Archive for the 'Healthy Procedures' Category

Reahabilitation is a team work

Wednesday, September 6th, 2006

Team Work
Doctor (specializing in physical medicine and rehabilitation - called a physiatrist)
In our setup - relatives
Social workers
Physical and occupational therapists
Rehabilitation nurses
Rehabilitation psychologists
Vocational counselors
Nutritionists
Other specialists.
Rehabilitation after Cerebral infraction
Physiotherapy – relieving spasticity, prevent contraction, use walking aids.
Speech therapy – need if aphasia
Need to prevent secondary depression.
Learn daily activities – (occupational therapy) - eating, drinking and swallowing…
Various modification may need at home –wheelchairs, stair rails…

Rehabilitation Medicine

Wednesday, September 6th, 2006

Rehabilitation may …
Physical therapy - treatment aimed at the recovery of musculoskeletal function, particularly recovery from joint, tendon, or ligament repair.
Physical medicine and rehabilitation - a branch of medicine dealing with restoration of function despite physical disability.
Psychiatric rehabilitation - a branch of psychology and psychiatry dealing with restoration of mental health and [life skills] after mental illness.
Neuropsychology Rehabilitation - therapy aimed at improving neurological function that has been lost or diminished by disease or traumatic injury.

Mainly need in…
In our setup, mainly needed in …
Cerebral infraction/strokes
Head injury
Myocardial infraction
After some surgery eg. hip replacement
Spinal Cord Injuries
Protein-energy malnutrition.

Wireless Medical Telemetry

Tuesday, August 1st, 2006

Wireless medical telemetry (WMT) is generally used to monitor patient’s parameters, mostly physiological parameters like heart rate, rhythm, over a distance via transmitting radio-frequency (RF) between a transmitter located in the patient’s body and a central monitoring station. These devices are very helpful and have the advantage of allowing patient movement and participate most normal activity since patient is not in the bed any more.

The Wireless Medical Telemetry Service (WMTS) report and order sets aside the frequencies of: 608 to 614 MHz, 1395 to 1400 MHz, and 1429 to 1432 MHz for primary or co-primary use by eligible wireless medical telemetry users. This action creates frequencies where medical telemetry will enjoy protection against interference from other in-band RF sources. This is very important for these WMT devices, since interferences can be lethal. A key feature of the new WMTS is the provision for establishment of a Frequency Coordinator to maintain a database of user and equipment information to facilitate sharing of the spectrum and to help prevent interference among users of the WMTS. The FCC order also provides a definition for wireless medical telemetry, which is consistent with recommendations made in April 1999 by the American Hospital Association (AHA) Task Group on Wireless Medical Telemetry. Define of wireless medical telemetry is ‘the measurement and recording of physiological parameters and other patient-related information via radiated bi- or unidirectional electromagnetic signals”

Removal of ear wax

Tuesday, July 25th, 2006

Wax is a secretion from ear and wax provides a protective layer on the meatal skin. There is a mechanism to remove wax and come out. Wax need only be removed if it causes deafness or interferes with a proper view of the ear drum. Should not insert foreign material to remove wax. Syringing is generally best avoided in young children, in patients with a history of recurrent otitis externa, a history of ear-drum perforation, or previous ear surgery. A person who has hearing in one ear only should not have that ear syringed because even a very slight risk of damage is unacceptable in this situation. Wax may be removed by syringing with water (warmed to body temperature), should be done only by medically trained person. If necessary, wax can be softened before removal using simple remedies such as olive oil ear drops or almond oil ear drops; sodium bicarbonate ear drops are also effective but may cause dryness of the ear canal. If the wax is hard and impacted the drops may be used twice daily for a few days before syringing; otherwise the wax may be softened on the day of syringing. The patient should lie with the affected ear uppermost for 5 to 10 minutes after a generous amount of the softening remedy has been introduced into the ear. Some proprietary preparations containing organic solvents can irritate the meatal skin, and in most cases the simple remedies indicated above are just as effective and less likely to cause irritation. Docusate sodium or urea–hydrogen peroxide are ingredients in a number of proprietary preparations for softening ear wax.