Supporting existential care with protected mealtimes: patients' experiences of a mealtime intervention in a neurological ward

2017 ◽  
Vol 73 (8) ◽  
pp. 1947-1957 ◽  
Author(s):  
Malene Beck ◽  
Regner Birkelund ◽  
Ingrid Poulsen ◽  
Bente Martinsen
Keyword(s):  
Neurological Ward

scholarly journals Analysis of Nursing Clinical Practice of Oral Hygiene on Patient with Hemorraghic Stroke – A Case Study

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yuyun Durhayati ◽  
Cut Sarida Pompey
Keyword(s):  
Oral Hygiene ◽  
Assessment Tool ◽  
Health Assessment ◽  
Hygiene Intervention ◽  
The Family ◽  
Before And After ◽  
Nursing Clinical Practice ◽  
Nursing Clinical ◽  
Neurological Ward

<p><strong>Objective</strong>: The  purpose  of  this  case  study  was  to  analyze  the  oral  hygiene intervention performed by  nurse  in  stroke  hemorrhagic  patient  in  neurological  ward</p><p> </p><p><strong>Methods:</strong> .Oral hygiene interventions were performed by using 0.2% chlorhexidine twice daily for seven days. This case study used oral health assessment tool (OHAT) which the measurements were taken before and after the intervention every day</p><p> </p><p><strong>Results</strong>: There was a decrease in oral hygiene assessment score from 9 to 1 which implied an improvement in oral hygiene condition. This study also showed that family of stroke patient was able to perform oral hygiene practice to the patient after simulation performed firstly by nurses</p><p> </p><p><strong>Conclusion</strong>: The study recommends that oral hygiene by using 0.2% chlorhexidine needs to be delivered routinely by nurses and continues by the family at home care.</p><p> </p><p><strong>Keywords</strong>: chlorhexidine 0.2%, oral hygiene, stroke.</p>

scholarly journals Francis Rohmer: from the neurological ward to Dachau and back

2020 ◽  
Vol 78 (1) ◽  
pp. 53-55
Author(s):  
Raimundo Nonato Delgado RODRIGUES
Keyword(s):  
World War Ii ◽  
Neurological Society ◽  
Concentration Camp ◽  
World War ◽  
Great Relevance ◽  
Harsh Conditions ◽  
Neurological Ward

ABSTRACT The author presents a brief synopsis of the life and works of Professor Francis Rohmer, a French neurologist whose great relevance to the development of the French Neurological Society is only outshined by his humanistic role, in spite of harsh conditions, when a prisoner at the Dachau Concentration Camp in Germany, during World War II.

The Impact of Screening Psychiatric Comorbidity and High-risk Feedback on Liaison Psychiatric Consultation Rates and Clinicians’ Attitudes on a Neurology Ward

2017 ◽  
Vol 41 (S1) ◽  
pp. S53-S53
Author(s):  
R. Van Damme ◽  
G. Portzky ◽  
P. Boon ◽  
G.M.D. Lemmens
Keyword(s):  
High Risk ◽  
Psychiatric Comorbidity ◽  
Psychiatric Services ◽  
Study Phase ◽  
Neurological Patients ◽  
Screening Protocol ◽  
Competing Interest ◽  
The Impact ◽  
Neurological Ward ◽  
Feedback Phase

IntroductionLifetime prevalence of psychiatric comorbidity in neurological patients is as high as 55%, but it remains often undetected and therefore untreated in hospital settings. Further, clinicians tend to make little use of the consultative and liaison psychiatric team for detection and treatment of anxiety and mood disorders in neurological patients. The current study aimed to investigate whether the implementation of a stepped screening protocol with high risk feedback to the clinician had an influence on the use of consultative and liaison psychiatric services.MethodAll patients admitted to the neurological ward were assessed using a stepped screening protocol for depression, anxiety and substance use during 15 months. Positive screening resulted in feedback to the clinicians depending on the study phase (e.g. feedback vs. no feedback).ResultsNo differences were found in the use of consultative and liaison psychiatric services during the non-feedback and feedback phase.ConclusionScreening and high risk feedback of psychiatric comorbidity in neurological patients does not increase psychiatric referral rates. It points to the necessity of a more integrated collaborative care model for detection and treatment of psychiatric comorbidity.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals HUBUNGAN ANTARA DERAJAT KEPARAHAN STROKE DENGAN KEJADIAN STROKE-ASSOCIATED PNEUMONIA

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Rega Dwi Wandira ◽  
Lisda Amalia ◽  
Iwan Fuadi
Keyword(s):  
National Institutes Of Health ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Exclusion Criteria ◽  
Chi Square ◽  
Historical Cohort ◽  
Cohort Design ◽  
Study Population ◽  
Neurological Ward

ASSOCIATION BETWEEN STROKE SEVERITY AND STROKE-ASSOCIATED PNEUMONIAABSTRACTIntroduction: Stroke-associated pneumonia (SAP) occurs in 5-26% and decreases the quality of life and clinical outcomes of stroke patients. One of the factors that affect the incidence of SAP is the stroke severity.Aims: To determine the association between the stroke severity and the incidence of stroke-associated pneumonia in the neurological ward of Dr. Hasan Sadikin Hospital, Bandung.Methods: This is an analytic retrospective (historical) cohort design study. The study population was stroke patients who were treated in the neurological ward of Dr. Hasan Sadikin Hospital, Bandung between 2014-2016. Exclusion criteria were patient with pneumonia other than SAP and using mechanical ventilation. Stroke severity was assessed using NIHSS (National Institute of Health Stroke Scale). Chi-square was used to determine inter-variable association.Results: Among 81 subjects, 24 were assessed as SAP (29.6%). The SAP prevalence were mostly male (58.3%), age group between 65-74 year old (41.7%) with hypertension risk (87.5%), stroke onset <48 hours, lesion location on left hemisphere, onset of SAP≥48 hours, and those with consciousness impairment. Those with high stroke severity tend to have higher risk of pneumonia 3.063 times compare to patients with low stroke severity.Discussion: There was a significant association between the severity of stroke and the incidence of SAP in the neu- rological ward of Dr. Hasan Sadikin Hospital, Bandung.Keywords: NIHSS, stroke-associated pneumonia, stroke severityABSTRAKPendahuluan: Stroke-associated pneumonia (SAP) cukup sering terjadi (5-26%) pada pasien stroke, sehingga menurunkan angka kualitas hidup dan luaran klinis. Salah satu faktor yang memengaruhi kejadian SAP adalah derajat keparahan stroke.Tujuan: Mengetahui hubungan antara derajat keparahan stroke dengan kejadian SAP di Ruang Rawat NeurologiRSUP Dr. Hasan Sadikin, Bandung.Metode: Penelitian analitik dengan desain kohort retrospektif (historikal) terhadap pasien stroke iskemik yang di rawat di Ruang Rawat Neurologi RSUP Dr. Hasan Sadikin, Bandung pada tahun 2014-2016. Kriteria eksklusi adalah pasien dengan pneumonia selain SAP dan menggunakan alat ventilasi mekanik. Derajat keparahan stroke dinilai menggu- nakan skor NIHSS (National Institutes of Health Stroke Scale). Uji korelasi Chi-square digunakan untuk melihat hubungan antar-variabel.Hasil: Didapatkan 81 subjek yang 24 orang di antaranya  mengalami SAP (29,6%). Prevalensi SAP tertinggi pada laki-laki (58,3%) kelompok usia 65-74 tahun (41,7%) dengan faktor risiko hipertensi (87,5%), onset stroke<48 jam, lokasi lesi di hemisfer kiri, onset SAP≥48 jam, serta pada subjek dengan penurunan kesadaran. Subjek dengan derajat keparahan stroke berat memiliki risiko terjadinya pneumonia 3,063 lebih tinggi dibandingkan dengan derajat keparahan ringan.Diskusi: Terdapat hubungan yang bermakna antara derajat keparahan stroke dengan kejadian SAP di Ruang Rawat Neurologi RSUP Dr. Hasan Sadikin, Bandung.Kata kunci: Derajat keparahan stroke, NIHSS, stroke-associated pneumonia

scholarly journals Sheltering under a shield of love—A phenomenological–hermeneutic study of relatives' experiences in an acute neurological ward

Nursing Open ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 1093-1100
Author(s):  
Lærke Toft Hesselvig ◽  
Malene Beck ◽  
Charlotte Simony
Keyword(s):  
Neurological Ward

scholarly journals Neuroinfection survey at a neurological ward in a Brazilian tertiary teaching hospital

Clinics ◽  
2011 ◽  
Vol 66 (6) ◽  
pp. 1021-1025 ◽  
Author(s):  
Paulo E Marchiori ◽  
Angelina M M Lino ◽  
Luis R Machado ◽  
Livia M Pedalini ◽  
Marcos Boulos ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Neurological Ward

scholarly journals Headaches as somatoform disorders in children and adolescents

2012 ◽  
Vol 4 (1) ◽  
pp. 35-37 ◽  
Author(s):  
Ewa Emich-Widera ◽  
Beata Kazek ◽  
Barbara Szwed-Białożyt ◽  
Ilona Kopyta ◽  
Anna Kostorz
Keyword(s):  
Risk Factors ◽  
Differential Diagnosis ◽  
Chronic Disease ◽  
Children And Adolescents ◽  
Social Status ◽  
Somatoform Disorders ◽  
Professional Advice ◽  
Developmental Age ◽  
Difficult Cases ◽  
Neurological Ward

Somatoform disorders are often the main cause for seeking professional advice and performing a number of specialist checks. The aim of the study was to determine the frequency of somatoform disorders in the form of headaches in children and adolescents neurologically diagnosed and the risk factors thereof. Analysis of the biological and situational risk factors were established. Somatoform disorders were diagnosed in 27 out of 276 children with headaches. We concluded that in the differential diagnosis of headaches, somato-form headaches should not be omitted as every 10th patient in the developmental age diag nosed on the neurological ward because of headache shows signs of somatoform heada -ches. In diagnostically difficult cases it is recommended that analysis of biological and situational risk factors be performed with special attention paid to chronic disease of the patient and/or in his immediate family, the patient's psychological disorders and dysfunctional or low social status families. The creation of separate criteria for somatoform disorders of the developmental age should be considered.

Psychiatric screening on a neurological ward

1980 ◽  
Vol 10 (1) ◽  
pp. 125-132 ◽  
Author(s):  
J. Raymond DePaulo ◽  
Marshal F. Folstein ◽  
Barry Gordon
Keyword(s):  
Cognitive Impairment ◽  
Emotional Disorders ◽  
General Health Questionnaire ◽  
High Rate ◽  
Psychiatric Disturbance ◽  
Cat Scan ◽  
Cerebral Pathology ◽  
Cognitive Disturbance ◽  
Psychiatric Screening ◽  
Neurological Ward

SYNOPSISTwo psychiatric screening instruments, the Mini-Mental State (MMS), a test for cognitive disturbance, and the General Health Questionnaire (GHQ), were administered to 197 neurological in-patients. The results suggest a high rate of psychiatric disturbance. The highest rate of cognitive disturbance detected by the MMS was found in patients with Parkinson's disease. The highest rates of emotional disturbance indicated by GHQ scores were found in patients with myasthenia gravis and multiple sclerosis. MMS scores but not GHQ scores were related to standardtests of cognition, the diagnosis of cerebral pathology, and CAT scan abnormality. The results also demonstrate that the GHQ does not adequately detect patients with cognitive impairment. It is concluded that in populations at high risk for cognitive impairment a tandem screening procedure utilizing tests for both cognitive and emotional disorders is needed.

Mealtimes in a neurological ward: a phenomenological-hermeneutic study

2016 ◽  
Vol 25 (11-12) ◽  
pp. 1614-1623 ◽  
Author(s):  
Malene Beck ◽  
Bente Martinsen ◽  
Ingrid Poulsen ◽  
Regner Birkelund
Keyword(s):  
Neurological Ward
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