion: Based on these results, we conclude that the technique of directed imagination increased the adaptation level score of the self-concept mode in persons presenting with leprosy in Colima.

Motorcycle riding is one of the transportation modalities especially in many rural communities in Nigeria. Many people have lost their lives through road traffic accidents (RTA) involving motorcycles especially when riding without a helmet. Motorcycle riding without headlight at night is a criminal offense and can result to RTA. We report a case of unique foreign body; plastic cover with its spring of two-cell touch light in the pharynx of a 45year old farmer who held touch light in his mouth as a source of light while riding motorcycle in the night. The Foreign body of this nature has not been reported in the literature.