Integrative Literature Review: Malignant Fungated Wound Odour Management among Patients with Cancer Submitted to: Dr. Nijmeh AL-Atiyyat Submitted by: Faten Odeh 1470684 The Hashemite University Faculty of Nursing Advance Oncology Nursing ( 1 ) Abstract Background: Malignant fungating wound (MFW) odour management among cancer patients is a significant rising problem; this problem causes extreme physical and psychological distress not only for patient, but also for his or her family and their health care provider, and impaired the quality of life. Therefore, MFW odour management increase the challenges in providing good care for cancer patient.
The research showed that limb salvage is the first option, unless osteomyelitis is developed, in which case amputation is required. It is also more cost effective to amputate and it requires inpatient rehabilitation. Their findings also included that successful correction allows patients more independence, leading to longer survival and improved quality of life. Many detractors also suggested that surgery is not justified given the risks associated with
However, the rate of successful union drops sharply when the defect is longer than 6 cm .90Posterior iliac crest graft can also be used for craniofacial reconstruction. However, the patient has to be tilted to the prone position, which eliminates the advantage of a simultaneous two-team approach. Donor site morbidity rate for anterior iliac crest grafts is around 23%, and much less for posterior iliac crest. Complications include postoperative pain, iliac or acetabular fractures or instability, persistent hematoma, herniation of abdominal contents, vascular injury, lateral femoral cutaneous nerve injury, and unsightly contour defects along the iliac crest91.
Pedicle screw placement is one of the most dangerous surgery operations and it could have permanent impacts on patients. Therefore, it causes the inefficacy of treatment or adverse damage to adjacent neurological structures [1-2]. There are two issues are important which should be considered for pedicle screw insertion to guarantee proper anchoring. First one is to select the correct screw size and second is to place it within the pedicle properly [3-5]. Currently, pedicle screw placement is performed employing a free-hand technique along with fluoroscopic guidance.
Obstetric anesthesia is a challenge in these patients because of complex spinal defects and could make regional anesthesia difficult but not absolutely contraindicated. A spina bifida cystica patient with a lesion above T11 is unlikely to experience labor pain. However there is a potential risk of autonomic hyper reflexia in patients with thoracic lesions (T5–T8) and prophylaxis should be provided. There is an increased risk of accidental dural puncture as well as failed block and excessive cranial spread of the local anesthetic while performing epidural blockade. In most cases the obstetric anaesthetist also faces the challenge of dealing with surgically scarred backs.
Pressure ulcers (PUs) can be defined as superficial or deep lesions in the skin or soft tissue of ischemic etiology.1 Substantive data support tissue ischemia resulting from external pressure over the bony prominences exceeding the closing pressure of nutrient capillaries (32 mmHg) for a long time enough to result in lethal injury to the tissues as the cause of pressure sores.2 Other factors that have been found to contribute to the formation of pressure sores are friction (may breach the epidermis), shearing (causes tearing of blood vessels), moisture (causing maceration of the skin), local infection, edema, neurological conditions, and poor nutrition. 3 Pelvic region is the most predisposed topographic area of the human body to pressure ulcers in immobile patients.4 A study with 649 patients and 1,604 PUs demonstrated that the most affected region was the ischiatic, an area of high pressure among wheel-chair bound patients.
Cystic Fibrosis Cystic fibrosis (CF) is a life-threatening inherited disease that causes an extreme increase of abnormal thick secretions, destruction of the lungs and digestive system, and frequent respiratory infections. In this paper it will go in depth about how one obtains the disease, the statistic of CF, the sign and symptoms, the method of diagnosis, and the treatment with a special interest in lung transplants. This paper will glance into a interesting case study of a CF patient post lung transplant that obtained candida albican pancreatitis. CF is a very serious medical condition that has a variety of symptoms, diagnostic tools, and treatments. CF was discovered in 1938 and since then there has been a great amount of information observed
Accurate diagnosis of appendicitis is a difficult problem in practice especially if the patient is too young or pregnant women in that radiological test have high risk. Thus, ultrasonography image analysis is a good way to reduce the difficulty. This work presents the
A., Fisman, D. N., Moineddin, R., & Daneman, N. (2014). The magnitude and duration of Clostridium difficile infection risk associated with antibiotic therapy: A hospital cohort study. PLoS One, 9(8), e105454. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1371/journal.pone.0105 Connelly, L. M. (2014). Use of theoretical frameworks in research.