Effectiveness of Nursing Care on Clients with Poisoning at Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research

Sasirekha, D (2011) Effectiveness of Nursing Care on Clients with Poisoning at Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research. Masters thesis, Adhiparasakthi College of Nursing, Melmaruvathur.

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Abstract

INTRODUCTION: Poisoning refers to an injury that results from being exposed to an exogenous substance that causes cellular injury or death. Poisons can be inhaled, ingested, injected or absorbed. The exposure to poison may be acute or chronic and the clinical presentation will vary accordingly. There are many factors determining the severity of poisoning and its outcome. They are the type of poison, dose, formulation, route of exposure, age of the client, presence of other poisons, the state of nutrition of the client and the presence of other diseases or injuries. Cardiopulmonary cerebral resuscitation (CPCR) should be performed for poisoning clients if needed. Containers of the poisons and all drugs that might have been possibly taken by the poisoned person should be saved and given to the doctor or rescue personnel. Diagnostic procedure in Poisoning is to identify the poison, which is helpful in treatment. Labels on bottles and other information from the person, family members, or coworkers best enable the doctor to identify poisons. Laboratory testing is much less likely to identify the poison. Sometimes, urine and blood tests may help in identification. Blood tests can sometimes reveal the severity of poisoning, but only with only a small number of poisons. OBJECTIVES: 1. To assess the health status of the client with poisoning. 2. To evaluate the effectiveness of nursing care on clients with poisoning. 3. To associate the effectiveness of nursing care on clients with poisoning with specific demographic variables. METHODOLOGY: This chapter deals with methodology adapted for the study and includes the description of research design setting of study population, sample size, sampling technique, criteria for the selection of sample instruments and tools and data collection. RESEARCH DESIGN: One group pre-test post-test design of pre-experimental was used to evaluate the effectiveness of nursing care for clients with poisoning by assessing the clients condition and their needs and problems were assessed and nursing interventions were provided. SETTING OF THE STUDY: The study was conducted in Melmaruvathur Adhiparasakthi institute of Medical Science and research, Melmaruvathur, Kancheepuram District. POPULATION: The population of the study comprised of clients who had poisoning in the age group of 18-45 years admitted at Melmaruvathur Adhiparasakthi institute of Medical Science and Research, Melmaruvathur, Kancheepuram District. SAMPLE SIZE: The sample size includes 30 clients who fulfilled the inclusion criteria. SAMPLING TECHNIQUE: Sampling technique used by the investigator was nonprobability, convenient sampling method. The convenient sampling technique was used to select the clients with poisoning. Data was collected from Melmaruvathur Adhiparasakthi institute of Medical Science and Research, Melmaruvathur, Kancheepuram District. INCLUSION CRITERIA: 1. Both male and female clients with selected poisoning (pesticide, oleander, kerosene and drug poisoning). 2. The clients who are admitted at Melmaruvathur Adhiparasakthi institute of Medical Science and Research, Melmaruvathur, Kancheepuram District. 3. Client who understand Tamil and English. EXCLUSION CRITERIA: 1. Clients below the age group of 18 years and above 45 years. 2. Clients with arsenic, cyanide, lead, methyl mercury, food poisoning, bites and stings. 3. Clients who are not willing to participate in the study. SUMMARY: In India, suicide rate has been increasing steadily and has reached 17.38 per 100,000. The most common method of attempting suicide by the use of poisoning agents accounts for 38% and poisoning is the fourth most common cause of mortality in India. A study was conducted on nursing care of patients with poisoning. The highlighted fact of this study was timely nursing interventions can prevent the complications of the poisoning effect. Lydia Hall’s theory was used in this study. Individualized nursing care was provided for each patient. One group pretest- posttest design was adopted and the study was conducted in Melmaruvathur Adhiparasakthi Institute of Medical Science and Research, Melmaruvathur, Kancheepuram District. Convenient sampling technique was adapted and sample size was determined as 30. A tool was developed to assess the patient condition and to check the effectiveness of nursing care based on standardized nursing process prepared by the investigator. Comprehensive nursing care was evaluated by checking the patient’s progress and description of the care written every day.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effectiveness, Nursing Care on Clients, Poisoning, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research.
Subjects: NURSING > Medical Surgical Nursing
Depositing User: Subramani R
Date Deposited: 11 Aug 2020 13:34
Last Modified: 11 Aug 2020 13:34
URI: http://repository-tnmgrmu.ac.in/id/eprint/12798

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