Professional Nursing Today - Volume 10, Issue 4, 2006
Volume 10, Issue 4, 2006
Author Liezl NaudeSource: Professional Nursing Today 10, pp 22 –24 (2006)More Less
This 54 year old female patient suffered with this ulcer for the past 4 years. Initial start of the ulcer is unknown. Before she was admitted to the clinic as an outpatient on a weekly basis she was treated two times per week at a local wound care clinic. No Ankle Brachial Index was ever done and no application of compression was applied. Since she is a foreigner she paid privately for the treatments.
Author Marina MaundSource: Professional Nursing Today 10, pp 25 –26 (2006)More Less
Some cancer patients often present with radiation burns, or large exudating, odourous wounds. At this stage of this debilitating disease, palliative relief to the patient from both pain and odour is paramount. <BR>The challenge posed to the Private Nursing Practitioner is to try to achieve the balance in both instances, and by the same token to encourage the patient to lead as normal a life as is possible in the circumstances they find themselves in.
Source: Professional Nursing Today 10, pp 28 –55 (2006)More Less
Extracted from text ... 28 Professional Nursing Today July / August 2006 Vol. 10 No. 4 industry news Amka has introduced its Krayons baby care product range that is enhanced with natural ingredients, gentle to use on babies, clinically tested for mildness and approved by dermatologists. The skin is an incredible organ; it protects the body by acting as a protective wrapping. The skin needs protection too, and who better to provide it than Mother Nature. According to Hussein Kalla, Krayons Brand Manager, it was this logic that prompted Krayons to take a leaf out of Mother Nature's book and develop a baby care ..
Source: Professional Nursing Today 10, pp 33 –36 (2006)More Less
Extracted from text ... 33 Professional Nursing Today July / August 2006 Vol. 10 No. 4 HIV Helena Rabie, 1, 2 Ben J Marais, 1, 3 Mark F Cotton1, 2 1Department of Paediatrics and Child Health, 2KIDCRU Paediatric Infectious Diseases Unit, 3Ukwanda Centre for Rural Health, Faculty of Health Sciences, Stellenbosch University, Tygerberg, South Africa Introduction Sub-Saharan Africa carries the brunt of the global Human Immunodeficiency Virus (HIV) epidemic. The vast majority of HIV transmission occurs through heterosexual contact with the highest infection rates occurring among women of childbearing age, therefore new born babies are frequently exposed to HIV. The World Health Organisation (WHO) ..
Source: Professional Nursing Today 10, pp 38 –40 (2006)More Less
Although there has been a global decline in the incidence of pertussis in the past four decades, the incidence has increased in developed countries, particularly in preteens, adolescents and adults. These groups provide a major reservoir of the disease for vulnerable unimmunised or incompletely immunised infants. This trend has not yet been documented in South Africa. In young infants, the diagnosis is made on the basis of clinical features. Older age groups do not usually show the typical clinical picture, leading to misdiagnosis and underreporting. The culture of <I>Bordetella pertussis</I> from the posterior nasopharynx remains the gold standard for diagnosis but laboratory diagnosis is complex and unavailable in most settings. <BR>Erythromycin, instituted early in the course of illness, remains the treatment of choice although there is now good evidence for the use of other macrolides, particularly in the neonate. Immunisation of young infants remains the best preventative method against the disease. Due to the re-emergence of the disease in older age groups, developed countries are recommending booster vaccines in adolescents.
Author Greg HusseySource: Professional Nursing Today 10, pp 42 –44 (2006)More Less
Extracted from text ... Varicella vaccination - indications and contra-indications Prof Greg Hussey Paediatric Infectious Diseases Unit University of Cape Town PASSIVE IMMUNISATION Varicella-zoster immunoglobulin (VZIG) 0.15 ml/kg by intramuscular injection (minimum 1ml and maximum 5 ml) should be given to all individuals at risk within 96 hours of exposure, the earlier, the better. These include : ? Immunocompromised children ? Pregnant women ? Neonates born to mothers who had chickenpox 5 days before to 2 days after delivery ? Hospitalised premature infants whose mothers did not have chicken pox ACTIVE IMMUNISATION Varicella vaccine is a preparation of the serially propagated and attenuated wild ..
Source: Professional Nursing Today 10 (2006)More Less
Extracted from text ... 44 Professional Nursing Today July / August 2006 Vol. 10 No. 4 Swelling, pain and varicose veins are common problems caused by the irregular flow of blood in your legs. The Jobst range of medical legwear is a safe and stylish way to help prevent these unpleasant conditions. Jobst is a leader in the research, development, and manufacture of innovative medical compression stockings, and falls under the umbrella of the worldwide healthcare group, BSN Medical. The Jobst range has been designed to aid anyone who suffers from leg problems related to poor blood circulation, such as frequent travelers and pregnant ..
Author P.C. PotterSource: Professional Nursing Today 10, pp 45 –50 (2006)More Less
Allergy diagnosis is based on careful history taking and tests selected according to the age, geographical location, occupation and the clinical profile of the patient. Early diagnosis (as young as 3 months of age) assists with prevention of severe type I reactions, the management of atopic eczema flares and the prevention of asthma. <br>Allergy tests for foods now have cutoff values that can predict with confidence a 95% chance of developing a clinical reaction to that food if challenged with it. Inhalant allergy tests are selected based on the geographical location of the patient. Testing for non-IgE-mediated reactions may be conducted using elimination challenge diets or using the CAST test for preservative sensitivities. <br>Elimination challenge diets have an important role to play in the selection of specific tests to identify foods responsible for adverse reactions. Western blots and in-house ELISAs are important tools for the identification of specific IgE responses to indigenous allergens and 'now' allergens which are not yet commercially available.