The Journal of Neurological and Neurosurgical Nursing最新文献

{"title":"Early Therapeutic Intervention in a Child with Beckwith–Wiedemann Syndrome in Inpatient and Outpatient Conditions — Case Report","authors":"Teresa Kaczan, R. Śmigiel, Magdalena Kazimierska-Zając, R. Dymarek, J. Rosińćzuk","doi":"10.15225/pnn.2019.8.1.4","DOIUrl":"https://doi.org/10.15225/pnn.2019.8.1.4","url":null,"abstract":"Introduction. The Beckwith–Wiedemann syndrome (BWS) is a rare disorder characterized by a wide spectrum of symptoms i.a. umbilical hernia or omphalocele, macroglossia and above-average pre/postnatal growth (macrosomia). Aim. To present a case report of a child with BWS who underwent an early logopedic intervention and rehabilitation procedures including Bobath neuro-developmental treatment (NDT) and orofacial stimulation based on the Castillo-Morales concept (CMC). Case Report. The paper presents a case of a girl with BWS and the course of her psychomotor development during the 24 months of her life. The child has numerous defects typical for this syndrome, i.e. facial dysmorphism, macrosomia, and significant hypertrophy of the tongue as well as embryonal carcinomas such as hepatoblastoma and neuroblastoma. Psychomotor development was assessed at the age of 12 months using the Munich Functional Developmental Diagnostics (MFDD). At the age of 2, development of fine and gross motor skills and independence level do not differ significantly from the norm. The biggest problem concerns verbalization of needs due to the enlarged tongue. The girl still remains under multidisciplinary team care and is intensively rehabilitated. Discussion. There is no doubt that the care of children with BWS requires an interdisciplinary team of specialists. The child needs not only proper physical development, but also correct interpersonal relationships built on verbal communication. Therapy should be started as early as possible before bad habits develop. Conclusions. The knowledge of clinical features characteristic for the syndrome allows for rapid diagnosis and providing interdisciplinary care since the moment of birth. Children with BWS develop in individual ways depending on the type of genetic cause and additional defects. The care of BWS children must involve permanent and interdisciplinary co-operation with many specialists. (JNNN 2019;8(1):23–29)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80860919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Confirming the Brain Death and the Nurse’s Tasks in the Care of Potential Organ Donors and Their Families","authors":"Beata Haor, S. Wróblewska, K. Daszuta, Dominik Daszuta","doi":"10.15225/pnn.2019.8.3.5","DOIUrl":"https://doi.org/10.15225/pnn.2019.8.3.5","url":null,"abstract":"Introduction. Transplantology is the youngest area of medicine dealing with organ transplantation that is considered to be the most difficult. Aim. The aim of the work is to analyse the nurse’s tasks in the care of the organ donor after confirming brain death and propagate the idea of transplantology. Case Report. A 52-year-old patient admitted to the hospital at the neurological department after a craniocerebral trauma. Computed tomography of the head showed brain contusion, fractures of the bones of the skull cover, the presence of a small amount of air in the cranial cavity. Immediately after admission, the patient was tangled, conscious, reluctant to answer questions, without paresis and a short-term seizure. Anti-oedema and anti-epileptic treatment was implemented in the neurosurgery department. After starting treatment, there was a temporary improvement, followed by a secondary worsening of brain and brain stem failure with deep cerebral coma. The patient was referred for further treatment in the Intensive Care Unit. Discussion. Organ transplantation involves collecting them from the donor and implanting them into the recipient. The donor can be either a living person (when it comes to paired organs or fragment of the liver as well as the tissues and cells) or the deceased person, who during their life did not express objection to organ donation after their death. The major principle in this case is the pronouncement of brain death, i.e. confirmation of patient’s death resulting in changing the therapeutic goals. Conclusions. Transplantology is an interdisciplinary field of medicine, the success of which relies on the cooperation of many professionals. The nurse takes an active part in the team’s work starting from the donor’s organs eligibility, through transplantation, to the care of the patient after the transplantation. The nurse also participates in building up an atmosphere favourable for good relations with the potential donor’s family. (JNNN 2019;8(3):124–132) Key Words: transplantation, brain death, nursing care","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84669787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selected Factors Affecting Biopsychosocial Functioning of Neurogeriatric Patients","authors":"M. Biercewicz, Wiesław Fidecki, Anna Antczak-Komoterska, K. Filipska, K. Kędziora–Kornatowska","doi":"10.15225/pnn.2018.7.3.4","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.3.4","url":null,"abstract":"Introduction. At present, in Poland and other European countrieswe are witnessing an increase in the number of elderly people. Of particular importance is the psychophysical evaluation of the patient and defining the deficits in their everyday functioning. Aim. The aim of the study was to analyze selected demographic factors affecting biopsychosocial functioning of neurogeriatric patients. Material and Methods. The research was carried out in the Department of Geriatrics at University Hospital No. 1 in Bydgoszcz on a group of 122 patients aged from 60 to 95 years, hospitalized for diseases of the nervous system. The biopsychosocial assessment was performed with the use of the NOSGER scale (Nurses’ Observation Scale for Geriatric Patients) — the Nursing Care Scale of Geriatric Patients and the Barthel scale. Results. As a result of the analysis, it was found that the average assessment of the functioning of older people in the assessment of the NOSGER scale was 89.89 for 150 maximum points. As a result of the analysis, it was found that respondents aged up to 64 years functioned best in each aspect of the NOSGER scale, whereas respondents aged over 90 years functioned the worst, with the exception of moods and emotions subscales. In the age groups 65–74 and 75–89, functioning was similar in all subscales. The statistical analysis carried out showed that the respondents who were in the second group of fitness had significantly worse functioning in each subscale and the overall NOSGER assessment than those who were in the first fitness group (p<0.05). Conclusions. There were no statistically significant differences found between gender, age, marital status, education, and functional fitness of patients on the Barthel score. There was also no significant effect of gender, age and education on the NOSGER patients assessment. Significant influence of marital status on the assessment in the area of destructive and disruptive behaviors on the NOSGER scale was observed. (JNNN 2018;7(3):118–123)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86872972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selected Problems of the Patient after the Peak-occipital Decompression Surgery Treatment in the Course of the Chiari type I Malformation","authors":"B. Haor, R. Ślusarz, A. Królikowska, R. Jabłońska, M. Głowacka, Anita Królikowska","doi":"10.15225/pnn.2018.7.3.5","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.3.5","url":null,"abstract":"Introduction. The Chiari type I Malformation is a malformation of the hindbrain and skull. It refers to moving down the tonsils of the cerebellum through a large opening to the upper part of the spinal canal. Case Report. The patient aged 27 was subjected to a peak-occipital decompression procedure in the course of the Chiari type I Malformation due to the results of imaging examinations and reported complaints. Discussion. The neurosurgical treatment for both the patient and his family is a source of stress and fear of further functioning in the environment. During hospitalization, the patient should be surrounded by the care and interest of the therapeutic team members. Conclusions. Symptoms of Chiari Malformation type I may affect patients of different ages despite the fact that it is an inborn defect. Nursing care of the patient after the peak-occipital decompression treatment in the course of the Chiari type I Malformation aims at preventing typical complications of the postoperative period and minimizing the risk of neurological deficits. (JNNN 2018;7(3):124–129)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80492150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Everyday Activities in Patients after Brain Tumor Surgery","authors":"R. Ślusarz, A. Królikowska, R. Jabłońska, B. Haor, Anna Antczak-Komoterska, M. Śniegocki, M. Szewczyk","doi":"10.15225/pnn.2018.7.3.3","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.3.3","url":null,"abstract":"Introduction. Functional fitness enables satisfying and performing basic everyday needs in a safe and independent way. Its assessment is currently the basic component of the overall assessment of the patient. Aim. The aim of the study was to evaluate the functional capacity of patients after brain tumor surgery. The analysis included selected factors that may affect patient’s performance after the surgery. Material and Methods. The study included 165 patients of neurosurgical wards hospitalized for a brain tumor. Surgeries were performed in all of them — and consisted in partial or complete removal of the pathological mass by craniotomy. Patient’s functional assessment on the day of admission and on the discharge day was analyzed with the use of FCS, KPS, BI, FIR, GOS scales. Results. The largest number of respondents on the day of admission were patients in the first group according to FCS scale — independent — 138 respondents (83.6%). None of the patients qualified for group IV with total dependence. In turn, on the day of discharge, the percentage of respondents qualified to group I was 127 people (77.0%), whereas 1 person became completely dependent. Similar results were obtained in other measuring tools. The observed differences in each of the tests carried out did not turn out to be statistically significant. On KPS, BI and GOS scales, the age turned out to be statistically significant at p=0.000. On the other hand, on FCS, KPS and GOS scales, the state of consciousness was also statistically significant at p=0.000. Conclusions. Most of the respondents show very good functional capacity both on the day of admission and on the day of discharge. However, patients scored slightly better on the day of admission to the ward. Such factors as age and consciousness before surgery significantly affect patient’s functional capacity on the day of discharge. (JNNN 2018;7(3):111–117)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78999229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Theoretical Concept of Impact of Tai Chi on Falls in Clients with Parkinson’s Disease","authors":"Klaudia Cwiekala-Lewis, R. Ślusarz","doi":"10.15225/pnn.2018.7.3.6","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.3.6","url":null,"abstract":"Parkinson’s disease (PD) is considered to be one of degenerative disorders of the central nervous system. According to the Parkinson’s disease Foundation there is an estimated 60.000 Americans that are newly diagnosed each year with PD. Patients that have been diagnosed with Parkinson’s disease encounter many side effects including freezing gait and poor balance. Freezing gait and poor balance were found to be correlated to an increased fall risk in patients with PD. Researchers are examining complementary and integrative therapies to lessen the symptoms and improve quality of life. Some studies indicate that Tai Chi (TC) could be utilized to lessen the symptoms of freezing gait and poor balance, decreased patient fall rate and increased patient general well-being. The main concept that will be presented within this paper includes Theoretical Concept of Impact of Tai Chi on Falls in Clients with Parkinson’s Disease. (JNNN 2018;7(3):130–133)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77432148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-assessment of the Musculoskeletal System Load of the Nurses Employed in Conservative and Surgical Departments","authors":"K. Filipska, Dorota Wolska, B. Haor, Anna Antczak-Komoterska","doi":"10.15225/pnn.2018.7.4.4","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.4.4","url":null,"abstract":"Introduction. Work-related musculoskeletal disorders (WMSDs) all over the world are a frequent cause of illness affecting people working especially in the health sector. In the medical professions, nursing staff experiences negative impact of work on the motor system to the highest degree.Aim. The aim of the work is to assess the extent of disability of nursing staff exposed to excessive strain on the spine as measured by the Oswestry Disability Index.Material and Methods. The study involved 50 nurses employed in surgical (32%) and conservative (68%) departments. The study used the method of a diagnostic survey, and the Oswestry Disability Index questionnaire was the research tool. The collected material was subjected to statistical analysis.Results. Women accounted for nearly 98% of the respondents. The average age of the respondents was over 46 years (46 years and 3 months). The results of the study showed that the occurrence of pain in the spine adversely affects the functional performance, in particular the social life (p=0.0004) and lifting (p=0.036). The average disability score at the Oswestry scale was 25.88%, which indicates a moderate disability of the respondents.Conclusions. Pain in the spine significantly affects the functional capacity of the subjects. This problem is particularly common among nursing staff. (JNNN 2018;7(4):155–159)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87763732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immunomodulating Treatment of Multiple Sclerosis — the Tasks and Role of a Neurological Nurse","authors":"Anna Smelkowska, Maria Wilkiewicz, B. Grabowska-Fudala, K. Jaracz","doi":"10.15225/pnn.2018.7.4.5","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.4.5","url":null,"abstract":"Multiple Sclerosis (SM) is the most common chronic inflammatory autoimmune demyelinating disease affecting the central nervous system. It affects mainly young people, aged 20–40.The onset of the disease usually takes the form or bouts followed by periods of remission. Immunomodulating treatment is a long-term therapy whose aim is to inhibit the occurrence of relapses and, in the long term-delay development of disability in a patient. The effectiveness of this treatment depends, among others, on the degree of preparation of the patient and their following the rules of the therapy. Most of the medication applied is administered by the patient at home as an injection or in the form of oral therapy. Nowadays two drugs are administered in hospitals. Since the very beginning of the treatment the patient and their family is provided with nursing care whose scope depends on the drug administered and on the condition of a patient. The procedures undertaken by the nurse include: educating the patient and their family in the preparation and administration of a drug, coping with adverse effects, monitoring the neurological and emotional condition of a patient and providing support during all treatment period. (JNNN 2018;7(4):160–165)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77698246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Satisfaction with the Life of Neurogeriatric Patients","authors":"M. Wysokiński, Barbara Kuszplak, Kamil Kuszplak, Wiesław Fidecki, D. Kulina, Monika Bieniak, A. Jędrzejewska, Agnieszka Kijowska","doi":"10.15225/pnn.2018.7.4.2","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.4.2","url":null,"abstract":"Introduction. The concept of life satisfaction means a multi-factorial assessment, which is based mainly on such two premises as: satisfaction with experienced years and satisfaction with the present life. When examining the satisfaction of a person’s life, certain aspects of existence, on the basis of which the individual makes the assessment based on individual criteria, are analyzed.Aim. The aim of the study was to assess the life satisfaction of elderly patients hospitalized in neurological wards.Material and Methods. The research was carried out in hospitals in the city of Lublin, in the departments of neurology. The study involved 102 older people. The youngest respondent was 65 and the oldest was 90 (average age 74.36±6.78). The research was carried out using the Satisfaction with Life Scale (SWLS).Results. The average result in the Satisfaction with Life Scale which the respondents obtained was 16.27±5.00. After converting the result into stens, 54.9% of respondents obtained low results (stens 1–4). 39.2% obtained average results (stens 5–6), and 5.9% high scores (stens 7–10).Conclusions. Self-evaluation of the life satisfaction of older patients in neurological wards was at a low level. The assessment of satisfaction with life significantly differentiated such variables as: sex, marital status, education, the fact of who the respondent lives with, and the place of residence. (JNNN 2018;7(4):145–149)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77148364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restless Legs Syndrome in Nursing Practice","authors":"Łukasz Chełminiak, M. Siemiński, M. Skrzypek-Czerko, A. Roszmann","doi":"10.15225/pnn.2018.7.4.6","DOIUrl":"https://doi.org/10.15225/pnn.2018.7.4.6","url":null,"abstract":"Restless legs syndrome (RLS/WED) is one of the most important causes of sleep disorders. It is a sensorimotor neurological dysfunction, very common, and at the same time too rarely diagnosed. It is characterized by the compulsion to move the limbs, combined with unpleasant sensations located “deep inside the lower limbs” that subside after taking physical activity and stopping rest. Not all patients require pharmacological treatment. In a situation where the symptoms are not very severe, observation and non-pharmacological activities are sufficient. Other patients with symptoms that hinder everyday life require pharmacological treatment. Depending on the severity of the symptoms, the treatment may be temporary and or continuous. Due to the fact that the restless legs syndrome may occur in various diseases (Parkinson’s disease, in dialysis patients, patients with mental and cardiological diseases, pregnant women), it is important for nurses of different specializations to know the issues of symptoms, coping with them, rules for the use of the recommended treatment, which in the case of RLS may be associated with many adverse reactions. Nursing care is extremely important in the diagnostic and therapeutic process of restless legs syndrome. (JNNN 2018;7(4):166–172)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73559295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}