The study assessed the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers. It found that the experimental group that received sitz baths had significantly better wound healing outcomes than the control group. Specifically, the experimental group had a lower average post-test wound healing score compared to controls, indicating sitz baths were effective at improving episiotomy wound healing. Demographic factors like age and education were also found to influence post-test wound healing levels in the experimental group.
This study evaluated the effectiveness of applying breast milk to treat sore nipples among postnatal mothers. It found that applying breast milk significantly reduced nipple soreness in the experimental group compared to the control group. Specifically, the mean nipple soreness score decreased from 13.53 to 5.27 in the experimental group after applying breast milk for one week, while it only decreased from 9.43 to 6.53 in the control group. This provides evidence that applying breast milk is an effective treatment for sore nipples among postnatal mothers.
1. The document presents a study on the effectiveness of early ambulation on uterine involution among postnatal mothers.
2. The study aims to assess uterine involution levels before and after early ambulation in an experimental group, and compare this to a control group without early ambulation.
3. A quasi-experimental design is used with 60 postnatal mothers divided into experimental and control groups, with uterine involution measured on a scale before and after the intervention of early ambulation for the experimental group.
Evaluate the Effectiveness of Perineal Care on Episiotomy Pain and Wound Heal...Kailash Nagar
This document summarizes a study that evaluated the effectiveness of perineal care on episiotomy pain and wound healing among postpartum women. The study used a quasi-experimental design and assessed 60 postpartum women, assigning them to either an experimental group that received perineal care or a control group. Results showed that women who received perineal care had lower episiotomy pain scores over 3 days and better wound healing progress measured using the REEDA scale, compared to the control group. The study concluded that perineal care is effective in reducing episiotomy pain and improving wound healing among postpartum women.
Do We Need To Promote Breast Self -Examination In Rural Communities?iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
This document outlines the structure and contents of a research study on assessing the knowledge of staff nurses regarding prevention and management of perineal tears during normal delivery. It includes 6 chapters that discuss the introduction, literature review, methodology, data collection process, data analysis plan, and expected outcomes including conclusions and recommendations. The study aims to assess nurses' current knowledge and identify any associations between knowledge and demographic factors, with the goal of developing an educational module to improve nurses' understanding of perineal tears.
This document discusses the relationship between evidence-based medicine and aesthetic plastic surgery. It provides definitions of evidence-based medicine and outlines its five primary components. The document then examines several examples of how evidence-based medicine has been applied to specific procedures in plastic surgery, including breast augmentation, breast reduction, abdominoplasty, and facelifts. It analyzes various studies that have evaluated topics like antibiotics, drain usage, pocket irrigation, and smoking effects. The document also questions whether evidence-based medicine standards may discourage surgical innovation and constrain surgeons from achieving optimal outcomes for individual patients.
Evidence based medicine and cosmetic surgerydrmoradisyd
This document discusses the relationship between evidence-based medicine and aesthetic plastic surgery. It provides definitions of evidence-based medicine and outlines its five primary components. The document then examines several examples of how evidence-based medicine has been applied to topics in aesthetic plastic surgery, including bariatric surgery outcomes, breast augmentation practices like antibiotic use and drain usage, and outcomes of facelifts with or without drain usage. It acknowledges that while plastic surgery literature often contains lower levels of evidence, the field should aim to both appreciate existing evidence and continue raising the overall level of evidence to best serve patients.
This study evaluated the effectiveness of applying breast milk to treat sore nipples among postnatal mothers. It found that applying breast milk significantly reduced nipple soreness in the experimental group compared to the control group. Specifically, the mean nipple soreness score decreased from 13.53 to 5.27 in the experimental group after applying breast milk for one week, while it only decreased from 9.43 to 6.53 in the control group. This provides evidence that applying breast milk is an effective treatment for sore nipples among postnatal mothers.
1. The document presents a study on the effectiveness of early ambulation on uterine involution among postnatal mothers.
2. The study aims to assess uterine involution levels before and after early ambulation in an experimental group, and compare this to a control group without early ambulation.
3. A quasi-experimental design is used with 60 postnatal mothers divided into experimental and control groups, with uterine involution measured on a scale before and after the intervention of early ambulation for the experimental group.
Evaluate the Effectiveness of Perineal Care on Episiotomy Pain and Wound Heal...Kailash Nagar
This document summarizes a study that evaluated the effectiveness of perineal care on episiotomy pain and wound healing among postpartum women. The study used a quasi-experimental design and assessed 60 postpartum women, assigning them to either an experimental group that received perineal care or a control group. Results showed that women who received perineal care had lower episiotomy pain scores over 3 days and better wound healing progress measured using the REEDA scale, compared to the control group. The study concluded that perineal care is effective in reducing episiotomy pain and improving wound healing among postpartum women.
Do We Need To Promote Breast Self -Examination In Rural Communities?iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
This document outlines the structure and contents of a research study on assessing the knowledge of staff nurses regarding prevention and management of perineal tears during normal delivery. It includes 6 chapters that discuss the introduction, literature review, methodology, data collection process, data analysis plan, and expected outcomes including conclusions and recommendations. The study aims to assess nurses' current knowledge and identify any associations between knowledge and demographic factors, with the goal of developing an educational module to improve nurses' understanding of perineal tears.
This document discusses the relationship between evidence-based medicine and aesthetic plastic surgery. It provides definitions of evidence-based medicine and outlines its five primary components. The document then examines several examples of how evidence-based medicine has been applied to specific procedures in plastic surgery, including breast augmentation, breast reduction, abdominoplasty, and facelifts. It analyzes various studies that have evaluated topics like antibiotics, drain usage, pocket irrigation, and smoking effects. The document also questions whether evidence-based medicine standards may discourage surgical innovation and constrain surgeons from achieving optimal outcomes for individual patients.
Evidence based medicine and cosmetic surgerydrmoradisyd
This document discusses the relationship between evidence-based medicine and aesthetic plastic surgery. It provides definitions of evidence-based medicine and outlines its five primary components. The document then examines several examples of how evidence-based medicine has been applied to topics in aesthetic plastic surgery, including bariatric surgery outcomes, breast augmentation practices like antibiotic use and drain usage, and outcomes of facelifts with or without drain usage. It acknowledges that while plastic surgery literature often contains lower levels of evidence, the field should aim to both appreciate existing evidence and continue raising the overall level of evidence to best serve patients.
“A Pre Experimental Study to Assess the Effectiveness of Postnatal Exercises ...iosrjce
Introduction: The postnatal period is the time during which mother’s body adjusts physically and
psychologically to the process of childbearing.
Objectives: To assess the level of urinary incontinence before intervention, to assess the level of urinary
incontinence after intervention, to assess the effectiveness of postnatal exercise among postnatal mothers, to
associate the effectiveness of post assessment level of urinary incontinence with selected demographic variables
in experimental group.
Methodology: Non random sampling was used to select the sample for the study. The investigator
demonstrates the postnatal exercise to the mother. Post assessment level of urinary incontinence was done after
one month. RESULT: It reveals the effectiveness of postnatal exercise on prevention of urinary incontinence.
The mean value is 3.5 before intervention and 4.5 after intervention. The S.D value is 0.7 before intervention
and 0.6 after intervention. The difference of mean and S.D in experimental group is 0.9 and 0.2 respectively.
The overall paired‘t’ test was 20.1 which showed that there was statistically significant difference between pre
test and post assessment level of urinary incontinence among postnatal mothers in experimental group. Hence
the postnatal exercises were found to be effective.
Conclusion: Based on the finding the study concluded that postnatal exercises are more important during
postnatal period in reducing the risk of urinary incontinence and strengthening the pelvic floor muscles.
Effectiveness of Self Instructional Module SIM on Level of Knowledge Regardin...ijtsrd
Background Fertility is the natural capability to produce offspring. A lack of fertility is infertility while a lack of fecundity would be called sterility. The term infertility is defined as the inability to conceive despite regular and unprotected intercourse for 2 years. However, risk factors such as the womans age, abnormal menstrual periods, history of pelvic inflammatory disease and whether there has been previous abdominal or pelvic surgery, history of undescended testicles may warrant earlier investigations and treatment of infertility. Couples should be aware that 80 will conceive within a year and 90 within two years if they dont use contraception and have regular intercourse.1 Materials and Methods A pre experimental has provided comparison between a group of subjects before and after the experimental treatment used for this study. The sample consisted 60 staff nurses those were working in obstetrics and gynecology department in selected hospital Haridwar . They were selected by Convenient non – probability Sampling Technique. Data was collected by using a structured knowledge questionnaire regarding recent advancement in infertility treatment. Data analysis is done by using descriptive and inferential method. Results Findings suggest that the pre test knowledge score was 15.45 ±3.88 which has increased to post test knowledge score 30.11 ±3.4. Independent sample “t†test was calculated to find the significant difference between means of pretest and post test knowledge scores. The calculated t value was 23.036 df=59 at p 0.05 . This significant improvement in the knowledge can be attributed to the intervention. Conclusion Based on the findings of the study after the implementation of self instructional module, there is a significant increase in knowledge of staff nurses regarding the recent advancement in infertility treatment. Bhawna Sharma | Priscilla John | Asha ""Effectiveness of Self Instructional Module (SIM) on Level of Knowledge Regarding Recent Advancements in Infertility Treatment among the Staff Nurses Working in Obstetrics and Gynecological Departments"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd22929.pdf
Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/22929/effectiveness-of-self-instructional-module-sim-on-level-of-knowledge-regarding-recent-advancements-in-infertility-treatment-among-the-staff-nurses-working-in-obstetrics-and-gynecological-departments/bhawna-sharma"
Nursing intervention of adult women to manage medical problems produced by st...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
— This study was conducted to find out if AFI ≤ 5 cms has any clinical significance in identifying the subsequent fetal distress & associated maternal & perinatal outcomes, in pregnancies beyond 37 weeks. Methodology: This is a prospective case control study done from July 2010 to July 2012 (24 months) at Dr Vasantrao Pawar Medical College, Hospital and Research Center. Adgaon, Nashik. It study the pregnancy outcome comparison of 58 Anenatal Cases(ANCs)as Study Group with diangosis of oligohydramnios (AFI ≤ 5 cms) by ultrasound after 37 completed weeks of gestation w e r e compared with 58 ANCs (Control Group) with no oligohydramnios (AFI > 5 cms). These two groups were matched for other variables like age, parity, gestational age and any pregnancy complication. Results: There was significant difference between two groups. Hypertension and Preeclampsia were found significantly more in ANCs with oligohydramnios. FHR deceleration was also significantly higher in women with oligohydramnios. Women require LSCS were also significantly more in women with oligohydramnios. Newborn borned by women with oligohydramnios had significantly more chances to admit in NICU than in newborn born by women without oligohydramnios. Conclusion: It can be concluded from this study that women with oligohydramnios poor pregancy outcomes. Determination of AFI can be used as an adjunct to other fetal surveillance methods. Determination of AFI can be used as valuable screening test for predicting fetal distress in labour, requiring caesarean section.
Effect of a Training Program about Maternal Fetal Attachment Skills on Prenat...iosrjce
to assess effect of a training program about maternal fetal attachment skills on prenatal attachment
among primigravida women.
Subjects and Methods: A quasi experimental research design was utilized. From a specific private Antenatal
Clinic in Mansoura city-Egypt eighty primigravida women aged 20 to 35 years, at 30th week gestation, had
singleton pregnancy and can read and write were selected purposively between of January and August 2011
and was equally divided into two groups; intervention group: received a training program on two MFA skills
and control group: received the routine antenatal care. Using interview sheet and Cranley's Maternal Fetal
Attachment Scale (MFAS) the data were collected at baseline and after two and four weeks of the enrollment.
Results: MFAS score had significantly increased in the intervention group from 61.6±5.9 at the baseline to
68.5±6.8 and 69.6 ±5.9 at 32nd, 34th week gestation respectively. While the changes of the MFAS total score in
the control group were insignificant.
Conclusion: MFAS total scores had significantly increased in the intervention group at 32nd and 34th week
gestation compared to the baseline score. Conversely, the MFAS total score did not differ significantly between
the baseline and two and four weeks after enrollment among the control group.
Recommendations: Enhancing the health care providers' awareness of the MFA skills to utilize in the
promotion of the prenatal MFA and motivate the active role of the nurses in helping the pregnant women to
adhere to the appropriate MFA skills are recommended.
1. Endometrial scratch therapy is a simple procedure done to improve embryo implantation and pregnancy rates in women undergoing ART. It involves gently scratching the endometrial lining using a catheter.
2. The proposed mechanisms by which it works include improving endometrial receptivity through regeneration of the endometrium and increased production of growth factors and cytokines.
3. Several studies have found endometrial scratching increases clinical pregnancy and live birth rates, especially in women with recurrent implantation failure undergoing IVF or IUI. It is a low-cost procedure with minimal risk.
Joe a well respected RN with many years of experience, worked in.docxvrickens
"Joe" a well respected RN with many years of experience, worked in the intensive care unit. One afternoon a patient was brought to the unit immediately post heart surgery. Joe assumed his care, and began his assessment. Shortly after the patient's arrival, the surgeon came in to see that patient.
The surgeon decided that he needed to replace a blocked central line, although the patient did have two patent peripheral IVs. Joe assisted the surgeon with the line placement, then called for radiology to come up and confirm line placement, as per protocol. Just as Joe heard the radiology tech coming, the patient developed asystole. Joe and the surgeon instituted ACLS protocol. When the surgeon called for a medication to be pushed, Joe went to push it via the patent peripheral IV, as placement of the central line had not been confirmed. The surgeon yelled 'No! In the central line! Push it in the central line!' Joe responded, 'The central line placement has not been confirmed, so it has to go through the peripheral." At this point, the surgeon yelled, "I want it through the central line, and you have to do what I say, because I'm the physician!" Joe yelled back that he was not going to risk his license just because a physician refused to follow protocol. He told the surgeon that he would push it through the peripheral line. The surgeon was livid, but made no attempt to push the med himself, so Joe pushed it through the peripheral line. The patient was then revived.
Joe and the surgeon continued to argue after the patient was resuscitated, to the point where other staff feared a fist fight would ensue. The house manager, an RN, was called in. Joe explained the situation to her. The surgeon said "I told him he was a nurse and he had to do what I told him to do. He's not going to lose his license or get fired as long as he does what I tell him to do. But he won't listen."
The house manager responded. "Well, the hospital policy does say that central lines cannot be used until placement has been confirmed by radiology." The surgeon went berserk, yelling at everyone. The house manager then said "well, if you want, we can change that policy so if a physician says it's ok, the line can be used without confirmation."
What do you think of the house manager's response to the situation?
What, if anything, do you think Joe should have done differently?
How would you have responded?
What do you suggest should be done about this proposed change in the policy?
Contents lists available at ScienceDirect
International Journal of Nursing Studies
journal homepage: www.elsevier.com/locate/ijns
Effect of non-nutritive sucking and sucrose alone and in combination for
repeated procedural pain in preterm infants: A randomized controlled trial
Haixia Gaoa,⁎, Mei Lib, Honglian Gaoc, Guihua Xua, Fang Lib, Jing Zhoub, Yunsu Zoub,
Honghua Jiangb
a School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China
b Children’s Hospital of Nanjing Medical U ...
Nurse staffing problems are a widespread issue facing the nursing profession globally. Inadequate nurse staffing can overwork nurses and lead to burnout, while also negatively impacting patient care. The purpose of the discussion is to outline a PICOT statement to study the effects of poor nurse staffing in healthcare facilities. The population would be critical care patients, the intervention would be collecting data from patients and nurses, the comparison would look at outcomes between units with staffing issues and those without, and the outcomes would be measured over two weeks to determine the effects of nurse staffing problems on patient care.
Intensive Critical Care Nursing journal.docx4934bk
1. The study used a cross-sectional design to survey 112 women who received care in a maternity high-dependency unit within the first 24 hours after giving birth.
2. The survey aimed to explore women's experiences and wellbeing following a complicated birth. It used a validated tool for intensive care experiences that was modified for the maternity context.
3. Preliminary results found many women felt in pain and not glad about being transferred to a postnatal ward, indicating pain management and the transfer experience require further investigation to improve women's experiences after complicated births.
LESSON 12 Paying for Care and Health Information LEA.docxSHIVA101531
LESSON 12
Paying for Care and Health Information
LEARNING OUTCOMES
______________________________________________________________________________
In this lesson, you will do the following:
Describe how coding, reimbursement, and billing are impacted by health information systems.
READINGS
The following reading assignments are for Lessons 9 through 12:
Gartee Text:
Chapter 4, pp. 74 - 95
Chapter 5, pp. 98 - 126
Chapter 6, pp. 127 - 151
Chapter 9, pp. 208 - 236
Chapter 10, pp. 237 - 259
ACTIVITIES / ASSESSMENTS
The following activities/assessments are for Lessons 9 through 12:
1. Read the assigned pages from the Gartee text.
2. Review the Lecture Notes, Unit 3 PowerPoint, and Voice Pod.
3. Participate in the weekly discussion question.
4. Complete the written assignment.
WRITTEN ASSIGNMENTS
Hospital Medicare Payment System - DRGs:
Research how large hospitals are paid by a Medicare fee for service reimbursements (DRG’s).
Include a brief history and relate how health information supports the request for a payment.
PLEASE NOTE: All graded assignments for the lessons in this unit should be grouped together
and submitted as ONE document using the Assignment Submission form accessed from your
course homepage or http://www.sjcme.edu/gps/assignments.
All activities/assignments for this unit should be as follows:
1. Should include a cover sheet for each assignment stating the following:
Course (HA 214)
Your Name
Unit and Lesson Number
Date Submitted
2. Each individual assignment number and copy of the assignment directions should be
included in the submission as the starting header of each lesson.
3. Carefully check grammar and spelling.
4. Use APA format for any research or sources that are being used or quoted.
5. Email the instructor if you have questions regarding the assignments.
http://www.sjcme.edu/gps/assignments
g
Research www.AJOG.org
O B S T E T R I C S
Preterm premature rupture of membranes >32 weeks’
estation: impact of revised practice guidelines
Arij Faksh, DO; Joseph R. Wax, MD; F. Lee Lucas, PhD; Angelina Cartin; Michael G. Pinette, MD
OBJECTIVE: The purpose of this study was to determine the perinatal
impact of the 2007 American College of Obstetricians and Gynecolo-
gists Practice Bulletin on preterm premature membrane rupture.
STUDY DESIGN: Perinatal outcomes were compared in women who
had experienced preterm membrane rupture in the 3 years before the
2007 Practice Bulletin to similar women who experienced preterm pre-
mature rupture of membranes in the 3 years after the issue and imple-
mentation of the guideline.
RESULTS: After adjustment for gestational age at membrane rupture
and steroids, composite severe morbidity (death, respiratory distress
Obstet Gynecol 2011;205:340.e1-5.
p
remained uncertain, p
doi: 10.1016/j.ajog.2011.05.036
340.e1 American Journal of Obstetrics & Gynecology OCTOB ...
ESSENTIAL OIL APPLICATION ON EPISIOTOMY WOUNDDR.RAJNI SHARMA
Perineal trauma can cause considerable distress and discomfort to many women following child birth.
Perineal pain in early post natal period has been reported as one of the most common causes of maternal morbidity.
Nowadays alternative and complementary methods such as Aromatherapy using essential oils are established as an alternative therapy for episiotomy. It is used increasingly and Lavender oil is frequently prescribed due to its antiseptic, healing and pain reliving properties.
Journal Club: Current Thoughts for The Prevention & Treatment of Pressure UlcersMeeran Earfan
1. The document reviewed evidence on various modalities for preventing and treating pressure ulcers. It found that specialized mattresses, wound cleansers containing aloe/silver chloride/decyl glucoside, vitamin C supplementation, honey dressings, and nutritional optimization can help with prevention and healing, while evidence is unclear for other modalities like repositioning, debridement methods, and ultrasound therapy.
2. The authors' treatment protocol involves specialized air mattresses, nutritional support including vitamin C, frequent repositioning, and wound cleaning or sharp debridement depending on ulcer severity, potentially followed by fasciocutaneous flaps.
3. The review concluded that the evidence demonstrates the effectiveness of some
A systematic review is designed to summarise the results of available studies and provides a high level of evidence-based findings on the effectiveness of interventions. Our experts can handle any type of research, whether you need systematic review based on controlled clinical trials or review based on observational study designs or community (e.g. psychology) intervention?
The document summarizes a study on women's awareness of initiating and continuing breastfeeding after cesarean section in Baghdad, Iraq. The study involved surveying 30 women who had cesarean sections using a questionnaire. The results showed that 43.3% initiated breastfeeding within 24 hours of their c-section. 76.7% continued breastfeeding, though only 26% practiced exclusive breastfeeding. The study aimed to identify factors influencing breastfeeding initiation and continuation after c-sections. It recommended promoting breastfeeding through baby-friendly hospital initiatives and counseling women during pregnancy and after birth.
The comparison of dinoprostone and vagiprost for induction of lobar in post t...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Endometrioma and how it affects IVF outcome : modified procedure with encoura...Mohamed Walaa El Deeb
1) Endometriomas are common in women with endometriosis and infertility, affecting up to 50% of subfertile women. Surgical removal carries risks of reducing ovarian reserve.
2) A meta-analysis found no significant difference in ovarian response or pregnancy rates between surgery vs no treatment prior to IVF. However, large endometriomas over 4cm may interfere with oocyte retrieval.
3) The authors propose a modified aspiration technique for large, recurrent endometriomas as an alternative to repeated surgery. Preliminary results show encouraging pregnancy rates without complications. Larger studies are still needed.
Misconceptions about Oral Contraceptive Pill Used Among Women at Primary Heal...iosrjce
This document summarizes a study that examined misconceptions about oral contraceptive pills among women in Holy Karbala City, Iraq. The study involved a survey of 200 women attending primary health care centers. The survey assessed demographic information, reproductive histories, and levels of agreement with statements about potential consequences of oral contraceptive use. The results found that most participants were between 21-35 years old, housewives, and had primary education or less. Regarding reproductive histories, most had 1-2 pregnancies and deliveries. Assessment of misconceptions showed that over 50% of participants believed myths such as oral contraceptives causing nervousness or infertility. However, participants correctly understood the effectiveness of oral contraceptives in preventing pregnancy
This document describes a study on the effectiveness of touch therapy in reducing pain among patients admitted to an orthopedic surgery ward. The study had several objectives including assessing pre-and post-test pain levels in experimental and control groups and evaluating the effectiveness of touch therapy. The experimental group received touch therapy while the control group did not. Results found that the mean post-test pain levels were significantly lower than pre-test levels in the experimental group receiving touch therapy. The study concluded that touch therapy was effective in reducing pain in orthopedic surgery patients.
This document presents a study proposal on assessing the effectiveness of nursing care in reducing blood sugar levels among pregnant women with gestational diabetes mellitus. The study aims to compare blood sugar levels between an experimental group that receives nursing care and a control group. The introduction provides background on gestational diabetes and its risks. The methodology will use a quasi-experimental design with 60 subjects divided into experimental and control groups. Nursing care involving education will be provided to the experimental group for 5 days. Blood sugar levels will be measured before and after the intervention to analyze its effectiveness. Appropriate statistical tests will be used to analyze the results.
“A Pre Experimental Study to Assess the Effectiveness of Postnatal Exercises ...iosrjce
Introduction: The postnatal period is the time during which mother’s body adjusts physically and
psychologically to the process of childbearing.
Objectives: To assess the level of urinary incontinence before intervention, to assess the level of urinary
incontinence after intervention, to assess the effectiveness of postnatal exercise among postnatal mothers, to
associate the effectiveness of post assessment level of urinary incontinence with selected demographic variables
in experimental group.
Methodology: Non random sampling was used to select the sample for the study. The investigator
demonstrates the postnatal exercise to the mother. Post assessment level of urinary incontinence was done after
one month. RESULT: It reveals the effectiveness of postnatal exercise on prevention of urinary incontinence.
The mean value is 3.5 before intervention and 4.5 after intervention. The S.D value is 0.7 before intervention
and 0.6 after intervention. The difference of mean and S.D in experimental group is 0.9 and 0.2 respectively.
The overall paired‘t’ test was 20.1 which showed that there was statistically significant difference between pre
test and post assessment level of urinary incontinence among postnatal mothers in experimental group. Hence
the postnatal exercises were found to be effective.
Conclusion: Based on the finding the study concluded that postnatal exercises are more important during
postnatal period in reducing the risk of urinary incontinence and strengthening the pelvic floor muscles.
Effectiveness of Self Instructional Module SIM on Level of Knowledge Regardin...ijtsrd
Background Fertility is the natural capability to produce offspring. A lack of fertility is infertility while a lack of fecundity would be called sterility. The term infertility is defined as the inability to conceive despite regular and unprotected intercourse for 2 years. However, risk factors such as the womans age, abnormal menstrual periods, history of pelvic inflammatory disease and whether there has been previous abdominal or pelvic surgery, history of undescended testicles may warrant earlier investigations and treatment of infertility. Couples should be aware that 80 will conceive within a year and 90 within two years if they dont use contraception and have regular intercourse.1 Materials and Methods A pre experimental has provided comparison between a group of subjects before and after the experimental treatment used for this study. The sample consisted 60 staff nurses those were working in obstetrics and gynecology department in selected hospital Haridwar . They were selected by Convenient non – probability Sampling Technique. Data was collected by using a structured knowledge questionnaire regarding recent advancement in infertility treatment. Data analysis is done by using descriptive and inferential method. Results Findings suggest that the pre test knowledge score was 15.45 ±3.88 which has increased to post test knowledge score 30.11 ±3.4. Independent sample “t†test was calculated to find the significant difference between means of pretest and post test knowledge scores. The calculated t value was 23.036 df=59 at p 0.05 . This significant improvement in the knowledge can be attributed to the intervention. Conclusion Based on the findings of the study after the implementation of self instructional module, there is a significant increase in knowledge of staff nurses regarding the recent advancement in infertility treatment. Bhawna Sharma | Priscilla John | Asha ""Effectiveness of Self Instructional Module (SIM) on Level of Knowledge Regarding Recent Advancements in Infertility Treatment among the Staff Nurses Working in Obstetrics and Gynecological Departments"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd22929.pdf
Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/22929/effectiveness-of-self-instructional-module-sim-on-level-of-knowledge-regarding-recent-advancements-in-infertility-treatment-among-the-staff-nurses-working-in-obstetrics-and-gynecological-departments/bhawna-sharma"
Nursing intervention of adult women to manage medical problems produced by st...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
— This study was conducted to find out if AFI ≤ 5 cms has any clinical significance in identifying the subsequent fetal distress & associated maternal & perinatal outcomes, in pregnancies beyond 37 weeks. Methodology: This is a prospective case control study done from July 2010 to July 2012 (24 months) at Dr Vasantrao Pawar Medical College, Hospital and Research Center. Adgaon, Nashik. It study the pregnancy outcome comparison of 58 Anenatal Cases(ANCs)as Study Group with diangosis of oligohydramnios (AFI ≤ 5 cms) by ultrasound after 37 completed weeks of gestation w e r e compared with 58 ANCs (Control Group) with no oligohydramnios (AFI > 5 cms). These two groups were matched for other variables like age, parity, gestational age and any pregnancy complication. Results: There was significant difference between two groups. Hypertension and Preeclampsia were found significantly more in ANCs with oligohydramnios. FHR deceleration was also significantly higher in women with oligohydramnios. Women require LSCS were also significantly more in women with oligohydramnios. Newborn borned by women with oligohydramnios had significantly more chances to admit in NICU than in newborn born by women without oligohydramnios. Conclusion: It can be concluded from this study that women with oligohydramnios poor pregancy outcomes. Determination of AFI can be used as an adjunct to other fetal surveillance methods. Determination of AFI can be used as valuable screening test for predicting fetal distress in labour, requiring caesarean section.
Effect of a Training Program about Maternal Fetal Attachment Skills on Prenat...iosrjce
to assess effect of a training program about maternal fetal attachment skills on prenatal attachment
among primigravida women.
Subjects and Methods: A quasi experimental research design was utilized. From a specific private Antenatal
Clinic in Mansoura city-Egypt eighty primigravida women aged 20 to 35 years, at 30th week gestation, had
singleton pregnancy and can read and write were selected purposively between of January and August 2011
and was equally divided into two groups; intervention group: received a training program on two MFA skills
and control group: received the routine antenatal care. Using interview sheet and Cranley's Maternal Fetal
Attachment Scale (MFAS) the data were collected at baseline and after two and four weeks of the enrollment.
Results: MFAS score had significantly increased in the intervention group from 61.6±5.9 at the baseline to
68.5±6.8 and 69.6 ±5.9 at 32nd, 34th week gestation respectively. While the changes of the MFAS total score in
the control group were insignificant.
Conclusion: MFAS total scores had significantly increased in the intervention group at 32nd and 34th week
gestation compared to the baseline score. Conversely, the MFAS total score did not differ significantly between
the baseline and two and four weeks after enrollment among the control group.
Recommendations: Enhancing the health care providers' awareness of the MFA skills to utilize in the
promotion of the prenatal MFA and motivate the active role of the nurses in helping the pregnant women to
adhere to the appropriate MFA skills are recommended.
1. Endometrial scratch therapy is a simple procedure done to improve embryo implantation and pregnancy rates in women undergoing ART. It involves gently scratching the endometrial lining using a catheter.
2. The proposed mechanisms by which it works include improving endometrial receptivity through regeneration of the endometrium and increased production of growth factors and cytokines.
3. Several studies have found endometrial scratching increases clinical pregnancy and live birth rates, especially in women with recurrent implantation failure undergoing IVF or IUI. It is a low-cost procedure with minimal risk.
Joe a well respected RN with many years of experience, worked in.docxvrickens
"Joe" a well respected RN with many years of experience, worked in the intensive care unit. One afternoon a patient was brought to the unit immediately post heart surgery. Joe assumed his care, and began his assessment. Shortly after the patient's arrival, the surgeon came in to see that patient.
The surgeon decided that he needed to replace a blocked central line, although the patient did have two patent peripheral IVs. Joe assisted the surgeon with the line placement, then called for radiology to come up and confirm line placement, as per protocol. Just as Joe heard the radiology tech coming, the patient developed asystole. Joe and the surgeon instituted ACLS protocol. When the surgeon called for a medication to be pushed, Joe went to push it via the patent peripheral IV, as placement of the central line had not been confirmed. The surgeon yelled 'No! In the central line! Push it in the central line!' Joe responded, 'The central line placement has not been confirmed, so it has to go through the peripheral." At this point, the surgeon yelled, "I want it through the central line, and you have to do what I say, because I'm the physician!" Joe yelled back that he was not going to risk his license just because a physician refused to follow protocol. He told the surgeon that he would push it through the peripheral line. The surgeon was livid, but made no attempt to push the med himself, so Joe pushed it through the peripheral line. The patient was then revived.
Joe and the surgeon continued to argue after the patient was resuscitated, to the point where other staff feared a fist fight would ensue. The house manager, an RN, was called in. Joe explained the situation to her. The surgeon said "I told him he was a nurse and he had to do what I told him to do. He's not going to lose his license or get fired as long as he does what I tell him to do. But he won't listen."
The house manager responded. "Well, the hospital policy does say that central lines cannot be used until placement has been confirmed by radiology." The surgeon went berserk, yelling at everyone. The house manager then said "well, if you want, we can change that policy so if a physician says it's ok, the line can be used without confirmation."
What do you think of the house manager's response to the situation?
What, if anything, do you think Joe should have done differently?
How would you have responded?
What do you suggest should be done about this proposed change in the policy?
Contents lists available at ScienceDirect
International Journal of Nursing Studies
journal homepage: www.elsevier.com/locate/ijns
Effect of non-nutritive sucking and sucrose alone and in combination for
repeated procedural pain in preterm infants: A randomized controlled trial
Haixia Gaoa,⁎, Mei Lib, Honglian Gaoc, Guihua Xua, Fang Lib, Jing Zhoub, Yunsu Zoub,
Honghua Jiangb
a School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China
b Children’s Hospital of Nanjing Medical U ...
Nurse staffing problems are a widespread issue facing the nursing profession globally. Inadequate nurse staffing can overwork nurses and lead to burnout, while also negatively impacting patient care. The purpose of the discussion is to outline a PICOT statement to study the effects of poor nurse staffing in healthcare facilities. The population would be critical care patients, the intervention would be collecting data from patients and nurses, the comparison would look at outcomes between units with staffing issues and those without, and the outcomes would be measured over two weeks to determine the effects of nurse staffing problems on patient care.
Intensive Critical Care Nursing journal.docx4934bk
1. The study used a cross-sectional design to survey 112 women who received care in a maternity high-dependency unit within the first 24 hours after giving birth.
2. The survey aimed to explore women's experiences and wellbeing following a complicated birth. It used a validated tool for intensive care experiences that was modified for the maternity context.
3. Preliminary results found many women felt in pain and not glad about being transferred to a postnatal ward, indicating pain management and the transfer experience require further investigation to improve women's experiences after complicated births.
LESSON 12 Paying for Care and Health Information LEA.docxSHIVA101531
LESSON 12
Paying for Care and Health Information
LEARNING OUTCOMES
______________________________________________________________________________
In this lesson, you will do the following:
Describe how coding, reimbursement, and billing are impacted by health information systems.
READINGS
The following reading assignments are for Lessons 9 through 12:
Gartee Text:
Chapter 4, pp. 74 - 95
Chapter 5, pp. 98 - 126
Chapter 6, pp. 127 - 151
Chapter 9, pp. 208 - 236
Chapter 10, pp. 237 - 259
ACTIVITIES / ASSESSMENTS
The following activities/assessments are for Lessons 9 through 12:
1. Read the assigned pages from the Gartee text.
2. Review the Lecture Notes, Unit 3 PowerPoint, and Voice Pod.
3. Participate in the weekly discussion question.
4. Complete the written assignment.
WRITTEN ASSIGNMENTS
Hospital Medicare Payment System - DRGs:
Research how large hospitals are paid by a Medicare fee for service reimbursements (DRG’s).
Include a brief history and relate how health information supports the request for a payment.
PLEASE NOTE: All graded assignments for the lessons in this unit should be grouped together
and submitted as ONE document using the Assignment Submission form accessed from your
course homepage or http://www.sjcme.edu/gps/assignments.
All activities/assignments for this unit should be as follows:
1. Should include a cover sheet for each assignment stating the following:
Course (HA 214)
Your Name
Unit and Lesson Number
Date Submitted
2. Each individual assignment number and copy of the assignment directions should be
included in the submission as the starting header of each lesson.
3. Carefully check grammar and spelling.
4. Use APA format for any research or sources that are being used or quoted.
5. Email the instructor if you have questions regarding the assignments.
http://www.sjcme.edu/gps/assignments
g
Research www.AJOG.org
O B S T E T R I C S
Preterm premature rupture of membranes >32 weeks’
estation: impact of revised practice guidelines
Arij Faksh, DO; Joseph R. Wax, MD; F. Lee Lucas, PhD; Angelina Cartin; Michael G. Pinette, MD
OBJECTIVE: The purpose of this study was to determine the perinatal
impact of the 2007 American College of Obstetricians and Gynecolo-
gists Practice Bulletin on preterm premature membrane rupture.
STUDY DESIGN: Perinatal outcomes were compared in women who
had experienced preterm membrane rupture in the 3 years before the
2007 Practice Bulletin to similar women who experienced preterm pre-
mature rupture of membranes in the 3 years after the issue and imple-
mentation of the guideline.
RESULTS: After adjustment for gestational age at membrane rupture
and steroids, composite severe morbidity (death, respiratory distress
Obstet Gynecol 2011;205:340.e1-5.
p
remained uncertain, p
doi: 10.1016/j.ajog.2011.05.036
340.e1 American Journal of Obstetrics & Gynecology OCTOB ...
ESSENTIAL OIL APPLICATION ON EPISIOTOMY WOUNDDR.RAJNI SHARMA
Perineal trauma can cause considerable distress and discomfort to many women following child birth.
Perineal pain in early post natal period has been reported as one of the most common causes of maternal morbidity.
Nowadays alternative and complementary methods such as Aromatherapy using essential oils are established as an alternative therapy for episiotomy. It is used increasingly and Lavender oil is frequently prescribed due to its antiseptic, healing and pain reliving properties.
Journal Club: Current Thoughts for The Prevention & Treatment of Pressure UlcersMeeran Earfan
1. The document reviewed evidence on various modalities for preventing and treating pressure ulcers. It found that specialized mattresses, wound cleansers containing aloe/silver chloride/decyl glucoside, vitamin C supplementation, honey dressings, and nutritional optimization can help with prevention and healing, while evidence is unclear for other modalities like repositioning, debridement methods, and ultrasound therapy.
2. The authors' treatment protocol involves specialized air mattresses, nutritional support including vitamin C, frequent repositioning, and wound cleaning or sharp debridement depending on ulcer severity, potentially followed by fasciocutaneous flaps.
3. The review concluded that the evidence demonstrates the effectiveness of some
A systematic review is designed to summarise the results of available studies and provides a high level of evidence-based findings on the effectiveness of interventions. Our experts can handle any type of research, whether you need systematic review based on controlled clinical trials or review based on observational study designs or community (e.g. psychology) intervention?
The document summarizes a study on women's awareness of initiating and continuing breastfeeding after cesarean section in Baghdad, Iraq. The study involved surveying 30 women who had cesarean sections using a questionnaire. The results showed that 43.3% initiated breastfeeding within 24 hours of their c-section. 76.7% continued breastfeeding, though only 26% practiced exclusive breastfeeding. The study aimed to identify factors influencing breastfeeding initiation and continuation after c-sections. It recommended promoting breastfeeding through baby-friendly hospital initiatives and counseling women during pregnancy and after birth.
The comparison of dinoprostone and vagiprost for induction of lobar in post t...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Endometrioma and how it affects IVF outcome : modified procedure with encoura...Mohamed Walaa El Deeb
1) Endometriomas are common in women with endometriosis and infertility, affecting up to 50% of subfertile women. Surgical removal carries risks of reducing ovarian reserve.
2) A meta-analysis found no significant difference in ovarian response or pregnancy rates between surgery vs no treatment prior to IVF. However, large endometriomas over 4cm may interfere with oocyte retrieval.
3) The authors propose a modified aspiration technique for large, recurrent endometriomas as an alternative to repeated surgery. Preliminary results show encouraging pregnancy rates without complications. Larger studies are still needed.
Misconceptions about Oral Contraceptive Pill Used Among Women at Primary Heal...iosrjce
This document summarizes a study that examined misconceptions about oral contraceptive pills among women in Holy Karbala City, Iraq. The study involved a survey of 200 women attending primary health care centers. The survey assessed demographic information, reproductive histories, and levels of agreement with statements about potential consequences of oral contraceptive use. The results found that most participants were between 21-35 years old, housewives, and had primary education or less. Regarding reproductive histories, most had 1-2 pregnancies and deliveries. Assessment of misconceptions showed that over 50% of participants believed myths such as oral contraceptives causing nervousness or infertility. However, participants correctly understood the effectiveness of oral contraceptives in preventing pregnancy
Similar to DESERTATION PRESENTATION preeti.pptx (20)
This document describes a study on the effectiveness of touch therapy in reducing pain among patients admitted to an orthopedic surgery ward. The study had several objectives including assessing pre-and post-test pain levels in experimental and control groups and evaluating the effectiveness of touch therapy. The experimental group received touch therapy while the control group did not. Results found that the mean post-test pain levels were significantly lower than pre-test levels in the experimental group receiving touch therapy. The study concluded that touch therapy was effective in reducing pain in orthopedic surgery patients.
This document presents a study proposal on assessing the effectiveness of nursing care in reducing blood sugar levels among pregnant women with gestational diabetes mellitus. The study aims to compare blood sugar levels between an experimental group that receives nursing care and a control group. The introduction provides background on gestational diabetes and its risks. The methodology will use a quasi-experimental design with 60 subjects divided into experimental and control groups. Nursing care involving education will be provided to the experimental group for 5 days. Blood sugar levels will be measured before and after the intervention to analyze its effectiveness. Appropriate statistical tests will be used to analyze the results.
The document presents a study on assessing the effectiveness of a first-aid training program for mothers of preschool children. It includes objectives to assess knowledge of first-aid for minor injuries before and after the program for experimental and control groups. The study found that the training program significantly increased knowledge of first-aid among mothers in the experimental group compared to the control group, supporting the hypothesis that the program would improve first-aid knowledge.
The document presents a study on the effectiveness of health teaching on self-care management of diabetic foot among diabetic patients. It includes:
1. An introduction describing diabetes and importance of foot care education.
2. Objectives to assess practice levels pre-and post-health teaching, evaluate teaching effectiveness, and associate practice with demographics.
3. A literature review of knowledge, prevention, self-care, foot ulcers, and education program effectiveness.
4. A methodology using a pre-post test experimental design to study 60 patients (30 control, 30 experimental receiving health teaching) and analyze results.
5. Preliminary results showing most experimental patients had moderate-adequate practice post-
This document appears to be an outline for a presentation on obstetrics and gynecological nursing. The presentation, delivered by Manjeeta, includes sections on the statement of problem, objectives, introduction, need for study, research hypothesis, assumptions, review of literature, research methodology, pilot study, method of data analysis, organization of findings, demographic variable profile, discussion, conclusion, summary, and recommendations. References are also included.
This document summarizes a study assessing the effect of an educational intervention on knowledge and attitudes regarding cervical cancer prevention among women. The study had the following objectives: 1) assess knowledge and attitudes in experimental and control groups, 2) determine the effectiveness of education on the experimental group, 3) compare post-test scores between groups, 4) correlate pre- and post-test scores within groups. The study used a quasi-experimental design with 40 women in the experimental group and 40 in the control. Results showed that the educational intervention significantly improved knowledge and attitudes in the experimental group but not the control group.
This document appears to be an outline for a presentation on obstetrics and gynecological nursing. The presentation, delivered by Manjeeta, includes sections on the statement of problem, objectives, introduction, need for study, research hypothesis, assumptions, review of literature, research methodology, pilot study, method of data analysis, organization of findings, demographic variable profile, discussion, conclusion, summary, and recommendations. References are also included.
The document presents a study on the effectiveness of home-based exercise intervention on osteoarthritis among old age people. The objectives are to assess and compare joint pain levels before and after the intervention in experimental and control groups, and to examine the association between pain levels and demographic variables. The study will involve 60 subjects, 30 in the experimental group receiving home exercises and 30 controls. Outcomes will be measured using a pain scale. Results will be analyzed using t-tests, frequencies, percentages, and chi-square to evaluate the effectiveness of the home exercises in reducing joint pain for older adults with osteoarthritis.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
-------------------------------------------------------------------------------
Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
-------------------------------------------------------------------------------
For more information about PECB:
Website: https://pecb.com/
LinkedIn: https://www.linkedin.com/company/pecb/
Facebook: https://www.facebook.com/PECBInternational/
Slideshare: http://www.slideshare.net/PECBCERTIFICATION
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
2. STATEMENT OF PROBLEM
A QUASI EXPERIMENTAL STUDY TO ASSESS THE EFFECTIVENESS OF SITZ
BATH ON EPISIOTOMY WOUND HEALING AMONG POSTNATAL MOTHERS
AT SELECTED HOSPITALS AT HISAR.
3. OBJECTIVES OF THE STUDY
1. To assess the level of wound healing before and after administration of Sitz bath among
postnatal mothers in experimental and control group.
2. To assess the effectiveness of post test of episiotomy wound healing among the
postnatal mothers in both experimental and control group.
3. To compare the significant difference between the experimental group and control group
of post test of episiotomy wound healing among the postnatal mothers.
4. To correlate the post test of episiotomy wound healing among the postnatal mothers in
both experimental group and control group.
5. To determine the association between the post test of episiotomy wound healing among
the postnatal mothers in both experimental and control group with their selected
demographic variables
4. INTRODUCTION
“Communities and countries and ultimately the world are only as strong as the health of
their women.” – Michelle Obama
Giving birth is a powerful and life changing event with a lasting impact on women and
their families. Every women who became pregnant have to undergo the process of delivery.
Sometimes it may be normal or forceps, vacuum and caesarean section. In normal process of
delivery the baby is delivered per vagina, an episiotomy is performed by health care provider
or midwife.
Sitz bath use medicated solution as well as plain water. The present study intends to the
effectiveness of sitz bath with plain water and sitz bath among postnatal mothers with
episiotomy.
5. NEED FOR STUDY
Puerperium is a period when great changes take place in a woman‘s physical and mental
set up that may pose a challenge to postnatal women in various ways. Episiotomy causes
considerable distress and discomfort to many women following childbirth. Its severity is
frequently under-estimated and many women suffer unnecessarily, often in silence. It is the
period when women receive less care from the health team and their family, since the new
born receive most attention at this moment. A delay in healing may increase the duration of
perineal pain and leads to infection, this fosters the need for new alternative interventions.
Even though the sitz bath is an effective method of healing the episiotomy wound, it is not
widely used like other treatments. Hence the researcher felt the need to evaluate the
effectiveness of sitz bath in the healing of episiotomy wound.
6. RESEARCH HYPOTHESIS:
All Hypotheses were tested at 0.05 level of significance
H1-There will be a significant difference between the experimental and control group of
post test of episiotomy wound healing among the postnatal mothers.
H2-There will be a significant correlation between the post test levels of episiotomy wound
healing among the postnatal mothers in both experimental and control group.
H3-There will be a significant association between the post test level of episiotomy wound
healing among the postnatal mothers in both experimental and control group with their
selected demographic
7. ASSUMPTION
Sitz bath may fasten the episiotomy wound healing process.
Sitz bath helps to reduce the infection.
8. POST-ASSESSMENT
PRE-ASSESSMENT
ASSESSMENT OF
WOUND HEALING
REEDA scale is used
to assess episiotomy
wound healing.
DEMOGRAPHIC
VARIABLES
Age,
Education
Occupation
of women
Family
income
Husband’s
occupation
INTERVENTION
SITZ BATH
Perineal area / buttocks are
submerged in warm water
having a temperature of
105⸰
F to 110⸰
F for a period
of 20 minutes for five
consecutive days.
ASSESSMENT OF
WOUND HEALING
REEDA scale is used
to assess episiotomy
wound healing.
ADEQUATE
HEALING
INADEQUATE
HEALING
FIGURE 1: CONCEPTUAL FRAMEWORK BASED ON MODIFIED ROY’S ADAPTATION MODEL
9. REVIEW OF LITERATURE
The retrieved literature was done for the present study and presented in the following
headings.
Section A: Literature review related to knowledge, attitude and practice episiotomy care.
Section B: Literature review related to episiotomy wound healing.
Section C: Literature review related to effectiveness of sitz bath on episiotomy wound
healing.
10. RESEARCH METHODOLOGY
• EVALUATIVE RESEARCH APPROACH IS USED IN THIS STUDY.
• QUASI EXPERIMENTAL DESIGN WAS USED.
• STUDY SETTING- JINDAL HEALTH INSTITUTE AND AADHAR HOSPITAL AT HISAR
• TARGET POPULATION- POSTNATAL MOTHERS WHO HAD UNDERGONE NORMAL VAGINAL DELIVERY AT
JINDAL INSTITUTE OF MEDICAL SCIENCES AND AADHAR HEALTH INSTITUTE, HISAR.
• SAMPLING TECHNIQUE: NON PROBABILITY CONVENIENT SAMPLING TECHNIQUE.
• SAMPLE SIZE: 60 POSTNATAL MOTHERS WHO HAD SATISFIED THE INCLUSION CRITERIA
(30=EXPERIMENTAL GROUP AND 30= CONTROL GROUP
• TOOL IS FORMULATED AS REEDA SCALE
• INTERVENTION- SITZ BATH
• ANALYSIS WAS USE AS INFERENTIAL STATISTICS.
• FINDINGS, SUMMARY, CONCLUSION, AND RECOMMENDATIONS
• COMMUNICATION AND FINDINGS
11. PILOT STUDY
Pilot study was conducted in Jindal Institute of medical sciences and Aadhar Health
Institute, Hisar during data collection period during the month of April (5/04/2022-
12/04/2022) for a period of one week. Initial permission was sought from the institution and
formal permission was sought from the medical officers for conducting the study.
Consent was obtained from the participants. 6 postnatal mothers were selected. Three
participants were administered Sitz bath and other three were administered routine care for
both morning and evening for five days. Results of the pilot study, gave the evidence that the
tools were reliable. Finding of pilot study also revealed that it was feasible and practicable to
conduct the study at the selected settings.
12. METHOD OF DATAANALYSIS
Frequency and percentage distribution was used to assess demographic variables of
postnatal mothers, level of episiotomy wound healing.
Mean and standard deviation was used to assess the effectiveness of Sitz bath.
‘t’ test was used to evaluate and compare post interventional level of episiotomy pain and
wound healing between experimental and control groups.
Chi-square test was used to find out the association between the post interventional level of
episiotomy wound healing with the selected demographic in experimental and control
group.
13. ORGANIZATI ON OF FINDINGS
The analysis of the data is organized and presented under the following broad headings-
Section I: Description of postnatal mothers based on their socio-demographic and obstetrical characteristics.
Section II: Assessment of pretest and posttest level of episiotomy wound healing among the postnatal
mothers in both experimental and control group
Section III: Comparison of pretest and posttest episiotomy wound healing among the postnatal mothers in
both experimental and control group
Section IV: Comparison of posttest mean and SD score of episiotomy wound healing among the postnatal
mothers in both experimental and control group
Section V: Find out association between the post test level of episiotomy wound healing among the postnatal
mothers in both experimental and control group with their selected demographic and obstetrical variables.
14. SECTION-A DEMOGRAPHIC VARIABLE PROFILE
Demographic variable
Experimental group (N=30) Control group (N=30)
Frequency Percentage Frequency Percentage
1. Age
18 to 21 years 4 13.33% 3 10%
22 to 25 years 10 33.33% 8 26.67%
26 to 29 years 13 43.34% 15 50%
Above 29 years 3 10% 4 13.33%
2. Educational status
Non formal education 0 0% 0 0%
High school 5 16.67% 2 6.67%
Higher secondary 7 23.33% 6 20%
Graduate or above 18 60% 22 73.33%
3. Parity
Primi para 21 70% 18 60%
Multipara 9 30% 12 40%
4. Occupation
Housewife 17 56.67% 20 66.67%
Working 13 43.33% 10 33.33%
5. Place of residence
Rural 14 46.67% 12 40%
Urban 16 53.33% 18 60%
16. Section II:
Assessment of pretest and posttest level of episiotomy wound healing among the postnatal
mothers in both experimental and control group
0%
33.33%
50%
16.67%
16.67%
76.67%
6.67%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
No infection Mild infection Moderate infection Severe infection
Experimental group pre and post test Level of wound healing
Pre test
Post test
Bar diagram representing percentage distribution of postnatal mothers based on their level of
wound healing in experimental group
18. Section III:
Comparison of pretest and posttest episiotomy wound healing among the postnatal
mothers in both experimental and control group
Group PRE TEST POST TEST Mean
differenc
e
Paired ‘t’ test
At p<0.05
Mean SD Mean SD
Experimental
group
7.8 3.35 3.3 2.30 4.45 16.89**
Control group 7.43 3.24 5.7 2.10 1.73 15.43**
H1-There will be a significant difference between the experimental and control group of post test of episiotomy wound
healing among the postnatal mothers.
In experimental group pre test mean score was 7.8 with SD 3.35 and post test mean score was 3.3 with SD 2.30.
The mean difference was 4.45. the Calculated ‘t’ value was 16.89 at p<0.05 which is higher than table value, which
shows sitz bath was effective in episiotomy wound healing. Hence hypothesis H1 was accepted.
In control group pre test mean score was 7.43 with SD 3.24 and post test mean score was 5.7 with SD 2.10. The
mean difference was 1.73. The Calculated ‘t’ value was 15.43 at p<0.05 which is higher than table value.
19. Section IV:
Comparison of posttest mean and SD score of episiotomy wound healing among the
postnatal mothers in both experimental and control group
Group POST TEST Mean
difference
Un-Paired ‘t’
test
At p<0.05
Mean SD
Experimental group 3.3 2.30 2.4 4.73
Df=58
Control group 5.7 2.10
H2-There will be a significant correlation between the post test levels of episiotomy wound healing among
postnatal mothers in both experimental and control group.
In experimental group posttest mean (3.3) and SD (2.30) score of episiotomy wound healing was less than
the control group posttest mean (5.7) and SD (2.10) score of episiotomy wound healing. The mean difference
of posttest score was 2.4. The calculated ‘t’ value was 4.73 which was higher than table value. Which shows
Sitz bath was effective in episiotomy wound healing. Hence hypothesis H2 was accepted.
20. Section V:
Find out association between the post test level of episiotomy wound healing among the
postnatal mothers in experimental with their selected demographic and obstetrical
variables.
H3-There will be a significant association between the post test level of episiotomy wound healing among the
postnatal mothers in experimental with their selected demographic and obstetrical variables.
To see the association between the post test level of episiotomy wound healing among the postnatal
mothers in experimental with their selected demographic and obstetrical variables. In experimental group,
demographic variables such as age and education, baby weight are significantly associated with their posttest
level of episiotomy wound healing. Parity, occupation, place of residence, type of episiotomy, indication for
episiotomy, does not show any association with post test episiotomy wound healing.
Hence hypothesis H3 was accepted.
21. DISCUSSION
This chapter deals with the discussion of the findings of present study in accordance with the objectives
of the research problem. The findings of the study have been discussed with reference to the results
obtained .
In experimental group, pre test score shows that 50% had moderate infection, 33.33% had mild
infection and 16.67% had severe infection. After posttest 76.67% had mild infection, 16.67% had no
infection and 6.67% had moderate infection.
In control group, pre test score shows that 66.66% had moderate infection, 26.67% had mild
infection and 6.67% had severe infection. After posttest 56.67% had moderate infection, 33.33% had
mild infection and 10% had no infection.
experimental group pre test mean score was 7.8 with SD 3.35 and post test mean score was 3.3 with SD
2.30. The mean difference was 4.45. the Calculated ‘t’ value was 16.89 at p<0.05 which is higher than
table value, which shows sitz bath was effective in episiotomy wound healing. Hence hypothesis H1 was
accepted.
In control group pre test mean score was 7.43 with SD 3.24 and post test mean score was 5.7 with
SD 2.10. The mean difference was 1.73. The Calculated ‘t’ value was 15.43 at p<0.05 which is higher
than table value.
22. CONCLUSION
The present study shows that in experimental group posttest mean (3.3) and SD (2.30) score of
episiotomy wound healing was less than the control group posttest mean (5.7) and SD (2.10) score of
episiotomy wound healing. The mean difference of posttest score was 2.4. The calculated ‘t’ value was
4.73 which was higher than table value. Which shows Sitz bath was effective in episiotomy wound
healing.
23. SUMMARY
The study design consisted of an evaluative approach with one group pre test and post test control group
design. Convenient sampling technique was adopted. The tool developed and used for data collection was
REEDA scale.
In experimental group pre test mean score was 7.8 with SD 3.35 and post test mean score was 3.3 with
SD 2.30. The mean difference was 4.45. the Calculated ‘t’ value was 16.89 at p<0.05 which is higher than
table value, which shows sitz bath was effective in episiotomy wound healing. Hence hypothesis H1 was
accepted. In control group pre test mean score was 7.43 with SD 3.24 and post test mean score was 5.7 with
SD 2.10. The mean difference was 1.73. The Calculated ‘t’ value was 15.43 at p<0.05 which is higher than
table value.
In experimental group posttest mean (3.3) and SD (2.30) score of episiotomy wound healing was less
than the control group posttest mean (5.7) and SD (2.10) score of episiotomy wound healing. The mean
difference of posttest score was 2.4. The calculated ‘t’ value was 4.73 which was higher than table value.
Which shows Sitz bath was effective in episiotomy wound healing.
24. RECOMMENDATION
Based on the findings of the present study the following recommendations are made:
1. Similar study can be replicated on a large sample.
2. A True experimental study can be done with the administration of warm water sitz bath.
25. REFERENCES
1. Dutta.DC. (2014) THE TEXT BOOK OF OBSTETRICS.(6TH Edition.). London, new central book agency (p)Ltd
2. Basavanthappa PT (2012) .The Text Book Of Midwifery And Reproductive Health Nursing. (7th edition.).New Delhi: Jaypee publications.
3. Basavanthappa. B.T (2007).Nursing Research.(2nd Edition.). New Delhi : Jaypee publications.
4. Indrani TR. (2012) .TEXTBOOK OF MIDWIFERY . (5th edition). New Delhi . Jaypee.
5. Niza.S, Dr. M. Gandhimathi, "A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge and Knowledge about
Practice Regarding Episiotomy Using Lecture Method and LCD Method", International Journal of Science and Research (IJSR),
https://www.ijsr.net/get_abstract.php?paper_id=ART20173004, Volume 6 Issue 4, April 2017, 2318 - 2323, #ijsrnet
6. L. Kalaivani. A Study to Evaluate the Effectiveness of Sitz Bath on Episiotomy Wound Healing among Postnatal Mothers in Aravindan
Hospital at Coimbatore. International Journal of Nursing Education and Research. 2021; 9(3):281-6. doi: 10.52711/2454-2660.2021.00066
7. Thakur, Bhawna & Viswanath, Lekha. (2018). Effectiveness of Sitz Bath with Plain Water Versus Povidone Iodine Solution on Episiotomy
Healing and Pain among Postnatal Mothers. 4. 10.21088/jnmmh.2454.7506.4318.1.
8. Kapoor J, Rita. A comparative study to assess the effectiveness of medicated and non-medicated sitz bath on episiotomy wound healing
among postnatal mothers at govt. Smgs maternity hospital, Jammu (J&K). Int J Pregn & Chi Birth. 2018;4(2):92-96. DOI:
10.15406/ipcb.2018.04.00090
26. Cont…
1. Astha Gumber. A quasi-experimental study to assess the effectiveness of saddle pillow on episiotomy pain and level of comfort during breastfeeding among postnatal mothers admitted in selected hospitals
of district Mohali, Punjab. Int. J. of Advances in Nur. Management. 2021; 9(2):200-203. doi: 10.5958/2454-2652.2021.00045.7
2. Arati mahishale, Ashwini chougala (2013). Effect of therapeutic ultrasound and maternal cooling gel pad for preineal pain following vaginal delivery with episiotomy. Women Health Care. Nov. Vol 2(3).
PP: 2 4.
3. Dash,manju bala (2013) .Effectiveness of infrared rays on wound healing among caesarean section mothers. American journal of nursing research. Octo28, Vol 1(8). PP: 43 46.
4. Dudley LM, kettle C, Ismail KM. (2013) . Repair of episiotomy and perineal laceration associated with childbirth. Mar.Vol 9(3). PP:35 39.
5. Eolzuka,CCDim,Cochigbu .(2014).Prevalence and predictors of episiotomy among women at first birth in Enugu, south East Nigeria. Annual medical health science research. Nov.Vol 4(6). PP: 928 932.
6. Esa bose , Meena samant, Poonam lal. (2013). Comparison of impact of polyglactin 910 (vicryl rapide) and chromic catgut sutures on preineal pain. Journal of obstetrical and gynaecological . March.
Volume 2(6) . PP: 140 141.
7. Farideh,Fereshteh,Mohsen .(2013) .The impact of aloe vera and calendula on perineal healing after episiotomy in primiparous women. A randomized clinical trial. Journal Of caring science. Decem ,
vol2(7), PP:279 286.
8. Hoda A bed & Nahed Saied (2012) Effect of self perineal care instruction on episiotomy pain and wound healing of postpartum women. Journal of american science. Feb. Vol 8(6). PP: 98 102.
9. Ines melo, Leila katz .(2014) . Selective episiotomy versus implementation of a non episiotomy protocol: A randomized clinical trial. Reproductive health.Aug. vol 11(66). PP: 43 49.
10. Taehan Kanho Hakhoe chi (2013) Clinical trial on postpartum mothers perineal healing .journal of controlled clinical trial . Octo. Vol 49(2), PP 95-98.
11. Yashashi pore. (2014) .Effectiveness of moist heat and dry heat application on healing of episiotomy wound. Asian journal of multidisciplinary Studies. July. Vol 2(7) .PP: 75 84.
12. K. Jagminder, et. al. (2015) Knowledge and Attitude Regarding Episiotomy Wound Care Among Third Trimester Primigravida Mothers. International Journal of Obstetrics, Perinatal and Neonatal
Nursing. Vol. 1: Issue 1. www.journalspub.com
13. R. Chandraleka, et. al. (2019) Effectiveness of Sitz Bath Versus Infrared Ray Therapy on Level of Episiotomy Pain and Wound Healing Among Post Natal Mothers in Selected Hospital, Puducherry.
September 13, 2019 | Published: September 19, 2019. DOI: 10.26717/BJSTR.2019.21.003605