Brucellosis-induced avascular necrosis of the hip in a middle-aged person

Brucellosis is a zoonotic disease mostly transmitted to humans through consumption of unpasteurized dairy products and can lead to a systemic disease with any organ involvement. In this report, we describe a case of brucellosis-induced avascular necrosis of the hip. Brucellosis was diagnosed through serological tests, andavascular necrosis of the femoral head was confirmed by pelvic MRI. The patient was treated with a combination of antimicrobial treatments and referred to the orthopedic service for total hip arthroplasty. Brucellosis may present with unusual manifestations and should be always taken into consideration, particularly in endemic areas

[Prediction of likelihood of ground falling in hospitalized old patients in Isfahan; by using Morse fall scale]

High incidence of ground falling in hospitalized old patients is an important cause for concern in every treatment system. A very common fall assessment tool is Morse Falls Scale. This study was designed to determine the probability of falling in hospitalized old patients in Isfahan, 2009. This was a cross-sectional descriptive analytic study. Sample size included 400 subjects who were selected by Quata sampling method. We used a questionnaire consisted of two parts, the first part comprised demographic characteristics, number of drugs, diagnosis, name of the hospital and ward, and the second part included Morse Fall Scale. The questionnaire was completed for every subject by trained interrogators. Data was analyzed by means of Chi-square test. This study showed that risk of ground falling had a relation with mean age, history of falling within the last three months, kind of ambulatory aids, having IV/Heparin Lock, estate of walking, mental status, drug consumption of 3 or more drugs, suffering from cardiovascular diseases, neurological diseases. In general, risk of ground falling threats 50% of hospitalized old patients. Ground falling is an important threat for hospitalized old patients and is an important problem for care health services. Nurses can recognize patients at risk of falling. Fulfillment of preventive programs can decrease rate of ground falling in hospitalized old patients

Assessing factors influencing referral of cardiac patients for cardiac rehabilitation; a literature review

Heart diseases are the most prevalent cause of morbidity and mortality of people throughout the world. Cardiac rehabilitation is a mean for decreasing length of stay in hospital and restoration of patient after myocardial infarction. In order to dealing with consequences of disturbed health status it may be accomplished at home accompanied by patient education and psychological support plans. This review of literature conducted by searching in Following Medical databases: Elsevier, Proquest, PUBMED, Blackwell Synergy and journals such As: Rehabilitation Nursing and Journal of Advanced Nursing with selection of articles include pertinent subjects. This literature review showed us the main factors influencing referral to cardiac rehabilitation such as: gender, marital status, ethnicity, proximity to rehabilitation centers, type of cardiac problem and insurance status. Psychological factors such as: depression, anxiety, social support and self-sufficiency were also important in the referral success cardiac rehabilitation is in Flounced by adherence to Following the scheduled plans and charging the lifestyle. This lit. Review shows that the obstacles of participating in cardiac Rehabilitation programs should be known and addressed. It might be the responsibility of nurses to assist the patients and their families in modifying their life style and addressing other factors such as physical activity. Nurses and other should assist the patients to achieve a desirable level of autonomy and independence in a short period of time

emotional experiences of elderly people regarding the process of residency in nursing homes

There is increasing rate of tendency of leaving elderly people to live in nursing homes in recent years. It is suggested that, the common view of the elderly people towards living in nursing homes is known as "the final sign of failure in the life". It seems that this attitude has a negative influence on adaptation of elders when confronting with a challenge. Therefor, the understanding of the emotional experiences of elderly people to spend their life in nursing homes is important. In this study, the objective was to explore the emotional experiences of elders who living in nursing homes. The research question is "How is structure and meaning of the emotional experiences of elderly people in the Process of Residency in nursing homes?" A qualitative phenomenological approach was used in this study with applied purposive sampling amongst elderly residents in private and public nursing homes in Isfahan. Sampling was continued till data saturation and the resulting sample size consisted 10 participants. The data was collected by in-depth interviews. Field notes was used for completing data collection process and Colaizzi's method was applied for data analysis. The rigor of present study was based on the transferability and credibility. Two themes were extracted from the data [structural components of experience], including: Residents' emotional experiences during nursing home life and Resident's emotional experiences at the entrance in the nursing home. In this study, older people have shown various emotions to relocation and residency in nursing homes. Elders, with different context and different history in their life, had unique experiences. In addition, it is essential to pay attention to social, financial, mental, spiritual and physical needs of elders as components of holistic care. In fact because concerning only physical needs of elderly people can not lead to promote hopeful, meaningful and purposful life for the elderly people

feeling of powerlessness in older people living in nursing homes

All societies in the world are experiencing burgeoning numbers of "elders", defined as persons aged 65 year and older. It is expected that at least 40% of the population over 75 years need extensive health care services in the last years of their lives. Countries with an ageing society have developed long term care policies for older people. In Iran, as the rate of transferring the elderly to the nursing homes is increasing, it would be important to investigate the experience of self-determination, respect and value among elderly people living in these settings. The powerlessness results in loss of hope. In addition, older adults who feel powerless may also lose their independence. In this situation, family members or health professionals take over and make decisions for them. Elders' empowerment can promote their quality of life and well-being. This study aimed at description of the experience of powerlessness in elderly who are living in nursing homes. The research question was "how is the experience of powerlessness in elderly who are living in nursing homes? The qualitative phenomenological approach with purposive sampling was used in this study. Participants in this study were elderly residents of private and governmental nursing homes in Esfahan city. Sampling continued till data saturation occured with 10 participants. The data were collected through in-depth interviews. Researcher used field notes for completing data collection process. Colaizzi's method was applied for data analysis. The rigor criteria of the present study were based on transferability and credibility. Three themes were extracted from the data [structural components of the experience], including: 1] compulsory tolerance, 2] Waiting for exiting permit, and 3] Constrained autonomy. In this study, some participants experienced lack of ability in changing conditions and also compulsory tolerance of the situation, two main findings from which the concept of powerlessness was perceived. Transferring to nursing home is a source of fear and anxiety in the end years of life. For the institutionalized elders, empowerment can come through participating in making decisions regarding patient care and other aspects of life in this setting. In addition, mental, spiritual and physical needs of elders should be met through whole care, because simply focusing on physical needs deprive hopeful, meaningful and purposive life in nursing homes