Professional Nursing Today - latest Issue
Volume 20, Issue 3, 2016
Author Annelie MeiringSource: Professional Nursing Today 20 (2016)More Less
When celebrating Women's Month, we are inevitably celebrating nurses and what nurses do. The celebrations focus on the many achievements of women and the role women play at home and in the economy. August is a month when women are honoured for their achievements as business and community leaders, they are celebrated for their selflessness and their continuous efforts to improve the circumstances of those in need.
Author L.A. SehularoSource: Professional Nursing Today 20 (2016)More Less
Over the past five years, there appears to have been an increasing number of campaigns for the legalisation and decriminalisation of marijuana around the world, particularly in America and South Africa. During this period in particular the campaign has gathered momentum, but has had contrasting outcomes in both countries.
Source: Professional Nursing Today 20, pp 4 –7 (2016)More Less
Bacteria possess the ability to cause infection in two very distinct ways. The first way is when an individual bacterium with its unique genome uses one portion of its genes to stay a free-floating, motile cell (planktonic phenotype) that has a strategy in a host environment to breach and kill cells with its virulence factors to create a source of nutrition. The second way is that the very same bacterium can up-regulate a separate group of genes, which lets it attach to a host structure. Once attached to the host, the bacterium secretes a polysaccharide matrix around itself and its progeny. When this small group reaches a sufficient number (quorum), signalling molecules (quorum-sensing molecules) direct the gene expression of each bacterium throughout the colony. This lets a community of bacteria develop within the protection of the matrix, which gives colony defences against host immunity, including antibodies and white blood cells. Given that a biofilm requires attachment, it cannot use the host tissue to which it is adhered for a nutritional source and, therefore, successful biofilm uses local inflammation to produce plasma exudate on which it can nourish itself.
Source: Professional Nursing Today 20, pp 8 –16 (2016)More Less
Diabetes is the world's fastest growing chronic disease and affects people of all ages. Reliable statistics are not readily available for South Africa, but data held by companies that supply insulin suggest that approximately 200 000 people in South Africa use injectable therapies to treat their diabetes. Health outcomes are affected if the incorrect injection technique is used, and this is a frequent occurrence which can be remedied.
Source: Professional Nursing Today 20, pp 17 –19 (2016)More Less
Magnesium (Mg2+) is an essential ion for general well-being. After potassium it is the most abundant ion in the body and is responsible in enzymatic reactions especially for energy metabolism and protein synthesis. Imbalances in the overall magnesium status may lead to hypomagnesaemia or hypermagnesaemia; both of these can lead to untoward effects in cardiac, nervous or neuromuscular disorders. This article provides a brief overview on the physiological function of magnesium in the body and different indications where it may be used.
How compression of tubular bandage could be of assistance in 6-year-old venous ulcers : wound care/stoma careAuthor Marie BackebergSource: Professional Nursing Today 20, pp 22 –23 (2016)More Less
In wound care, the management of leg ulcers requires that the clinician must always consider a venous, arterial or mixed aetiology. Most wound care practitioners are also familiar with the ever present challenge of patients who need to wear compression, but are non-adherent. A common belief in the community and even among clinicians is that patients with leg ulcers need to wear "tight stockings" for optimal healing of wounds, without taking the vascular status into consideration.
Source: Professional Nursing Today 20, pp 24 –25 (2016)More Less
Author L. SteynSource: Professional Nursing Today 20, pp 28 –29 (2016)More Less
A blocked "stuffy" nose has a considerable negative impact on the quality of life of both parent and child. However, it has a considerable negative impact on the quality of life of both the parent and child. Infants with blocked noses struggle to breathe while feeding, and young children are unable to blow their noses properly to ease their discomfort. Infants and children with a blocked nose have difficulty sleeping at night too. Parents often seek help on how to clear their child's nose. The focus of this article is how to ease the discomfort of a blocked nose in a child until the condition resolves.
Source: Professional Nursing Today 20, pp 36 –38 (2016)More Less
In South Africa, once upon a long time ago, midwifery was a separate discipline. Even today, there are many older midwives and nurses who remember the 'green epaulette' brigade. When these midwives are spoken about, it is mostly with respect and even a modicum of reverence. I should know, because my own grandmother was such a midwife in the Eastern Cape, fondly known as Nurse Dominy by the many families she assisted as they started or grew their brood.
Image of nursing : will the new curriculum affect the future of nursing in South Africa?
Presentation at the 2016 FPNL Conference, Hilton Hotel, SandtonAuthor D.L. MaganoSource: Professional Nursing Today 20, pp 40 –41 (2016)More Less
The image of nursing rests on how we see nursing to be what it is, remembering that it encompasses the autonomous and collaborative care of individuals of all ages, families, groups and communities sick or well and in all settings. The fundamental responsibilities remain including promoting health, preventing illness, restoring health and alleviating suffering. We know that "Nurses are the heartbeat of health care" and continue to be the hospitality of the hospitals.
Source: Professional Nursing Today 20, pp 42 –43 (2016)More Less
Blood stem cells, known as hematopoietic stem cells, reside primarily in marrow, the spongy interior of bones. These "starter" cells resupply three types of blood cells: erythrocytes, commonly known as red blood cells; platelets, also called the blood-clotting cells; and leukocytes, the white blood cells of the immune system. When the body needs to replace red blood cells, platelets for blood clotting, or immune cells, stem cells located in the bone marrow mature in a process called haematopoiesis. Haematopoiesis goes on constantly in the human body, but certain conditions call for increased activity. For example, when a person moves to a high altitude or attempts to recover from serious bleeding, increased numbers of stem cells must move from the bone marrow into the bloodstream.
Part 3 : Medico-legal documentation
Practical completion of pages 2 and 3 of the J88 form : legal and ethical columnSource: Professional Nursing Today 20, pp 44 –50 (2016)More Less
This is Part 3 of a three-part series on medico-legal documentation. Part 1 addressed the knowledge and skills necessary to complete a legal J88 document. Part 2 provided practical guidance on completion of the J88 form in the case of assault. This article will focus on pages 2 and 3 of the J88 document, which deals with the alleged sexual offences of both adults and children.
The assumption may exist that the J88 is the only significant document with respect to medical findings in alleged rape andchild sexual abuse cases, and that the court needs this information to make a decision on the medical aspects of a case. However, the court needs the information to be interpreted by a medical practitioner, who must indicate the significance of the findings, determine who should supply relevant additional information, and then place the entire picture in context.
This article attempts to highlight the value of the relevant aspects, while raising awareness of an unscientific interpretation of clinical examination.
Source: Professional Nursing Today 20, pp 50 –56 (2016)More Less
Atopic dermatitis (AD), the dermatological manifestation of the atopic diathesis, has a variety of clinical presentations. It is a chronic and relapsing inflammatory disorder, requiring a multifaceted treatment approach. Topical corticosteroids are the backbone of therapy. However, concerns over adverse drug reactions associated with their long-term application limit their use.
Tacrolimus, on the other hand, has been shown to be effective in stabilising the symptoms of AD in the long-term setting, without the side-effects that hamper the use of topical corticosteroids. Long-term safety data up to ten years are available in the literature. Despite this, the US Food and Drug Administration (FDA) black box warning of possible malignancies has resulted in much debate among experts.
The main focus of this article is to compare the safety and efficacy of topical corticosteroids to calcineurin inhibitors, particularly tacrolimus. Furthermore, the aim is to evaluate the place of tacrolimus in AD therapy. A brief overview of the condition and other treatment modalities will also be discussed.
Patient safety - our burden to cherish
A 2016 Nurses Day Message by Yolanda Walsh, Mediclinic Southern Africa : legal and ethical columnAuthor Yolanda WalshSource: Professional Nursing Today 20, pp 51 –52 (2016)More Less
The self-chosen title of this presentation is Patient Safety - Our Burden to Cherish. It seems like a contradiction - how can you possibly cherish a heavy load? But isn't this something that you do every day? You protect and care for a multitude of patients - lovingly and with the knowledge that the treatment plan may carry risks and that at any moment something can go wrong. I appreciate this now more than ever, especially because I miss being a comforting presence and interface at a patient's bedside.