Volume 1 : Issue 5

Editorial

Water, water everywhere, but not a drop to drink" - so sang Samuel Taylor Colleridge in "The rhyme of the ancient mariner!" We can now sing "Guidelines, guidelines everywhere, but guideline-directed therapy is nowhere to find"!

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Editorial Board

Group Medical Director, Kauvery Hospitals, India

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The Good Nurse

Once, a girl who just finished her 12th grade, was accidentally put up to a situation to pursue her career in Nursing. She started her studies with literally no interest and motive, she felt too unmotivated and started to feel so inferior within herself.

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Success story of a patient with Haemangioma

The aim of this article is to highlight the significance of Giant Hemangioma, the term reserved for lesions larger than 5 cm.

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Role of physiotherapy in Bell's Palsy at outpatient department

The aetiology of Bell's palsy may be idiopathic or attributable to infection, trauma etc.

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Arrhythmogenic Right Ventricular Dysplasia: A Cardiomyopathy

A 51-year-old male came with complaints of chest pain for 2 days. He had a past history of breathlessness since 2011.

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Systemic Lupus Erythematosus (SLE)

Systemic autoimmune conditions may cause morbidity and mortality. Systemic Lupus Erythematosus (SLE) is a prominent example of such diseases.

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Teamwork makes a Dreamwork

Viper envenomation is a potentially life-threatening disease caused by toxins in the bite of a venomous snake.

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Cholecysto Cutabeous Fistula, an emerging problem: a challenging outcome

A fistula is an abnormal communication between two epithelial surfaces.

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Adhesive small bowel obstruction: Nutrition care process

Adhesive small bowel obstruction (ASBO), is defined as the small bowel obstruction that results from adhesions that follow previous abdominal or pelvic surgeries.

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Diagnostic Image

Moderate pitting edema of both lower limb of about 4mm depression.

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Volume 1 : Issue 4

Editorial

Water, water everywhere, but not a drop to drink" - so sang Samuel Taylor Colleridge in "The rhyme of the ancient mariner!" We can now sing "Guidelines, guidelines everywhere, but guideline-directed therapy is nowhere to find"!

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Editorial Board

Group Medical Director, Kauvery Hospitals, India

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Guideline directed drug treatment for heart failure

Heart failure remains a leading cause of morbidity and mortality globally.

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Dilated cardiomyopathy

Cardiomyopathies are disorders of the cardiac muscle that cause mechanical and/or electrical dysfunction that result in dilated, hypertrophic or restrictive pathophysiology.

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IV Proton Pump Inhibitors (PPIs): What are the true indications?

Proton Pump Inhibitors (PPIs) block the acid-producing enzyme system in the stomach wall and prevent acid production in the stomach.

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Chronic obstructive pulmonary disease: A case report

Chronic obstructive pulmonary disease (COPD), a common preventable and treatable disease, presents itself as persistent airflow limitation that is usually progressive and is caused by an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases.

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Role of physiotherapy in GBS patients during hospitalization:A case presentation

Guillain- Barre syndrome is an acute polyneuropathy characterized by acute flaccid paralysis with or without sensory/ autonomous nerve dysfunction.

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Pulmonary Thromboembolism

Pulmonary Thromboembolism is a condition in which one or more arteries in the lungs get blocked by a blood clot.

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Paraquat poisoning, an emerging problem, a challenging outcome

Paraquat is a herbicide of great toxicological importance. Paraquat poisoning is an emerging problem, and the mortality rate of patients with severe paraquat poisoning is extremely high.

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Achievements of today are the stepping stones for success tomorrow !

Over the years, organizations have been successfully practicing Quality Circle for excellence.

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Diagnostic Image

Vitamin B 12 deficiency anaemia with nail discolouration

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Volume 1 : Issue 3

Editorial

Dear colleagues,
The songs sung by the NIGTINGALE get more strident with each issue!
This issue strikes a high note, right at the beginning. Nurse Arnol Nylcy sings out "I am proud to be a liver transplant nurse!"

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Editorial Board

Nightingale - A Kauvery Scientific Journal

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I am a proud to be a Liver Transplant Nurse!

I am proud to be a nurse because nothing is more gratifying than gifting my patient the simple power of my touch, the calm tone of my voice, a moment of silence when required, but always a kind word.

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Head Injury: A case report

A head injury is any trauma to the scalp, skull or brain. Head injury can either be open or closed. Head injuries include skull fractures, scalp wounds and concussion and it may cause bleeding in the brain tissue or in the layers that surround the brain. Head injury is a very common reason for an emergency visit. Traumatic brain injury (TBI) accounts for over 1 in 6 injury-related admissions each year. The CDC approximates that around 52,000 people die every year due to severe TBI (STBI). Nurses are the health care professionals who see the full impact of TBI and have the skill that can alter the course of a patient's recovery. Nurses requires knowledge and skills to provide quality care to the adults with STBI. Nurses play a vital role in the management of patients with STBI. Let us discuss about the nursing management of a patient admitted with Head injury in this article.

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Postpartum/Peripartum Cardiomyopathy

Postpartum or peripartum Cardiomyopathy (PPCM) is a rare form of congestive heart failure of unknown etiology. Heart failure in the Peripartum period was first described in 1849.

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Nursing Care of Patient with Myocardial Infarction

A 35-year-old male, with no history of Diabetes or Hypertenstion, came with complaints of chest pain since 12.30 pm.

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Nursing challenges faced in care of patient with Blunt Injury Abdomen

Abdominal trauma/injury caused by blunt force can be potentially fatal. A most common cause of blunt abdominal trauma is a road traffic accident. Violence is a close second. Blunt injury abdomen often leads to complications such as peritonitis, shock, bowel obstruction, abdominal aortic aneurysm, mesenteric artery tear etc.

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Salicylate poisoning

Salicylates are ubiquitous agents found in hundreds of over-the-counter (OTC) medications and in numerous prescription drugs, making salicylate toxicity an important cause of morbidity and mortality.

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Vascular Access Management (VAM) training program for nurses

Improving the Knowledge, Confidence, and Skills of Kauvery Nurses in Peripheral Intravenous Catheter Insertion

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Therapeutic Nutrition among Critical care patients

In this article we shall discuss therapeutic nutrition among patients admitted to critical care units. The introduction states the importance nutritional therapies given during critical care.

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Diagnostic Image

Answer: Palmar hyper linearity
Hyper linearity is a thickening of the skin on the palms and soles with an increase in the number of lines in the skin.

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Volume 1 : Issue 2

Editorial

For two terrible COVID years I requested pulmonologists, radiologists and respiratory therapists to write on the COVID Lung. At last, Tamilselvi, Senior Physiotherapist, Tennur, bravely writes on Segmental Breathing and Active Cycle of Breathing Technique in the Management of Dyspnoea among Covid-19 patients.

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Editorial Board

Nightingale - A Kauvery Scientific Journal

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Effectiveness of segmental breathing and active cycle of breathing technique in the management of dyspnoea among covid-19 patients

Coronaviruses are enveloped, positive single-stranded large RNA viruses which were first described in 1966 by Tyrell and Bynoe, who cultivated the viruses from patients with common colds. COVID-19 affects different people in different ways.

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Biological or circadian clock

Circadian rhythms describe biological phenomena that oscillate within a 24-hour cycle. These rhythms include blood pressure, body temperature, hormone levels, the number of immune cells in blood, and the sleep-wake cycle. In this article, we will discuss about the biological clock, its importance and a proper way to follow the biological clock or circadian rhythm to lead a healthy lifestyle.

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A novel direct thrombin inhibitor from tick salivary transcriptoms: A review

The tick midgut and salivary glands represent the primary organs for pathogen acquisition and transmission, respectively. Specifically, the midgut is the first organ to have contact with pathogens during the blood meal uptake, while salivary glands along with their secretions play a crucial role in pathogen transmission to the host.

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Nursing Care of a Patient with Coarctation of aorta (COA)

Coarctation of aorta accounts for 5.8% of all congenital heart defects. Coarctation of the aorta may occur as an isolated defect or in association with various other lesions, most commonly bicuspid aortic valve and ventricular septal defect (VSD). Coarctation of aorta is a congenital (present at birth) heart defect involving a narrowing of the aorta. The aorta is the large artery that carriers oxygen rich (red) blood from the left ventricle to the body. The narrowed segment called coarctation of aorta.

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Nursing care of patient with aortic dissection

An aortic dissection is a medical emergency in which a tear occurs in the inner layer of the body's main artery (aorta). It's most common in men in their 60s and 70s. Blood rushes through the tear, causing the inner and middle layers of the aorta to split (dissect). If the blood goes through the outside aortic wall, aortic dissection is often deadly.

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Wireless moonlight: An ultra-short case study

A 70 years old gentleman who had chest pain on 26-06-2022 was taken to outside hospital for treatment and he was referred to Kauvery hospital, Salem for further management.

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Acute liver failure: A case report

Acute liver failure (ALF) is a severe consequence of sudden hepatic injury, and has a poor prognosis. It can evolve over days or weeks. Some of the important etiological factors for ALF are alcoholism, paracetamol toxicity, viral hepatitis, Non-alcoholic steato-hepatitis, poisoning (rat killer, OPC, poisonous mushroom), and drug-induced liver injury. Damage to the liver cells produce altered mental status, significant elevation of liver enzymes and disturbed coagulation process. It requires early recognition and effective immediate management. Liver transplantation should be considered as a surgical management for acute liver failure thereby avoiding a life-threatening crisis.

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We nurses hand-hold a patient on a long walk down a dark COVID road

Every patient's story and outcome are their own. Here, we share a patient's story to illustrate how our nursing team impacted her life, how her story impacted ours. An incorrect diagnosis would have almost inevitably lead to an incorrect treatment. So, coordinated activity, open communication, and encouragement to voice concerns are all part of the dynamic that needs to drive such situations so patients will attain the best possible outcomes. In this article, we describe our journey with a patient who was treated in our hospital over three months, and emerged without any complications of a long stay at a hospital.

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Volume 1 : Issue 1

Message from Dr. Manivannan Selvaraj, Founder and Managing Director, Kauvery Hospitals

On the occasion of the launch of the NIGHTINGALE!
Dear Kauverians,
The KAUVERIAN e-Journal has already become a part of our working life, as it speaks up, unfailingly, every fortnight.

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Editorial

What makes the Kauverian Nurse different?
We present 15 sterling reasons, through 15 papers, published in the inaugural issue of the NIGHTINGALE, Aug 15, 2022, the Independence Day Edition.

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Editorial Board

Nightingale - A Kauvery Scientific Journal

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Voices from the field!

Nursing leaders speak from the first battlefront to open, on the war against COVID-19 at Kauvery Hospital, Tennur, Trichy
The COVID-19 pandemic affected all countries in the world. The outbreak was first identified in December 2019 in Wuhan, China.

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Junior nurses in Kauvery Hospital on the frontline against the COVID-19 pandemic

The Coronavirus disease (COVID-19) is a major global public health emergency affecting more than 120 million people worldwide, resulting in more than 2 million deaths across 199 countries.

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Challenges in nursing care in achieving a successful outcome to a Liver Transplant on a 2-year old child with life threatening genetic condition

Liver Transplantation is successfully done for liver failure and liver cancer in selected patients. Liver transplantation for metabolic disorders due to genetic defect is rare and done in children mostly.

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Nursing management of a multi-organ transplant (Liver and Kidney) on an adolescent

Primary hyperoxaluria type 1 (PH1) is an uncommon and progressive genetic disease with debilitating and life-threatening clinical manifestations due to increased hepatic oxalate production.

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Successful discharge of a four year old baby with life threatening gas gangrene and compartment syndrome

A 4-years-old child was brought on 05 Apr 19, with complaints of:
(a). Fever for 5 days, high grade and intermittent in nature
(b). Swelling of left thigh, rapidly progressing in a day
(c). Discolouration of left thigh
(d). Vomiting (+), not blood stained

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The revolutionary effect of a nursing-driven initiative to reduce ICU re-admissions

Hospital stays are a frightening and financially draining experience for the average person. The experience of living with a critically ill, bedridden patient is profoundly traumatic for their families, even the chronically sick. The readmission of a ward patient to a critical care unit is one of the most distressing situations.

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Nephrotic syndrome: A case report

Childhood Nephrotic syndrome is characterized by severe proteinuria and hypoalbuminemia, with edema as the most common presenting symptom. The majority, of more than 90%, children with Nephrotic syndrome would have minimal change disease and achieve remission of proteinuria from treatment with glucocorticoids.

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Nursing Care of Patient with Thoracic Endo vascular Aortic Repair (TEVAR)

The aorta is the largest artery in the body that carries blood away from your heart to the rest of your body. Although your aorta is a tough, durable workhorse, sometimes its walls can weaken and bulge in what is called an aortic aneurysm.

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Efficient Nursing Care equals Early Recovery

A 63-Year-old male patient presented with complaints of breathlessness and fast breathing. He was diagnosed to have COVID - 19 Pneumonia earlier for which he was initially treated for 15 days in a hospital, where he developed a bedsore. He was referred here for further management.

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Umbilical Cord Blood Banking is a lifesaver for your family, "Create one life, save another": A review

Umbilical Cord Blood Banking (UCB)is also known as "stem cell banking".
An umbilical cord blood bank is a facility which stores umbilical cord blood for future use.
Cord blood is collected from the placenta during the third stage of labour.

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Effects of screen time and role of parents to prevent its impact

Children's brain grows to about 80% of adult size by age 3 and 90% - nearly full grown - by age 5.90% of brain growth happens before Kindergarten. Hence, it is important to focus on brain health of the young and tender future generations.

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Challenges associated with wearing gloves

Donning and doffing gloves is a very basic action performed on healthcare premises, and one of the first lessons taught to every healthcare personnel as a fundamental principle of hand hygiene.

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Certificate Course on Infection Control 2022

Healthcare-associated infections (HCAIs) have steadily grown in their dimensions and impact as patients are being admitted with more complicated presentations of injury or illness and, consequently, medical care has grown more complex.

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The ANEI Young Leader Award, 2022, comes to Kauvery Hospitals!

Annually, the Association of Nurse Executives in India (ANEI) recognize, and award, nurse leaders who have the potential to become impactful health care leaders and demonstrate exemplary leadership attributes within their organization, community and the nursing profession and embody innovation, influence and inclusion.

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The AHPI Nursing Excellence Award 2022, comes to Kauvery Hospital, Tennur

Excellence in Nursing is defined by professional nurses who advocate for the patient in all aspects of care, and who know and employ Nursing Process and Best Practices in giving holistic, individualized attention to everyone in their care. Nursing excellence demands compassion, commitment, continuing education, practice, evidence-based outcomes, and peer review.

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