Professional Nursing Today - Volume 12, Issue 6, 2008
Volume 12, Issue 6, 2008
Author Vicki Pinkney-AtkinsonSource: Professional Nursing Today 12 (2008)More Less
The December holiday shutdown is imminent and it is not hard to tell why as most of us are feeling pretty ragged and frazzled after a year in the health care trenches. And what a tumultuous year is has been culminating with a new, albeit interim, national Minister of Health and more money for certain categories of health care professionals. In the Mail & Guardian each year an eagerly awaited list ranking the various ministers is given. Here in Professional Nursing Today we do something much more prosaic, we ask for our health wishes for the holiday period and more especially 2009.
Author S. ArmstrongSource: Professional Nursing Today 12, pp 4 –6 (2008)More Less
Mr Coetzee, a 77-year-old patient, with a history of chronic heart failure developed acute diarrhoea and consequent dehydration. He was treated in one hospital and discharged himself due to social problems. His condition deteriorated at home and his daughter brought him to the emergency section of another hospital during the night. He was assessed, and an IV infusion was commenced. While awaiting admission, he died, sitting in a wheelchair in the emergency department. His children were very upset and believed the hospital was responsible for the death of their father.
Author Janine SlomeSource: Professional Nursing Today 12, pp 8 –9 (2008)More Less
Author K. CullinanSource: Professional Nursing Today 12, pp 10 –11 (2008)More Less
Health officials countrywide are battling to cope with the growing numbers of patients with drug-resistant TB and provinces are divided about whether to hospitalise all patients or not.
A recent national workshop that brought together public health officials working on multi-drug resistant (MDR) and extensively drug resistant (XDR) TB in all nine provinces revealed vastly different standards of care and practices.
Source: Professional Nursing Today 12, pp 12 –13 (2008)More Less
Each year, AstraZeneca creates and sponsors the Moments in Time calendar project, and 2009 is no exception. But this is no ordinary calendar, because contained within its pages are the stories of hope, fearlessness and triumph of 13 ordinary individuals who have achieved the extraordinary. Each has refused to be defined and confined by their illnesses, rather choosing to take up arms and fight against their unseen enemy. By doing so, they have all carved out a proud legacy for themselves, a legacy of valour, endurance and formidable strength and character.
Author Y. Janse van RensburgSource: Professional Nursing Today 12, pp 16 –17 (2008)More Less
How do you deal with patients who have suspected or diagnosed TB in a general ward? 'People with active TB in their lungs can pass the bacteria on to anyone they come into close contact with. When a patient with active TB coughs, sneezes or spits, people nearby may breathe in the tuberculosis bacteria and become infected. If those people nearby have a low immunity and are already ill, they have an even bigger chance of contracting the disease - 'people who are co-infected with both HIV and latent TB have an up to 800 times greater risk of developing active TB disease and becoming infectious compared to people not infected with HIV.
This article shows that it is possible to accommodate a suspected or diagnosed TB patient in a general ward, by making adjustments regarding ventilation, protective clothing and barrier nursing, management of coughing and spills, proper education and the co-operation of all involved parties - doctor, patient and nursing staff.
Source: Professional Nursing Today 12, pp 18 –21 (2008)More Less
In the fight against HIV, the escalation of prevention efforts is fundamental in reversing the tide against the pandemic. Many collective voices have been raised and this is laudable; the voices of women, who are disproportionately affected by the scourge of the epidemic, are only faintly heard. Adding to those voices advocating for prevention, could be the voices of health care workers, especially those of nurses.
This article addresses some of the prevention issues that need to be addressed by health care workers in raising awareness of the existing methods of prevention to advocating for newer methods. Some of these methods, like microbicides which are still in the pipeline, need the support of health care workers who will be important implementers in the eventuality of these methods becoming available. A call to action is made on various activities where individual nurses could be involved both in informing themselves and also by joining the voices of many others who could be influential in this regard.
Source: Professional Nursing Today 12 (2008)More Less
Author L. NaudeSource: Professional Nursing Today 12, pp 24 –26 (2008)More Less
Wound Management is all about teamwork and often enough the nursing practitioner is the first line of approach for the patient and family. This also implies that nursing practitioners have an enormous responsibility in coordinating the multi-disciplinary team. In the scenarios below the initial response and ideal response are discussed. What is your opinion and how would you have reacted to the different scenarios?
Knowledge and practice regarding smoking among staff members of a hospital in Kigali, Rwanda : community nursingSource: Professional Nursing Today 12, pp 27 –29 (2008)More Less
Background : The use of tobacco is the single most preventable cause of death and disease in our society and despite the information delivered through materials or messages to increase awareness of the harms of tobacco, many people continue to smoke. Smoking in Rwanda is prohibited in public areas although staff in a large hospital in Kigali continue to smoke. The question arises whether the smoking behaviour of these hospital workers is due to a lack of knowledge regarding the health consequences of tobacco use, and if they are aware of strategies that can be used to help give up smoking. The smoking rates of health workers is important as it has been shown that nurses who smoke are less likely to intervene with smoking cessation programmes with patients and less inclined to advocate tobacco control policies.
Method : A descriptive survey was used to establish the knowledge and practices of smoking among staff members of a large hospital in Kigali, Rwanda. A sample of 135 people was drawn from a population of 600 staff members who were working in the hospital for the year 2003.
Results : Responses were received from 122 participants. The proportion of smokers amongst the participants was found to be 12.2%, which is higher than the estimation of prevalence of smoking amongst adults in Rwanda (10.6%).
Conclusion : Despite a comprehensive ban of smoking advertisements, as well as restrictions on smoking in public areas by the government in Rwanda, the findings in this study revealed that the number of smokers is still high even in settings that offer health care services to the public.
Source: Professional Nursing Today 12, pp 30 –35 (2008)More Less
Oral ulcerations are common. Oral ulcers can have a localised aetiology or be a manifestation of a variety of systemic conditions or disorders. Appropriate management depends on the correct diagnosis which can at times be difficult due to similar clinical features. The aetiology, diagnosis and management of the most common non-viral ulcerative disorders of the oral mucosa are discussed. These include traumatic ulcers, recurrent aphthous stomatitis, malignancy as well as oral ulceration associated with cutaneous pathology.
Meeting maternal and child survival targets in South Africa through prevention of mother-to-child transmission of HIV : midwiferyAuthor K. DennillSource: Professional Nursing Today 12, pp 39 –43 (2008)More Less
Studies have shown that in South Africa HIV and AIDS has become an important contributing factor to maternal and infant mortality. There is an increase in spontaneous abortion, stillbirth, perinatal and infant mortality, intrauterine growth retardation and low birth weight. TB exacerbates this problem as a common opportunistic infection of HIV especially in this region of Africa.
In response to these problems the South African Health Department has updated the prevention of mother-to-child transmission of HIV (PMTCT) Policy. If successfully implemented the proposed programme will improve both maternal and child health and will assist government to progress towards attaining the survival targets it has set itself for 2015.
Source: Professional Nursing Today 12, pp 46 –51 (2008)More Less
It is not common for a woman to suffer a cardiac arrest during pregnancy, but when it occurs it can be devastating for both mother and fetus. To improve the likelihood of a positive outcome for the mother and the fetus, the midwife should be skilled in cardiopulmonary resuscitation (CPR). This includes early recognition, early basic life support and early defibrillation until appropriately qualified healthcare professionals can start with advanced life support (ALS). Although CPR during pregnancy is based on the standard method used in adults, some modifications need to be made due to the unique needs of the pregnant woman and her fetus depending on the stage of pregnancy and cause of collapse. In this article the basic principles of CPR is reinforced, as applied to the pregnant woman.
Author A. MoutonSource: Professional Nursing Today 12, pp 54 –55 (2008)More Less
Most women feel confident taking the combined oestrogen-progestogen oral contraceptive pill (COCPs) modern but myths about these drugs still persist. Most non-contraceptive health benefits of COCPs are not widely appreciated, in spite of much evidence. Controversy still exists over the association between COCP use and breast cancer. Although slightly more breast cancers are detected in current COCP users they are less advanced in stage and less aggressive in behaviour. This article discusses the non-contraceptive benefits and uses of hormonal contraception.