Kannadasan Karuppaiah, Ezhilvanan Mani, Vinoth Raman
iraetc j. nur. health care; 2(1) 1-6
DOI:
Chronic kidney disease (CKD) is a potentially life-long condition that can result from kidney cancer or reduced kidney function. However, it is possible to slow or stop the progression of this disease before it reaches a critical stage where dialysis or surgery is the only option to save the patient's life. Timely diagnosis and proper treatment can significantly increase the chances of success. This paper introduces the shock model approach, which is utilized to assess the effectiveness of treatment for CKD patients in achieving the threshold level. The model is accompanied by graphical illustrations for ease of use.
Md. Abdur Rahim, Orapan Thosingha, Wimolrat Puwarawuttipanit
iraetc j. nur. health care; 2(1) 7-13
DOI:
Diabetic foot ulcers have emerged as a global health concern in recent decades, leading to severe complications in patients with type 2 diabetes. This study aimed to review and summarize the current evidence-based guidelines for foot care in individuals with type 2 diabetes. Using the PICO framework, a systematic review was conducted, sourcing guidelines from various English databases and the Mahidol University library system. Databases, including PubMed, CINAHL, ScienceDirect, were searched for guidelines published from 2004 to 2014. A total of 33 guidelines were retrieved, with 12 deemed relevant to the study's objectives. These included four international guidelines, seven national guidelines, and one consensus statement. The AGREE II instrument was employed to appraise all selected guidelines. Guideline synthesis revealed five key activities for effective foot care in type 2 diabetes patients: 1) foot assessment, encompassing inspection and examination of the feet; 2) risk assessment and classification into different categories; 3) provision of information to patients and their families regarding foot care, appropriate footwear, and nail care; 4) guidance on blood glucose control; and 5) the referral of at-risk patients to multidisciplinary healthcare teams, particularly in cases of potential serious wound infection and peripheral arterial disease (PAD). This study underscores the importance of utilizing these evidence-based recommendations to develop foot care guidelines tailored to clinical settings in Bangladesh. Strategies for effective guideline implementation should be a priority, with a strong emphasis on distributing these guidelines among healthcare personnel, including nurses, to enhance the quality of care provided to type 2 diabetes patients.
Sabbir Hossain
iraetc j. nur. health care; 2(1) 14-16
DOI:
Background: Self-medication practice (SMP) is the practice of taking medication without a doctor's prescription. The main issues with self-medication have been drug resistance, adverse drug reactions, resource waste, and major health risks, including fatalities. This study's primary goal was to determine how common self-medication is among Bangladeshi students and what factors are linked to it. Methods: A semi-interviewed study was conducted among 67 students in City University, Savar, Bangladesh, from April 20 to May 10, 2023. Purposive sampling was used in conjunction with a questionnaire to conduct this study. Results: A greater proportion of students—53, or 79.10 percent—self-medicated than those who chose not to seek therapy for their personal issues. The majority of students—35.82%—use tolfenamic acid as a self-medication for headaches or depression, whereas the smallest percentage—8.95%—use fluoxetine for anxiety and depression. Conclusion: Complying with this study, numerous studies also indicated that, most of the students practice self-medication. Increasing community knowledge of drug adverse effects and coordinating efforts across individuals, groups, healthcare facilities, and regulatory agencies are crucial.
Shuvo Nath Saha, Taharat Akram, Md. Ferdous Hossain
iraetc j. nur. health care; 2(1) 17-21
DOI:
The zoonotic paramyxovirus known as Nipah virus (NiV) belongs to the Henipavirus genus and was initially discovered in Malaysia in 1998. Nipa viruses have been isolated from fruit bats found in Oceania, Asia, and Africa, and they have bat reservoir hosts. Although there have been reports of other intermediary hosts, bat-to-human transmission is believed to be the main way that virus infection spreads to humans. Encephalitis is a recognized side effect, and severe respiratory distress can be deadly. The virus arises and spreads due to a number of circumstances. Numerous tactics have been developed to address and improve awareness and monitoring throughout the affected area, with a focus on personal cleanliness. This study covers the current Nipah virus epidemics, their modes of transmission, the preventive and control measures put in place, and any potential causes.
Md. Abul Kalam Azad, Wimolrat Puwarawuttipanit, Orapan Thosingha
iraetc j. nur. health care; 2(1) 22-28
https://doi.org/10.62469/ijnhc.v02i01.005
Asthma remains a significant public health concern, necessitating effective management strategies to mitigate its impact on patient health and well-being. Using the PICO (Population, Intervention, Comparison, Outcome) framework, a systematic review was conducted, sourcing guidelines from various English databases and the Mahidol University library system. Databases, including PubMed, CINAHL, ScienceDirect, were searched for guidelines published from 2001 to 2013. A total of 22 guidelines were retrieved, comprising systematic reviews, randomized control trials (RCTs), and expert opinions. Thirteen studies were meticulously selected for inclusion, based on criteria including reliability, validity, and applicability. Synthesis of the findings underscores the multifaceted nature of self-management interventions, which encompass hospital-based education, group discussions, individualized teaching, and telephonic follow-up. Crucially, these programs should address key facets such as asthma etiology, risk reduction, medication adherence, and regular exercise. Skill development in inhaler techniques, peak flow meter usage, and peak expiratory flow monitoring emerged as pivotal components, augmented by educational materials like videos and booklets. Furthermore, the study advocates for the incorporation of specific outcome measures, including self-management behaviors and hospital readmission rates, to gauge program effectiveness. Importantly, contextual adaptation and integration within clinical practices in Bangladesh are recommended, alongside rigorous evaluation through further research endeavors. This comprehensive review provides invaluable insights into optimizing asthma management through evidence-based self-management programs, thereby fostering improved patient outcomes and healthcare delivery.