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.
In addition to the substantial morbidity and mortality associated with Staphylococcus Aureus infection, the economic cost of Staphylococcus Aureus bacteremia in this population is striking. (Engemann et al., 2005) According to Nissenson (2005) patients with end-stage renal disease and septicaemia caused by Staphylococcus Aureus had costly and lengthy hospitalisations, which frequently were associated with clinically and economically important complications, including hospital
Mistakes made by healthcare workers might bring very serious problems for the patients. According to a report by Royal College of Physicians, overworked doctors or healthcare workers poses greater threat to the patients. They might subscribe wrong medications or write a wrong report regarding the patients they are examining due to fatigue. Drug shortages, labelling mistakes, inadequate monitoring, also due to people errors. Even small errors can lead to bigger problems for the patients.
The side effects vary depending on the specific agents used in therapy, as well as the dose and the duration of treatment. Short term effects usually occur during the course of treatment and resolve within months of completion of therapy. Fatigue is experienced by all chemotherapy patients and will disrupt a person’s daily life on a continual basis. Nausea and vomiting is one of the most frequent and debilitating side effects of chemotherapy treatment. (Hesketh 2008) states patients report chemotherapy induced emesis as one of their biggest fears, but thankfully these symptoms now can be eased by anti-emetic drugs.
CHARCOT FOOT VS TRANSTIBIAL AMPUTATION A transtibial amputation, also known as a bellow knee amputation is one of the most frequently performed amputations. Amputation is a choice for diseased limbs, severe injury to lower limbs for which attempts at salvage can be lengthy, emotionally and financially costly. Transtibial amputations may be performed for the following reasons: -Trauma -Tumors -Infections -Peripheral Vascular Diseases This assignment is based on Amputation vs Charcot foot. Do patients prefer living with an amputation or living with charcot foot syndrome? Which gives a better quality of life?
In order to reduce errors in the Emergency Room, health care professionals must employ strategies that would target aspects of the Emergency Department where errors are most likely to occur. The use of these strategies would help the staff and personnel of the Emergency Room to do their jobs better despite the pressure and challenges involved in their job. Most importantly, using these strategies can provide better service to
In severe cases, the rate of infection from bacterial contamination remains as high as 20 percent, depending on the associated injuries to the soft tissues, as well as the effectiveness of initial management. Bacterial contamination to the wound at the time of injury and hospital-acquired microbes increase your risk for infection. Other possible complications include non-union of the broken fragments of bone and chronic osteomyelitis. Sometimes, amputation of a limb may be necessary to save your life. Failure of fixation and non-union of bone fragments will depend on various factors such as the location of the fracture and the extent of damage to the soft tissues.
These patients are also more susceptible to rapid microbial colonization as a consequence of the severity of the underlying disease, depending on the function of host defenses and the presence of risk factors (e.g., age, extrinsic devices, extended length of stay). Exposure to these colonizing microorganisms is from such sources as (1) endemic pathogens from an endogenous source, (2) hospital flora in the health care environment, and (3) hands of health care workers. A study related to length of hospitalization examining adverse events in medical care indicated that the likelihood of experiencing an adverse event increased approximately 6 percent for each day of hospital stay. The highest proportion of adverse events (29.3 percent) was not related to surgical procedures but linked instead to the subsequent monitoring and daily care lacking proper antisepsis
It is considered one of the most important causes of morbidity and mortality associated with clinical, diagnostic and therapeutic procedures. 2 Infection control is defined as "Measures practiced by health care personnel to reduce the risks of transmission of infectious agents to patients and employees (e.g. proper hand hygiene, scrupulous work practices, use of personal protective equipment (PPE), such as masks or respirators, gloves, gowns and eye protection)" . Infection control measures include contact, droplet and airborne precautions based on how an infectious agent is transmitted. 3 In general, Health care workers that do not use proper infection control procedures while providing patient care are more
Waste Management in Health Industry Medical care is vital for our life, health and well-being. But the waste generated from medical activities can be hazardous, toxic and even lethal because of their high potential for diseases transmission. The hazardous and toxic parts of waste from various health care establishments comprising infectious, bio-medical and radioactive material as well as sharps (hypodermic needles, knives, scalpels etc.) constitute a great risk, if these are not properly treated or disposed or are allowed to be mixed with other municipal waste. Such waste called as biomedical waste can be defined as waste generated during the diagnosis, testing, treatment, research or production of biological products for humans or animals.