The document discusses a study on the treatment of childhood burns in Ghana. It finds that children often receive inappropriate first aid and home treatment for burns, such as applying shea butter or palm oil, which can introduce infections. While some parents use a combination of western drugs and traditional remedies, the use of unapproved traditional preparations is common and can lead to complications. The study aims to determine if children receive appropriate burn treatment and explore treatment-seeking behaviors, finding most parents use traditional or mixed methods instead of solely clinical care. It recommends alternative practices like immediate professional medical treatment to reduce complications from burns.
This document discusses patient satisfaction and describes a case study involving a patient, Ms. Jones, who had a medical procedure and was dissatisfied with her pain management. It then reviews literature on factors that influence patient satisfaction, such as communication, trust in healthcare providers, and continuity of care. Decision analysis theory is presented as a framework for evaluating options to improve patient satisfaction by defining problems, alternative actions, outcomes, costs, and probabilities to determine the optimal course of action.
The opioid renewal clinic a primary care managed approachPaul Coelho, MD
This document describes a study evaluating the impact of an Opioid Renewal Clinic (ORC) program at a Veterans Affairs Medical Center. The ORC was established to support primary care providers in safely managing patients with chronic pain requiring opioid therapy. It was led by a nurse practitioner and clinical pharmacist, supported by a multidisciplinary pain team. The ORC utilized opioid treatment agreements and urine drug testing. The program resulted in improved adherence for many patients, identification and treatment of substance abuse issues for some, and cost savings for the hospital pharmacy. It provided primary care providers a structured approach for managing complex chronic pain patients on long-term opioid therapy.
Minimally disruptive medicine aims to reduce the burden of treatment on patients pursuing chronic disease management while still achieving treatment goals. The cumulative complexity model shows how workload, capacity, and context affect a patient's treatment burden over time. A key problem is that evidence-based guidelines often do not consider comorbidities or the patient's perspective on priorities. Minimally disruptive care coordinates treatment, simplifies regimens when possible, and individualizes care based on the patient's needs and preferences. The overall goal is for patients to feel better and live longer without undue complications from the healthcare system itself.
This study investigated the relationship between pain catastrophizing and outcomes in 253 chronic pain patients prescribed opioids in primary care settings. Patients completed measures of pain catastrophizing, intensity, disability, side effects, and opioid misuse at baseline and 6-month follow up. The results showed that patients with high catastrophizing reported greater pain, disability, negative affect, side effects, and opioid misuse compared to low catastrophizing patients, both at baseline and over 6 months. Higher catastrophizing was associated with worse pain outcomes and increased risk of opioid misuse among chronic pain patients prescribed opioids in primary care.
The document summarizes several studies on the effects of Animal Assisted Activity (AAA) on cancer patients. One study found AAA programs in pediatric oncology hospitals were consistent in having strict safety policies. Another study found AAA decreased fatigue and improved emotional health for cancer patients undergoing radiation treatment. A third study found hospital staff generally had positive views of an AAA program, believing it benefited patients. A final study examined found AAA improved the mood of terminal cancer patients in palliative care. Overall, the studies suggested AAA can have benefits for cancer patients' moods and symptoms.
The document summarizes a team-based approach to opioid management led by researchers from the University of Washington and Group Health Research Institute. It lists the key members of the research team and notes that the project is funded by an AHRQ grant. It then provides background data on the high rate of opioid prescriptions in Washington State and details of the team-based approach, including use of a patient registry, treatment agreements, urine drug screening, and policies around opioid dosage and risk mitigation.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT began with a few clinicians in 2005 and has expanded to include various complementary and alternative medicine services. IMPACT assesses patients' physical, psychosocial and spiritual needs. It also provides education to medical staff and students on palliative care and integrative medicine. IMPACT is researching the effectiveness of interventions like aromatherapy, yoga and alternative diets.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to offering additional complementary and alternative medicine services. IMPACT now includes practitioners of herbal medicine, yoga, massage, acupuncture, nutrition counseling, and other therapies. It also provides education to medical students and conducts research on topics like the effectiveness of different diets for pediatric oncology patients.
This document discusses patient satisfaction and describes a case study involving a patient, Ms. Jones, who had a medical procedure and was dissatisfied with her pain management. It then reviews literature on factors that influence patient satisfaction, such as communication, trust in healthcare providers, and continuity of care. Decision analysis theory is presented as a framework for evaluating options to improve patient satisfaction by defining problems, alternative actions, outcomes, costs, and probabilities to determine the optimal course of action.
The opioid renewal clinic a primary care managed approachPaul Coelho, MD
This document describes a study evaluating the impact of an Opioid Renewal Clinic (ORC) program at a Veterans Affairs Medical Center. The ORC was established to support primary care providers in safely managing patients with chronic pain requiring opioid therapy. It was led by a nurse practitioner and clinical pharmacist, supported by a multidisciplinary pain team. The ORC utilized opioid treatment agreements and urine drug testing. The program resulted in improved adherence for many patients, identification and treatment of substance abuse issues for some, and cost savings for the hospital pharmacy. It provided primary care providers a structured approach for managing complex chronic pain patients on long-term opioid therapy.
Minimally disruptive medicine aims to reduce the burden of treatment on patients pursuing chronic disease management while still achieving treatment goals. The cumulative complexity model shows how workload, capacity, and context affect a patient's treatment burden over time. A key problem is that evidence-based guidelines often do not consider comorbidities or the patient's perspective on priorities. Minimally disruptive care coordinates treatment, simplifies regimens when possible, and individualizes care based on the patient's needs and preferences. The overall goal is for patients to feel better and live longer without undue complications from the healthcare system itself.
This study investigated the relationship between pain catastrophizing and outcomes in 253 chronic pain patients prescribed opioids in primary care settings. Patients completed measures of pain catastrophizing, intensity, disability, side effects, and opioid misuse at baseline and 6-month follow up. The results showed that patients with high catastrophizing reported greater pain, disability, negative affect, side effects, and opioid misuse compared to low catastrophizing patients, both at baseline and over 6 months. Higher catastrophizing was associated with worse pain outcomes and increased risk of opioid misuse among chronic pain patients prescribed opioids in primary care.
The document summarizes several studies on the effects of Animal Assisted Activity (AAA) on cancer patients. One study found AAA programs in pediatric oncology hospitals were consistent in having strict safety policies. Another study found AAA decreased fatigue and improved emotional health for cancer patients undergoing radiation treatment. A third study found hospital staff generally had positive views of an AAA program, believing it benefited patients. A final study examined found AAA improved the mood of terminal cancer patients in palliative care. Overall, the studies suggested AAA can have benefits for cancer patients' moods and symptoms.
The document summarizes a team-based approach to opioid management led by researchers from the University of Washington and Group Health Research Institute. It lists the key members of the research team and notes that the project is funded by an AHRQ grant. It then provides background data on the high rate of opioid prescriptions in Washington State and details of the team-based approach, including use of a patient registry, treatment agreements, urine drug screening, and policies around opioid dosage and risk mitigation.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT began with a few clinicians in 2005 and has expanded to include various complementary and alternative medicine services. IMPACT assesses patients' physical, psychosocial and spiritual needs. It also provides education to medical staff and students on palliative care and integrative medicine. IMPACT is researching the effectiveness of interventions like aromatherapy, yoga and alternative diets.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to offering additional complementary and alternative medicine services. IMPACT now includes practitioners of herbal medicine, yoga, massage, acupuncture, nutrition counseling, and other therapies. It also provides education to medical students and conducts research on topics like the effectiveness of different diets for pediatric oncology patients.
Injection Drug Users’ Utilization of Health Care in New York City:
Abstract:
Through the principles of harm reduction, the Harm Reduction Coalition addresses the adverse affects of drug use. To better advocate for the health care needs of injection drug users, the student intern conducted a pilot study at syringe exchange programs. The pilot study included topical literature research, the formation of a community advisory board, a focus group, the administration of two surveys, and interviews with current and former injection drug users on their health care experiences. In addition, the student intern also videoed select interviewee’s anecdotes regarding health care for advocacy purposes. The student intern completed the design of the focus group moderator guide and interview protocol, design of the surveys, facilitation of the board, conduction of the focus group and interviews, video editing, and quantitative and qualitative research using the gathered data. The results will be compiled in a report to be used by the organization for advocacy purposes.
This document summarizes the results of a study examining factors that influence multiple sclerosis (MS) patients' willingness to participate in clinical trials. The study involved questionnaires assessing patients' knowledge of and attitudes towards clinical trials. The results showed that about half of MS patients were willing to consider participating in a trial. The strongest positive predictors of willingness were older age, not having children, progressive MS, and previous trial participation. Risk of side effects was the top negative factor influencing participation. Providing comprehensive information to patients was the most important solution to increase participation.
This document summarizes a clinical track on maternal-fetal issues for physicians presented by various experts. It includes 3 learning objectives focused on describing an NAS treatment protocol that decreased treatment days and hospital stay, screening and counseling pregnant patients on prenatal marijuana use, and outlining changes to marijuana that may affect developmental outcomes. The track then provides details on an Ohio pilot study across 6 hospitals that established a stringent opioid weaning protocol, decreasing treatment and hospital days. It discusses the impacts of standardized guidelines for NAS treatment adopted across Ohio, including reduced opioid exposure and length of stay. The presentation aims to optimize non-pharmacological treatment and safety planning for infants with NAS and their families.
The purpose of the research was to understand if cancer patients experienced more pain relief from a combination of oxycodone and complementary alternative medicine (CAT) compared to oxycodone alone. Two systematic reviews were examined but found no significant differences between medication therapy alone or combination therapy. The reviews had limitations such as small sample sizes and varying cancer types and CAT methods. While not proven clinically, CAT is becoming a popular additional option for some patients to potentially achieve further pain relief alongside medications.
Non-adherence In Chronic Myeloid Leukemia: Results Of A Global Survey Of 2546...jangeissler
NON-ADHERENCE IN CHRONIC MYELOID LEUKEMIA: RESULTS OF A GLOBAL SURVEY OF 2546 CML PATIENTS IN 79 COUNTRIES:
Giora Sharf, Verena Hoffmann, Felice Bombaci, Mina Daban, Fabio Efficace, Joëlle Guilhot, Jana Pelouchová, Euzebiusz J. Dziwinski, Jan de Jong , Anthony Gavin, Jan Geissler
EHA Abstract S1104 - Presented in the session "08. CML - Clinical" by Giora Sharf, CML Advocates Network, at the European Hematology Association (EHA) Congress 18 in Stockholm, 16/6/2013
Development and evaluation of an intervention to support family caregivers of...beatriz9911
This study aimed to develop and evaluate an intervention to support family caregivers of cancer patients providing home-based end-of-life care. In Phase 1, interviews with 29 caregivers identified their needs for practical information and support skills. Based on these findings, the researchers created an informational booklet as the preferred format. In Phase 2, 31 caregivers and 14 nurses evaluated the booklet. Caregivers reported feeling more positive, reassured, and competent in their caregiving role after using the booklet. Nurses found the booklet useful and received fewer calls from caregivers who used it. However, caregivers indicated they would have benefited from receiving the booklet earlier in the care trajectory. The researchers concluded the
Response paper, philippines code of ethics for registered nursesLyca Mae
This document discusses the Philippines Code of Ethics for Registered Nurses and how it provides a framework to guide nurses in drug administration. The code outlines five ethical responsibilities: nurses and people, nurses and practice, nurses and coworkers, nurses and society/environment, and nurses and their profession. It emphasizes respecting individuals, accountability in nursing practice, collaborative relationships, and preserving nursing integrity. While the code guides nurses' ethical actions in drug administration, it should still be revised over time to address changes in healthcare.
Wellness Wednesday was held at Peyton Manning Children's Hospital to promote wellness among staff. A survey found that healthy snacks was the most popular topic. At the event, 45% of passersby learned about healthy snack options for kids. While feedback was positive, expanding the event's scope and frequency could further educate staff on living healthy lifestyles.
This document provides information about discussing goals of care with family members of patients with dementia. It begins with an introduction and outlines the session goals. It then discusses the natural history and progression of Alzheimer's disease using the FAST scale. Data on the clinical course of advanced dementia is presented showing high rates of infections, eating problems, and burdensome interventions in the last months of life. Evidence is discussed regarding treating or not treating pneumonia and tube feeding. The role play provides an example case of a patient with advanced dementia to discuss goals of care.
Non-adherence of CML patients - Results of the global survey of the CML Ad...jangeissler
"Non-adherence of CML patients - Results of the global survey of the CML Advocates Network", presented by Giora Sharf, Co-founder, CML Advocates Network and Director, Israeli CML Patients’ Organization, for the International CML Foundations' "Virtual Education Program"
Pediatric Hospital Medicine Top 10 (ish) 2014rdudas
The article "The survival time of chocolates on hospital wards: covert observational study" studied how long chocolates lasted on hospital wards before being eaten. Researchers covertly placed chocolates in hospital wards and recorded how long they remained. On average, chocolates lasted only 75 minutes before being consumed, with large variations based on ward type and time of day. The study highlights issues around food security and integrity on hospital wards.
1) This randomized clinical trial compared opioid vs nonopioid medication therapy over 12 months for patients with chronic back, hip, or knee pain.
2) It found no significant difference in pain-related function between the two groups, but pain intensity was significantly better in the nonopioid group. Adverse effects were significantly more common in the opioid group.
3) The study concludes that opioid therapy was not superior to nonopioid medications for improving pain-related function over 12 months, and the results do not support initiating opioids for moderate to severe chronic musculoskeletal pain.
This study assessed 328 patients' experiences with and responses to expanded carrier screening (ECS) results, including differences between carriers and non-carriers. Most patients (84.9%) received pre- and post-test genetic counseling. Carriers reported feeling more anxious, a sense of loss of control, and regret about results compared to non-carriers. Carriers also felt more uncertain about implications for their family and had more difficulty making reproductive decisions. The study aims to understand how ECS and genetic counseling impact patients' testing experiences.
The pharmaceutical industry has made it very difficult to know what the clinical trial evidence is regarding psychotropics. As a consequence, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence-based prescriptive practice. BARRY DUNCAN and DAVID ANTONUCCIO call for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. The authors assert that current prescribing practices are often empirically unsound and unduly influenced by pharmaceutical company interests, resulting in unnecessary risks to patients. In the spirit of evidenced-based medicine’s inclusion of patient values as well as the movement toward health home and integrated care, a patient bill of rights for psychotropic prescription is presented. Guidelines are offered to raise the bar of care equal to the available science for all prescribers of psychiatric medications. This is a Psychotherapy in Australia reprint of an earlier article.
Click here for a video of the presentation http://heartandsoulofchange.com/content/resources/viewer.php?resource=video&id=97
Click here for a pdf of the slides: http://heartandsoulofchange.com/content/resources/viewer.php?resource=handout&id=127
This document discusses adopting a "universal precautions" approach to assessing and managing chronic pain patients to improve care and reduce risks. It notes that while some chronic pain patients have substance use disorders, there is no reliable way to identify those individuals in advance. It recommends thoroughly assessing all patients for present and past substance use, including illicit drugs and alcohol, to better understand risks. A universal precautions approach allows for formulating individualized treatment plans based on mutual trust and honesty while improving care, reducing stigma, and containing overall risks.
Impact of palliative care education on nurses' knowledge, attitude and exper...Alexander Decker
1) The study evaluated the impact of palliative care education on nurses' knowledge, attitude, and experience in caring for chronically ill children.
2) A questionnaire was used to assess nurses' knowledge, attitude, and experience before and after receiving education based on guidelines developed by the researchers.
3) The results showed that the majority of nurses had a bachelor's degree but none had cared for dying children in the past year. There were also significant improvements in nurses' knowledge, attitude, and experience regarding palliative care after receiving the educational intervention.
Antimicrobial resistance is one of the biggest threats to human health and is rising to dangerously high levels in all parts of the world. Anyone, of any age, in any country, could be impacted. While it's normal for microbes to develop resistance to drugs, the way antimicrobials are currently being used is accelerating the process, and as a result common infections and minor injuries are becoming an increasingly greater threat to our well-being. Organizations from across the world are taking action and making progress on this issue, but is there anything patients, their families and patient advisors can do to help?
See the full presentation here: https://goo.gl/AYCsdd
(1) The document examines why patients in Palestine use traditional medicine to treat burns. It conducted a cross-sectional study of 290 burn patients admitted to a hospital in Hebron, Palestine in 2020.
(2) The study found that 29% of admissions used traditional medicine after their burns. The most common reasons for using traditional medicine were believing it does not leave scars after healing (70%), rapid healing (70%), and thinking traditional medicine is better than conventional treatments (57%).
(3) Sources of information about traditional burn treatments included friends (22%), the internet (53.3%), media (16.8%), and family (15%). The study found no significant differences in reasons for using traditional medicine based on
Ijsrp p8825 Caregiver factors influencing seeking of Early Infant Diagnosis (...Elizabeth kiilu
Caregiver factors influencing seeking of Early Infant Diagnosis (EID) of HIV services in selected hospitals in Nairobi County, Kenya:A qualitative Study
Injection Drug Users’ Utilization of Health Care in New York City:
Abstract:
Through the principles of harm reduction, the Harm Reduction Coalition addresses the adverse affects of drug use. To better advocate for the health care needs of injection drug users, the student intern conducted a pilot study at syringe exchange programs. The pilot study included topical literature research, the formation of a community advisory board, a focus group, the administration of two surveys, and interviews with current and former injection drug users on their health care experiences. In addition, the student intern also videoed select interviewee’s anecdotes regarding health care for advocacy purposes. The student intern completed the design of the focus group moderator guide and interview protocol, design of the surveys, facilitation of the board, conduction of the focus group and interviews, video editing, and quantitative and qualitative research using the gathered data. The results will be compiled in a report to be used by the organization for advocacy purposes.
This document summarizes the results of a study examining factors that influence multiple sclerosis (MS) patients' willingness to participate in clinical trials. The study involved questionnaires assessing patients' knowledge of and attitudes towards clinical trials. The results showed that about half of MS patients were willing to consider participating in a trial. The strongest positive predictors of willingness were older age, not having children, progressive MS, and previous trial participation. Risk of side effects was the top negative factor influencing participation. Providing comprehensive information to patients was the most important solution to increase participation.
This document summarizes a clinical track on maternal-fetal issues for physicians presented by various experts. It includes 3 learning objectives focused on describing an NAS treatment protocol that decreased treatment days and hospital stay, screening and counseling pregnant patients on prenatal marijuana use, and outlining changes to marijuana that may affect developmental outcomes. The track then provides details on an Ohio pilot study across 6 hospitals that established a stringent opioid weaning protocol, decreasing treatment and hospital days. It discusses the impacts of standardized guidelines for NAS treatment adopted across Ohio, including reduced opioid exposure and length of stay. The presentation aims to optimize non-pharmacological treatment and safety planning for infants with NAS and their families.
The purpose of the research was to understand if cancer patients experienced more pain relief from a combination of oxycodone and complementary alternative medicine (CAT) compared to oxycodone alone. Two systematic reviews were examined but found no significant differences between medication therapy alone or combination therapy. The reviews had limitations such as small sample sizes and varying cancer types and CAT methods. While not proven clinically, CAT is becoming a popular additional option for some patients to potentially achieve further pain relief alongside medications.
Non-adherence In Chronic Myeloid Leukemia: Results Of A Global Survey Of 2546...jangeissler
NON-ADHERENCE IN CHRONIC MYELOID LEUKEMIA: RESULTS OF A GLOBAL SURVEY OF 2546 CML PATIENTS IN 79 COUNTRIES:
Giora Sharf, Verena Hoffmann, Felice Bombaci, Mina Daban, Fabio Efficace, Joëlle Guilhot, Jana Pelouchová, Euzebiusz J. Dziwinski, Jan de Jong , Anthony Gavin, Jan Geissler
EHA Abstract S1104 - Presented in the session "08. CML - Clinical" by Giora Sharf, CML Advocates Network, at the European Hematology Association (EHA) Congress 18 in Stockholm, 16/6/2013
Development and evaluation of an intervention to support family caregivers of...beatriz9911
This study aimed to develop and evaluate an intervention to support family caregivers of cancer patients providing home-based end-of-life care. In Phase 1, interviews with 29 caregivers identified their needs for practical information and support skills. Based on these findings, the researchers created an informational booklet as the preferred format. In Phase 2, 31 caregivers and 14 nurses evaluated the booklet. Caregivers reported feeling more positive, reassured, and competent in their caregiving role after using the booklet. Nurses found the booklet useful and received fewer calls from caregivers who used it. However, caregivers indicated they would have benefited from receiving the booklet earlier in the care trajectory. The researchers concluded the
Response paper, philippines code of ethics for registered nursesLyca Mae
This document discusses the Philippines Code of Ethics for Registered Nurses and how it provides a framework to guide nurses in drug administration. The code outlines five ethical responsibilities: nurses and people, nurses and practice, nurses and coworkers, nurses and society/environment, and nurses and their profession. It emphasizes respecting individuals, accountability in nursing practice, collaborative relationships, and preserving nursing integrity. While the code guides nurses' ethical actions in drug administration, it should still be revised over time to address changes in healthcare.
Wellness Wednesday was held at Peyton Manning Children's Hospital to promote wellness among staff. A survey found that healthy snacks was the most popular topic. At the event, 45% of passersby learned about healthy snack options for kids. While feedback was positive, expanding the event's scope and frequency could further educate staff on living healthy lifestyles.
This document provides information about discussing goals of care with family members of patients with dementia. It begins with an introduction and outlines the session goals. It then discusses the natural history and progression of Alzheimer's disease using the FAST scale. Data on the clinical course of advanced dementia is presented showing high rates of infections, eating problems, and burdensome interventions in the last months of life. Evidence is discussed regarding treating or not treating pneumonia and tube feeding. The role play provides an example case of a patient with advanced dementia to discuss goals of care.
Non-adherence of CML patients - Results of the global survey of the CML Ad...jangeissler
"Non-adherence of CML patients - Results of the global survey of the CML Advocates Network", presented by Giora Sharf, Co-founder, CML Advocates Network and Director, Israeli CML Patients’ Organization, for the International CML Foundations' "Virtual Education Program"
Pediatric Hospital Medicine Top 10 (ish) 2014rdudas
The article "The survival time of chocolates on hospital wards: covert observational study" studied how long chocolates lasted on hospital wards before being eaten. Researchers covertly placed chocolates in hospital wards and recorded how long they remained. On average, chocolates lasted only 75 minutes before being consumed, with large variations based on ward type and time of day. The study highlights issues around food security and integrity on hospital wards.
1) This randomized clinical trial compared opioid vs nonopioid medication therapy over 12 months for patients with chronic back, hip, or knee pain.
2) It found no significant difference in pain-related function between the two groups, but pain intensity was significantly better in the nonopioid group. Adverse effects were significantly more common in the opioid group.
3) The study concludes that opioid therapy was not superior to nonopioid medications for improving pain-related function over 12 months, and the results do not support initiating opioids for moderate to severe chronic musculoskeletal pain.
This study assessed 328 patients' experiences with and responses to expanded carrier screening (ECS) results, including differences between carriers and non-carriers. Most patients (84.9%) received pre- and post-test genetic counseling. Carriers reported feeling more anxious, a sense of loss of control, and regret about results compared to non-carriers. Carriers also felt more uncertain about implications for their family and had more difficulty making reproductive decisions. The study aims to understand how ECS and genetic counseling impact patients' testing experiences.
The pharmaceutical industry has made it very difficult to know what the clinical trial evidence is regarding psychotropics. As a consequence, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence-based prescriptive practice. BARRY DUNCAN and DAVID ANTONUCCIO call for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. The authors assert that current prescribing practices are often empirically unsound and unduly influenced by pharmaceutical company interests, resulting in unnecessary risks to patients. In the spirit of evidenced-based medicine’s inclusion of patient values as well as the movement toward health home and integrated care, a patient bill of rights for psychotropic prescription is presented. Guidelines are offered to raise the bar of care equal to the available science for all prescribers of psychiatric medications. This is a Psychotherapy in Australia reprint of an earlier article.
Click here for a video of the presentation http://heartandsoulofchange.com/content/resources/viewer.php?resource=video&id=97
Click here for a pdf of the slides: http://heartandsoulofchange.com/content/resources/viewer.php?resource=handout&id=127
This document discusses adopting a "universal precautions" approach to assessing and managing chronic pain patients to improve care and reduce risks. It notes that while some chronic pain patients have substance use disorders, there is no reliable way to identify those individuals in advance. It recommends thoroughly assessing all patients for present and past substance use, including illicit drugs and alcohol, to better understand risks. A universal precautions approach allows for formulating individualized treatment plans based on mutual trust and honesty while improving care, reducing stigma, and containing overall risks.
Impact of palliative care education on nurses' knowledge, attitude and exper...Alexander Decker
1) The study evaluated the impact of palliative care education on nurses' knowledge, attitude, and experience in caring for chronically ill children.
2) A questionnaire was used to assess nurses' knowledge, attitude, and experience before and after receiving education based on guidelines developed by the researchers.
3) The results showed that the majority of nurses had a bachelor's degree but none had cared for dying children in the past year. There were also significant improvements in nurses' knowledge, attitude, and experience regarding palliative care after receiving the educational intervention.
Antimicrobial resistance is one of the biggest threats to human health and is rising to dangerously high levels in all parts of the world. Anyone, of any age, in any country, could be impacted. While it's normal for microbes to develop resistance to drugs, the way antimicrobials are currently being used is accelerating the process, and as a result common infections and minor injuries are becoming an increasingly greater threat to our well-being. Organizations from across the world are taking action and making progress on this issue, but is there anything patients, their families and patient advisors can do to help?
See the full presentation here: https://goo.gl/AYCsdd
(1) The document examines why patients in Palestine use traditional medicine to treat burns. It conducted a cross-sectional study of 290 burn patients admitted to a hospital in Hebron, Palestine in 2020.
(2) The study found that 29% of admissions used traditional medicine after their burns. The most common reasons for using traditional medicine were believing it does not leave scars after healing (70%), rapid healing (70%), and thinking traditional medicine is better than conventional treatments (57%).
(3) Sources of information about traditional burn treatments included friends (22%), the internet (53.3%), media (16.8%), and family (15%). The study found no significant differences in reasons for using traditional medicine based on
Ijsrp p8825 Caregiver factors influencing seeking of Early Infant Diagnosis (...Elizabeth kiilu
Caregiver factors influencing seeking of Early Infant Diagnosis (EID) of HIV services in selected hospitals in Nairobi County, Kenya:A qualitative Study
The Physician's Campaign is an educational initiative designed to equip physicians and healthcare providers with up-to-date information about the impact of bullying exposure on patients' health. It aims to train providers to screen youth for bullying involvement and help those affected. The campaign will provide continuing education programs and online resources to help physicians translate research on bullying's health consequences into practice. Its goal is to empower physicians to champion children's well-being and mental health by improving their ability to detect and respond to bullying exposure.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT evolved from initial assessments of patient needs to a multidisciplinary team providing services like herbal medicine, yoga, massage, and spiritual support. It also discusses IMPACT's education initiatives and current research studies exploring topics like the effectiveness of different diets for cancer patients and the impact of therapies like aromatherapy and yoga on symptoms.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to incorporate complementary and alternative medicine (CAM) approaches. IMPACT now provides a range of CAM services like yoga, massage, acupuncture, and herbal medicine to improve patients' quality of life. It also conducts education and research on palliative care and CAM for pediatric cancer patients.
Evidence-based practice is important for nurses to utilize when making decisions about client care. Using the most up-to-date evidence alongside a client's values and preferences can help guide the healthcare process. When evidence-based guidelines are included in a client's plan of care, the clinician has substantial data to make sound decisions and develop the best strategy for delivering care. One study found that pain from venous ulcers was not always properly addressed, negatively impacting healing. This highlighted the need for evidence-based wound care practices that adequately treat pain.
pediatric anesthesia journal FEB 2023.pptxAshrafElshaer2
The document summarizes several articles from the February 2023 issue of the Pediatric Anesthesia Journal.
The first article discusses trends in pediatric non-operating room anesthesia based on data from the National Anesthesia Clinical Outcomes Registry. It finds that gastroenterological suites are the most common setting and that patients in non-operating room settings have more comorbidities.
The second article examines the use of ultrasound-guided long peripheral intravenous catheters in critically ill pediatric patients, finding they provide improved longevity and reduced need for additional interventions compared to standard catheters.
The third article discusses common "error traps" in perioperative care of pediatric patients with chronic pain, such as failure to adequately prepare
This document provides a social mobilization strategy for improving routine immunization rates in Bihar, India. It finds that over half of children do not complete their immunization series due to issues like supply, awareness, demand, and service quality. Social mobilization is needed to inform and mobilize stakeholders and beneficiaries. The strategy involves targeted interventions at the state level through media and policy influence, as well as focused support in 10 districts. An analysis of coverage data found disparities by gender, religion, caste, and socioeconomic status. Interviews revealed that lack of awareness, motivation, and support from family members are key barriers. The strategy will target mothers, community influencers, and health workers to increase awareness and demand for immun
This study assessed the knowledge of relatives of burn patients regarding first aid treatment of burns. A survey was conducted of 150 relatives of patients admitted to the burn unit of a hospital in Palestine over one year. The results showed that most relatives had received information about first aid from doctors and nurses or media like TV. However, over half had not received prior first aid training. While two-thirds knew to use cool running water for burns, knowledge regarding timing, duration and other aspects was lower. Females and those informed by healthcare workers had higher overall knowledge scores. The study concluded that greater training is needed for the public, especially on burn first aid, to improve initial management and reduce morbidity from such injuries.
The document discusses evidence-based medicine (EBM) and functional medicine. It notes that EBM aims to provide optimal health rather than just treat disease, taking a patient-centered rather than disease-centered approach. Functional medicine uses a systems-based approach and considers lifestyle, environmental, and genetic factors to identify the underlying causes of disease. It factors in influences like genomics, epigenomics, and the microbiome to build on previous paradigms and improve disease prediction and prevention strategies.
Evidence-Based Practice Summary Brief exploring the effects of palliative care on pain management in children with terminal illnesses. This project was written to be presented at the Kaiser Permanente Research Symposium in conjunction with Sonoma State Nursing.
Eficacia manejo de tratamiento responsabilidad uso medicamentos - CICATSALUDCICAT SALUD
The document discusses several key issues regarding effective medication use in primary pediatric care. It notes that medication errors are more common in children than adults, often due to dosing issues as dosages need to be calculated based on weight. It provides recommendations to improve safety, including double checking dosages, communicating effectively, and ensuring proper identification of patients. The document also addresses medication use during breastfeeding, noting that most medications are safely transferred to infants in small amounts.
This document provides an introduction and overview of the Integrated Management of Neonatal and Childhood Illness (IMNCI) clinical guidelines. It discusses that IMNCI takes a syndromic approach to case management of common childhood illnesses for children under 5 in developing countries. The document outlines the components and principles of IMNCI, including improvements to health worker skills, the health system, and family/community practices. It also describes the case management process used in IMNCI and the purpose and methods of IMNCI training courses.
Capstone powerpoint-Fever education in pediatric Emergency Room patientsElizabeth Hall
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Do Children Receive Appropriate Treatment for Childhood
Burns in the New Juaben Municipality of Ghana? Implications
for Reducing Complications with the Use of Home-Based Care
Nicholas Apreh Siaw,
Lecturer, School of Applied Science and Technology, Koforidua Polytechnic, Ghana
Abstract
The thrust of the this paper is to determine whether children are receive appropriate treatment for burns at home
and to explore the treatment seeking behaviour for this injury in the New Juaben Municipality of Ghana. Cross –
sectional descriptive design using both the quantitative and qualitative techniques of collecting data was used.
The research sample consisted of 600 respondent and 24 key informants drawn from 12 out of the 52
communities in the Municipality. Sample was collected using simple random sample technique. The data was
collected from October 2010 to July 2011. The results indicate that children receive inappropriate first aid and
treatment for burns at home. This calls for alternative treatment practices which include clinical care by health
professionals.
Keywords: treatment for burns, home-base treatment, complications in treatments at home, child hood burns,
burns care.
Introduction
The aims of managing childhood injuries are to decrease mortality and morbidity associated with the injuries
and to achieve the best possible quality of life after treatment (WHO, 2009). This can best be achieved through
clinical management from health professionals (Vyrostek et al 2004). However, many low-income countries
have not achieved much with respect to the aims of managing childhood injuries because of the increased use of
non-professionals in the home- treatment of such injuries. The reasons for the increased use of non-professionals
especially those from the traditional health regimen are the easy access and affordability of traditional health
services as against the high cost and in some places, non-availability of hospitals / clinics for treatment (WRCIP
2008). Studies have shown that many patients receive inappropriate treatment for childhood burns at home
which often leads to inadequate pain control, wound infections and deformities with their associated
complications or even death (Ghosh and Bharat 2000, Nguyen et al 2002, Budu 2005, Yuru et al 2007, Gupta
and Srivartava 2008 WHO 2008). To receive optimal care for burns requires not only specialized equipment, but
also, more importantly, a team of dedicated health professionals including surgeons, nurses, therapists,
nutritionists, pharmacists, social workers, psychologists and operating room staff who will be coordinating the
pre-hospital patient management, resuscitation methods, surgical and critical care of patients (Mosier, Nicole and
Gibran 2010).
In Ghana, the use of traditional health practices in the treatment of childhood burns is a preferred choice
for many parents as against seeking health care at the hospital (Forjouh, Guyer and Smith 1995 and Budu 2005).
The use of the traditional methods of treating childhood burns is known to be associated with inappropriate
treatment practices which often lead to complications and death. For instance, Forjouh, Guyer and Smith (1995)
identified in the Ashanti Region of Ghana that as many as 75% of burned children receive inappropriate
treatment at home and that the home-based treatment often used in rural communities includes traditional
preparations such as mud, burnt snail shells and eggs, while gentian violet solution is a preferred choice in most
urban communities. The use of the traditional preparations for treating burns have not been certified by the
Ghana Food and Drugs Board as appropriate drugs for treating childhood burns hence its acceptability and use is
questioned. In the case of the use of gentian violet solution as inappropriate drug for treating burns, the Ghana
Ministry of Health has withdrawn such a drug for the treatment of wounds due to reports of adverse reaction,
toxicity and the fact that more effective drugs are now available for use. Notwithstanding the withdrawal, the use
of gentian violet solution is still among the common over-the-counter drugs for treating wounds including burns.
This situation in addition to the use of traditional preparations has contributed to frequent treatment failures and
sub-optimal treatment of burns at home. They have also contributed to delays in seeking appropriate treatment
for childhood burns from western bio-medical care facility (Mbagaya et al, 2005, and Forjouh, Guyer and Smith
1995).
In the New Juaben Municipality, the number of treatment failures and sub-optimal injury management
cases for childhood burns and falls at home is high. According to the Eastern Regional Hospital 2011 Annual
Report, there is a general problem of patients delaying in seeking appropriate treatment at the hospital. This
situation leads to many patients being admitted for emergency care in the hospital. In the case of childhood burns,
the report among other things indicated that on the average four children are hospitalized every week with acute
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septic wounds which require aseptic and aggressive wound treatment which is expensive. The likely reasons for
the delays in seeking appropriate treatment are the inability of some parents/ caretakers to determine the severity
of injury and whether they have the capacity to treat such injuries at home. But the complications associated with
such treatments are often overlooked or are even not known. It is as a result of these complications that this study
is necessary to examine the management practices associated with childhood burns.
Methods
The cross – sectional descriptive design employing both quantitative and qualitative methods of data collection
was used for the study. The research sample consisted of 600 respondent and 24 key informants drawn from 12
out of 52 communities in the Municipality. The informants included nursing officers, parent whose children are
on admission for burns, herbalists, queen mothers, paediatricians, drug store keepers and pharmacists.
Sample for the quantitative study was selected using simple random sample techniques while purposive
sampling techniques was used for the section of the key informant. Data collected was based on the modes of
treatments and whether children receive appropriate treatments for burns at home. The association between the
socio – demographic background of parent and their choices of treatments modes were analysed using cross
tabulation and chi square test. Informed consent was sought from respondents before the beginning of the study.
In the case where quotations and categorical statement were made by the interviewees, pseudo names were given
to conceal the identity in order to ensure the anonymity of the interviewees.
Results
An interview with key informants (elderly women, herbalist, drug store keeper and nursing officer) revealed that
the use of traditional practices in the treatment of childhood buns is a common practice in the study area. A
common first-aid measure for childhood burns includes either the application of shea butter, palm kennel oil,
cola nut juice or raw eggs to the affected area. The rationale for applying these substances is to soothe the pain,
reduce further burns and prevent large blisters from forming.
Eno, one of the elderly women remarked in an interview:
Whenever there is a case of burn, whether it involves a child or an adult, the first thing I normally do is to cool
the affected area with water after which shea butter or palm kennel oil is applied to the affected area. Once this
is done, the pains will subside and the main concern will be how to treat the wound.
A young mother interviewed also said:
I know that in certain households some parents chew cola nut and use the juice to soothe burn pains. Even
though I have never practiced it before, I think it works because I have seen it being administered to a lot of
injured people.
Agya Kofi, a herbalist, confirmed the use of cool water, shea butter, palm kennel, raw egg, cola nut juice and the
use of red clay as first-aid measures for burns in general. Agya Kofi indicated that these substances used have
sedative properties that help calm the burning sensation.
Nursing officer, Elizabeth, however explained why the application of cool clean water, alone must be used as
first-aid for burns. She indicated that the use of substances other than clean cool water can introduce infections to
the fresh wound and later complicate the treatment processes. She commented:
The truth of the matter is that apart from the use of clean cool water to prevent further burn as well as to sooth
the burn area, we as health workers object to the use of traditional concoctions as first aid since it has the
potential of introducing infections. We health workers advocate that proper treatment including first aid should
be sought immediately from a professional health worker.
Agya Kofi, Elizabeth and others’ submissions suggest that there are various practices used as first-aid
measures for childhood burns of which most of such practices such as the use of shea butter, palm kennel oil,
raw egg, cola nut juice and red clay are not supported by professional health workers.
Beyond the first-aid measure, the types of home based treatment for childhood burns were ascertained
through the interviews, and three main modes of treatment were identified: the use of purely western drugs,
purely traditional herbal drugs and the combination of western and traditional drugs. The use of western drugs in
the form of gentian violet solution is the most dominant drug used to treat childhood burns at home, because it is
readily accessible in all pharmacy and drug dispensing shops. It is also affordable, easy to use and does not
require prescription before purchasing. The use of the mixture of ampicillin capsules with palm kennel oil is
another major type of treatment for childhood burns. In addition to this, the use of a mixture of burnt snail shells
with palm kennel oil was also identified. This is what one grandmother said in an interview:
As for me, whenever I buy snails, I do not throw the shells away. I wash them, dry, burn and grind it into a
powder. I just have to mix it with palm kennel oil and a drug for treating wounds for children is ready. It is used
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for all types of wounds including burns. I do not know what will let me stop using this type of drug because it is
very efficacious.
One mother also had this to say:
The use of ampicillin is good in curing wounds. When I mix this with palm kennel oil, it becomes very potent to
heal all wounds within less than a week.
Another mother mentioned an instance where she used gentian violet solution to treat a minor burn case
at home because it was the only available drug at home at the time of the injury. Again, she felt it was more
effective than other drugs prepared at home.
However, there were instances in which home-based treatment for childhood burns failed to heal and as
a result, the affected child was sent to a hospital for emergency treatment. This normally happens when the
extent of injury is great as in the case of second and third degree burns or when appropriate drugs are not used
for treatment.
Auntie Elizabeth (Nursing officer at the Regional Hospital) Stated:
I do not know why some parents would delay in sending their children to the hospital for professional care
immediately the children suffer from burns. Most often, parents come with the excuse that they thought it was a
minor injury they can handle at home or they did not know that the case is serious. When you probe further you
find out that the underlying cause of the delay is either financial constraints or the availability of some home-
based drugs they think can heal the wound. I think mothers should be given education on type of burns so that
they can tell minor burns from acute one that may require immediate attention.
The findings from the interviews on the use of home-based treatment for childhood burns are in line
with the findings of the survey which indicated that the use of traditional modes of treating childhood burns is
high (59.5%) than the use of other modes (orthodox 25.5%) and a blend of both traditional and orthodox (15.2%).
[Table 1.1]
The relationship between the key socio-demographic characteristics of parents and the choice of
treatment for childhood burns were explored and found that apart from marital status which is not significantly
related to the choice of mode of treatment (chi square 1.969, p – value = 0.923), the remaining variables such as
educational background, income per month, age of parents and parity were found to be significant. [Table 1.1a-e]
With reference to the socio-demographic variables that are significant, it was found that there is an
increasing trend between the educational levels and the use of orthodox mode of treatment. This indicates the
existence of direct relationship which implies that the frequencies increase across the educational level from
4.3% for ‘No Education’ to 22% for ‘Tertiary Education’. The implication is that the higher the educational level
of parents, the more they use orthodox mode of treatment. However, there is a decreasing trend between
educational levels and the choice of traditional mode of treatment. This indicates the existence of an inverse
relationship implying that the frequencies decrease across the educational levels from 75.3% for ‘No Education’
to 61.1% for ‘Tertiary Education’. This trend suggests that parents with lower levels of education use more of
traditional mode of treatment. Similar relationships were found when the choice of treatment mode was
compared with income, age and parity. This indicates that the mode of treatment for childhood burns is
influenced by educational background of parents, income per month, age of parents and parity. [Table 1.1a-e]
Table 1.1a: Distribution of Educational background of parents and mode of treatment for childhood
burns
Mode of
treatment
Educational Background of Parents Total
n(%)
2
χ testNo
Education
n(%)
Primary
n(%)
JHS
n(%)
SHS
n(%)
Vocational
n(%)
Tertiary
n(%)
Orthodox 8(4.3) 12(9.0) 16(28.0) 18(28.6) 32(48.5) 66(22.2) 152(25.3)
P - value
= 0.00
Traditional 140(75.3) 95(70.9) 38(66.7) 35(55.6) 27(40.9) 22(61.1) 357(59.5)
A Blend 38(20.4) 27(20.1) 3(5.3) 10(15.9) 7(10.6) 6(16.7) 91(15.2)
Total 244(100) 134(100) 57(100) 63(100) 66(100) 94(100) 600(100)
Source: Field Data
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Table 1.1b: Distribution of Income level of parents and mode of treatment for childhood burns
Mode of
treatment
Income of Parents Total
n(%)
2
χ testLess than
100.00
n(%)
100.00-
200.00
n(%)
200.01-
300.00
n(%)
300.01-
400.00
n(%)
400.01-
500.00
n(%)
500.01+
n(%)
Orthodox 3(2.4) 7(6.0) 23(17.7) 24(32.4) 31(44.9) 64(72.7) 152(25.3)
P - value
= .010
Traditional 111(90.2) 105(90.5) 71(54.6) 29(39.2) 26(37.7) 15(17.0) 357(59.5)
A Blend 9(7.4) 4(3.5) 36(27.7) 21(28.4) 12(17.4) 9(10.2) 91(15.2)
Total 123(100) 116(100) 130(100) 74(100) 69(100) 68(100) 600(100)
Source: Field Data
Table 1.1c: Distribution of the Age of parents and mode of treatment for childhood burns
Mode of
treatment
Age of parents
Total
n(%)
2
χ testLess than 20
n(%)
20-29
n(%)
30-39
n(%)
40-49
n(%)
Orthodox 56(47.9) 39(25.0) 37(20.8) 20(13.4) 152(25.3)
P - value
= .000
Traditional 35(29.9) 90(57.7) 114(64.0) 118(79.2) 357(59.5)
A Blend 26(22.2) 27(17.3) 27(15.2) 11(7.4) 91(15.2)
Total 136(100) 182(100) 197(100) 85(100) 600(100)
Source: Field Data
Table 1.1d: Distribution of Marital status of parents and mode of treatment for childhood burns
Mode of
treatment
Marital Status
Total
n(%)
2
χ test
Single
n(%)
Married
n(%)
Divorced
n(%)
Widowed
n(%)
Orthodox 21(21.0) 113(26.9) 10(19.6) 8(27.6) 152(25.3)
P - value
= .923
Traditional 64(64.0) 240(57.1) 35(68.6) 18(62.1) 357(59.5)
A Blend 15(15.0) 67(16.0) 6(11.8) 3(10.3) 91(15.2)
Total 100(100) 420(100) 51(100) 29(100) 600(100)
Source: Field Data
Table 1.1e: Distribution of Parity and mode of treatment for childhood burns
Mode of
treatment
Parity Total
n(%)
2
χ test1
Child
n(%)
2 Children
n(%)
3 Children
n(%)
4 Children
n(%)
Orthodox 53(52.5) 53(35.3) 44(22.4) 2(1.3) 152(25.3)
Traditional 33(32.6) 69(46.0) 112(57.2) 143(93.5) 357(59.5)
A Blend 15(14.9) 28(18.7) 40(20.4) 8(5.2) 91(15.2)
Total 101(100) 150(100) 196(100) 153(100) 600(100)
Source: Field Data
Discussions
Results from this study show that the most preferred treatment regimen for childhood burns is by the traditional
modes (59.5%), followed by the use of orthodox treatment (25.5%) and then the blend of the two treatment
regimen (15.5%). Many studies conducted in low-income countries and from rural communities have revealed
similar outcomes. A survey in India found that only 22.8% of patients had received appropriate treatment for
burns from a health professional (Ghosh and Bharat 2000). In Viet Nam, the number of patients who had
received appropriate treatment was slightly higher (32%) than in the case of India (Nguyen et al 2002). Albertyn,
Bickler and Rode (2006) explain that the high utilization of traditional modes of treatment for childhood burns is
primarily as a result of the high cost involved in treating pediatric burn injuries at hospitals, and the low cost, and
availability of traditional drugs. The situation is not different in the study area.
P - value
= .000
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The process of treatment was examined in this current study and it was found that most parents /
caretakers adopt first aid measures as a first step in the treatment of childhood burns. The rationale for
administering the first aid is to soothe the pain, reduce further burns and prevent large blisters from forming.
Majority of the study population knew of the rationale for giving first aid to a burn patient. It is thus not
surprising that the use of cold water or the use of oil with soothing properties such as Shea butter or palm kennel
oil is often used. In this respect, the oldest method of treating burns as explained by Davis in 1987 is helpful to
explain why people apply cool water in burn situations. According to Davis (1987), arguably, one of the oldest-
recorded methods of treating burns is prompt cooling therapy, which is still used today. However, studies
indicate that the use of this intervention in low-income countries has declined. A survey in India, for instance,
found that only 22.8% of patients use appropriate first aid for their burns (cold water). The remaining 77.2% use
inappropriate treatment such as raw eggs, toothpaste, mashed potato or oil being rubbed into the burn (Gupta and
Srivartava 2008). In the New Juaben Municipality, most parents after using cold water to the burnt area, continue
to apply such substances as cola nut juice, palm kennel oil or raw egg to the affected area with the view to
further soothe the pain or reduce large blisters. It is based on the increased use of such inappropriate first aid
measures that Yuru et al (2007), WHO (2008) and WRCIP (2008) stressed the need to use only cold clean water
as first aid for burns after which the victim should be rushed to a hospital for appropriate treatment. The lack of
education on appropriate first aid measures for childhood burns may be responsible for the increased use of
inappropriate first aid measures in the study area.
Beyond the first aid treatment practices for childhood burns, this study found that many parents /
caretakers prefer the use of gentian violet solution to treat childhood burns. It is a preferred choice because it is
readily accessible in all pharmacies and drug stores in the study area; it is affordable, easy to use and does not
require prescription before purchase. Even though it is a preferred drug in most homes, the Ministry of Health of
Ghana has banned its use in hospitals due to reports of adverse reactions, toxicity and the fact that more effective
drugs for treating burns are available. In Malaysia and the United States of America, similar concerns about the
safety of gentian violet solution have been raised and because of the risks associated with its use far exceed its
benefits, the Drug Control Authority decided in 1998 to withdraw the drug and all products containing it (WHO
1999). The continuous use of such a drug in most homes despite its associated risks suggests an avenue for
public health intervention.
The study found other treatment practices for burns at home to include the use of mixture of ampicillin
capsules with palm kennel oil, and the mixture of burnt snail shells with palm kennel oil. Studies by Forjouh,
Guyer and Smith (1995) on home-based treatment for childhood burns in Ashanti Region of Ghana revealed
similar findings. They further found that home-based treatment was a dominant treatment practice for childhood
burns and as many as 75% of burned children are treated using other home –base practices. Traditional
preparations such as mud, burned snail shell, and eggs were used in rural areas, while Gentian Violet solution
was the treatment of choice in urban areas. An important finding is that the use of traditional preparations for the
treatment of childhood burns is seen in most cases as inappropriate by health professionals as a result of the
unhygienic process involved and the fact that it can lead to infections. It is based on this that several studies are
suggesting alternative treatment rather than traditional practices (AAFP 2000, Ghosh and Bharat, 2000, Forjuoh,
guyer and Smith 1995).
According to Salisu and Prinz (2009), the Government of Ghana embarked on a health sector reform in
1999 to improve access and quality of health services. However, the health situation in Ghana is still far from
satisfactory. Medical facilities are not evenly distributed across the country, with most rural communities
encountering problems like inadequate basic facilities and high doctor-patient ratio. Salisu and Prinz (2009)
found that Ghanaians on the average live about 16km from a health care facility. As a result, many people in the
country still rely on self-medication and the use of traditional medicine for treating their ailments. As far back as
1995, Forjouh, Guyer and Simth has asserted that in many of the orthodox health facilities, the cost of treatment
is high and only the well-off can afford to take their children to such facilities. The situation has not changed
much and, it is therefore not surprising that socio-demographic variables of parents such as age, income, and
educational levels are significantly related to the choice of treatment for childhood burns and that the lower the
socio-economic background of parents, the higher their tendency to use traditional regimen for the treatment of
childhood burns.
Conclusion
In response to the dominance of traditional modes of treating childhood burns and the fact that most of such
practices are inappropriate, ineffective and often associated with complications call for alternative practices to
traditional practices. The documented best treatment practices are clinical care as espoused by the WHO report
on childhood injury in 2008. In line with this, health professionals in the municipality could educate parents on
the need to desist from the use of inappropriate first aid procedure and the need to seek appropriate treatment
promptly from a health professional. The Regional Health Administration (RHA) could organize educational
6. Research on Humanities and Social Sciences www.iiste.org
ISSN (Paper)2224-5766 ISSN (Online)2225-0484 (Online)
Vol.4, No.22, 2014
97
programmes to train traditional healers on the types of injury cases they can work on and those that they may
need to refer to the hospital/clinic. To be able to achieve this, the RHA could forge a strong collaboration with
the Traditional Healers Association in the region and their counterparts in the orthodox regimen in order to foster
mutual trust and co-operation for favourable training of the traditional healers.
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