This document provides information about Holy Family Hospital in Techiman, Ghana. It was established in 1954 by the Medical Missions Sisters and has since grown to become the municipal hospital for Techiman Municipality. The hospital's vision is to become a center of medical excellence and leading Christian healthcare provider. It provides a range of general and specialist services, including internal medicine, surgery, mental health and more. The hospital collaborates with various partners and aims to provide quality healthcare to communities in a effective, efficient and innovative manner.

1. Avant, RN

2. About Holy Family Hospital
• Established in 1954 by the Medical Missions Sisters
• Has grown and developed to become the Municipal Hospital for the Techiman
Municipality
Serves as the referral health facility for the Municipality and beyond
• Vision - to become a teaching hospital of medical excellence and leading Christ-
centered healthcare provider in the country.
• Mission - to provide quality healthcare in the most effective, efficient and
innovative manner, specific to the needs of the communities it serve and at all
times acknowledge the dignity of the patients.
• Goal - to provide and sustain good quality health care for all manner of
persons and empower them to take ownership of their own individual and
collective health needs.

3. Services/units
• General services
Internal medicine
Outpatient department
Accident and emergency
• Specialist services
Surgery
Mental health
Ear, Nose & Throat
Dental
Physiotherapy
Obstetrics & Gynaecology
• Diagnostics
Laboratory services
Endoscopy
Radiology
Laparascopy

4. Collaborators/Partners
German Rotary volunteer Doctors (GRVD) since 2011.
• The main objectives of the collaboration are to build capacity to improve specialist
services to the rural population.
Operation International, an NGO in New York - USA, and the UK
since 2013.
• HFH has been identified and used as a site for medical and surgical
Radboud University - Nijmegen, the Netherlands.
CHAG

5. Goals
• To gain valuable industry knowledge and experience – nurses unique
role is to promote quality health care and improve clinical outcomes, yet
ensuring minimal cost of care.
• To develop interpersonal skills – nurses may spend much of their time
interacting with patients in sensitive circumstances, such as illness and
grief.
• To become a better patient advocate – nurses are constantly mediating
conversations between patients and physicians about treatment plans,
helping patients understand medical condition and treatment regimen.
• To improve technological skills – it is imperative to stay current on newer
technological advancements in the health care sector and to integrate
them into practice.
• To build professional network – as nurses progress in their career and

6. Interests
• Directly caring for patients – the joy you put on their face, the smile they
wear…
• Volunteering, community service or charity work
• Cooking
• Sightseeing
• Singing
• Reading

7. Devices operated

9. Medical conditions
• Hypertension
• Diabetes
• Cerebrovascular accident – CVA
• Heart disease
• Meningitis
• Pneumonia
• RTI

10. • Nifedipine – calcium channel blocker, MoA unknown, but may inhibit
Ca+ influx across cardiac and smooth muscles, decreasing myocardial
contractility and oxygen demand. 10-20mg tid for Angina Pectoris, 30-
60mg dly adjusted over 7-14days for hypertention
• Hydralazine – vasodilator, MoA unknown, but in response to
arteriolar dilation, peripheral resistance and blood pressure falls, HR
and myocardial contractility increases 10mg qid up tp 50mg
• Lisinopril –ace inhibitor, MoA unknown may result primarily from
suppression of the RAAS system, 10mg, effective dosage 20-40mg dly
• Isosorbide – antianginal drug , reduces cardiac oxygen demand by
decreasing left ventricular end diastolic pressure (preload) 2.5 -2.6

11. Hypertension
Also known as high blood pressure (HBP), is a long term medical condition in which the blood pressure in the
arteries is persistently elevated, (SBP ≥140 mmHg and DBP ≥90 mmHg).
Pre hypertension: SBP: 120-139 mmHg, DBP: 80-89 mmHg
Hypertension stage I: SBP: 140-159 mmHg, DBP: 90-99 mmHg
Hypertension stage II: SBP: More or equal to 160 mmHg, DBP: More or equal to 100 mmHg
Pregnancy induced HTN: because of increased production of hormones and enzymes during pregnancy.
Medical management
 Diuretics: it helps the kidneys to inhibit the sodium reabsorption in the distal convoluted tubules, ascending limb and loop of Henle (E.g.: chlorothiazide -
0.5 -1g, furosemide - starting dose is 80 mg per day, taken as 40 mg twice each day)
Beta blockers: These medications reduces the workload of the heart and blood vessel and causing the heart to beat slowly
and with less force (E.g.: Atenolol - 25mg to 50mg, propranolol - 40 mg orally 2 times a day)
Alpha blockers: These medications causes the peripheral vasodilation of blood vessels (E.g.: Prazosin - 1 mg orally 2 or
3 times a day)
Vasodilators: These medications acting directly on the muscles in the wall of arteries and preventing the muscles from
tightening and arteries from narrowing. (E.g.: Nitro-glycerine - 5 mcg/min continuous IV infusion increase 3 – 5min up to 20),
Sodium nitro prusside)
ACE Inhibitors: This group of medication will reduce the conversion of A-I to A-II and prevents vasoconstriction (Eg:
Captopril - 25 mg orally 2 to 3 times a day one hour before meals, Ramipril)
Calcium channel blockers: These medicines will block the movement of extra cellular calcium into the cells and causing
vasodilation and decreased heart rate (E.g.: Amlodipine - 5 to 10 mg/day, Verapamil)

12. Antidiabetes
• Sulfunalurease - stimulate insulin secretion from the beta cells of the pancreas, thus increasing
insulin levels. Improve sensitivity to insulin in tissues, lower blood glucose levels
• 1st Generation - Chlorpropamide, tolbutamide, tolazamide
• 2nd Generation – glimepiride, glipizide, glyburide
• Meglitinides – repaglinide similar to sulfunalurease
• Biguanides – metformin, Decrease production of glucose, Increase uptake of glucose by
tissues
• Thiazolidinediones, eg. Actos, Avandia - Decrease insulin resistance
• Alpha-glucosidase inhibitors, e.g. acarbose reversibly inhibit the alpha-glucosidase in the small
intestine, delayed absorption of glucose
• Insulin - Restores the diabetic patient’s ability to:
• Metabolize carbohydrates, fats, and proteins
• Store glucose in the liver
• Convert glycogen to fat stores

13. Antimalarial
• Artesunate
• Artemether
• Lumefantrine - Against erythrocytic (but not other) stages of all four
malaria species. MOA: unknown.
• Chloroquine - Acts by :concentrating in parasite food vacuoles, preventing
the biocrystallization of the hemoglobin breakdown product
• Amodiaquine