Journal of Counselling and Family Therapy

Case Report on Ileocolic Intussusception with Severe Abdominal Pain

Prajakta Dedhe — 2023-12-27

Introduction A serious disorder known as intussusception occurs when an intestinal segment slips into a neighbouring segment. Food or liquid typically cannot flow through because of this telescoping effect. Ileocolic intussusceptions shares many clinical signs and symptoms with other morbid illnesses, intussusception in adults is an uncommon pathological entity and is still difficult for physicians to diagnose (including appendicitis, abdominal hernias, colic, volvulus, and Meckel diverticulum). Early diagnosis and treatment of intussusception depend on having a high clinical suspicion and using the right imaging tools. The preferred course of therapy for continuous and chronic invagination is surgical surgery. The ileum, ileocecal valve, and a portion of the ascending colon were found to be telescoping inside the terminal segment of the ascending colon, according to abdominal computer tomography and a colonoscopy. Even though intussusception is uncommon, it must always be considered when a patient complains of persistent stomach pain. We present a 2-year-old female patient who was brought to the medical department in the hospital due to severe abdominal pain. After diagnosing the patient, the patient's history was taken and a physical examination was performed. The patient was then prepped for surgery due to the severity of his medical condition and the right preoperative care, medication, and NBM (nil by mouth) were advised and provided. Laparoscopic surgery was used to accomplish the procedure and the patient was transferred to the pediatric intensive care unit (ICU). The patient's IV fluids were continued and both the sufferer and their loved ones received rehabilitative treatment. Conclusion: An intestinal segment slipping into a nearby section causes intussusception. In adults, surgery is usually required to correct the problem. Surgical surgery is the treatment of choice for persistent and chronic invagination. Despite the rarity of adult intussusception, most cases are caused by an underlying disease, such as a tumour. An intestinal segment slipping into a nearby section causes intussusception. Due to this telescoping action, food or liquid normally cannot get through. As a result, bowel rupture, infection, and intestinal tissue death might occur. Surgical surgery is the treatment of choice for persistent and chronic invagination. The majority of these incidents are caused by a tumour or some underlying disease. Adult intussusceptions are a rare and challenging disease condition to diagnose.

A Perspective on Adverse Childhood Experiences and Their Influence on Substance Use and Mental Health in Adulthood

Mudasir Aziz — 2024-02-01

An area of utmost significance in the domains of psychology and public health is the profound correlation between adverse childhood experiences (ACEs) and their enduring consequences. This is particularly accurate when it comes to substance use problems and mental health issues. The performed study on this topic has revealed how early experiences might impact the behavioural patterns and health effects that manifest in adulthood. An extensive and detailed analysis of this correlation is shown in the studies undertaken by Broekhof et al. (2023), Dar et al. (2022), Fujiwara and Kawakami (2010), Fisher et al. (2010), and other scholars. These studies provide insight into the complex and diverse nature of adverse childhood experiences (ACEs) and their numerous effects.

A Descriptive Study to Assess the Knowledge Regarding Health Hazards of Junk Food among Fewer than Five Mothers in Selected Rural Areas of Chamarajanagara District

Sushmitha H S — 2024-02-05

Background: Food habits and patterns are formed during childhood and will remain till the end of an individual's life. Proper nutrition at this age causes child growth and development and also reduces the risk of chronic diseases in adulthood. School-age children often face health-related nutritional problems, when they enter the school environment there will be changes in their habits, lifestyle and particularly in their food habits. Moreover, the growth rate and health are closely interrelated with the quality and quantity of foods and the information related to the health status and nutrition status of this group is an important health issue in terms of the prevalence of underweight and overweight. Objectives: To assess the knowledge regarding the effects of junk foods on health among the Mothers of under-five in selected rural areas of Chamarajanagara district. Methods: A descriptive research design was adopted for the present research study. A convenient sampling technique was used to collect the data. The tools used for the present study were a socio-demographic sheet, Semi structured questionnaire tool was used to collect data. The population for this study were all comprised the mothers of under-five between the age group of 20-40 years. This study was conducted in the selected rural areas of Chamarajanagara district and the sample size for the present study was 60. Result: Results of the study reveal that, among 60 participants, the majority of the participants are in the age group of 36 to 40 years that is 32(53.3%) majority of the participants are illiterates that are 20 (33.3%), the majority of the participants are housewife 44(73.3%), and all the participants belong to Hindu religion and out of 60 participants 26 (26.66%) are having inadequate knowledge, 32 (53.3%) participants are having moderate knowledge and only 2 (3.33%) are having adequate knowledge regarding hazards of junk foods.

Covid-19 Prevention Practices and Associated Challenges among Nurses in Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Southern Nigeria

Gloria Lewa Dappa — 2024-02-22

This study aims to assess the knowledge, attitude and practice of COVID-19 prevention among nurses in Rivers State University Teaching Hospital Port Harcourt and the associated challenges that prevent them from adopting adequate precautionary measures towards COVID-19 prevention. A cross-sectional study design was adopted. A convenience sampling technique was utilized to select a total sample size of 187 nurses. A questionnaire designed by the researchers was utilized to elicit information from the nurses. A total of 187 copies of the questionnaire were distributed of which 185 were completed and returned. Data was analyzed using SPSS version 26 and were presented as tables and figures using descriptive statistics. Pearson Moment correlation Coefficient was used to test the stated hypothesis of 0.05 level of significance. Findings show that nurses had good knowledge (93.0%), demonstrated positive attitudes (98.4%) and had good practices (96.8%). Inadequate personal protective equipment (43%), lack of space to maintain social distancing (9%), staff shortage (3%), patients' reluctance to accept guidelines (3%), lack of incentives for healthcare workers/finance (5%), lack of isolation wards for patients infected with COVID-19 and prolonged use of personal protective equipment being uncomfortable were barriers to the adoption of adequate precautionary measures. No significant correlation was found between knowledge and practices (r= -0.018, p= 0.813). However, a significant correlation was found between knowledge and attitude (r= 0.582, p= 0.000). The majority of the nurses had a good understanding of COVID-19, positive attitudes and good practices. However, there were a few barriers that prevented the nurses from carrying out adequate precautionary practices in their various departments. Healthcare facilities should provide adequate personal protective equipment (PPEs) to staff.

Patient's Perception and Attitude Towards Involvement of Nursing Students in Their Care at University of Medical Science Teaching Hospital, Ondo, Ondo State

Mary Idowu Edward — 2024-04-10

Introduction: A crucial and especially useful metric for gauging the calibre of medical care is patient perception. The purpose of this study was to determine how patients at the University of Medical Science Teaching Hospital on Laje Road in Ondo, Ondo State, felt about the nursing students who were helping them. Methods: A cross-sectional descriptive approach was used in the investigation. A sample size of 153 people was chosen from the target group using a descriptive sampling technique. Data was gathered via a questionnaire. Results: Using SPSS version 22, both descriptive and inferential statistics were used to examine the results. The respondents' mean age, according to the study's findings, was 34.18+13.42 years. Findings: Most respondents (61%) thought the care they received was good. A descriptive sampling technique was used to select the perception of care provided by nursing students and less than half of the respondents (63%) had a negative attitude toward the involvement of nursing students in their care. The study discovered that there was no significant correlation between the socio-demographic characteristics of patients and nursing students' involvement in patients' care (P = 0.998), but there was a significant relationship between patients' attitudes and nursing students' involvement in patients' care (p=0.002). Conclusion: The study concludes that some patients are not very satisfied with the nursing care delivered by the nursing students. The study therefore recommends that nursing students be allowed to practice under the supervision of registered nurses.