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  • ISSN: 2379-9501
    Volume 3 Issue 7
    Research Article
    Saori Yoshinaga* and Eriko Kuramoto
    Dakko, an important child-rearing behavior in Japan, includes awkward postures and movements, and places a load on the neck and shoulders. For the childcare worker, there is concern regarding the accumulation of fatigue in the neck and shoulder due to the dakko movement. However, few studies have clarified the physical load of the dakko movement. This study clarifies the effect of the dakko movement on skin blood flow (SBF) and participants’ recognition of the discomfort in the scapular region. Two patterns of changes in SBF with the repetition of the dakko movement were observed. In the first pattern (pattern A), SBF increased with the load and remained high during convalescence. In the second pattern (pattern B), SBF decreased with the movement load and remained low during convalescence. Pattern B likely reflects the restriction of blood flow caused by repetition of the dakko movement. Changes in visual analogue scale (VAS) scores over time revealed increasing discomfort due to the load in 12 of 14 participants. These participants were aware that repetition of the dakko movement placed a load on the neck and shoulders. Reinforcement of the discomfort was not seen in two participants who were classified as having pattern B for changes in SBF. Lack of an awareness of the impacts of certain child-rearing behaviors, such as dakko, makes it difficult to alter the behaviors to disperse the high loads that can be associated with these types of movements.
    Jerry PK Ninnoni* and Rosemary A. Chesson
    The aim of this study is to investigate strategies used by people with learning disabilities and epilepsy to meet their communication needs with carers and health and social care professionals. Communication in healthcare setting is of crucial importance to quality of life of the individual. Effective communication is a key determinant of patient satisfaction, compliance and recovery.
    Methodology: The study adopts a naturalistic inquiry approach using semi-structured interviews. The population was made up of adults with learning disabilities with epilepsy and their careers.
    Analysis: The data was analysed thematically using a framework approach which yielded descriptive findings
    Findings: The study produced a range of communication strategies including behavioural strategies, modified communication environment and organisational strategies as tools for communication.
    Conclusion: The findings of this study indicated that people with learning disabilities adopted a range of communication strategies to ensuring that the communication with carers and healthcare professionals is successful.
    Zeynep Günes* and Hüsniye Calısır
    The aim of the present study was to evaluate the relationship between quality of life and perceived social support in patients undergoing outpatient chemotherapy. The study was designed as descriptive. It was conducted in the oncology outpatient chemotherapy units of one university hospital, in a city west Anatolia, Turkey. There was a correlation between the mean perceived social support score and the mean subscale scores of the Short-Form Health Survey (SF-36) in cancer patients. The mean perceived social support score was positively correlated with physical functioning (p=0.012), physical role functioning (p=0.049), vitality (p=0.009), emotional role functioning (p=0.006), general health perceptions (p=0.008), and mental health subscale scores of the SF-36 (p=0.005).
    As the level of perceived social support increased, the quality of life of the cancer patients undergoing outpatient chemotherapy increased.
    Karina Huus*, Luc Dang Ngoc, Kim An Dam, Gunilla Ljusegren, Karin Enskar, and Ingalill Gimbler Berglund
    Purpose: The purpose of this study was to identify and describe Vietnamese nurse’s pain management in children.
    Methods: A quantitative cross-sectional study using a questionnaire measuring 110 registered Vietnamese nurse’s perception of pain and pain management in children.
    Results: The results showed that many nurses in Vietnam are using pain assessment instruments as well as non-pharmacological alleviations methods extensively. Vietnamese nurses had high levels of knowledge in physiology of pain. Nurses’ knowledge about the use of pain medication was correlated to attitudes. The higher level of knowledge the nurses had about pain medication, the more positive was their attitude towards pain management in general.
    Conclusion: In conclusion, the most commonly used non-pharmacology pain alleviation method among the nurses was taking to the child and be close to the child. This method to attempt to relive pain is valuable as it doesn’t require any specific equipment. Vietnamese nurses had high levels of knowledge about physiology of pain.
    Review Article
    Kirsi Coco* and Eija Okker-Tikkunen
    The purpose of this article is to describe the results of the Learning by developing project on wound care carried out by the University of Applied Sciences and the City. The City’s health care and social services have developed wound care by drawing up shared practice protocol e.g. for treating varicose ulcers. An operating model has also been drawn up of the division of responsibilities between primary health care and specialised medical care. Active wound care development work continues and the purpose of this development work is to prevent wounds, prevent wounds from becoming chronic, improve the effectiveness of treatment, speed up the healing process and improve patient safety. The aim is high-quality, systematic and uniform wound care in health care and social services. During the development activity, the number and quality of wounds in primary health care and care staff’s evaluations of their own skills in treating different types of wounds were investigated, and the workplace-oriented, evidence-based wound care guides drawn up in the project were described. The subject areas of the wound care guides were treating first- and second-degree burns in primary health care and relieving wound pain without medication.
    The results of this review can be used in harmonising wound care in primary health care, and in training and determining the resources allocated to wound care. Further reports are needed on preventing wounds from becoming chronic and the cost efficiency of different forms of wound care in primary health care, and also on the wound care skills and training needs among nursing staff.
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