Professional Nursing Today - Volume 12, Issue 5, 2008
Volume 12, Issue 5, 2008
Author Vicki Pinkney-AtkinsonSource: Professional Nursing Today 12 (2008)More Less
It is official. The gap between rich and poor in South African is getting wider (worse) and is the highest (worst) in the world. When I heard this bad news in a recent church sermon, I thought that I had better check the minister's facts. Perhaps this man of God had not really understood these worldly matters. Surely it could not be true in our "new," albeit a bit tarnished, South Africa. Our wonderfully progressive constitution which outlines the right of citizens to access to: health care services, food, water and social security "including if they are unable to support themselves and their dependants, appropriate social assistance." As if by divine intervention, I did not have to wait long for confirmation, for at a SA Medical Association conference in August, the fact was revealed by a local healthcare economics expert. I was offering a great big apology for doubting the honourable man of the cloth, mea maxima culpa.
Source: Professional Nursing Today 12 (2008)More Less
"To err is human"....
where does negligence, malpractice and misconduct fit the puzzle? : leadershipAuthor K. ErasmusSource: Professional Nursing Today 12, pp 5 –6 (2008)More Less
Nursing malpractice lawsuits are on the increase. Professional industry literature frequently addresses what should be done to provide safe and effective nursing care, however, it does not describe the pitfalls and problems associated with the delivery of substandard and inadequate patient care.
Author D. RegensbergSource: Professional Nursing Today 12, pp 8 –10 (2008)More Less
Entrepreneurship, and particularly the nurse entrepreneur, faces many challenges in establishing and growing a healthy business. Two particular trends which come to mind relate to the difficulty in obtaining funding for start-up, and sustaining oneself during the development phase. What we often neglect to take into account is the funding requirements once a practice has been established, or the financial implications in the event of an adverse event. This article will focus on the practice which is up and running, once the initial start up has been achieved.
Source: Professional Nursing Today 12 (2008)More Less
Consumers will now see five key nutritional values displayed clearly on the front of Kellogg's® cereal boxes, courtesy of the user-friendly, front-of-pack (FoP) Guideline Daily Amounts (GDAs) labelling tool Kellogg is piloting in South Africa. This tool aims to help consumers make informed purchasing decisions at a glance, and, judging by its success abroad, could dramatically help consumers achieve a balanced diet and improve nutritional literacy in the country.
Author W.F.P. Van HeerdenSource: Professional Nursing Today 12, pp 12 –15 (2008)More Less
Author P. SmithSource: Professional Nursing Today 12, pp 16 –19 (2008)More Less
Making sense of all the available information regarding healthcare associated infections (HCAIs) with multidrug resistant organisms (MDROs) is something of a confusing nightmare for most practising nurses. The object of this article is to demystify some of the confusion and aid the nurse in her / his understanding of the role of MDROs, the variety thereof and management of these hospital pathogens, as well as the role that healthcare providers play in the development, transmission and prevention of healthcare acquired infections.
Author S. VisserSource: Professional Nursing Today 12, pp 22 –25 (2008)More Less
Breast cancer is the most common female cancer in the United States and is the second most common cause of death in women aged 45-55. In South Africa breast cancer had the highest incidence in 1999 and the second highest in 1998.
Early detection of breast cancer increases ones chances of survival as the disease is detected and treated before it has a chance to spread to other areas of the body. The three main methods of screening are breast self-examination, clinical breast examination and mammography.
A suspicious breast lump / mass should be further investigated. Further testing that may be performed to determine the diagnosis of a lump are breast ultrasound, needle aspiration, biopsy and magnetic resonance imaging.
Breast cancers fall into two main categories : in situ cancers and invasive cancers. Treatment of breast cancer is individualised according to the type of cancer, the size of the tumour, presence or absence of lymph nodes, the knowledge as to whether the tumour is oestrogen and / or progesterone positive or negative and whether it is Her2 positive or negative, as well as the presence or absence of distant metastases.
Author C. BrownSource: Professional Nursing Today 12, pp 26 –27 (2008)More Less
'And I sentence you to death!' the judge said, 'Death by lethal injection!' - words of horror for a criminal awaiting punishment. Imagine an innocent person's thoughts as the judge orders their toxic death - just a bystander accused of something they did not do and now about to be punished - about to die. The panic, fear and loneliness, without escape or solace - what a nightmare! My sentencing came unexpectedly. Minding my own way through life's 'predictable' journey (or at least that is what I thought) had not prepared me for cancer - aggressive breast cancer, removal of the breast, spreading to the lymph nodes, chemotherapy, radiotherapy and ultimately a painful death. I was going to appeal - I was going to fight this trial with all my heart, body and soul. I was only 27 years old when the battle began and it was to be long and hard.
(Extract from the preface of Losing my Balance - a 27 year old woman's journey through breast cancer written by Carrie Brown)
Author L. NaudeSource: Professional Nursing Today 12, pp 29 –32 (2008)More Less
Moist wound healing forms the basis of modern wound bed preparation. Not only does it improve healing, but it also reduces pain and discomfort as well as infection rates. Exudate is produced by the body as part of the normal physiological response to tissue damage. Our function as wound care practitioners should be to aid the body as facilitator for wound healing by controlling or balancing the moisture.
TB Alliance enters into collaboration with sanofi-aventis to fight tuberculosis
AstraZeneca and Nomura Phase4 Ventures announce creation of new company "Albireo" : industry newsSource: Professional Nursing Today 12 (2008)More Less
The Global Alliance for TB Drug Development (TB Alliance) and sanofi-aventis announced today that they have entered into a collaboration agreement to accelerate the discovery, development and clinical use of drugs against tuberculosis (TB). The TB Alliance is a not-for-profit, product development partnership, whose goal is the development of new TB drugs.
AstraZeneca and Nomura Phase4 Ventures have announced the signing of a deal to form Albireo, a biotechnology company focused on developing new treatments for gastrointestinal (GI) disorders. The spinout is a result of AstraZeneca's previously announced strategic decision to concentrate on Nexiam and internal GI research focussed on Gastroesophageal Reflux Disease (GORD).
Improving the quality of care - learning through case studies
The tragic story of the large baby : quality of careAuthor S. ArmstrongSource: Professional Nursing Today 12, pp 36 –39 (2008)More Less
Johanna Makgata is a 32 year old woman who was pregnant with her second child when she presented at the antenatal clinic with a history of a large first baby. She attended clinic regularly, went into labour, had a failed vacuum delivery and finally a forceps deliver and was delivered of a 6.1 kg baby with an Apgar of 0. The baby survived; she is severely mentally retarded.
The burden of pneumococcal disease in children - advances in the fight of this epidemic : paediatricsAuthor P.M. PrakashSource: Professional Nursing Today 12, pp 40 –43 (2008)More Less
Streptococcus pneumoniae, the most important cause of acute otitis media, pneumonia, septicaemia and meningitis worldwide, comes in 90 different serotypes. Only a few serotypes cause most of the serious disease. Different serotypes are distinguished by difference in the complex sugars that made up the bacteria's capsule that provide protection against the host's specific defenses. The burden of invasive pneumococcal disease in South Africa subjects is estimated to be 100 and 200 per 100 000. The conjugate pneumococcal vaccine has been shown to be effective in reducing invasive pneumococcal disease due to vaccine serotypes in all countries where it has been introduced. This benefit has extended to unvaccinated subjects. Reduction in penicillin resistance pneumococcus related to vaccine serotypes has been recorded. Replacement disease by non vaccine serotype has eroded the benefit of the vaccine. Industry, donors and governments need to interact to ensure accelerated implementation of this vaccine in developing countries.
Author D.F. WittenbergSource: Professional Nursing Today 12, pp 46 –50 (2008)More Less
Acute diarrhoea is due to intestinal infection. The patient ingests a pathogen that has contaminated water, food, drink, toys or anything that can be placed in the mouth. An inadequate and unsafe water supply and poor application and practise of hygiene lead to faecal contamination.
The most important complication is dehydration, with a poor correlation between the clinical features and actual dehydration. The management of the dehydrated patient depends on a careful assessment of the state of the circulation and the need for resuscitation. In most instances, oral rehydration is appropriate and fully effective if the solution is offered in small quantities at a time. Normally-nourished infants do not require modification of their feeds, beyond adapting the quantity offered as tolerated, but if diarrhoea persists there is a risk of intestinal mucosal damage with malabsorption and nutritional consequences.
Introducing new packaging for Epi-max
FoodState® Chewable Multivitamin & Mineral Supplement for Children : industry newsSource: Professional Nursing Today 12 (2008)More Less
The manufacturers of Epi-max are proud to announce that the Epi-max range underwent a make over!
Your children are exposed to all sorts of illnesses and germs when they attend daycare or play at a friend's house. Help prevent them from getting sick and to keep their little bodies functioning at their best FoodState® has launched the new Chewable Multivitamin and Mineral Supplement for Children.
Source: Professional Nursing Today 12 (2008)More Less
Source: Professional Nursing Today 12, pp 54 –57 (2008)More Less
Haemorrhagic shock is more common in the pregnant woman than generally acknowledged in the clinical setting. In most cases antepartum and postpartum haemorrhage can be managed effectively by concentrating on the management of the obstetrical cause of the bleeding. A midwife should have the appropriate knowledge and skills to recognise the signs and symptoms of haemorrhagic shock, to manage the condition systematically and effectively, and to prevent potential life-threatening complications.
A brief overview of haemorrhagic shock is discussed. The midwife is provided with a systematic guideline that should be used to assess and manage the obstetric woman presenting with haemorrhagic shock. The ABC (Airway, Breathing, and Circulation) include the key life-saving aspects that need to be considered when a pregnant woman presents with haemorrhagic shock. Clinical notes are added to enhance theory-practice correlation.
Source: Professional Nursing Today 12, pp 59 –60 (2008)More Less
Private healthcare and hospital group Netcare has recently paid homage to its employees who have gone over and above the call of duty during a glittering awards ceremony. The "Night of the Stars" event not only revealed who Netcare's internal stars are but also brought to light some incredible stories of care, passion, truth, dignity and participation.