A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Kaur, Jasbir
- Contributing Factors and Safety Related Lifestyle Changes among Older Persons with History of Falls
Authors
1 College of Nursing, IN
2 College of Nursing DMCH, Ludhiana, Punjab, IN
Source
International Journal of Nursing Care, Vol 1, No 2 (2013), Pagination: 7-11Abstract
Background and objectives: Falls are one of the major problems in older persons and 5th leading cause of injury related visits to emergency department and primary etiology of accidents and deaths above 60 years of age. As the population ages, the problems related to falls and fractures are expected to grow and pose even a greater challenge to health care system. A descriptive study on contributing factors and safety related lifestyle changes among older persons with history of falls was carried out in Ludhiana district of Punjab.
Material and Method: A sample of 60 subjects above 60 years of age was conveniently recruited, out of which 43 (71.67%) subjects were from urban area, 03(05.00%) from semi urban area and 14(23.33%) were from rural areas. Subjects were interviewed using a questionnaire on socio-demographic profile, risk factors for falls and a home assessment checklist.
Results: More than half of the subjects 61.67% were females while only 38.33% were males. Study findings infer that maximum of the subjects had a history of fall twice in a year and about half of the falls were reported to occur in morning hours. Findings revealed that 92% subjects had decline in visual acuity which outweighed all the other risk factors. About 80% of the subjects were suffering from osteoporosis and vertigo, 75% from arthritis, 52% from hypertension, 45% from postural instability and 42% were suffering from diminished night vision. Maximum falls happened in bathroom (31.43%), followed by bedroom (22.86%), stairs (14.28%) and kitchen (7.14%). Major proportion (91.6%) of the bathrooms in homes had easily closable bathroom doors, high toilet seats (68.3%) and adequate size doorways (50%) while grab bars and non skid rubber mats were present in only 11.6% of the homes. The number of falls in bathroom was maximum due to the absence of grab bars and slippery floors. Most of the bedroom facilities in the homes (adequate light, easy access to switches, good condition and proper height of beds) were present except non skid rubber bedroom carpeting which was present only in 20% of the homes. Preventive measures taken by subjects for falls revealed that majority 65% of the subjects had taken no preventive measures. Only 1.67% had made changes in the bathroom.
Keywords
Older Persons, Falls, Risk Factors and Safety Needs
References
- Studenski S, Wolter L. Instability of falls. http:// biomedgerontology.oxfordjournals.org; 1998; reviewed on 23rd Oct, 2009.
- George F. Fuller. Falls in the elderly .http:// www.aafp.org/afp/20000401/2159.html; 2000; reviewed on10th Oct, 2009.
- Kenneth James, Jacqueline Gouldbourne, Chlor Morris, Denise Eldemire Shearer; Falls and Falls prevention in the elderly: Insights from Jamaica; http://www.who.int/ageing/projects/AMPO/ Jamaica.pdf; reviewed on 23rd Oct, 2009.
- Dr.KrishnaswamyB, Dr.Gnanasambandam Usha; Falls in older people; http://www.who.int/ aging/projects/SEARO.pdf; 2005; reviewed on 12th Oct, 2009.
- Impact of Balance of Payment in Indian Economy
Authors
1 Govt. National College, Sirsa, Haryana, IN
Source
International Journal of Education and Management Studies, Vol 2, No 3 (2012), Pagination: 357-359Abstract
The result of balance of payments produce similar results as in the case of TB for variables such as RRMS and exchange rates.In contrast to the results of RRI incase of bilateral trade balance, the BOP results show that it is significant only for 5 countries.It suggests that income level of India and its trading pattern is not considered as an important factor influencing India's BOP, since BOPis basically a monetary phenomenon being influenced much by monetary flow between the countries.It could be substantiated from the results of RRMS variable,that it is significant in case of 8 out ofl 0 countries.It implies that during the last few decades BOP is basicaly regulated with flow of international reserve money.Further BOP results illustrate that both nominal and real exchange rate are significant determinants of BOP. It implies that the devaluation of nominal and real exchange rate improves India's balance of payments in the long run.Keywords
Balance of Payment (BOP), Trade Balance (TB), Gross Domestic Product (GDP), IMF, MAER, RER- Preparedness and Preference towards Delivery among Antenatal Women in Selected Areas of Ludhiana, Punjab
Authors
1 College of Nursing, Dayanand Medical College and Hospital, Ludhiana, Punjab, IN
Source
International Journal of Advances in Nursing Management, Vol 3, No 4 (2015), Pagination: 299-302Abstract
This study was carried out to assess preparedness and preference towards delivery among antenatal women Maternal mortality is a substantial burden in developing countries. Both good and poor birth preparedness are associated with maternal mortality, maternal morbidity and obstetric complications. Thus, a comparative study was conducted to assess preparedness and preference towards delivery among antenatal women residing in selected rural and urban areas. A total number of 100 antenatal women, out of which 50 visiting antenatal clinic of DMC and Hospital, Ludhiana and 50women were residing in rural area Pohir were selected by using convenience sampling technique. Structured questionnaire and checklist were used to collect the data by using interview schedule regarding preparedness and preference towards delivery. Analysis was done using both descriptive and inferential statistics. Maximum number of antenatal women preferred normal vaginal delivery to be conducted in hospital and preferably by the doctor in both areas and 74% of antenatal women in rural and 90% in urban had good preparedness towards delivery. The mean scores of preparedness towards delivery were significantly higher value was (32.10±4.37) in antenatal women from urban area as compared to antenatal women from rural area whose mean score was (28.94±5.12)(p<0.05). Hence, it shows that urban antenatal women had better preparedness towards delivery as compared to rural area antenatal women.Keywords
Birth Preparedness towards Delivery, Preference towards Delivery, Antenatal Women, Normal Vaginal Delivery and Caesarean Section.- A Randomized Control Trial on Efficacy of Gum Chewing in early Return of Bowel Function Among Patients Undergone Elective Abdominal Surgery at Selected Hospital, Ludhiana, Punjab
Authors
1 Dept. Medical Surgical Nursing, DMC & Hospital, College of Nursing, Ludhiana, IN
2 College of Nursing, AIIMS, Rishikesh, Uttrakhand, IN
3 Bhopal Nursing College, BMHRC, Bhopal MP, IN
4 Dept. of Gastroenterology Surgery, DMC & Hospital, Ludhiana, IN
5 DMC & Hospital, College of Nursing, Ludhiana, IN
Source
International Journal of Nursing Education and Research, Vol 3, No 2 (2015), Pagination: 183-189Abstract
Aims and Objective: To assess the efficacy of bubble gum chewing in early return of bowel function among patients undergone elective abdominal surgery.
Background: Delay in early return of bowel functions (Paralytic ileus) is a common side effect of various types of surgical procedure results in constipation and bloating commonly known as postsurgical ileus. The main reason of impaired bowel function after abdominal surgeries include electrolyte imbalances, gastroenteritis, appendicitis, pancreatitis, surgical complications, and obstruction of the mesenteric artery, which supplies blood to the abdomen. Certain drugs and medications, such as opioids and sedatives, can cause ileus by slowing bowel peristalsis, the contractions that propel food through the digestive tract.<SUP>2</SUP> Conventionally, POI has been managed by gastric decompression by Ryle's tube, keeping the patient nil per orally, intravenous fluid supplementation till ileus resolves, and patient passes flatus. In recent years, the use of gum chewing has emerged as a new and simple modality for decreasing POI. It acts by stimulating intestinal motility through cephalic vagal reflex and by increasing the production of gastrointestinal hormones associated with bowel motility.
Design: A randomized, parallel control trial
Method: It was conducted in January 2014 in selected surgery recovery and surgery units at DMC&Hospital, Ludhiana. Out of total 60 subjects, 30 in both experimental and control group were selected by convenience sampling technique. The tool consists of three parts:
* Section A: Socio-demographic sheet.
* Section B: Clinical profile sheet.
* Section C: Bowel movement assessment sheet.
* Section D: Bowel sound auscultation sheet.
Results: As seen first bowel sound heard by auscultation within 21.35±17.58 hours in experimental group which is less than control group i.e 24.96±21.91 hours. Time taken for first flatus passed and tolerance of oral feeds was also comparatively less in experimental group i.e. 37.91±24.40 and 61.62±39.06 respectively as compare to control group i.e. 42.68±27.64 and 73.93±60.69. In addition to it, post-Operative length of hospital stay (in days) was also shorter in experimental group 07.63±03.25 as compare to control group 09.43±5.01. On the other hand, time taken in case of first stool passed and return of appetite is more in experimental group (75.44±37.41 and 37.94±31.03) as compare of control group (69.72±34.75 and 34.16±34.78 respectively).
Conclusion: Although there is difference in mean time but there is no statistical significant difference found in return of bowel functions among experimental and control group.
Relevance to Clinical Practice:
1 Chewing gum can reduce the occurrence of postoperative paralytic ileus.
2 Nurses can use this therapy as a effective measure to prevent postoperative paralytic ileus.
3 Administration of chewing gum can provide mouth freshness to the postoperative clients.
4 Chewing gum can reduce the mental stress and provides relaxation to the post operative clients.
5 Chewing gum serves as a divertional activity too.
Keywords
Efficacy of Chewing Gum, Early Return of Bowel Function, Elective Abdominal Surgery.- Knowledge and Practice Regarding Physical Retraining among Nurses Working in Selected Hospitals of Ludhiana, Punjab
Authors
1 Dayanand Medical College & Hospital, College of Nursing, Ludhiana, Punjab, Pin code:141001, IN
Source
Asian Journal of Nursing Education and Research, Vol 5, No 2 (2015), Pagination: 242-245Abstract
A descriptive study on 60 nurses working in ICU's, Emergency and Neuro-Surgery ward of selected hospitals, Ludhiana was conducted. Convenience sampling technique was used. The study was aimed to assess the knowledge and practice of physical restraints among nurses working in various units of selected Hospitals, Ludhiana. Data was collected by using following 3 tools a) Socio-demographic profile of nurses b) Structured knowledge Questionnaire on physical restraints and c) Observational checklist to assess the practice of Physical Restraints. Majority (83.33%) of nurses belonged to ≤30 years, 91.66% were female, 83.33% of nurses were GNMs and only 16.67% were B.Sc.'s. Majority (61.66%) of the nurses were working in ICU's whereas only 38.3% were working in Neuro-Surgery and Emergency ward. 63.3% of nurses had work experience of >2 years and 36.7% of nurses had experience of ≤2 years. Mean knowledge score was found to be 14.2 ± 3.9. The result showed that majority (76.66%) of nurses had average knowledge regarding physical restraints. It was found that no physician written order were documented for all the patients, written consent were not taken from 43.33% of patients prior to the procedure. Clove hitch restraint with cotton and bandages were the most common type of physical restraints used.Keywords
Knowledge, Practice, Physical Restraints, ICUs, Nurses.- Hand Hygiene Practices among Staff Nurses during Drug Administration at Selected Tertiary Health Care Centre of Ludhiana, Punjab
Authors
1 College of Nursing, Dayanand Medical College and Hospital, Ludhiana, IN
Source
Asian Journal of Nursing Education and Research, Vol 5, No 2 (2015), Pagination: 199-201Abstract
Background of the study: Convincing evidence demonstrates that improved hand hygiene can reduce the frequency of health care-associated infections. Failure to comply with hand hygiene is considered the leading cause of health care-associated infections, contributes to the spread of multi-resistant organisms, and is recognized as a significant contributor to outbreaks of infection. Aim of the study: So, the present study was conducted to assess the hand hygiene practices during medication administration. Methods: A descriptive study was conducted at selected tertiary hospital of Ludhiana. A total of 200 staff nurses were enrolled through convenience sampling. The tools and protocol were developed through review of relevant literature and validated by experts from field of nursing. Tools used in the study were interview schedule and check list to assess available hand washing facilities and hand hygiene practices among staff nurses. Results: out of 200 staff nurses, only 7.5 % washed their hands both before and after medication administration, while 27.5% only before the drug administration and 53.5% after drug administration regardless of available hand washing facilities. Conclusion: Compliance to hand washing was significantly low among staff nurses, thus it can be recommended that hand washing practices should be reinforced through regular in-service education and continuous monitoring and performance feedback.Keywords
Hand Hygiene, Practices, Staff Nurses, Hand Washing, Drug Administration.- Development of New Solvent System for the Analysis of 2-4 D (Herbicide) Extracted from Blood
Authors
1 Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, New Delhi-110029, IN
2 Department of Ocular Biochemistry, Dr. R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi- 110029, IN
3 Department of Biotechnology, Lovely Professional University, Phagwara, Punjab- 144402, IN
Source
SMU Medical Journal, Vol 3, No 2 (2016), Pagination: 215-225Abstract
2,4-Dichlorophenoxyacetic acid, more commonly referred to as 2,4-D, is an Organochlorus poison which is one of the most widely used herbicides. Several instrumental method like Gas liquid chromatography (GLC), High performance liquid chromatography (HPLC), UV-visible Spectrophotometer, etc., are available for the separation and identification of 2,4-D, but most of them are expensive and more time consuming. So, a relatively inexpensive and less time consuming method is presented for the separation of 2,4-D i.e. Thin Layer Chromatography (TLC). This method has several advantages over the other methods such as its low cost, fewer chemicals required simultaneous analysis of large and low amount of sample. 2,4-D was extracted from the blood and then it was identified by using 20 solvent systems. The spots developed on the TLC plates were developed using Iodine vapors.Keywords
2,4-D, Organochloro, TLC, RF , Spraying Reagent Etc.Full Text
