A presentation done at school for teachers and students to understand various facets about first aid that can be easily learnt and applied in daily course. Dr Amit Karkare
Vital signs assessment helps in disease prevention and early intervention.
Vital signs are measurements of the body's most basic functions. The four main vital signs routinely monitored by medical professionals and health care providers include the following:
Body temperature
Pulse rate
Respiration rate (rate of breathing)
Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs.)
Redtrain Parent First Aid - Paediatric First Aid for Parentsnevanmulvihill
Basic two hour Paediatric first aid course for parents of young infants and children to include practicals on CPR, Choking & other traumas &medical emergencies
A presentation done at school for teachers and students to understand various facets about first aid that can be easily learnt and applied in daily course. Dr Amit Karkare
Vital signs assessment helps in disease prevention and early intervention.
Vital signs are measurements of the body's most basic functions. The four main vital signs routinely monitored by medical professionals and health care providers include the following:
Body temperature
Pulse rate
Respiration rate (rate of breathing)
Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs.)
Redtrain Parent First Aid - Paediatric First Aid for Parentsnevanmulvihill
Basic two hour Paediatric first aid course for parents of young infants and children to include practicals on CPR, Choking & other traumas &medical emergencies
Methods of measurement of blood pressure in children.
Steps for accurate measurement and how to plot the measurement on charts and compare it with the normal blood pressure percentile with example.
vitals sign is the basic parameter used for all the patients to know the vital and general parameter for the patients and any changes in this parameter can cause the life threatening condition for the patients or clients life the proper technique and its alternatives assessment knowledge can help the nurses to improve academic performance and can be apply this knowledge in their clinical practices
At the end of the session students will be able to
describe the hygienic care that nurses provide to clients.
identify the factors influencing hygienic practice
identify normal and abnormal assessment findings while providing hygienic care to the clients.
provide hygienic care of the skin - bath and pressure points, feet and nail, oral cavity, hair care, eyes, ear and nose.
assess the hygienic environment.
explain the various types of beds.
HEALTH ASSESSMENT OR EXAMINATION OF SKIN, HAIR AND NAILS WITH THE HELP OF METHODS OF HEALTH ASSESSMENT: INSPECTION, ASCULTATION, PALPATION AND PERCUSSION TECHNIQUES.
Methods of measurement of blood pressure in children.
Steps for accurate measurement and how to plot the measurement on charts and compare it with the normal blood pressure percentile with example.
vitals sign is the basic parameter used for all the patients to know the vital and general parameter for the patients and any changes in this parameter can cause the life threatening condition for the patients or clients life the proper technique and its alternatives assessment knowledge can help the nurses to improve academic performance and can be apply this knowledge in their clinical practices
At the end of the session students will be able to
describe the hygienic care that nurses provide to clients.
identify the factors influencing hygienic practice
identify normal and abnormal assessment findings while providing hygienic care to the clients.
provide hygienic care of the skin - bath and pressure points, feet and nail, oral cavity, hair care, eyes, ear and nose.
assess the hygienic environment.
explain the various types of beds.
HEALTH ASSESSMENT OR EXAMINATION OF SKIN, HAIR AND NAILS WITH THE HELP OF METHODS OF HEALTH ASSESSMENT: INSPECTION, ASCULTATION, PALPATION AND PERCUSSION TECHNIQUES.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
2. COMPETENCIES
* Discuss the system-specific history for the ears,
nose, mouth, and throat.
* Describe normal findings in the physical
assessment of the ears, nose, mouth, and
throat.
* Describe common abnormalities found in the
physical assessment of the ears, nose, mouth,
and throat.
* Explain the pathophysiology of common
abnormalities of the ears, nose, mouth, and
throat.
3. General Approach to Ears, Nose, Mouth, and Throat
1. Greet the patient and explain the assessment techniques
that using.
2. Use a quiet room that will be free from interruptions.
3. Ensured that the light in the room provides sufficient
brightness adequate observation of the patient.
4. Place the patient in an upright sitting position or for
patients who cannot tolerated he sitting position
assess head so that it can be rotated from side to
side
5. Visualize the underlying structures during the
assessment allow adequate description of findings.
6. Always compare right and left ears, as well as right and
left nose, sinuses, mouth, and throat..
4. Equipment
Otoscope with earpieces of different
sizes and pneumatic attachment
Nasal speculum
Penlight
Tuning fork (512)Hz
Tongue blade
Watch
Gauze square
Clean gloves
Transilluminator
Cotton-tipped applicator
5. • Sings & Symptoms:
• History of hearing problem
• Family history
• Medication history
• Ringing in ears hearing difficulty ,onset ,factors
contributing to it, and how it interferes with
living activities of daily , corrective hearing
device
• Pain ,discharge , and lesion
6. AURICLES
Inspect the auricle for colors, symmetry of size and
position 'To inspect position . Note the level at which the
superior aspect of the auricle attach to the head in
relation to the eye
Normal :
• Color same as facial skin
• Symmetrical
• Auricle aligned with outer canthus of eye, about 1 0"
from vertical.
7. • Abnormal:
Bluish color of earlobes(cyanosis) pallor
( cold weather)excessive redness (inflammation or fever)
Asymmetry
Low-set( associate with congenital abnormality as Downs
syndrome
8. Palpate the auricles for texture' lasticity,
and tenderness'
- Gent pull he auricles up-down and back war '
- Fold the Pinna forward (it should recoil).
- apply pressure on the mastoid
Normal
Mobile, firm , and not tender pinna recoils after it is
folded
Abnormal
Lesions , scaly skin ,tenderness (infection of external ear)
9. External Ear Canal :
Using anotoscop inspect the external ear canal for cerumen,
skin lesion ,pus or blood
Normal: pink in color , dry , hairy , dry yellow or brow
cerumen , free of discharge blood and lesion
Abnormal:
Redness , discharge excessive cerumen or lesion
Inspect tympanic membrane :
Color: gray , shinny ,semitransparent
Abnormal:
Pink or red ,blue bleeding , yellow infection with dull surface
11. Hearing acuity :
1- Assess client responses to normal voice : audible
Abnormal: request for repeat , lean, cups ear
2- Watch tick test : able to hear ticking in both ear
Abnormal: unable to hear
3- Tuning fork test :
Weber’s test
Rinne test
13. Tympanic membrane
• Color/shape-pearly grey, shiny, translucent, with no
bulging or retraction. a) Cone shaped light reflection of
the otoscope light is seen at 5:00 in the right ear and at
7:00 in the left ear.
15. Preparation:
1. Position the client sitting up straight with his her head
at your eye level.
2. Remove client's dentures if available
Subjective data:
I. Sores & Lesions
2.Sore Throat
3. Bleeding gum.
4. Toothache
5. Hoarseness
6. Dysphagia
7. Altered taste
8. Smoking, Alcohol
consumption
9. Self-care behaviors,
dental care pattern,
dentures or appliances
16. .
Inspect ion & palpation lips
Normal Findings
Color: in white skin Pink , in dark skin: may have bluish hue
or freckle like pigmentation.
Movement: symmetrical during smile , open and close . No lesions,
swelling, drooping , its moist and smooth
Wearing gloves, inspect & palpate lips for the following:
The patient's teeth should be clean with no decay, appear white and
shiny smooth surfaces and edges. Adults should have a total of 32
teeth with 16 teeth in each arch. Children by the age of 2 1/2 have a
total of 20 teeth with 10 in each arch.
Abnormal findings
Missing teeth, loose or broken teeth and misaligned teeth
.
17. Wearing gloves, inspect & palpate buccal mucosa for the
following:
Color: Pink (increased pigmentation often noted in dark-
skinned client
Consistency : Smooth, moist, without lesions
Landmarks : Parotid duct openings are seen small papilla
located near upper second molar
Retract client's lips to inspect & palpate gums for the
following:
Color : pink
Consistency :Moist, free of lesion and ulcer ,pale or yellow
defined in gingivitis
18. Inspect protruded tongue for the following:
Symmetry & texture and color moist; papillae
present; symmetrical appearance; midline fissure
present , pink ,smooth
Inspect ventral surface of the tongue & mouth floor
for the following:
Color: pink slightly pale
Landmarks: Submandibular duct openings are located
on
both sides of the frenulum , tongue is free of lesions or
increased redness; frenulum is centered.
Palpate inspected the site of tongue: pink , moist ,free
of lesion and ulcer
19.
20. Inspect hard & soft palate for the
following:
Color & consistency : hard palate is pale irregular while
soft palate is pink and soft , spongy
Inspect oropharynx for the following:
Color : pink
Landmarks : Tonsillar pillars symmetrical;
tonsils present (unless urgically removed) &
without exudates; uvula at midline & rises on phonation.
21. •
Grading of
Tonsils :
•
0 : tonsils not
visible
1+ tonsils are
visible,
2 + tonsils are
between the pillars
and uvula
3 + tonsils are
touching the uvula
4 + tonsils extend
to the midline of
the
oropharynx.