Trends in medical surgical nursing

1. Salwa Hagag Abdelaziz
Lecturer of Medical Surgical Nursing
Cairo University
2018
By
New Trends in Medical
Surgical Nursing

2. Outlines:
Selected New Trends in Medical Surgical
Nursing
A. Technological
1. Robots to assist nurses
2. Wireless patients monitoring
B. Diagnostic Modalities
1. Non-invasive Glucose Monitoring
2. Cancer genetics and genomics
C. Nursing Management
1. Nursing precision
2. Ayurvedic practices part of Holistic Care

3. Study 1 Study 2 Study 3
Topic
Medical
Surgical
Nursing
Education Practice Research
New Trends:
How to combine , Synthesis , and Move
Towards Accurate Direction

4. In both medical and surgical nursing,
trends are interrelated with emphasis on specific
framework for guiding nursing practice ,education
and research.
Introduction

5. Study 1 Study 2 Study 3
Topic
Medical
Surgical
Nursing
Education Practice Research
Integration of Evidence Based Practice

6. A
1- Robots to Assist Nurses
Technological
What is Robot :
A reprogrammable , multifunctional manipulator
designed to move material ,parts ,tools or specialized
devices through various programmed motions for the
performance of variety of tasks(British Automated and
Robot Association,2017).

7. Robots to Assist Nurses
In Japan, a robot has been developed as an assistant to
lift up and move patients from beds to wheelchairs and
reduce debilitating lifting injuries.
In Belgium another robot developed as an
automated Triage Nurse, capable of taking a patient's
vitals, updating medical records and medical history.
In Duke University ,a robot is designed to take vital signs
for patients with infectious diseases.

8. A system Framework for Telepresence and Direct Nurse
Robot Interaction (Idir M,2014)

9. Advantages of Using Robots in Nursing:
-A wheelchair robot help paraplegic patients to
move in and out of bed.
-Monitor patients vital signs.
-Remind the patients to take their pills.
- Remaining healthy muscle tissue for stroke
patients by offering range of motion exercise.
-Offering automated chest compression. (Frennert, S et
al., 2013:Archiblad&Barnard,2018)

10. Advantages of Using Robots in Nursing:
-Offering brain fitness exercise.
- Offering games, TV, Video, music,Facebook…..to
reduce social isolation.
-Taking blood sample.
-Submit medical data into a centralized medical IT
system.
-Help in toileting with dignity preservation.
-Perform a task without fatigue and with accuracy.
(Kamel et al., 2014)

11. Examples of Robots In Egypt:
National Cancer Institute in Cairo
(Used in Surgery)
National Heart Institute in Cairo
(Used in Surgery)

12. A
2- Wireless Patients Monitoring
Technological
Wireless patients monitoring was designed to
facilitate long-term remote monitoring of vital signs and
activity metrics within the hospital environment as well as in
the post discharge period (Martin et al.,2016).
In Egypt study conducted by Abo Zahhad M et
al., (2014) reported that nurses and doctors can monitor
patients vital signs using wireless system for early
treatment during hospitalization.

14. Schematic representation of eyeglasses biosensor system
which integrate a wireless circuit board

15. Diagnostic Modalities
1- Non-invasive Glucose Monitoring
B
Glucose monitoring devices represent an exciting
frontier in diabetes research, holding the potential to
improve the lives of over 400 million people worldwide this
number is expected to rise by approximately 55% within the
next 25 years.(International Diabetes Federation ,2015).

16. Glucotrack Device
Glucose Sensor integrated in to
a wearable wristband
Google and Novartis smart
Contact lens
Glucose sensing patch on the forearm
The systems use a glucose sensor. The sensor wirelessly transmits results to
a small recording device (about the size of a cell phone).(David K, 2018)

17. Advantages of Non-invasive Glucose Monitoring
-It displays blood sugar level every few minutes.
-Can trigger alarm if the blood sugar level is above or below a
normal level.
-Blood glucose results can be download to computer or smart
phone, allowing nurse and patients to see blood sugar trends
over time.
-Reduce the long-term complications.
-Provide long-term valuable and enables immediate feedback
regarding glycemic control that reveals hypo- or hyperglycemia.
New possible horizons is essential for wearable glucose
monitoring sensor applications and perspectives in terms of big data
analytics for personalized and proactive care.

18. 2- Cancer Genetics and Genomics
B Diagnostic Modalities
Cancer genetics and genomics are important
aspects in nursing fields. So nurses should have in-
depth genetic knowledge and skills in oncology
settings(Umberger et al.,2013).
Clinical application of cancer genetics and
genomics requires extensive educational preparation
,working in multidisciplinary team ,identify patient at
risk through assessing family history, facilitating
genetic testing and counseling services.(Boucher,
Habin, and Underhill,2018).

19. Levels of Oncology Nursing Practice in Genetics and Genomics
ANA,2008

20. -Genetic and genomic knowledge.
-Pedigree, family history and comprehensive
physical examination.
-Cancer risk assessment.
-Genetic counseling.
-Genetic testing.
-Targeted therapy. (International Society of Nurses in Genetics,2009)
Competencies of Genetic and Genomic Oncology
Nursing

21. 1- Nursing Precision
C
The precision nursing is nursing care based on
patient needs. So, the nurse researchers should
develop more tools related to health data collection
and improve the ability of data analysis to provide
clinical nurses with a prospective guide.(Chris P, 2016)

22. Decision
making
support
Patient
advocacy
Ongoing
chronic
monitoring
Patient
support
Screening
and
nursing
diagnosis
Precision
Nursing
Anticipation
of
treatment
Ethical
implication
(Chiang L, 2016)

23. C
2- Ayurvedic practices part of Holistic Care
Ayurveda is form of alternative medicine that is the
traditional system of medicine in India and seeks to treat and
integrate body, mind, and spirit using a comprehensive holistic
approach(National Institute of Ayourveda,2016). The National
Institute of Health (2017) analyzed holistic care and found that
nurses who are educated in a traditional approach are not
familiar with the concepts of holistic care.

24. Ayurvedic practices:
- Examples of Ayurvedic practices are oil and coffee
enema which produce anti-oxidative effects and
considered a significant part of alternative practices.
-Health problems commonly treated by enema
Constipation, lower backache ,Rheumatoid,
osteoarthritis, headache, liver cancer, edema, loss of
appetite, gout,…….etc. (NCCAM,2012:WHO,2012)
-For healthy person oil enema should be administered twice a year
(Center Disease Control and Prevention,2016).

25. Global Enema Use by Region (WHO, 2016)

26. A study conducted in India by Sarvish &
Kshipra(2015) entitled: Ayurvedic approach in the
management of spinal cord injury: A case study
concluded substantial clinical improvement was reported
after 2 months of the Ayurvedic treatment in existing
neurological deficits and in quality of life.
.
A study carried out in India by Pradeep L et al.,
(2014) entitled: Effect of oil enema on symptoms of
osteoarthritis, concluded that oil enema administration
was significant in reducing the subjective symptoms of
osteoarthritis.

27. 1. BARA http://www.bara.org.uk/definition-of-robots.html
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Alexandersson, J., Zimmermann, G., Cortes, U., Casas, R. 2014
Connectivity for healthcare and well-being management: Examples from
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Robotics
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5. International Diabetes Federation (IDF) diabetes atlas.2015. Brussels,
Belgium: International Diabetes Federation.Ding M et al.,2012.Comfort
Estimation during Lift-up Using Nurisng Care Robot.First International
Conference on InnovationEngineering Systems,7-9 December
,Alexandreia, Egypt.
6. Horman K, Y Mayzel, A Gal, K Bahartan, A Drexler and T
Lin.2016.Performance and User Experience Evaluation of a Non-Invasive
Glucose Monitoring Device. International Diabetes Metabolic Disordered
1(2), 1-7.
References

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References

29. 13. Boucher, Habin, & Underhill .2018 . Cancer Genetics and Genomics:
Essentials for Oncology Nurses. Clinical Journal of Oncology Nursing
.18(3).
14. Zaro L .2016. Breast Cancer Risk Assessment: Evaluation of
Screening Tools for Genetics Referral. Master Thesis.
15. Chiang L.,Yeh and M.,Su S.2016. Precision Nursing: Individual-Based
Knowledge.
16. David K., David M., and Jean E.2018.Patients Self Monitoring of
Blood Glucose in Diabetes Mellitus (Beyond the Basics).
17. Pradeep L. and Shivakumar S.2014. Effect of Oil Enema on symptoms
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References

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