Academic literature on the topic 'Post Hospital Experiences'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Post Hospital Experiences.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Journal articles on the topic "Post Hospital Experiences"
1
Brodribb, Wendy E., Benjamin L. Mitchell, and Mieke L. Van Driel. "Continuity of care in the post partum period: general practitioner experiences with communication." Australian Health Review 40, no. 5 (2016): 484. http://dx.doi.org/10.1071/ah15144.
Full textAbstract:
Objectives Informational and management continuity of care assists in providing a seamless transition for women and infants from tertiary or secondary to primary care during the post partum period. Few studies have evaluated the interaction between different aspects of the health system following a woman’s discharge from hospital after the birth of her infant. The present study describes how general practitioners (GPs) experience communications with hospitals and other post partum care providers relevant to continuity of care. Methods In the present cross-sectional study, a 52-item questionnaire adapted from a previously used survey was mailed to 932 GPs in southern Queensland, Australia, between February and July 2013. Questionnaire items included participant demographics, the timeliness and usability of discharge summaries, communication with other post partum care providers and consultation practices. Results The response rate was 17.4%. Nearly one-quarter of participants never or rarely received a hospital discharge summary in a timely manner and most considered the summaries somewhat useful. Few GPs (14.3%) had contact with or received information from domiciliary midwives who conducted post partum home visits. A higher proportion (38%) had some communication with a Child and Family Health nurse in the month before the survey. Conclusions Information flow from hospital to general practice and between other post partum care providers is less than ideal and may affect ongoing care for mothers and infants, especially those at risk. Knowledge exchange between healthcare services and initiatives to improve information sharing needs to be developed and implemented. What is already known on this topic? Transitions from tertiary or secondary care to primary care and between primary care providers are often times of vulnerability for patients, including women and infants in the post partum period. There is little information documenting communications between different maternity services and GPs that facilitate ongoing care. What does this paper add? There are significant gaps in the exchange of information about post partum women and infants from hospitals to GPs and a lack of communication between GPs and other post partum care providers, such as domiciliary midwives and Child and Family Health nurses. What are the implications for practitioners? Improvements in the timeliness, presentation and content of hospital discharge summaries, as well as enhancing channels of communication, collaboration, cooperation and information sharing between providers of community post partum care, are necessary if mothers are to receive the best care possible.
2
Harms, J., C. Kalkhoff, U. Ax, D. Harms, H. H. König, and J. Hauss. "Hospital-to-home® Mobility-supported Post-hospital Care Management in Surgery–Preliminary Experiences in a University Hospital." European Journal of Integrative Medicine 1 (November 2008): 37. http://dx.doi.org/10.1016/j.eujim.2008.08.070.
Full text
3
Adde, Kenneth Setorwu, Eugene Kofuor Maafo Darteh, and Akwasi Kumi-Kyereme. "Experiences of women seeking post-abortion care services in a Regional Hospital in Ghana." PLOS ONE 16, no. 4 (2021): e0248478. http://dx.doi.org/10.1371/journal.pone.0248478.
Full textAbstract:
Introduction Abortions remain one of the highest contributors to maternal deaths in Ghana. In 2003, a policy on post-abortion care was introduced to help reduce abortion-related mortality and morbidity. However, depending on the method of pregnancy termination; women encounter varying experiences. This study examines the experiences of women seeking post-abortion care services in a Regional Hospital in Ghana. Materials and methods In-depth interview technique was used to collect data from 20 purposively selected post-abortion care clients at the Volta Regional Hospital. Data were analysed manually using a qualitative content analysis technique. Results The study found that medical abortion was the main method of pregnancy termination used by women who participated in the study to induce abortion. Spontaneous abortion, however, was attributed mainly to engaging in activities that required the use of excessive energy and travelling on bad roads by pregnant women. The study also revealed that, women do not seek early post-abortion care services due to stigma and poverty. Conclusions We found that severity of pain from complications, stigma and financial constraints were factors that influenced women’s decision to seek post-abortion care services. Our findings also suggest that women who experienced spontaneous abortion mainly received financial and emotional support from partners and other family members. To encourage women to seek early post-abortion care services, the Ministry of Health and the Ghana Health Service should take pragmatic steps to educate women on the dangers associated with delay in seeking post-abortion care services and the factors that expose women to spontaneous abortions.
4
Roby, Rachel C. L., Rebecca L. Shapira Goldstein, Ebony St Rose, and Nick Kerman. "Post-Discharge Experiences of People with Psychosis Following Partial Hospital Program Completion." Occupational Therapy in Mental Health 34, no. 3 (2018): 272–84. http://dx.doi.org/10.1080/0164212x.2017.1418698.
Full text
5
Skorpen, Frode, Arlene A. Thorsen, Christina Forsberg, and Arne W. Rehnsfeldt. "Suffering related to dignity among patients at a psychiatric hospital." Nursing Ethics 21, no. 2 (2013): 148–62. http://dx.doi.org/10.1177/0969733013493216.
Full textAbstract:
This article discusses dignity from a Q-methodological study among patients at a psychiatric hospital. The aim of this study is to gain a deeper understanding of the subjective experiences of patients in a psychiatric hospital with respect to dignity. A Q-sample of 51 statements was developed. A total of 15 participants ranked these statements from those they most agreed with to those they most disagreed with. Post-interviews were also conducted. Principal Component Factor Analysis and varimax rotation followed by hand rotation produced the clearest results. Four different viewpoints emerged: being met as equal human being, experience of dignity despite suffering, suffering due to inferior feelings and suffering and fighting for one’s own dignity. There seem to be variations in those with dignity-promoting experiences in Viewpoint 1 and to some extent in Viewpoint 2, to those with dignity-inhibiting experiences in Viewpoints 3 and 4.
6
Subedi, Shanti, Manisha Chhetry, and Sabina Lamichhane. "Myomectomy Revisited: Experiences in a Teaching Hospital." Journal of Nepal Medical Association 54, no. 202 (2016): 79–81. http://dx.doi.org/10.31729/jnma.2823.
Full textAbstract:
Introduction: Uterine myomas are the most common benign tumors of the female reproductive tract with myomectomy being one of the major modalities of the treatment in our set up. The aim of this study was to share the experiences of open myomectomy from a Teaching Hospital.Methods: A observational study was conducted from a records of myomectomy cases in the department of Obstetrics and Gynaecology at Nobel Medical College teaching Hospital from June 2014- May 2016.Results: Total 38 cases of myomectomy were performed during the study period in the women most commong age group being 35-39 years, followed by 30-34. The most common presenting symptoms was abnormal uterine bleeding in 15 (39.47%) followed by mass per abdomen in 10 (26.31%). The most common location of the myoma was intramural followed by subserosal, submucus. Degeneration was also noted in majority of the cases. All the myomectomies were done with Inj Vasopressin injected paracervically except in one case where tourniquet was used. None of the patients had significant post-operative morbidity except fever in the first 24 hours.Conclusions: Abdominal myomectomy is a safe and effective procedure for uterine myomas for infertile women in the past but it should be offered to those desiring for uterine preservation irrespective of age and reproductive status. Keywords: abnormal uterine bleeding; degeneration; myomectomy. | PubMed
7
Lee, Nayoon, and Hyun-Ju Lee. "South Korean Nurses’ Experiences with Patient Care at a COVID-19-Designated Hospital: Growth after the Frontline Battle against an Infectious Disease Pandemic." International Journal of Environmental Research and Public Health 17, no. 23 (2020): 9015. http://dx.doi.org/10.3390/ijerph17239015.
Full textAbstract:
COVID-19 is a respiratory disease caused by a novel coronavirus that quickly spread worldwide, resulting in a global pandemic. Healthcare professionals coming into close contact with COVID-19 patients experience mental health issues, including stress, depression, anxiety, post-traumatic stress disorder, and burnout. This study aimed to explore the experiences of COVID-19-designated hospital nurses in South Korea who provided care for patients based on their lived experiences. Eighteen nurses working in a COVID-19-designated hospital completed in-depth individual telephone interviews between July and September 2020, and the data were analyzed using Giorgi’s phenomenological methodology. The essential structure of the phenomenon was growth after the frontline battle against an infectious disease pandemic. Nine themes were identified: Pushed onto the Battlefield Without Any Preparation, Struggling on the Frontline, Altered Daily Life, Low Morale, Unexpectedly Long War, Ambivalence Toward Patients, Forces that Keep Me Going, Giving Meaning to My Work, and Taking Another Step in One’s Growth. The nurses who cared for patients with COVID-19 had both negative and positive experiences, including post-traumatic growth. These findings could be used as basic data for establishing hospital systems and policies to support frontline nurses coping with infectious disease control to increase their adaption and positive experiences.
8
Polenz, Chanele K., Amanda S. Manoharan, Laura Sevick, et al. "Time from surgery to first adjuvant chemotherapy: Experiences at two Toronto hospitals." Journal of Clinical Oncology 31, no. 15_suppl (2013): e17557-e17557. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e17557.
Full textAbstract:
e17557 Background: Optimal treatment of patients with colorectal cancer (CRC) includes the timely administration of adjuvant chemotherapy (AC). While Cancer Care Ontario (CCO) guidelines advise that CRC patients receive their first AC no later than 8 weeks after surgical resection, new data suggests treatment should begin between 4 and 6 weeks. This retrospective study was performed to determine the treatment times and identify barriers at two Toronto hospitals: St. Michael’s Hospital (SMH) and Mount Sinai Hospital (MSH). Methods: Of all 797 patients diagnosed with CRC between January 1, 2005 and April 30, 2012 at SMH and MSH, 483 patients did not meet eligibility criteria. Thus, our sample population of 314 patients had stage II or III CRC, and received both surgical resection and AC at each respective hospital. Data collected included: time from surgery to first AC, patient demographics, and systemic/clinical barriers. Data was analyzed using statistical methods in Excel, assuming p-values <0.05 as significant. Results: The mean ageof the patients was 60.5 years (range 23 – 91); 55% were male and 72% had stage III disease; 75% (237/314) had colon cancer and 75% of AC was the FOLFOX regimen. The mean time from surgery to first AC was 57.4 days (sd = 16.8) or 8.2 weeks (range 4.1-18.7). Referral from surgeon averaged 20 days (sd=29.3). Time from medical oncology consult to first AC averaged 26.5 days (sd=30.8) including 23 days awaiting port-a-cath insertion. Post-operative medical complications affected 23.6% of patients. The presence of a complication was associated with delay in AC (10.6 days, p<0.001). An association between tumour site (eg. colon vs. locally advanced rectal cancer) and delay (p=0.0002) was also observed. Conclusions: Adherence to CCO guidelines can be optimized in CRC patients at SMH and MSH. The presence of a medical complication and tumour site are both factors associated with delays in AC treatment post-surgery. To improve the timeliness of care and achieve greater consistency between hospitals, rapid-cycle improvement of confounding barriers will be adopted.
9
Hidalgo, Sonya. "Laboratory Science Training Improvement Using an Immunohematology Simulation Lab." Advances in Social Sciences Research Journal 6, no. 10 (2019): 200–207. http://dx.doi.org/10.14738/assrj.610.7241.
Full textAbstract:
Medical Laboratory Scientists are certified professionals who conduct assays on body fluids and other biological samples. To work in this profession one must earn a Bachelor of Science degree and complete a 12-month hospital internship. In the current state, most Medical Laboratory Science students gain their hands-on portion of their experiences in hospital laboratories. This time is severely limited, however, and can lead to inexperience upon the recent graduate beginning work. This article explores a grant-financed project to enhance the Medical Laboratory Science students’ Immunohematology experiences on campus prior to hospital experiences. The goals of this exposure are to reduce hospital errors and produce more marketable experienced graduates. This was accomplished through external grant funding, purchase of equipment and supplies, planning and management of a simulated immunohematology laboratory, and student participation in pre- and post-tests. This work was made possible through a Louisiana Board of Regents grant and the support of the College of Nursing and Health Professions at McNeese State University.
10
House, Anthony K., and David M. Ingram. "Cholelithiasis in a teaching hospital: a review of clinical and post‐mortem experiences." Medical Journal of Australia 150, no. 3 (1989): 137–39. http://dx.doi.org/10.5694/j.1326-5377.1989.tb136392.x.
Full textDissertations / Theses on the topic "Post Hospital Experiences"
1
Mamogobo, Pamela Mafenngwe. "Clients experiences of HIV-Positive post-disclosure to sexual partners at St Rita's Hospital Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2013. http://hdl.handle.net/10386/1033.
Full textAbstract:
Thesis (MPH.) --University of Limpopo, 2013<br>Setting: The study was undertaken in St Rita’s Hospital, a district hospital for healthin Makhuduthamaga Municipality, Sekhukhune District, Limpopo Province. The purpose of the study was to describe client experiences of HIV-positive post-disclosure tosexual partners at St Rita’s Hospital, Limpopo Province.
Research design and methodology: A qualitative, descriptive and phenomenological design was used. Purposive sampling was used to select 15 HIV-positive clients to participate in the study. Semi-structured interviews were conducted for data collection until saturation was reached. Data analysis was done using Techs open-coding method.
Research findings: The study found that most of the clients were shocked and worried after testing HIV-positive. Participants whose sexual partners were aware that they were sick, indicated their wish to test and to immediately disclose their HIV-positive status. The study identified that some women found it difficult to disclose their HIV-positive status to sexual partners and continued to have unprotected sex in spite of ongoing counselling and support provided at the clinic. Some women participants who disclosed to sexual partners were accepted and some were rejected by sexual partners. Some women who disclosed their HIV-positive status to sexual partners were unable to motivate sexual partners to be counselled together and have mutual disclosure. These participants therefore continued to have unprotected sex with sexual partners and some became pregnant as sexual partners indicated that they tested HIV-negative elsewhere and were not keen to use condoms. Female participants did not indicate the use of female condoms as part of their responsibility to prevent transmission of HIV.
Implications, recommendations and conclusions: The barriers which female participants face to disclose their HIV-positive status to sexual partners and not being able to insist on the use condoms may contribute to a high rate of HIV transmission and disease incidence. There should be establishment of consortiums at community level to provide quality support and follow up to
vii
clients who face challenges or fear to disclose their HIV-positive status to sexual partners.
KEYWORDS
• Clients’ experiences
• Disclosure
• Experiences,
• Sexual partner
• HIV-positive
2
Connolly, Teresa. "Post Stroke Survivors' Experiences of the First Four Weeks During the Transition Directly Home From the Hospital." Thesis, Boston College, 2014. http://hdl.handle.net/2345/bc-ir:104175.
Full textAbstract:
Thesis advisor: Ellen K. Mahoney<br>Purpose: The purpose of this qualitative descriptive study was to investigate the experiences of post stroke survivors (PSSs) during transition from hospital discharge home during the first four weeks. Background: PSSs describe the transition from hospital to home as an important time in recovery and stress various physical and cognitive concerns early within the recovery period. Research to date fails to adequately reflect PSSs' experiences early after discharge home. This gap in research limits the ability to create interventions for PSSs during this critical time period. Methods/analysis: Semi-structured telephone interviews were conducted with 31 participants, recruited from a large metropolitan hospital in the northeastern United States. The use of in-vivo codes lead to the development of themes that described PSSs' experiences during the four week transitional period. Credibility and transferability of findings were strengthened through memoing, field notes, reflexivity of analysis, member checking, and peer review throughout the analysis process by qualitative experts. Results: The five major themes were: (a) the shock of a stroke interrupting a normal day, (b) transition to an unfamiliar home, (c) experiencing a life riddled with uncertainty, (d) a journey to a new sense of self, and (e) adjusting to a new sense of self. Throughout their journey all PSSs had to cope with uncertainty and adjust to a new sense of self. PSSs that experienced less uncertainty were able to return to their prior daily routine, knew how to prevent another stroke, had a helpful support system, and had frequent follow-up and communication with health care professionals. Conclusion: All PSSs are at risk for complications regardless of stroke severity. To address PSSs complex needs, nurses can provide care beyond symptom management by fostering a dynamic intentional relationship to support recovery. The framework resulting from this study can provide the platform for advanced neuroscience nurses to engage with PSSs to improve their recovery and adjustment to a new sense of self as they transition from hospital to home<br>Thesis (PhD) — Boston College, 2014<br>Submitted to: Boston College. Graduate School of Arts and Sciences<br>Discipline: Philosophy
3
Myhrberg, Richard, and Ebba Ulltin. "Upplevelsen av att leva med Anorexia Nervosa : De första sex månaderna efter slutenvård." Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1839.
Full textAbstract:
Bakgrund: I Sverige lever cirka 100 000 personer med någon typ av ätstörning och den mest omtalade är Anorexia Nervosa. Sjukdomen är allvarlig, långvarig och drabbar främst unga kvinnor. Ett flertal olika faktorer orsakar och påverkar utvecklingen av sjukdomen. Anorexia Nervosa är svår att behandla optimalt och kan kräva både psykiatrisk och somatisk vård. Även omvårdnaden av denna patientgrupp är problematisk, då vårdpersonalen uttrycker en svårighet att förhålla sig professionellt till patientgruppen som visar ambivalens kring sitt tillfrisknande. Syfte: Att beskriva upplevelser av att leva med Anorexia Nervosa hos unga kvinnor under de sex första månaderna efter utskrivning från slutenvården. Metod: En kvalitativ innehållsanalys tillämpades på fem bloggar från bloggportalen och Google. Bloggarna var skrivna av 18 till 21-åriga kvinnor som vårdats inom slutenvården för Anorexia Nervosa. Upplevelser av att leva med sjukdomen eftersöktes i deras bloggar de första sex månaderna efter utskrivning. 407 meningsenheter identifierades och grupperades efter likheter och skillnader i tre kategorier. Resultat: Kategorierna som framkom i analysen var Kampen mot beteendet, Kampen om självbilden och Kampens villkor. De tre kategorierna redovisar olika upplevelser av att leva med sjukdomen efter utskrivning från slutenvården. Slutsats: Positiva upplevelser, som att lyckas eller att få stöd var hälsofrämjande och upplevelser av utsatthet eller att misslyckas ledde till att beteendet relaterat till AN förstärktes. Klinisk betydelse: Studien kan leda till en större förståelse för personer med Anorexia Nervosa, vilket leder till att sjuksköterskan kan ge ett bättre bemötande och bättre omvårdnad.<br>Background: Approximately 100 000 people in Sweden are living with an eating disorder and the most frequently mentioned is Anorexia Nervosa. The disorder is severe, time consuming and primarily affects young women. Several factors affect the development of the disease. Anorexia nervosa is complex to treat and requires both psychiatric and somatic care. The nursing of the patients is found problematic, as health care staff expresses difficulties in meeting the group of patients, who are showing ambivalence about recovery. Aim: Describing the experience of living with Anorexia Nervosa in young women the first six months after discharge from inpatient care. Method: A qualitative content analysis was applied on five blogs that were found on bloggportalen and Google. The blog were written by 18 to 21 year old women who been treated for Anorexia Nervosa in inpatient care. The experiences of living with the disease were examined the first six months after discharge, 407 meaning units were identified and sorted on similarities and differences to three main categories. Results: The categories were; The fight with the behavior, The fight with the self-image and The conditions of the fight. The three categories represented the experience of living with the disease after patient discharge. Conclusion: Positive experiences, such as succeeding in the treatment or feeling social support were health promoting. Negative experiences on the other hand, such as feeling vulnerable, reinforced the behavior related to AN. Clinical implication: The result may be used to increase the understanding of patients with Anorexia Nervosa, which could improve the nurse’s approach and nursing.
4
Smith, Cheryl. "Patients’ Perceptions of Patient-Centered Care and the Hospital Experience Pre- and Post-Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3388.
Full textAbstract:
Florence Nightingale used the principles of patient-centered care as the foundation for nursing practice. Today, patient-centered care delivery is part of the healthcare reform process that extends interprofessionally throughout all settings of healthcare in the United States (U.S.). Patient satisfaction measurement is one primary determinant of effective patient-centered care. The standardized Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and methods is a nation-wide tool used to measure patient satisfaction. However, this method of patient satisfaction assessment relies on recollections of patients’ hospital experiences and requires accurate memory and recall. This study sought to examine the effect of the memory-experience gap on patients’ perceptions of their hospital experiences and address this research question: Are there any statistical differences between in-hospital and two-week post-discharge perceptions of patient-centered care as measured with HCAHPS patient satisfaction ratings on (a) the composite scores for communication with nurses, communication with physicians, communication about medicines, pain management, staff responsiveness, (b) the individual scores for the hospital environment’s cleanliness and quietness, and the inclusion of patient and family preferences in the plan of care, and (c) the overall global rating score? The design was a non-experimental, prospective, descriptive correlational study. The setting was a 255-bed regional hospital that serves individuals from eight surrounding rural counties in southern middle Tennessee. The case-mix contained diverse individuals with multiple economic, environmental, physical, social and spiritual dynamics. A convenience sample of 82 adult patients ages 26 - 93 represented mainly Caucasian females with mostly cardiovascular and respiratory illnesses who had a minimum one-day stay.
5
John-Franklin, Nworgu. "Job satisfaction as experienced by doctors in public sector hospitals in Port Elizabeth." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/582.
Full textAbstract:
South Africa is experiencing a brain drain of doctors. It is estimated that about 5000 doctors have left South Africa since 2003. Lack of job satisfaction has been identified as one of its causes. The purpose of this study was: To provide an overview of relevant literature concerning job satisfaction. To determine, by means of an empirical survey, whether doctors in the public sector experienced any factors, which were affecting their job satisfaction levels. To make recommendations as to how the job satisfaction levels of doctors in public sector hospitals could be increased. For the empirical study a survey, with a questionnaire as data collecting tool, was conducted among 59 permanently employed doctors at the Dora Nginza Hospital in Port Elizabeth. The questionnaire focused on biographical information, personality-job fit, job content factors and job context factors. For Section B, C and D of the questionnaire, the response options were structured according to a Likert-type scale. Respondents had to indicate the extent to which they agreed with each statement in the questionnaire. The responses obtained from the survey were presented and analysed. The researcher observed in this study that doctors were just satisfied with their jobs. Apart from the personality job fit factor of job satisfaction where excellent scores were recorded, there seemed to be problems with job content and job context factors. Management of Port Elizabeth Hospitals Complex has a challenge in improving job satisfaction of their doctors in these areas. The researcher recommends that management of Port Elizabeth Hospitals Complex should look into the satisfaction level of doctors in their employment. Doctors’ satisfaction level should be improved from being just satisfactory to being excellent.
6
Morales, Huari Regina Soledad, and Chapoñan Luz Mariela Santamaria. "Experiencias de las enfermeras en el cuidado post operatorio inmediato. Hospital I Naylamp Essalud, Chiclayo 2014." Bachelor's thesis, Chiclayo, 2015. http://tesis.usat.edu.pe/jspui/handle/123456789/607.
Full textAbstract:
La presente investigación científica es de naturaleza cualitativa, con abordaje fenomenológico, como objeto de estudio las experiencias de las enfermeras en el cuidado post operatorio inmediato, el objetivo que guió la investigación fue describir, analizar y comprender estas experiencias. La presente investigación se justifico porque hoy en día los cuidados de las enfermeras a nivel mundial, nacional y local requiere que desarrollen competencias necesarias para brindar un cuidado humanizado, más aún a las personas que se encuentran en el post operatorio inmediato; por lo que es conveniente profundizar y conocer la forma cómo viven, enfrentan y expresan sus experiencias frente al cuidado, y así ofrecer la oportunidad de mejorar en el día a día la práctica del cuidado de enfermería. Esta investigación se sustentó en los conceptos de experiencia de Wojtyla (2005), cuidado por Waldow (2008), post operatorio inmediato según Almeida (2005). Se tuvieron como sujetos de estudio a 7 enfermeras que laboran en la unidad de cuidados post anestésicos del Hospital I Naylamp, la muestra se determinó por saturación; los datos se recolectaron mediante la entrevista a profundidad no estructurada y se trataron mediante el análisis fenomenológico. Se tuvo en cuenta los criterios de rigor ético según Sgreccia y rigor científico según Hernández. Obteniéndose las siguientes proposiciones: Proposición A: Entre la satisfacción e insatisfacción al brindar cuidados post operatorios, Proposición B: Brindando un cuidado integral a la persona post operada, Proposición C: Responsabilidad vs Temor e impotencia frente a las complicaciones post operatorias.
7
Quiroz, Hidalgo Roxana Medalith, and Salazar Ana Karina Solís. "El comienzo de la lactancia materna : experiencias de madres primerizas post-cesárea en un hospital de Chiclayo 2017." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2018. http://tesis.usat.edu.pe/handle/usat/969.
Full textAbstract:
La presente investigación cualitativa, de abordaje de estudio de caso, tuvo como objetivo describir, analizar y comprender las experiencias de las madres primerizas post-cesárea en el comienzo de la lactancia materna en un Hospital de Chiclayo-2017, los sujetos de estudio fueron 17 madres primerizas del servicio de alojamiento conjunto que cumplieron con los criterios de selección y cinco enfermeras que laboran en dicho servicio; el muestreo se realizó por conveniencia, y el tamaño de la muestra se determinó por saturación y redundancia; los datos se recolectaron, mediante una guía de entrevista semi-estructurada, validada por juicio de expertos y por piloto; el procesamiento de datos se realizó mediante el análisis de contenido, considerando siempre los principios de la Bioética personalista de Sgreccia y los criterios de rigor científico sustentados por Lincoln y Guba. Se obtuvieron como resultados tres categorías: (1) Experiencias en el comienzo de la lactancia materna post-cesárea, (2) El fomento de la lactancia materna post-cesárea, (3) Factores que impiden el comienzo exitoso de la lactancia materna post-cesárea. Finalmente se concluyó que existe un 41.18% de madres que han tenido una experiencia maravillosa en el inicio de la lactancia materna descrita con alegría, entusiasmo, emoción de tener en brazos a su bebé; en cambio el 58.82% de madres restantes refieren que fue una experiencia terrible, ya que experimentaron mucho dolor de la herida operatoria, unido con el temor de la dehiscencia de la misma, acompañado de nerviosismo por desconocimiento de los cuidados al bebé.<br>Tesis
8
Miza, Thenjiwe Mildred. "The experiences of professional nurses working in outpatient departments of the introduction of the Batho Pele Principles in state hospitals." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1421.
Full textAbstract:
After 1994 with the inception of the South African Democratic Government, the health care delivery system was one of the areas that had to be reviewed. The vehicle for a comprehensive health care system was based on primary health care which encouraged people and patients to take responsibility for their health by being involved in all aspects of their care. For this purpose the Batho Pele principles were introduced, a concept which is informed by 8 principles, namely: consultation, service standards, access, courtesy, information, openness and transparency, redress and value for money. These principles are meant to restore the dignity and the rights of patients which are paramount in the Constitution of South Africa. (Constitution of South Africa 108 of 1996 Chapter 2) The nurses claim that since the introduction of the Batho Pele Principles, patients and their families have been “impossible” towards nurses, making unnecessary and sometimes impossible demands. The nurses also experience patients and their families as being informed of their “rights” but not of their responsibilities as patients. They were also unaware of the rights of the nurses. The objectives of the study were:- To explore and describe the experiences of professional nurses working in the outpatient departments of the introduction of the Batho Pele principles in state hospitals, and to Recommend guidelines that will enhance better understanding and implementation of the Batho Pele principles by the professional nurses. The study is founded on a qualitative research paradigm based on explorative, descriptive and contextual framework. The data was collected from focus groups from each hospital of the Port Elizabeth Hospital Complex. Each group consisted of four to six willing participants all of them were professional nurses who have worked at least five or more years in the outpatient department of the Port Elizabeth Hospital Complex. Data was collected via semi-structured audio-taped interviews together with the researcher’s field notes. Data analysis was done using Tesch’s data analysis spiral. The assistance of independent coder reinforced the truth value of the findings. Themes and subthemes emerged from the data that was collected and revealed that the professional nurses experienced that the Batho Pele Principles as a good policy, but that it was difficulty to uphold due to inadequate planning of health services prior to implementation of the Batho Pele Principles. They experience not getting from their management and they also experience that there was lack of discipline in their institutions. Based on these findings, guidelines that will recommend better implementation of the Batho Pele Principles by nurses were compiled by the researcher and future research in this regard was recommended.
9
Moobi, Emily Keadimilwe. "The experiences and perceptions of midwives at Provincial Hospitals in the Nelson Mandela Metropolitan Municipality regarding exclusive breastfeeding by HIV positive first-time mothers." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/427.
Full textAbstract:
The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
10
Kieser-Muller, Christel. "Needle stick injury and the personal experience of health care workers." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-01302006-144425.
Full textBooks on the topic "Post Hospital Experiences"
1
Keimig, Patricia. Report on 1994 prospective study of post-acute placement difficulties experienced by Maryland acute-care general hospitals. Maryland Health Resources Planning Commission, 1996.
Find full text
2
Elliott, Doug, and Linda Denehy. Post-ICU Rehabilitation. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199653461.003.0051.
Full textAbstract:
More than three-quarters of patients who experience a critical illness and intensive care unit admission survive their initial physiological insult and are subsequently discharged from hospital. Some of these survivors have physical, psychological, or cognitive deficits that persist and delay optimal recovery in the following months and, in some instances, years. A range of generic screening and functional assessment strategies has been used with post-ICU cohorts, but methodological limitations were evident. Further research is therefore required, possibly using a battery of instruments to cover a broad range of function across the recovery period, to explore optimal screening times. Commencing or continuing rehabilitation strategies for patients after ICU discharge in both hospital and post-hospital environments have their own set of challenges. A key step is to improve awareness and understanding of the sequelae of critical illness among rehabilitation specialists, primary care practitioners, and the broader health community. Coordination and optimal use of scarce resources in hospital and community settings is required. Evidence supporting post-ICU rehabilitation interventions is mixed. Studies are needed to discern which patients likely to respond and the optimal amount, type, and timing of interventions. Innovative use of wearable technologies and smartphone or tablet applications may offer some solutions for monitoring, motivation, compliance, and optimal recovery for survivors of a critical illness who have identified functional deficits.
3
Jones, Christina. Narratives of Illness and Healing after the ICU. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199653461.003.0052.
Full textAbstract:
There is a significant difference in the narrative of critical illness as experienced by the patient and that of their family, friends, and carers. Morse and Johnson proposed a model of illness which takes into account of this difference in perception and so helps to understand the processes the patient and their family go through. In some patients who have survived critical illness, there is a preponderant investment in the recovery process and the sense of purpose in life seems to be heightened. In others, the post-ICU period is tainted by frightening delusional memories of the period of critical illness; such patients actively seek to avoid memories of illness or being in the hospital. Patients recovering from critical illness have a need for a coherent story about what happened in ICU, but those experiencing delusional memories may need structured counselling. ICU diaries can help with this process by attempting to assemble the pieces of an authentic and meaningful narrative. This intervention can significantly reduce the distress of recovering ICU patients.
4
Busch, Fredric, Barbara Milrod, Cory Chen, and Meriamne Singer. Trauma Focused Psychodynamic Psychotherapy. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197574355.001.0001.
Full textAbstract:
This book, which operationalizes and articulates in detail a unique, brief, tested psychodynamic psychotherapy for Post-Traumatic Stress Disorder, Trauma Focused Psychodynamic Psychotherapy [TFPP], describes how to perform this helpful treatment. The book provides tailored psychodynamic background that underpins these approaches, and explains the different phases of treatment. Additionally, it articulates common underlying dynamics of PTSD that the treatment commonly addresses in patients to bring about symptomatic relief. TFPP is being tested in two diverse populations: military Veterans with PTSD who are receiving care at three Veterans Administration Hospitals, and also among LGBTQ patients with PTSD. The book is focused on the authors’ experiences treating Veterans and many clinical examples are provided demonstrating how to work with these principles and approaches. In general, patients and therapists have found the treatment to be an extremely useful tool. Veterans have gained insight into the impact of traumatic experiences on various aspects of their lives and had improvements in dissociation, interpersonal engagement, anxiety, and anger/hostility. TFPP appears to be particularly effective for patients with prominent avoidance symptoms and those who are unwilling or unable to recount the details of their trauma directly. Patients have been found to be more affectively engaged and better connected to others (including the therapist) following treatment.
Book chapters on the topic "Post Hospital Experiences"
1
Lee, Geok Ling, Corinne S. N. Ghoh, Gerald C. H. Koh, et al. "Post-hospital caregiving experiences." In The Routledge Handbook of Social Work Practice Research. Routledge, 2020. http://dx.doi.org/10.4324/9780429199486-30.
Full text
2
Iodice, Valeria, and Christopher J. Mathias. "A Tertiary Referral Centre for PoTS: The Autonomic Unit at the National Hospital for Neurology and Neurosurgery Experience." In Postural Tachycardia Syndrome. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-54165-1_43.
Full text
3
Graffin, Seán. "Hope and experience: nurses from Belfast hospitals in the First World War." In Medicine, Health and Irish Experiences of Conflict, 1914-45. Manchester University Press, 2016. http://dx.doi.org/10.7228/manchester/9780719097850.003.0010.
Full textAbstract:
Irish women provided significant support to the Allied forces during the First World War. 4,500 Irish nurses offered medical care and support to British and Allied troops, serving in war hospitals on foreign battlefields and across Britain and Ireland. This chapter investigates the role of Belfast’s three major hospitals in caring for war casualties. It focuses on the nurses engaged in providing care and the broader impact of nursing shortages on hospital work, significantly advancing understandings of twentieth-century Irish nursing. Drawing upon a diverse range of primary sources, the chapter traces the nurses’ social origins, religious backgrounds, motivations for enlisting, experiences of providing care and post-conflict careers. Uniquely, the chapter also offers a detailed account of the defining characteristics of the hospitals that provided care for war causalities, how their new wartime functions impacted on their administrative and practical running and also how war work shaped the future careers of the staff employed there.
4
Gargeya, Vidyaranya B., and Deborah I. Sorrell. "Moving Toward an e-Hospital." In Creating Knowledge-Based Healthcare Organizations. IGI Global, 2005. http://dx.doi.org/10.4018/978-1-59140-459-0.ch005.
Full textAbstract:
Healthcare organizations, like other information intensive organizations, cannot ignore the rapid progression to a digital network economy. While some aspects of patient care must continue to be delivered locally, Internet technologies and “e-healthcare experiences” are likely to play an increasing role in the pre-delivery and post-delivery arenas. Creating the infrastructure to quickly take advantage of this paradigm shift, while adding value to the local delivery system is paramount to the long-term success of healthcare organizations. To achieve the level of data integration necessary to move to an e-hospital, the complicated web of patient data must flow automatically and instantaneously between information systems within and external to the organization. This chapter presents an overview of infrastructure issues and technologies that will enable hospitals to “plug into” the evolving e-health continuum.
5
Lucey, Seán. "On the brink of universalism: the Emergency Hospital Services in Second World War Northern Ireland." In Medicine, Health and Irish Experiences of Conflict, 1914-45. Manchester University Press, 2016. http://dx.doi.org/10.7228/manchester/9780719097850.003.0012.
Full textAbstract:
This chapter examines the medical responses to the outbreak of the Second World War in Northern Ireland with an emphasis on Belfast. It focuses on the emergence of the Emergency Medical Service (EMS), established throughout the United Kingdom in response to the anticipation of likely air-raid casualties. Pre- Second World War hospital services in Belfast were piecemeal, lacking integration and provided by varying independent bodies including voluntary, municipal and poor law authorities. This chapter argues that the EMS brought a degree of integration previously unknown in Northern Irish health organisation and administration. This new found integration of war time medical services greatly influenced the ‘post war reconstruction’ and ‘planning’ of health. The chapter examines Northern Irish contexts and suggests that Irish and Northern Irish health care systems began to dramatically diverge during wartime. It also examines the relationship between Belfast and London’s Ministry of Health, and the challenges of devolved healthcare. In addition, the chapter examines the public health responses to the 1941 Belfast Blitz, and the overall effectiveness of wartime health services.
6
Kopp, Vincent J. "The pre-anaesthetic visit." In Handbook of Communication in Anaesthesia & Critical Care. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780199577286.003.0013.
Full textAbstract:
This chapter addresses deficiencies in pre-anaesthesia communication. Here, the use of medical narrative illustrates communication-enhancing techniques and attitudes that may help anaesthetists anticipate and respond to the biopsychosocial content, extant in the pre-anaesthesia assessment setting. By any measure, the pre-anaesthesia evaluation sets anaesthesia care in motion. Until now, little has been written about the development of a learnable framework for effective communication, in this or any other anaesthesia care setting. With respect to pre-anaesthesia communication, the need for heuristics or ‘rules of thumb’ is ever acute to improve rapport, elicit and respond to questions, manage ambiguity, as well as to obtain valid consent. Furthermore, anaesthetists have to communicate effectively with patients about conflicting advice, prior negative anaesthetic experiences and fears about awareness and intraoperative death. A 56-year-old man scheduled for an elective left inguinal herniorrhaphy meets his anaesthetist minutes before surgery is to begin. Three days before, the patient presented to hospital with his hernia incarcerated. It was easily reduced. A follow-up office visit with his surgeon preceded the surgery. The patient’s sole co-morbidity is benign prostatic hypertrophy. On the morning of surgery this otherwise healthy-appearing man, accompanied by his wife, meets the anaesthetist for the first time. After record review the patient is told three anaesthetic options exist—local anaesthesia with intravenous sedation, general anaesthesia and spinal anaesthesia — and that ‘spinal is the way to go’. Unquestioningly, the patient agrees to spinal anaesthesia. The spinal block is easy to place. The surgery is uneventful. Post-operatively, the patient cannot urinate. His discharge from the day-surgery unit is delayed by hours. He is told it is because of ‘the spinal’. Bladder catheterization ensues. The rest of his recuperation is uneventful, except for lingering feelings of betrayal, distrust and disappointment. He wonders why he was not told spinal anaesthesia might cause urinary retention. He becomes angry. He resolves never to use that anaesthetist’s or hospital’s services again. His wife even urges him to sue them both for pain and suffering. What could have been done to effect a more positive outcome for the patient, the anaesthetist and the hospital? The answer lies, at least in part, in improved communication.
7
Ghosh, Hrileena. "Conclusion." In John Keats' Medical Notebook. Liverpool University Press, 2020. http://dx.doi.org/10.3828/liverpool/9781789620610.003.0009.
Full textAbstract:
This brief section summarizes the argument of the book, which showed the various ways in which Keats’ creativity found expression in his two careers as a surgeon and a poet, with the interaction between them mutually enabling and enriching his achievements in both. Many of the characteristics that defined Keats’ greatest poems can be found, in an early form, in the style and contents of his medical Notebook, and his poetic development is visible in both it and in the early poems he wrote while at Guy’s Hospital. Keats’ experiences at Guy’s Hospital enabled him to become the mighty poet who could delineate human emotions and frailties as precisely with his pen as he had exposed human muscles and bones with a lancet during dissections as a surgeon.
8
Ash, Stephen V. "Longing, Suffering, and Death." In Rebel Richmond. University of North Carolina Press, 2019. http://dx.doi.org/10.5149/northcarolina/9781469650982.003.0011.
Full textAbstract:
This chapter reflects on depression in Richmond as a result of the longing, suffering, and death of the Civil War. The post-war years accentuated yearning, nightmare, and pain as soldiers and others were affected by their loss. The chapter also covers the experience of the wounded and ill in the hospitals, as well as the medical treatment they received. Lastly, the chapter offers an overview of burial and cremation, as well as the cemeteries and monuments that were constructed in honor of those who died in war.
9
"Psychological reactions to cancer." In Oxford Handbook of Cancer Nursing, edited by Mike Tadman, Dave Roberts, Mark Foulkes, Mike Tadman, Dave Roberts, and Mark Foulkes. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198701101.003.0048.
Full textAbstract:
Reactions to cancer and how people cope with it are individual and will depend on both personal and social and cultural factors. In most cases, people diagnosed with cancer will make positive adjustments with the support of their family, friends, and routine professional care. However, up to 30% will experience some form of brief disruptive emotional crisis, and as many as 20% of people with cancer will experience a mental disorder, requiring professional intervention. More severe reactions include post-traumatic stress disorder, which can be long-lasting and disabling. However, some people experience post-traumatic growth, finding positive change in their lives. Nurses can support patients and families through difficult periods of adjustment. Psychological support can be offered at different levels, depending on the nurse’s training and qualifications. Depression is persistent and unvarying low mood, which is different from sadness in both quality and degree. It affects about 20% of people with cancer. It can be detected through nursing assessment and screening tools like the Hospital Anxiety and Depression Scale. Depression can be effectively treated with antidepressants and psychological therapies, including cognitive behavioural therapy and mindfulness. Anxiety is a common experience but can become a problem if it becomes severe or long-lasting, or interferes with everyday life. Anxiety management includes exercise and rest, time management, goal planning, and relaxation. Medication should only be used for short-term anxiety management. Nurses can help patients manage their anxiety by helping them to feel in control, involving them in decision-making, and providing information.
10
Friedman, Jack R. "Faith Interpreted as Madness." In Our Most Troubling Madness. University of California Press, 2016. http://dx.doi.org/10.1525/california/9780520291089.003.0010.
Full textAbstract:
Alexandria is a poor Romanian woman who obtains solace and support from a community of evangelical Christians. Alexandria lives with delusional guilt that she is responsible for many evil crimes. Having borne a son out-of-wedlock while living with her impoverished mother in her village, Alexandria is hospitalized for mental illness. With the compassion and fellowship of her new Christian friends, Alexandria finds acceptance and hope. However, in the context of post-socialist Romania—formerly Eastern Orthodox and currently striving for all that is modern—evangelicalism is so unfamiliar as to seem bizarre. The psychiatrist treating her at the publicly-funded psychiatric hospital where Alexandria lives is baffled by her religious experience and thinks of them only as signs of mental illness. Alexandra’s story illuminates the way fledgling religious movements (here, evangelical Protestantism) may collide with established religious sensibilities and biomedical protocols for treating schizophrenia.
Conference papers on the topic "Post Hospital Experiences"
1
Shukla, H., K. Batra, R. Sekhon, S. Giri, and S. Rawal. "Over view of clinical presentation, management and outcome of cervical cancer: A tertiary cancer centre experience." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685265.
Full textAbstract:
Objectives: (a) To understand the profile of cervical cancer patients attending our hospital from January 2011 till January 2015. (b) To audit the type of care given to the patients with respect to their stage at presentation. (c) To compare the outcomes of open v/s robotic radical hysterectomy done for cervical cancer. Methods: We prospectively analyzed all cases of cervical cancer from January 2011 to January 2015 presenting at our institute. Data was retrieved from patient’s records and institute’s tumor registry. We compared all patients undergoing open v/s robotic RH. All the data were analysed using SPSS version 21. Results: A total of 562 patients were treated for cervical cancer during the time period between 2011-2015. Of these there were 316 (56%) cases taken up for surgery-212 robotic RH, 104 open radical hysterectomy and rest 246 (44%) patients received definitive CCRT. Most common age group was 40-54 yrs. IB1 stage was most common presenting stage. SCC was most common histology (75%). Immediate post op complication and oncological safety in terms of local recurrence was same in both groups. However length of stay and post operative blood requirement was significantly lower in robotic RH group. 45% of all patients who underwent surgery did not require adjuvant therapy in post op period while 35% patient required post op RT and 20% CCRT. 2.2% patient had local recurrence and most of the patients were in stage IIA1 at presentation. Conclusion: Cervical cancer is the most common gynecological cancer in our hospital registry. Mostly women were in the age group of 40-54 years. Most common stage at presentation was 1B and the histology being SCC. Not many differences seen in open v/s robotic techniques of radical hysterectomy except for shorter hospital stay and less need of blood transfusion in the robotic group. Local recurrence rates are comparable in both open and robotic groups.
2
Silva, Dulanka, Jonathan Halim, Curtis Budden, et al. "116 Initial UK series of endoscopic suturectomy with post-operative helmet therapy for craniosynostosis: early report of peri-operative experience." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.116.
Full text
3
McClements, C., S. Dissanayaka, and A. Guhan. "Chest Drain Insertion and Post-Insertion Management Workshops: Our Experience in Ayr Hospital." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1410.
Full text
4
Abdelwareth, Alaa, and Ravi Madhotra. "PTH-001 SEMS is a risk Factor for post-ERCP pancreatitis: experience from a high-volume UK hospital." In British Society of Gastroenterology Annual Meeting, 17–20 June 2019, Abstracts. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2019. http://dx.doi.org/10.1136/gutjnl-2019-bsgabstracts.26.
Full text
5
Rentschler, Mark E., Ben S. Terry, and Austin D. Ruppert. "A Laparoscopic Camera-Enabled Cannula Port." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-204598.
Full textAbstract:
This project is exploring a potential new approach in providing visual feedback during minimally invasive surgery (MIS) that involves integrating a CMOS camera imager and lens into a traditional cannula entry port. Initial research has focused on developing this device for abdominal surgery (laparoscopy). Such a device can provide vision assistance without positioning and orientation constraints associated with current laparoscopes. Patients who undergo laparoscopic surgery experience less pain, shorter hospital stays, and a more rapid return to normal activities compared to patients who undergo conventional surgery. The benefits of laparoscopic surgery, however, are generally restricted to patients undergoing less complex procedures. The primary reason for limited application of laparoscopy to more complex procedures is two-fold. The first drawback is the limitation of the laparoscope to view all aspects of the abdominal cavity including looking back towards the entry site. Secondly, to view the video image from the scope the surgeon must turn focus away from the patient and towards a recorded video image on a monitor placed away from the patient. These constraints impose severe perception and orientation limitations that degrade surgical task performance. The long-term goal of this project is to develop a camera and sensor module that can be placed within traditional trocar ports for insertion, and that deploy outward from the cannula port after insertion. This approach will allow these ports to still be utilized by all traditional laparoscopic surgical tools, while potentially removing the need for the laparoscope. In addition, a small LCD display is placed at the port’s proximal end restore natural perception and orientation for the surgical team.
6
Hanley, C., S. Ladak, J. Jiang, D. Tamir, and B. Ansari. "ESRA19-0562 Bilateral continuous erector spinae planeblocks for the management of post-thoracosternotomy pain in patients undergoing lung transplantation – initial experience at toronto general hospital." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.434.
Full text
7
Mendri, Ni Ketut, Atik Badi’ah, and Mohammad Najib. "Pop Up Toys as Story Play Therapy on the Level of Anxiety on General Anesthesia Surgery among Children around 6-12 Years Old." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.29.
Full textAbstract:
ABSTRACT Background: Children who are first hospitalized may experience higher anxiety levels than children who have been hospitalized. The preliminary study in 2018 showed that when general surgery was to be done, as many as 90%school-age children were scared and nervous. It is important to provide play therapy to children who are going to undergo surgery. In addition to reading and seeing through photos, pop-up toy story books will also be offered to school-age children. This study aimed to examine the relationship between pop up toys as story play therapy on the level of anxiety on general anesthesia surgery among children around 6-12 years old. Subjects and Method: This was an experimental study with pre-post test with control group design. This study was conducted in Yogyakarta Province hospital. Study subjects were children around 6-12 years old and will performed general anesthesia surgery. The data were collected using questioner and in-depth interview. The data were analyzed using Mann-Whitney test. Results: There was a decrease number of children with moderate level of anxiety after the intervention group using pop up toys as story play therapy from 30 children (81.1%) to 6 children (16.2%). While in the control group, a total of 25 children had moderate level of anxiety (87.6%) before the theraphy, and after therapy a total of 2 children also had moderate level of anxiety (5.4%), and they were statistically significant. Conclusion: Playing pop up toys story therapy has an effect on the level of anxiety among children around 6-12 years old and will performed general anesthesia surgery. Keywords: pop up toys story therapy, anxiety level, general anesthesia, school age children Correspondence: Ni Ketut Mendri. School of Health Sciences, Yogyakarta. Email: mendriniketut@yahoo.com DOI: https://doi.org/10.26911/the7thicph.03.29
8
Myers, Eric R., and Jay Lehr. "Implementing and Managing a Practical Corporate Wide Legionella Risk Reduction Strategy for Industrial Water Systems." In 15th Annual North American Waste-to-Energy Conference. ASMEDC, 2007. http://dx.doi.org/10.1115/nawtec15-3217.
Full textAbstract:
Experts believe that Legionella may be present in 25% of cooling towers at any time, even with normal water treatment programs in place. This could pose a risk to employees and others working near cooling towers, and it could pose a risk to neighboring facilities such as schools, hospitals, public facilities, other businesses, or residential communities. The goal is to reduce the risk of Legionella, more specifically Legionella pnuemophila, which is the bacterium that causes a potentially fatal pneumonia known as Legionenaires’ Disease or legionellosis. Reducing the risk of Legionella requires more than water treatment alone, it requires a strategic plan based on recommended industry best practices that considers the mechanical, operational, and chemical control of cooling water systems. Implementing a corporate wide policy for Legionella risk reduction is challenging for waste-to-energy facility cooling towers. While a corporate policy for managing the risk due to Legionella is prudent, application of such a policy should not be wholly applied across all facilities or plant locations because not all water systems are equal or operated the same. Implementation starts with a plan that involves a multidisciplinary team including third party consultation and expertise. The first step of the Legionella risk reduction strategy is to evaluate current equipment and practices at each plant through a risk assessment process. The second step is to prepare a written Management Plan based on the risk assessment that clearly details risk reduction practices. The third step is to implement the management plan and monitor the system to ensure practices remain effective. And finally, all documentation should be periodically reviewed and adjustments made as necessary. This presentation will describe a process for implementing a corporate Legionella risk reduction policy, and it will highlight some of the major experiences learned.
9
Katoch, Rohan, Boao Xia, Yoshinori Yamakawa, Jun Ueda, and Hiroshi Honda. "Design and Analysis of a Symmetric Articulated Single-Port Laparoscopic Surgical Device." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3441.
Full textAbstract:
Laparoscopic surgery is a practice of minimally invasive surgery (MIS) performed in the abdominal area. Prior to surgery, instead of exposing the target region to air as in a typical conventional open surgery, “key holes” are opened for positioning ports, through which surgical tools (e.g. laparoscope, needle drivers, etc.) are inserted. MIS therefore minimizes trauma and reduces the risk of hemorrhaging and infection. MIS also generates economic benefits such as shorter hospitalization time for patients and better utilization of operating rooms and wards for hospitals. MIS procedures, however, require extra dexterity from surgeons: they must use instruments with little to none haptic feedback to remotely manipulate tissue within a limited range of motion, assisted by an indirect view from laparoscope. Such unintuitive operations not only require additional training, but also increase the risk of medical errors. Thus, the development of novel surgical devices that can provide a better operating experience will allow surgeons to deliver safer and more effective surgeries. At the advent of MIS only rigid straight laparoscopic instruments were available. Therefore, surgeons used multiple incisions to position the tools and achieve triangulation. In single port laparoscopic surgeries (SPLS), only one incision is made for positioning a port. Two rigid straight instruments inserted through one incision cannot provide sufficient triangulation for operations. Rigid bent, or articulated, instruments can achieve triangulation, but the tools must intersect at a point. The mapping to control the end-effector, therefore, must be inverted such that the right hand controls the left end-effector, and vice versa [1]. Given this inverted mapping, surgeons need to undergo extra training to intuitively control the end-effector, and greater attention is required toward operating the device, which can potentially detract from the ability of surgeons to focus on procedures. The disadvantage of an inverted mapping can be overcome by providing additional mobility with flexible tools and actuating structures [2]. For example, Transenterix has developed a flexible laparoscopic device which utilizes a cable-driven system for articulation of the end-effectors. However, using flexible elements as the driving mechanism can result in new problems such as diminished force feedback [3]. In 2015, a novel design of an articulated single port laparoscopic device was presented with 6 degrees of freedom (DOF). The system provides intuitive control, accurate force feedback, and sufficient manipulation for laparoscopic procedures. The design proposed in this paper keeps much of the functional features in the previous model, including 1:1 mapping and force feedback, while incorporating flexible hydraulic graspers. The articulated mechanism was redesigned to have a symmetrical structure, which is more intuitive to control and provides better operating angles for surgeons. Joint structures are redesigned for enhanced robustness and misalignment prevention. Kinematic analysis is presented for the proposed mechanisms, which is used to determine the manipulator workspace.