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oral hygiene and aspiration pneumonia in the elderly population

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Abstract

Aspiration pneumonia is a severe complication affecting patients receiving mechanical ventilation. Studies have shown an increased morbidity rate resulting from aspiration pneumonia in individuals with poor oral hygiene. The purpose of this study was to assess the relationship between oral hygiene and aspiration pneumonia in elderly population. For this study a quasi experimental design was utilized to include a control and experimental group. The convenience sample was comprised of 100 mechanically ventilated elderly patients in a critical care unit who were admitted within 24 hours of intubation. The subjects were assigned to one of two study groups, the control group or the experimental group. The control group received only the standard oral care practices and experimental group received twice daily brushing with 0.12% chlorhexidine in addition to the standard oral care practices. The proposal of this study is that the application of an oral hygiene regimen that includes 0.12% chlorhexidine gluconate will reduce the incidence of aspiration pneumonia and will decrease the rate of mortality from aspiration pneumonia better than standard oral hygiene practices. Keywords: elderly, aspiration pneumonia, mechanically ventilated, oral hygiene

Research Methods in Nursing February 21, 2012

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Introduction

Hypertension is a frequent symptom not only in the general population but also among hemodialysis patients. Approximately 72 million Americans have been diagnosed with hypertension and almost 10 million are classified with Stage 3 Chronic Kidney Disease. Hypertension (HTN) is a main reason for End Stage Renal Disease (ESRD). It is rated as the second major cause of ESRD (Hopkins, K. and Bakris G.L. 2009). Two thirds of all cases of chronic kidney failure are due to Diabetes and or hypertension (Kubaki, Carter, Herrera, Wang, 2009). Many health care practitioners are aware that the control of blood pressure is necessary in order to prevent cardiovascular diseases.

Psychological Rehabilitation

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Psychosocial rehabilitation basically involves treating individuals with mild to severe mental breakdown. These individuals are more or less isolated from the rest of their normal world and are taken to a restricted area where they receive the treatment. The isolation is for a good course in that the victims of the mental disorders are made healthier individuals or better yet are restored to their normal senses. The rehabilitation occurs in known institutions that offer the recovery programs. The centers are equipped with professionals and also all the necessary tools to help the sick people, (Blustein, 2005).

Arcapta Neohaler Medication

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RxList. (2011). Arcapta Neohaler Drug Description. Retrieved November 3, 2011 from http://www.rxlist.com/arcapta-neohlaler-drug.htm

This resource gives a detailed description of the drug in terms of its composition. It provides its structural formula and its compounds including the active ingredient. It clearly puts across the fact that the drug dose administered depends on the patient factors such as inspiratory time and flow rate. The article further discusses the results of a study on flow rate versus dose strength after the drug administration on COPD patients. This resource is useful for anyone who needs to know the composition of the drug.

Efficacy of Sucrose in Procedural Pain Relief among Neonates: Article Critique

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Introduction

Sucrose is known to relief pain amongst newborn infants exposed to painful events like heel pricks and needles. These events are critical in the formative stages of newborn babies thus making it necessary to formulate strategies of reducing pain. Although there are pain medicines, they are a reserve of major painful events like surgery thus, they may not be appropriate for such minor cases like needles and taking blood. Several researchers have explored various dimensions of administering sucrose to new born as a strategy of relieving the pain (Carbajal et al., 1999). Some of have them have concluded that administering sucrose to babies reduces groaning, crying and such acts as grimacing. Nevertheless, there is sufficient gap in knowledge on the effectiveness and safety of sucrose amongst the babies. In the quest to fill this gap, Johnston and other sought to establish the efficacy of sucrose used in procedural pain relief amongst preterm neonates within the first week of delivery. In their paper titled, “Routine Sucrose Analgesia during the First Week of Life in Neonates Younger than 31 Weeks’ Postconceptional Age”, the team sought the facts through a study, which forms the center of focus in this paper (Johnston et al., 2002). This critique examines the study in comparison with those done by Steven Bonnie and others.

Fri Aug 30 11:39:15 +0000 2019

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