COVID-19 Pandemisi ile Mücadele: COVID-19 Olgusu ve Hemşirelik Yönetimi

2021 ◽  
Vol 6 (13) ◽  
pp. 18-23
Author(s):  
Dilek TAŞ ◽  
Asiye AKYOL

Millions of people lost their lives due to the Coronavirus (SARS-Cov-2) epidemic that started in China and spread rapidly all over the world. One of the most important problems in combating the disease was the loss of time in early diagnosis of infections and the ineffectiveness of the quarantine screen due to the incubation period of the disease, which can last up to fourteen days. This process poses a high risk to healthcare professionals and especially nurses, who are the first to come into contact with infected people. Currently, there is no definitive treatment for Covid-19. The only proven form of management is isolation and supportive care. Therefore, nurses, who are involved in every level of patient care, have an important role in combating this epidemic. Being a new emerging disease condition for the whole world, there has been created a huge gap regarding how the nursing care of patients with Covid-19 in hospitals will be. The aim of this article is to implement nursing interventions according to Gordon's Functional Health Patterns Model of a patient diagnosed with Covid-19, to highlight the important points that should be taken into consideration during their care, and to guide the nurses working in the field. Data were collected by face-to-face interviewing with the patient, and care was planned, applied and evaluated according to the model. The model of Functional Health Patterns can be used as an easy and convenient model for determining health care requirements and implementing nursing interventions for patient with a positive diagnosis of Covid-19.

eLearn ◽  
2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
William P Lord

COVID-19 has forced vast numbers of educational institutions to shift their operations from being delivered face-to-face to being delivered online. As a result, academic institutions have had to scramble to find complex solutions that meet systems-wide online teaching and learning needs. The quality of interaction that occurs between the educator and the student is crucial to the success of delivering education via online technologies, and it is incumbent on the host institution to provide a usable, effective, and satisfying form of communication all participants may communicate with while maintaining a sense of social presence. It requires little effort to compile a list of potential benefits of using webcams in educational settings. It is more challenging to come up with a list of conditions as to when you may not require all learners to communicate using webcams. This article explores the benefits and challenges of incorporating webcams in teaching and learning in the online learning environment.


2012 ◽  
Vol 14 (4) ◽  
pp. 419-430 ◽  
Author(s):  
Robynn Zender ◽  
Ellen Olshansky

Caring, a core tenet of nursing practice, grew out of a holistic approach. Nurse theorists often note the establishment of a therapeutic relationship as the beginning point of caring, with subsequent nursing interventions reliant upon this relationship for effectiveness. Relational exchange serves as a source of either stress or healing between participants, and rarely is its impact neutral. Relational stress, in fact, has become a primary contributor to many disease processes in terms of promotion and progression and perhaps even initiation. Patient–provider relationships have a long history in medical and nursing literature as critical to providing effective interventions, but our understanding of relational dynamics between patients and providers remains fairly superficial. This theoretical article adapts a previously described biobehavioral model to illustrate the nature and centrality of caring relationships in nursing practice. The dynamic process of face-to-face engagement is deconstructed from a psychobiological standpoint in order to understand the physiological, emotional, cognitive, and behavioral impacts of relational interaction. This understanding is then applied to the patient–provider relationship. Finally, the utility of biomarkers of stress, positive emotion and resonance, and of disease is discussed relative to the patient-provider relationship. Methodological and interpretive challenges inherent in this line of research, along with suggestions to address such challenges, are also presented.


2021 ◽  
Author(s):  
Jemima T Collins ◽  
Biju Mohamed ◽  
Antony Bayer

Abstract Introduction A timely diagnosis of dementia is crucial for initiating and maintaining support for people living with dementia. The coronavirus disease (COVID) pandemic temporarily halted Memory Clinics, where this is organised, and rate of dementia diagnosis has fallen. Despite increasing use of alternatives to face-to-face (F2F) consultations in other departments, it is unclear whether this is feasible within the traditional Memory Clinic model. Aims The main aim of this service improvement project performed during the pandemic was to explore feasibility of telephone (TC) and videoconference (VC) Memory Clinic consultations. Methods Consecutive patients on the Memory Clinic waiting list were telephoned and offered an initial appointment by VC or TC. Data extracted included: age, internet-enabled device ownership, reason for and choice of Memory Clinic assessment. We noted Montreal Cognitive Assessment-Blind (TC) and Addenbrooke’s Cognitive Examination-III (VC via Attend Anywhere) scores, and feasibility of consultation. Results Out of 100 patients, 12 had a home assessment, moved away, been hospitalised, or died. 45, 21 and 6 preferred F2F, VC and TC assessments respectively. 16 were not contactable and offered a F2F appointment. The main reason for preferring F2F was non-ownership, or inability to use an internet-enabled device (80%). VC and TC preference reasons were unwillingness to come to hospital (59%), and convenience (41%). Attendance rate was 100% for VC and TC, but 77% for F2F. Feasibility (successful consultations) was seen in 90% (VC) and 67% (TC) patients. Conclusion For able and willing patients, remote Memory Consultations can be both feasible and beneficial. This has implications for future planning in dementia services.


1997 ◽  
Vol 21 (7) ◽  
pp. 432-434 ◽  
Author(s):  
P. E. Watson

In common with other psychiatric units throughout the land, we have been struggling to come to terms with the Government directives regarding the Care Programme Approach. A great deal of time has been spent attempting to devise a system which is workable and useful but which might leave some time for face-to-face contact with patients; implementing it forces the psychiatrist into a catch–22 situation. If things are seriously wrong for a patient, the psychiatrist could be criticised for not putting somebody on CPA, or criticised for putting them on it but not carrying the process through thoroughly enough. In spite of this, I have participated in the scheme, if only because the consensus would seem to be that it is necessary to have the system in place, mainly as a defensive measure or in the hope of ensuring adequate resources. My overwhelming feeling, however, has been that it has been a time-consuming way of formalising good practice, and that the time spent filling in the forms would be better spent talking to the patients. I have always felt uncomfortable listing needs and solutions with the patient and ‘the team’, because it seemed reductionist, but I thought that this was my idiosyncratic response, and that I should get on with it. Recently, however, there was a near disaster with a patient which served to strengthen my reservations.


2020 ◽  
pp. bjophthalmol-2020-316917 ◽  
Author(s):  
Pei-Fen Lin ◽  
Hasan Naveed ◽  
Maria Eleftheriadou ◽  
Robert Purbrick ◽  
Mehran Zarei Ghanavati ◽  
...  

COVID-19 pandemic of 2020 has impacted all aspects of clinical practice in the UK. Cataract services suffered severe disruption due to necessary measures taken to reduce elective surgery in order to release capacity to support intensive care requirements. Faced with a potential 50% increase in cataract surgery workload per week in the post-COVID-19 world, eye units should use this event to innovate, not just survive but to also evolve for a sustainable future. In this article, we discuss the inadequacies of existing service rationing options to tackle the COVID-19 cataract backlog. This includes limiting rationing based on visual acuity, limiting surgery to first or only seeing eyes, and postponing clinic and surgical dates according to referral dates. We propose units use the lockdown time to reset and develop a comprehensive patient-centred care pathway using principles of value-based healthcare: the cataract integrated practice units. Developing an agile surgical database that incorporates all aspects of patient need from education to follow-up in their individual cataract journey will allow units to react and plan quickly in the early phase of recovery and beyond. We also discuss the considerations units should bear in mind on telemedicine, modifications for face-to-face clinics, theatre organisation and options of expanding cataract throughput capacity. The pause in elective surgery due to the pandemic may have provided cataract services a rare opportunity to reset and transform cataract service pathways for the digital era.


Author(s):  
Bryon Balint ◽  
Jennifer Gustafson

Geography often serves as at least a partial determinant of economic and cultural characteristics. For example, individuals who live in affluent neighborhoods are likely to come into contact with other individuals who have similar income and education levels, which often tend to be associated with political views and personal interests. However, within electronic social networks (ESNs), geographical barriers weaken or disappear; interacting with someone from another country is as easy as interacting with someone next door. This survey study asks respondents to compare their close friends, people with whom the respondents interact both within an ESN and face-to-face, with their distal friends, people with whom the respondents interact only inside an ESN. Specifically, respondents are asked about the political, religious, and social views of their groups of friends. The results suggest that respondents do perceive significant differences in the views of their close friends versus their distal friends. In addition, respondents who have a higher percentage of close friends and respondents that are more comfortable sharing their own political, religious, and social views are more likely to spend time reading ESN content that conflicts with their views, but are also more likely to block content that conflicts with their views.


Author(s):  
Dhanasari Vidiawati Trisna ◽  
Riri Indriyanti ◽  
Mora Claramita

The UI Makara Satellite Clinic (KSUI) is a university clinic that serves UI residents and the public as well as a vehicle for  education  and  health  research  in  primary  services.  It has been  a  BPJS  Outpatient  Service  Clinic  (KPRJ)  since October  2018.  It  is  called  a Satellite  Clinic  because  it  is planned  to  become  a  satellite  for  university  hospitals  in the academic health system at the University of Indonesia. Currently, KSUI is located on the Depok campus and the Salemba campus. In its daily services at the Depok campus, KSUI provides  services  for  doctors,  dentists,  nursing, pharmacy,  laboratories,  action  rooms, and psychological counseling.KSUI’s mission is not the same as an ordinary outpatient clinic, but because KSUI is a health service facilitated by the university, KSUI has a mission to maintain the health of the academic community, and not only treat them when they fall  ill.  Therefore,  in  addition  to  services that  respond  to patients coming to the clinic, KSUI also organizes periodic health check services, facilitates Posbindu activities in the faculties and office buildings on campus, and participates in medical care at any gathering or sports activities provided on campus.With  the  Covid-19  case  being  found  in  Indonesia,  KSUI decided  to  change  its service  method  as  quickly  and  as firmly  as  possible  from  face-to-face  services  to online services,  following  the  Chancellor’s  Decree  to  close  the campus  from  face-to-face  learning  and  other  student activities.  With  the  return  of  the  UI  dormitory students and  the  implementation  of  work  from  home  (WFH)  for lecturers  and education  staff,  KSUI  must  provide  safe services during a pandemic and can be accessed by service users  without  having  to  come  to  campus.  Therefore,  this article is a brief piece of information that has been done by KSUI when it decided that services should be carried out online.  It  is  not  easy  for  the  officer,  because  it  has  never been done, and it is not easy for the patient.


Author(s):  
Nitish Mathur ◽  
Sanjeev Tyagi ◽  
Vartul Dwivedi ◽  
Anu Narang ◽  
Parimala Tyagi ◽  
...  

A Novel coronavirus (2019-nCoV) identified in Wuhan city of china capable of causing life threatening respiratory illness declared as a pandemic by WHO and has become a global fear among the community and healthcare professionals in 2020. 2019-nCoV is a positive stranded RNA virus having an origin from bats targets the host cells via the enzyme Angiotensin Converting enzyme 2(ACE2), which is most abundant in the type II alveolar cells of the lungs. This virus has usual incubation period of approximate 5 days and typically spread from one person to another via respiratory droplets produced during coughing and sneezing. Spread of this virus in the community has been reported through direct transmission route such as cough, droplet transmission, aerosols, salivary route, ocular and through the contact spread. As the dental practice compels dentists to come in face to face contact with the patients and aerosols during certain dental procedures leading to the heightened risk of 2019-nCoV transmission from infected patients. We hereby make an attempt to discuss 2019-nCoV infection spread in the community and among dentist, including precautions and considerations pertaining to the practice of dentistry amidst 2019-nCoV scare.


Author(s):  
Jayanthila Devi

Tele-immersion is an advanced form of virtual reality that will allow users in different places to interact in real time in a shared simulated environment. Tele-immersion is a technology to be implemented with Internet that will enable users in different geographic locations to come together in a simulated environment to interact. Users will feel like they are actually looking, talking, and meeting with each other face-to-face in the same room.This technology causes users to feel as if they were in the same room. The tele-immersion technology uses a "tele-cubicle" which is equipped with large screens, scanners, sensors, and cameras. The tele-cubicles are linked together in real-time so that they form one larger cubicle. Through the virtual environment, participants are able to interact with other group members. Also, virtual objects and data can be passed through the walls between participants, and placed on the shared table in the middle for viewing.


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