i-manager's Journal on Nursing (JNUR)


Volume 5 Issue 4 November - January 2016 [Open Access]

Article

Parvovirus B19 in Pregnancy

Akoijam Mamata Devi*
*Associate Professor, Shree Guru Gobind Singh Tricentenary University, Gurgaon, Haryana, India.
Devi, A.K. (2016). Parvovirus B19 in Pregnancy. i-manager’s Journal on Nursing, 5(4), 1-5. https://doi.org/10.26634/jnur.5.4.4810

Abstract

Parvovirus B19 causes prolonged epidemics of erythema infectiosum. Infection causes clinically significant anemia in individuals with high red cell turnover, including the fetus. Transmission can occur via the respiratory route, hand-tomouth contact, blood products, and vertically from mother to the fetus. The virus replicates in rapidly proliferating cells, such as erythroblast precursors. In healthy hosts, the virus can cause a range of clinical manifestations, including erythema infectiosum (ie, fifth disease), transient aplastic crisis, chronic red cell aplasia, myocarditis, arthropathy, and nonimmune hydrops fetalis. Approximately 40% women of childbearing age are susceptible, and annual seroconversion rates vary from 1.5% during endemic periods to 10-15% during epidemics. Infection occurs in around 50% of susceptible women exposed at home and 20-30% following occupational exposure (for example, at a primary school). Maternal infection in the first half of pregnancy is associated with a 10% excess fetal loss and hydrops fetalis in 3% of cases (of which up to 60% resolve spontaneously or with appropriate management). No congenital abnormalities or long-term sequelae have been attributed to parvovirus B19 infection. The overall risk of serious adverse outcome of occupational exposure to parvovirus B19 infection during pregnancy is low (excess early fetal loss in 2-6/1,000 pregnancies and fetal death from hydrops in 2-5/10,000 pregnancies). It is not recommended that, susceptible pregnant women be excluded routinely from working with children during epidemics.

Article

Chromo Therapy: Healing Power of Colors

Sembian N* , Malar Kodi Aathi**
* HOD & Associate Professor, Department of Medical Surgical, Institute of Medical Sciences and Research, Uttar Pradesh, India.
** Assistant Professor, Department of Peadiatric Nursing, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India.
Sembian, N., and Aathi, M.K. (2016). Chromo Therapy: Healing Power of Colors. i-manager’s Journal on Nursing, 5(4), 6-12. https://doi.org/10.26634/jnur.5.4.4811

Abstract

The body is an outward expression of that which is taking place within the mind, the soul (subconscious), and the spirit (super conscious) of the individual. Thus, any healing technique which deals only with the physical body and the energy field of the individual tends to accomplish one thing keeping this in mind, the authors look at how color can help jumpstart the tired or diseased body. Color healing, known as Chromo therapy, can be implemented in a number of ways. The ancients built great halls of color healing, where the individuals entered and were bathed in light, that was filtered through various colored glass panels or windows. Chromo therapy or color therapy involves the use of color to achieve overall good health and to treat some diseases. Useful in treating emotional and physical problems related to sleep, chromo may involve exposure to colored lights, massage oils or ointments colored, meditation and visualization of certain colors or wearing certain clothing colors. Color channels were used for healing in ancient Egypt, China and India. Energy (spiritual) healers often supplement their healing work with color healing. As they lay their hands on the patient, they mentally direct specific color rays into the patient's aura and body.

Research Paper

The Effect of Hoku Point Massage with Ice on Venipuncture Pain in Children with Thalassemia

Abazari Faroukh* , Batool Pouraboli**, Maryam Rostami***, Younes Jahani****, Mohsentavanaei*****
* Asst. Professor, Dept. of Community Health, Nursing and Midwifery, Kerman University of Medical Sciences, Iran.
** Asst. Prof., Dept. of Pediatric and Neonatal Nursing, Tehran University of Medical Sciences, Iran.
*** MSC, Dept. of Pediatric Nursing, Nursing and Midwifery Kerman School of Razi, University of Medical Sciences, Iran.
**** Asst. Prof., Department of Biostatistics and Epidemiology, Kerman University of Medical Sciences, Iran.
***** MD, Dept. of Medical Sciences, Rafsanjan University of Medical Sciences, Iran.
Faroukh, A., Pouraboli, B., Rostami, M., Jahani, Y., and Mohsentavanaei (2016). The Effect of Hoku Point Massage with Ice on Venipuncture Pain in Children with Thalassemia. i-manager’s Journal on Nursing, 5(4), 13-19. https://doi.org/10.26634/jnur.5.4.4812

Abstract

This paper assess the effectiveness of Hoku point massage with ice on the severity of venipuncture pain in children with thalassemia. This was a double-blind, two-group clinical trial. Eighty six Thalassemic children who were eligible to participate in the study were selected from children referring to Kerman Samen Alhojaj Medical Center consisted the study population. By using a convenience sampling method, they were placed into experimental (Hoku point massage with ice) and placebo (touching ice marble on fake point of the back of the hand) groups by random allocation. Data was collected using a questionnaire about the child's demographic information and FLACC (Faces, Legs Activity Cry Consolability) behavioral pain scale. Descriptive and analytical statistics using software SPSS v. 22 were used to analyze the data. Finally, the results show that average pain score in the experimental and placebo groups was 0.65 ± 0.75 and 2.56 ± 1.58 respectively. There was a statistically significant difference between these two groups in terms of pain severity (p = 0.0001). According to the results, ice massage at Hoko point is an effective method to relieve the venipuncture pain in children with thalassemia.

Research Paper

Educational Needs of Tuberculosis Patients Based on their Experiences in Karachi, Pakistan

Muslim Shah* , Yasmin Nadeem Parpio**, Raisa Gul***, Asho Ali****
* Assistant Professor, Rehman Medical Institute School of Nursing, Peshawar, Pakistan.
** Assistant Professor, Aga Khan University School of Nursing, Karachi, Pakistan.
*** Professor, Aga Khan University School of Nursing, Karachi, Pakistan.
**** Associate Professor, King Abdulaziz University, Jeddah, Saudi Arabia.
Shah, M., Parpio, Y., Gul, R., Ali, A. (2016). Educational Needs of Tuberculosis Patients Based on their Experiences in Karachi, Pakistan. i-manager’s Journal on Nursing, 5(4), 20 -31. https://doi.org/10.26634/jnur.5.4.4813

Abstract

This study aimed to explore the educational needs of tuberculosis patients, based on their experiences in Karachi, Pakistan. Moreover, this study aimed to understand the challenges that the TB patients face in managing their disease. This research study was guided by a qualitative exploratory descriptive design. The purposive sampling technique was used to recruit participants for the study, and a total of ten TB patients was recruited from two TB treatment and diagnostic centers. The data were collected through face-to-face, semi-structured in-depth interviews. Data analysis for the study was done manually by following the five steps of content analysis, as discussed by Creswell (2013). Two major categories and associated sub-categories emerged from the analysis of the participants' narratives. The first category comprises perceptions and misperceptions of TB patients about their disease process, in terms of signs and symptoms, causes and spread, complications, and its treatment. The second category discusses the impact of TB on patients' lives; the financial hardships and the challenges faced by TB patients, such as those related to physical, psycho-social, sexual, and marital life. Tuberculosis (TB) is a major public health issue globally, and Pakistan is included in high TB burden countries. This study highlights that educational needs for TB patients are very important. The burden of TB can be reduced in Pakistan, and the care of TB patients can be improved through effective training of health care professionals. Moreover, further research and awareness programs at different levels can play a pivotal role in controlling and reducing the spread of this disease.

Research Paper

Palliative Care: Addressing Physical and Spiritual Needs of an Elderly Client

Faiza Rafiq*
*BScN Intern, Aga Khan University Hospital, Karachi, Pakistan.
Makhani, F.R. (2016). Palliative Care: Addressing Physical and Spiritual Needs of an Elderly Client. i-manager’s Journal on Nursing, 5(4), 32-35. https://doi.org/10.26634/jnur.5.4.4814

Abstract

Palliative care is not only to address the holistic needs of the patient rather than, it implies patient centered care at the terminal stage of the disease process. Sometimes, obtaining this goal becomes more difficult, when the patient is suffering from complex physiological phenomena of human being that is "aging". Together with this multiple chronic illness is also another important aspect from the care point of view. However, this is the responsibility of the nurse to look upon all these issues in order to satisfy the patient's needs. In this paper, physical and spiritual needs of a patient is being addressed with the interventions that can be done looking upon the patient's condition at the terminal stage of his illness.

Case Study

Promoting Wellbeing through Positive Psychology

Mir Hassan* , Muhammad Younas**
* Nursing Instructor, Royal College of Nursing Swat, Khyber Pakhtunkhwa, Pakistan.
** Principal, Royal College of Nursing Swat, Khyber Pakhtunkhwa, Pakistan.
Hassan, M., and Younas, M. (2016). Promoting Wellbeing through Positive Psychology. i-manager’s Journal on Nursing, 5(4), 36-39. https://doi.org/10.26634/jnur.5.4.4815

Abstract

In our lives, in spite of happy moments, at certain moments, we feel somewhat depressed, sometimes we are in stress and also at times not being able to concentrate and above all, sometimes we feel that, we all are a bit mad. Positive psychology can be defined as the scientific study of what makes the life most valued. It is a psychological science that is concerned with the strengths and weaknesses of the individuals and groups; it is interested to build the worst of an individual’s life by repairing the abolished part and is also concerned with fulfilling and flourishing the lives of normal people (Seligman & Csikszentmihalyi, 2000, p. 5). It works for individuals and groups at various levels; which include individual level, group level, and subjective level. At the individual level, it is concerned with positive individual attributes, such as love, courage, spirituality, personal skills, talent, wisdom, etc. Whereas, at group level, it talks about a group or institutional benefit, development, responsibility, living standard, ethics, law, and patience. Moreover, the subjective level is about experiences; satisfaction and good deeds of past, happiness and fulfillment of present and positive hopes for the future (Seligman, 2004). There is no mark division between mental health, and illness but rather placed somewhere on a continuum and it continues throughout an individual’s life. Health is a continuum, where absolute disease and absolute health is opposite of each other (Langius-Eklöf, 2004).

Case Study

Art Therapy: An Innovative Approach in Mental Health Settings

Afsheen Amir Ali Hirani* , Lubna Ghazal**, Zahira Amir Ali Khalfan***, Khadija Dossa****
*-***-**** Nursing Intern, Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
** Senior Instructor, Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Hirani, A.A.A., Ghazal, L., Khalfan, Z.A.A., and Dossa, K. (2016). Art Therapy: An Innovative Approach in Mental Health Settings. i-manager’s Journal on Nursing, 5(4), 40-44. https://doi.org/10.26634/jnur.5.4.4816

Abstract

Art therapy is one of the therapies which is used along with other psycho-pharmacological therapies in the recovery and rehabilitation of the psychiatric clients. The aim of this paper is to elucidate the importance of art therapy in the clients' assessment and evaluation of their progress in response to their treatment in a mental health setting. In this observational study, the art therapy was used as an intervention in a mental health setting and the clients' responses were noted. The paper presents various clinical observations of clients with different art therapies and its positive effects on clients with different mental health diagnosis. Art therapy was found effective to enhance a clients' focus, attention span and reality orientation. This therapy also helped them to enhance their reflective thinking, express their inner feelings, identify their moods, and to build a therapeutic relationship with staff and other patients. In addition, art therapy also improved problem solving and decision making capabilities in mentally ill clients. In conclusion, this therapy is found effective to evaluate clients' progression of treatment and counseling sessions. Thus, it can be one of the useful tools for a healthcare professional to promote mental health of clients.