On the 12th of May 2019 it is International Nurses day. From everyone at M-Care Optima we would like to thank each and every Nurse that makes a patient’s life a little easier. You are very special to all the patients.
“Prayer for a Special Nurse”
Long before you entered nursing
The Lord had played His part,
Planting seeds of love and kindness
In the portals of your heart.
For it’s clear that you’ve been gifted
With a sympathetic ear,
And blessed from the beginning
Whit a willingness to cheer.
And the people who you care for
Are better off by far,
When they’re touched by your compassion,
By the person that you are.
For in times of woe and worry
When they’re frightened or they’re blue,
No one could be more consoling than the friend they’ll find in you.
– Author Unknown
The South African National Burn Safety Awareness Week is from 6 to 12 May. The National Burns Association of South Africa (NBASA) has some important information to share on burns awareness and safety.
Burns awareness and safety at home
ARM yourself with KNOWLEDGE
Hot water or liquids can cause burns
Electricity can cause fires or burns
For more information visit the National Burn Awareness South Africa website.
What is a head injury?
A head injury is any sort of injury to your brain, skull, or scalp. This can range from a mild bump or bruise to a traumatic brain injury. Common head injuries include concussions, skull fractures, and scalp wounds. The consequences and treatments vary greatly, depending on what caused your head injury and how severe it is.
Head injuries may be either closed or open. A closed head injury is any injury that doesn’t break your skull. An open (penetrating) head injury is one in which something breaks your scalp and skull and enters your brain.
It can be hard to assess how serious a head injury is just by looking. Some minor head injuries bleed a lot, while some major injuries don’t bleed at all. It’s important to treat all head injuries seriously and get them assessed by a doctor.
What causes a head injury?
In general, head injuries can be divided into two categories based on what causes them. They can either be head injuries due to blows to the head or head injuries due to shaking. Head injuries caused by shaking are most common in infants and small children, but they can occur any time you experience violent shaking.
Head injuries caused by a blow to the head are usually associated with:
What are the major types of head injuries?
A hematoma is a collection, or clotting, of blood outside the blood vessels. It can be very serious if a hematoma occurs in the brain. The clotting can lead to pressure building up inside your skull. This can cause you to lose consciousness or result in permanent brain damage.
Subarachnoid hemorrhages often cause headaches and vomiting. The severity of intracerebral hemorrhages depends on how much bleeding there is, but over time any amount of blood can cause pressure buildup.
A concussion occurs when the impact on the head is severe enough to cause brain injury. It’s thought to be the result of the brain hitting against the hard walls of your skull or the forces of sudden acceleration and deceleration. Generally speaking, the loss of function associated with a concussion is temporary. However, repeated concussions can eventually lead to permanent damage.
Any brain injury can lead to edema, or swelling. Many injuries cause swelling of the surrounding tissues, but it’s more serious when it occurs in your brain. Your skull can’t stretch to accommodate the swelling. This leads to pressure buildup in your brain, causing your brain to press against your skull.
Unlike most bones in your body, your skull doesn’t have bone marrow. This makes the skull very strong and difficult to break. A broken skull is unable to absorb the impact of a blow, making it more likely that there’ll also be damage to your brain. Learn more about skull fractures.
Diffuse axonal injury
A diffuse axonal injury (sheer injury) is an injury to the brain that doesn’t cause bleeding but does damage the brain cells. The damage to the brain cells results in them not being able to function. It can also result in swelling, causing more damage. Though it isn’t as outwardly visible as other forms of brain injury, a diffuse axonal injury is one of the most dangerous types of head injuries. It can lead to permanent brain damage and even death.
What are the symptoms of a head injury?
Your head has more blood vessels than any other part of your body, so bleeding on the surface of your brain or within your brain is a serious concern in head injuries. However, not all head injuries cause bleeding.
It’s important to be aware of other symptoms to watch out for. Many symptoms of serious brain injury won’t appear right away. You should always continue to monitor your symptoms for several days after you injure your head.
Common symptoms of a minor head injury include:
The symptoms of a severe head injury include many of the symptoms of minor head injuries. They can also include:
When does a head injury require medical attention?
Head injuries shouldn’t be taken lightly. See your doctor right away if you think you have the symptoms of a serious head injury.
In particular, you should always seek immediate medical attention if you experience any of the following:
Either call your local emergency services or go to an emergency room. Even if you don’t go to the ER immediately after the injury occurs, you should seek help if you still have symptoms after a day or two.In the case of a potentially serious head injury, you should always call your local emergency services. Motion can sometimes make a head injury worse. Emergency medical personnel are trained to move injured people carefully without causing more damage.
How is a head injury diagnosed?
One of the first ways your doctor will assess your head injury is with the Glasgow Coma Scale (GCS). The GCS is a 15-point test that assesses your mental status. A high GCS score indicates a less severe injury.
Your doctor will need to know the circumstances of your injury. Often, if you’ve had a head injury, you won’t remember the details of the accident. If it’s possible, you should bring someone with you who witnessed the accident. It will be important for your doctor to determine if you lost consciousness and for how long if you did.
Your doctor will also examine you to look for signs of trauma, including bruising and swelling. You’re also likely to get a neurological examination. During this exam, your doctor will evaluate your nerve function by assessing your muscle control and strength, eye movement, and sensation, among other things.
Imaging tests are commonly used to diagnose head injuries. A CT scan will help your doctor look for fractures, evidence of bleeding and clotting, brain swelling, and any other structural damage. CT scans are fast and accurate, so they’re typically the first type of imaging you’ll receive. You may also receive an MRI scan. This can offer a more detailed view of the brain. An MRI scan will usually only be ordered once you’re in stable condition.
How is a head injury treated?
The treatment for head injuries depends on both the type and the severity of the injury.
With minor head injuries, there are often no symptoms other than pain at the site of the injury. In these cases, you may be told to take acetaminophen (Tylenol) for the pain.
You shouldn’t take nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) or aspirin (Bayer). These can make any bleeding worse. If you have an open cut, your doctor may use sutures or staples to close it. They’ll then cover it with a bandage.
Even if your injury seems minor, you should still watch your condition to make sure it doesn’t get worse. It isn’t true that you shouldn’t go to sleep after you have injured your head. But you should be woken up every two hours or so to check for any new symptoms. You should go back to the doctor if you develop any new or worsening symptoms.
You may need to be hospitalized if you have a serious head injury. The treatment you receive at the hospital will depend on your diagnosis.
The treatment for severe head injuries can include:
If you’ve had a severe brain injury, you may be given anti-seizure medication. You’re at risk for seizures in the week following your injury. You may be given diuretics if your injury has caused pressure buildup in your brain. Diuretics cause you to excrete more fluids. This can help relieve some of the pressure. If your injury is very serious, you may be given medication to put you in an induced coma. This may be an appropriate treatment if your blood vessels are damaged. When you’re in a coma, your brain doesn’t need as much oxygen and nutrients as it normally does.
It may be necessary to do emergency surgery to prevent further damage to your brain. For example, your doctor may need to operate to:
If you’ve had a serious brain injury, you’ll most likely need rehabilitation to regain full brain function. The type of rehabilitation you get will depend on what functionality you’ve lost as a result of your injury. People who’ve had a brain injury will often need help regaining mobility and speech.
What’s to be expected in the long term?
The outlook depends on the severity of your injury. Most people who’ve had minor head injuries experience no lasting consequences. People who’ve had serious head injuries may face permanent changes in their personality, physical abilities, and ability to think.
Severe head injuries in childhood can be particularly concerning. It’s generally thought developing brains are susceptible to injuries. There’s ongoing research studying this issue.
Your healthcare team will work with you to ensure that you have as full of a recovery as possible.
On 21 March 2019 it is World Down Syndrome day. We found some facts, myths and a step-by-step guide for parents curtsy of Down Syndrome South Africa.
Facts about Down syndrome
Down syndrome is a chromosomal disorder arising at the time of conception. There is an extra number 21 chromosome (Trisomy 21) which causes delays in physical and intellectual development. The exact cause of Down syndrome is currently unknown. It is not related to race, age, religion and socio-economic status and is one of the most frequently occurring chromosomal disorders. Down syndrome is characterised by a variety of unique features and a wide range of abilities in physical and cognitive areas of development. Intellectual ability cannot be assessed by the number of clinical signs and symptoms present.
The majority of people with Down syndrome fall in the mild to moderate range of intellectual disability. The incidence of Down syndrome is estimated to be one in every 1000 live births in developed countries and one in every 650 live births in developing countries. (In South Africa it is roughly one in every 500)
Women over the age of 35 are at a higher risk of having a child with Down syndrome. Nevertheless, more than 80% of children with Down syndrome are currently being born to mothers under the age of 35. Although it cannot be cured, people with Down syndrome benefit from loving homes, appropriate medical care, early intervention, educational and vocational services. Due to advanced medical care, the majority of people born with Down syndrome today have a life expectancy of approximately fifty-five years. The person with Down syndrome has the same emotions and needs as any other person and deserves the same opportunities and care. The proper and accepted terminology for this disability is DOWN SYNDROME.
MYTHS ABOUT DOWN SYNDROME
MYTH: If a member of your family has Down syndrome you are more likely to have a baby with the condition.
FACT: Untrue, 99% of cases of Down syndrome are not inherited.
MYTH: People with the condition are incontinent
FACT: The vast majority of children with Down syndrome use the toilet like everyone else
MYTH: People with Down syndrome do not live very long.
FACT: People with Down syndrome have an average life expectancy living up to 60 or 70 years
MYTH: Children with Down syndrome will not thrive outside special schools, and only go to school to make friends and not to learn
FACT: On the contrary, increasing numbers of children with Down syndrome attend mainstream schools, and go on to achieve employment
MYTH: Babies with Down syndrome cannot breast feed
FACT: Babies with Down syndrome can and do breast feed successfully
Please click on the following links for the brochure in your preferred language as well as the step by step guide.
STEP BY STEP Guide for parents.
Sources: Mayo Clinic and others.
To Optima Nursing Staff: Thank you for your love and dedication towards our patients. We appreciate you!