The lived experience of UERMMMCI student nurses: The untold stories of home confinement during the first 3 months of COVID-19 lockdown / The Health Sciences Journal

INTRODUCTION@#The COVID-19 pandemic has forced countries to impose lockdowns. The aim of the study was to explore lived experiences of student nurses during their home confinement and acquire the shared meaning of the phenomenon among the participants. In this study, the researchers explored the impact of home confinement on student nurses to gain a thorough understanding of their perceived experiences, including their personal feelings, responses to the pandemic and learnings. @*METHODS@#The researchers used a descriptive phenomenological approach, wherein student nurses from all levels were selected through purposive sampling and were interviewed one on one through Zoom using a semi-structured open-ended questionnaire. The researchers utilized Colaizzi’s method of analysis to extract their lived experiences during their home confinement during the first three months of COVID-19 lockdown. @*RESULTS@#The results resulted in eight themes: Delighted, Attitude Towards the Disease, Home Isolation, Situational Awareness, Stronger Connection, Adaptation to Change, Role Function, Psychological Development and Outlook.@*CONCLUSION@#Based on Sister Callista Roy’s Adaptation Model Theory, there is a direct relationship between the stimuli, coping and behavior of the participants.

Preparation and resumption of clinic services after enhanced community quarantine: A consensus statement by the standards of medical practice and ethics committee

Readiness of Health Care Staff@#Statement 1. Family physicians and their staff should prepare themselves mentally, physically and emotionally before resuming clinic services. Prior to starting every clinic day, physicians and their staff should take their temperature and note respiratory symptoms. Statement 2. All clinical staff should be properly trained on proper use of PPEs, clinic disinfection, infection control and other safety procedures. Statement 3. Family Physicians should design an office management and operations plan that includes triage, patient flow, treatment and other patient care protocols including strict implementation of infection prevention and control procedures, management of PPE supplies and potential staff shortages. Statement 4. The clinic staff must inform their patients of the changes that may result from the new management and operations plan that will be made in the facility@*Clinic Procedures, Disinfection and Infection Control@#Statement 5. After undergoing proper triage, non-COVID 19 patients entering the clinic should use a hand sanitizer, step on a foot bath or pad soaked in chlorine or any approved disinfectant solution at the entrance. All clinic staff, patients and accompanying persons should be wearing at least a mask inside the clinic. They should be instructed to avoid touching their face or mask and perform hand hygiene immediately before and after if cannot be avoided. Statement 6. Appropriate visual alerts or educational posters regarding infection control, proper handwashing, cough or sneezing etiquette should be visible inside the clinic. Statement 7. The clinic facility must have infection prevention and control measures that adhere to international and local standards. Statement 8. After appropriate triaging, a family physician when attending to a patient shall wear mask, single use gloves and eye protection while apron or gown is optional. It is up to the discretion of the family physician to use higher level of protection based on his risk assessment of the clinic environment and if resources are available.@*Clinical Services@#Statement 9. As much as possible, family physicians should continue all primary care services in the clinics. However, it is advisable to first limit the service to non-COVID-19 (suspect or diagnosed) patients. Patients needing COVID-19 assessment and management should be referred to appropriate facilities and follow the guidelines set forth by the Department of Health. Statement 10. A patient who consulted and whose symptoms were resolved may choose not come back for follow-up. Patients with chronic diseases may be followed-up at longer intervals if their illness is stable. Statement 11. Referrals for further assessment, diagnostic tests, or other procedures not available in the clinic must first be coordinated with the referral center/site

Stomach attack

The stomach is one part of our body which gently affects our daily lives. It is vital to our nutrition and one of our body parts to which we pay more attention. So what happen when we are attacked by pain on such an indispensable part of our body? We are presented with the following patient who came in to te ER with the chief complaint of abdominal pain.

Metalosis por titanio. diagnostico diferencial de masa de compartimiento iliopssoas: caso clínico / Titanium metalosis. differential diagnosis of iliopssoas compartment mass: clinical case

An 52 year-old female patient with right hip joint Tuberculosis, received a Titanium total joint arthroplasty in 1991. Eleven years later, she presented low extremity swelling and inguinal mass, which was studied with ultrasound and computed tomography. The main differential diagnosis was an iliopsoas sarcoma, so an ultrasound-guided biopsy was performed. The result was Titanium particle debris. The lesion was removed, but it recurred, so that joint replacement was required. Joint Titanium particle wear debris a condition due to particle releaseis as an arthroplasty complication. When its clinical manifestation is a pelvic mass, the main differential diagnoses include tumors and granulomatous disease. Both clinical manifestations and the radiology are variable. This pathology in patient with hip joint Titanium arthroplasty must be consided.

Se presenta el caso clínico de una paciente de 52 años con diagnóstico de tuberculosis de cadera derecha a quien en 1991 se le instala prótesis de Titanio. Once años después presenta aumento de volumen de la extremidad inferior y masa palpable en zona inguinal. Fue estudiada con ultrasonografía y tomografía computada cuyos hallazgos se describen. Se planteó como diagnóstico diferencial principal un sarcoma en compartimiento iliopsoas por lo cual se realiza biopsia bajo ultrasonografía que demostró metalosis por Titanio diagnóstico que debe ser considerado en pacientes con masa inguinal y prótesis de cadera. Se reseca la lesión, la cual recidiva, requiriendo recambio articular.