The recognition and nursing management of common oncological emergencies in children

An oncological emergency may be the initial presentation of a cancer, a sign of cancer progression, or a complication of cancer treatment. The most frequently encountered paediatric oncological emergencies include neutropenic sepsis, hyperleukocytosis, brain tumours presenting with raised intracranial pressure, tumour lysis syndrome and superior mediastinal syndrome. These are all life-threatening conditions that require urgent recognition and management. Health professionals working in an emergency department (ED) are likely to be involved in managing these children. This article brings together the current guidance and recommendations for these specific emergencies. It also includes two case studies that demonstrate the challenges health professionals can face while managing these situations. It is important that health professionals have an acute awareness of oncological emergencies. Confidence in recognising the presentations, diagnoses and initial management are essential because these conditions may be life-threatening and time critical.

The Effect of Workload on the Performance of Nurses in the Inpatient Installation of RSUP Dr. Tadjuddin Chalid Makassar

Performance is work performance or work results in quality and quantity achieved by an employee in carrying out his duties in accordance with the responsibilities given to him. This study aims to analyze the effect of workload on the performance of nurses in the Inpatient Installation of Dr. RSUP. Tajuddin Chalid Makassar. This type of research is a quantitative research using an observational study with a cross sectional study design. Sampling used total sampling so that the sample in this study were nurses at the Inpatient Installation of Dr. RSUP. Tajuddin Chalid Makassar, totaling 73 respondents. The results showed that there was an effect of time load on the performance of nurses, there was an effect of physical burden on the performance of nurses. there is an effect of psychological pressure on the performance of nurses in the Inpatient Installation of Dr. RSUP. Tajuddin Chalid Makassar. Therefore, it is hoped that the hospital management will increase the knowledge and skills of nurses so that they are able to compensate for the difficult work through providing training, the need to improve nursing management by making SOPs, especially the division of tasks and working hours of nurses so that they can be adjusted to the nurse's workload

Design and Implementation of Hospital Automatic Nursing Management Information System Based on Computer Information Technology

Clinical nursing work fails to integrate various nursing tasks such as basic care, observation of patients’ conditions, medication, treatment, communication, and health guidance to provide continuous and full nursing care for patients. Based on this, this paper uses the Internet of Things (IoT) technology to optimize the infusion process and achieve closed-loop management of medications and improve the efficiency and safety of infusion and medication administration by using a rational and effective outpatient and emergency infusion and medication management system. The system was built by applying wireless network, barcode technology, RFID, infrared tube sensing, and other technologies and was combined with actual nursing work to summarize application techniques and precautions. The application of this system will become a new highlight of medical informatization, improve patient experience, monitor infusion safety, enhance nursing care, reduce emergency medical disputes, improve patient satisfaction, and will create good social and economic benefits for the hospital.

A 2 Years Child Bronchopneumonia with Down Syndrome

Introduction: Pneumonia and respiratory infections impact infants and children with Down syndrome; pneumonia is a leading cause of mortality in adults with Down syndrome. Case Presentation: A 2 years old child came to AVBRH hospital with a history of fever, cough and cold for 6 days. The patient was admitted to the pediatric ward for management. Suddenly patient started to breathlessness, increase in serum creatinine and acidotic breathing. The patient shifted to the pediatric intensive care unit. Intervention: The treatment of patients was started immediately after admission. The patient's condition was dull after the examination and patient condition inspection doctors decide to intubate the patient for further management and recovery of the patient. Conclusion: In this report, we mainly focus on expert medical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.

A Case Report on Tuberculous Meningitis

Introduction: The most common cause of tuberculous meningitis is a hematogenous spread of mycobacteria from the lungs. tuberculous meningitis is a fatal disease. Symptoms typically worsen over time, and there are three clinical stages to the disease (prodromal phase, phase of neurological symptoms and phase of paresis) Case Presentation: The chief complaint of a one-year-old boy was fever, irritability, vomiting, and Generalized Tonic-Clonic Seizure convulsions. The patient's pupils were found to be unequal on physical examination, prompting a repeat neuroimaging. It was done on MRI (magnetic resonance imaging) with T1 hyperintensity on T2 and restricted diffusion on DWI (diffusion-weighted imaging) he has not improved after taking treatment and the patient is on a ventilator as well, we nasogastric tube also. I was receiving treatment and will continue to do so until the end of my care. Conclusion: In our environment, tuberculous meningitis that presents late is not uncommon. It arrived late at our medical facility. After a full recovery, the patient's comprehensive health care team collaborates to help him regain his previous level of independence and satisfaction. This report is intended to raise clinician awareness of tuberculous meningitis' unusual clinical presentation. Tuberculous meningitis is treated holistically with a focus on medical and nursing management.

Manajemen Keperawatan Pencegahan Covid-19, Menjaga Imunitas Saat Puasa pada Non Communicable Disease dan Pengobatan Gratis

Health education about Covid-19 preventive nursing management, maintain immunity while fasting in non-communicable diseases, and medication activities had a purpose to make the community in the village of Karang Jompo have proficiency in: (1) increase knowledge about Covid-19 preventive nursing management,maintain immunity while fasting in non-communicable diseases; (2) increase awareness to apply the Covid 19 prevention protocol (3) increase awareness of the disease; (4) increase awareness for treatment to health service. Implementation of activities carried out by health education, vital sign assessment, medication, and blood test. The result of this community service activity was that most of the respondents, namely 89% knew how to prevent the transmission of Covid 19, 68%knew how to transmit the Covid-19 virus, 77%knew how to use the correct mask, 70%knew how to wash their hands properly, 75%knew how to make a proper home disinfectant. Most of the respondents, 36%, complained of fever, shortness of breath, nausea, itching, insomnia and anorexia and 25% had a history of muscle and joint pain.It is hoped that the community can apply the knowledge gained in daily life to avoid the transmission of the Covid-19 Virus.Keywords:Community empowerment; health education; medication; covid-19 AbstrakPendidikan kesehatan tentang manajemen keperawatan pencegahan Covid-19, upaya menjaga imunitas saat puasa pada Non Communcable Disease (NCD) dan pengobatan bertujuan untuk : (1) meningkatkan pengetahuan mengenai manajemen keperawatan pencegahan Covid-19, upaya menjaga imunitas saat puasa pada Non Communcable Disease (NCD); (2) meningkatkan kesadaran masyarakat unuk menerapkan protokol pencegahan Covid-19; (3) meningkatkan kesadaran masyarakat terhadap penyakit yang dideritanya;(4) meningkatkan kesadaran masyarakat untuk berobat ke pelayanan kesehatan. Pelaksanaan kegiatan yaitu pendidikan kesehatan, pemeriksaan tanda vital, pengobatan, dan tes darah.Hasil kegiatan pengabdian masyarakat ini adalah sebagian besar responden yaitu 89% mengetahui cara pencegahan penularan Covid 19, 68% mengetahui cara penularan Virus Covid-19, 77% mengetahui cara menggunakan masker yang benar, 75% mengetahui cara membuat disinfektan di rumah yang benar. Sebagian besar responden yaitu 36% mengeluh demam, sesak nafas, mual, gatal-gatal, insomnia dan anoreksia dan 25% mempunyai riwayat penyakit nyeri otot dan sendi.Diharapkan masyarakat dapat menerapkan ilmu yang didapat dalam kehidupan sehari-hari agar terhindar dari penularan Virus Covid-19.Kata kunci : Pengabdian masyarakat; pendidikan kesehatan, pengobatan, covid-19