Qualitative researches provide appropriate understanding of people’s experiences, perspectives and histories in the context of their personal circumstances or settings, And answering ‘what’, ‘how’ and ‘why’ questions(1). The popularity of Qualitative methodologies have increased over the past decades(2, 3), specially it is now widespread within health services research (HSR) programs(4). A lot of examples of qualitative research can be identified within the health research field (4-6). The importance
the two issues focused on in this essay. Issue 1 - Thrombolysis A stroke, is the “rapidly developing signs of focal (or global) disturbance of cerebral function with symptoms lasting 24 hours or longer” (World Health Organisation,1998). In the event of a stroke blood supply to the brain is occluded by a thrombus or an embolus from the heart (Fitzpatrick and Birns,2004). A treatment option for those who have suffered an ischaemic stroke is thrombolysis. As 85% of strokes are ischaemic this is a treatment
good historian. Chief Complaint: Questioning why INR is elevated and wants to know for how long she should take Coumadin. Follow-up appointment after treatment of thrombolysis. History of Current Illness: A 52-year-old female with history of hypertension and asthma. Positive for Factor V Lieden. Surgical procedure: Thrombolysis to left leg on last admission. Reports decrease swelling and tenderness to left leg. Self-monitors INR at home. Current Medications: Coumadin 8 mg once daily.
preferably within 90 minutes of the patient presenting to the emergency room, which most hospitals cannot be provided. For these cases thrombolysis is the best alternative, although it provides inferior outcome than angioplasty[5]. The use of primary angioplasty for the treatment of STEMI was first described as a rescue treatment in the case of failed intracoronary thrombolysis, and was studied extensively as an adjunctive therapy. Primary angioplasty, without the use of thrombolytic treatment, was described
and mortality in patients with acute myocardial infarction 1-5. The impact of thrombolytic therapy on acute myocardial infarction mortality has been widely confirmed by scientific evidence. Yet, the majority of controlled clinical studies on thrombolysis do not refer to the incidence of and mortality from atrial and interventricular conduction disturbances; few studies explicitly compare these variables between pre- and postthrombolytic therapy eras 6,7. A few literature reports have
Remote medical technology has been shown to be an effective way to manage chronic conditions, assess and treat some acute conditions (i.e. acute ischemic strokes), and patients receive access to faster healthcare, which is a large factor in improved patient engagement and better outcomes with telemedicine. A public health crisis throughout North America dealing with opioid dependency, is in great need of a treatment that is convenient for patients, especially in rural areas and for patients who have
Ultrasounds are most commonly known for their use in viewing and monitoring unborn fetuses. Obstetric ultrasounds were introduced in the late 1950’s and were first used during pregnancy to detect health issues, such as fetal abnormalities or ectopic pregnancies so that expectant parents could determine whether or not they should terminate their pregnancy. It was discovered by Alice Stewart an epidemiologist; that ultrasounds were safer than X-rays for imaging fetuses. This is why ultrasound is
1.HEMOSTASIS OVERVIEW Hemostasis is the normal physiological response that prevents significant blood loss after vascular injury which is essential in survival. Hemostasis is a complex process helps close off damaged blood vessels, keep blood in a fluid state and dissolve blood clots following restoration of vascular integrity. Hemostasis is now also known to play an important role in wound healing and endothelial barrier protection and function. (1) The process consists of a complex regulated system
Annually mortality from coronary heart disease claims an estimated 1.8 million lives in Europe, despite having fallen over recent decades (1). In the United Kingdom around 110,000 men and 65,000 women have an acute myocardial infarction every year, equivalent to one every three minutes (2). In 1772 William Heberden, the original describer of ‘angina pectoris’, recounted a case of a patient who clinically improved by working in the woods for half an hour each day. However, mobility limitations were
The use of information technology and communication technologies (ICT) in healthcare, often referred to as ‘eHealth’, has now become an essential part of modern nursing practice and is considered by all four countries in the U.K. as an approach to improving healthcare (BAIN 2012). Evidence suggests this has led to improved patient safety and healthcare experiences and better work life experiences for healthcare professionals (The Royal College of Nursing (RCN) 2011). The World Health Organisation
Abstract Objective: Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). Methods: Prospectively collected data including patients’ demographics, Utstein factors and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively
Myocardial Infraction Myocardial infraction (MI) or acute myocardial (AMI) well known as a heart attack, it happens when blood travels to the portion of the heart and this will end up causing the clotting of blood and the muscle of the heart suffers (Wood MA, Spores R, Natske LT, et al 1980). In explanation, the vsd evidently is caused when the walls of the ventricles fails to close appropriately through pregnancy and this will outcome in a high blood pressure owing to the is high volumes of blood