Day 2 :
Keynote Forum
Yoshiko Hasebe
Nayoro City University, Japan
Keynote: Onset of dysgeusia in cancer patients receiving outpatient chemotherapy (review)
Biography:
Yoshiko Hasebe has been working at Nayoro City University, School of Health Science. She is a Professor of Adult Nursing and has her expertise in evaluation and passion in improving the nursing practice. She has published many textbooks and DVDs about nursing arts in Japan.
Abstract:
Many cancer patients on outpatient chemotherapy complain of dysgeusia. Thus, we searched the literature database of four journals that publish articles related to anti-cancer chemotherapy and taste perception and reviewed knowledge useful for nursing care of cancer patients. We found that dysgeusia frequently occurred at a relatively early stage when FOLFOX/FOLFIRI combined with 5-FU, or regimens involving a taxane and related agents were used. The risk of dysgeusia was significantly higher with DTX than with other regimens. This can be explained by the formation of a chelate between 5-FU and zinc, which in turn elevates urinary excretion of zinc, leading to zinc deficiency. Perception of all basic tastes (saltiness, sweetness, sourness and umami) except bitterness, tended to be impaired. The frequency of impairment of saltiness perception appeared to be relatively high. Taxanes and related regimens were associated with a high occurrence rate of impairment of umami perception and with severe changes in saltiness perception. Considering the report showing the link between the impairment of saltiness perception and low plasma zinc levels, regimens involving 5-FU is likely to cause disorders in saltiness perception. Possible causes of dysgeusia attributed to anti-cancer agents include inhibition of taste bud metabolism, lingual nerve disorder and zinc deficiency. It is likely that dysgeusia in patients receiving a taxane and related agents is attributed to peripheral nerve disorders, since these agents do not cause zinc deficiency. Experimental S-1 administration in rats suggested the possibility that dysgeusia is caused by damage to the gustatory nerve but not mucosal epithelia and taste buds. Regimens involving relatively low doses of 5-FU, for example CMF and FEC therapies can cause dysgeusia, although it did not appear severe enough to influence patients’ appetite. The frequency of dysgeusia in patients receiving Gemcitabine (GEM) was also significantly low.
- Surgical Oncology Nursing | Orthopedic Surgery | Neurosurgery | Oral and Maxillofacial Surgery | Transplant Surgery | Plastic and Reconstructive Surgery | Types of Nursing | Nursing Practice | Nursing Management | Clinical Nursing
Session Introduction
Ishraga Mohamed Ahmed Elbashier
Alzaiem Alazhari University, Sudan
Title: Qualitative evaluation for cardiac surgical patients experience during psycho-educational sessions in Ahmed Qassim cardiac center-2017
Time : 11:00-11:30
Biography:
Ishraga M A Elbashier has obtained her MSc (2007) and PhD (2017) in Medical Surgical Nursing from the University of Khartoum, Sudan. She is currently an Assistant Professor in AAU, Faculty of MTS Nursing Department. She is also the Head of Quality Assurance Department teaching pre and post-graduate student’s medical surgical nursing module, critical care nursing, nursing theory, nursing management and research methodology.
Abstract:
Background & Aim: Psycho-educational interventions may be delivered to strengthen the holistic care for cardiovascular surgical nursing, this type of intervention generally includes providing patients with information about treatments, symptoms, resources and services; training to provide care and respond to disease-related problems and problem-solving strategies to understand and be better able to deal with the presented illness in order to improve patients health outcomes. This study aim to explore patients’ experiences and thoughts during preoperative psycho-educational sessions to capture their perspective of care delivered.
Methods: Semi-structured interviews were conducted at the day of discharge with five cardiac surgery patients participated in psycho-educational sessions held in Ahmed Gassim Cardiac Center pre cardiac surgery. Family members and friends were also invited to contribute to the interviews. The interviews lasted between 15 and 20 minutes. An open question was developed to guide the conversation. Questions asked during the interview were focused on their perception of the provision of information and effect in their immediate recovery from surgery, their thoughts and opinions about information provided. Audio-visual recorder was used during each interview with the participant’s acceptance. The interviews were repeatedly listened in order to check and confirm accuracy. The transcribed data were then coded and thematically analyzed.
Result: There were three themes emerged during data analysis and interpretation, patient experience, motivation to participate and Strength from knowledge.
Conclusion: The participants assured that they have got a complete benefit from their participation in the preoperative psycho-educational sessions by increase their feelings of strength, confidence and control over the situation. Psycho-educational sessions are satisfactory for cardiac surgery patients.
Forazy Anisur Rahman
International Nursing College, Bangladesh
Title: International Nursing College, Bangladesh
Time : 11:45-12:15
Biography:
Forazy Anisur Rahman has completed his Graduation from University of Dhaka, Bangladesh under Faculty of Medicine (BSN Program). He has passed National Leadership Program for the nurses under the fellowship of world health organization and has successfully completed his MSN from the University of Adelaide, Australia. He has been awarded PhD from University of New Castle, Portland, Oregon, USA. He has been working to build up nurse’s career in inland and abroad. He has a significant number of research work publications in national international journals. He has also participated in a significant number of conferences as a Speaker, Presenter and Moderator. He has been delivering media speech in TV channels and has been writing in daily national and international newspaper. He is now working as a Principal of International Nursing College, Bangladesh. He is a renowned Orator.
Abstract:
Bangladesh is a densely populated country in south Asian region. The population density is 1252 /Sq.km. Health sector of Bangladesh have been reforming and advancing day by day. In light of presenting current situation of nurses in Bangladesh, a review article is compiled with various research papers, from the speeches of dignitaries and from the reports of social media’s. In Bangladesh, nurses and the nursing profession are both largely neglected. We must find out the root of every problem and solve the problem at the very root. The nurses in Bangladesh are facing a lot of problems including their status, dignity, work benefits, working environment, service guaranty and social stigma. Risk of nursing service is high and nurses have no defined work policies. Within these constraints a significant number of nursing institutions has been buildup under the regulations of Bangladesh nursing and midwifery council. Now a day’s Bangladesh is producing more than 12000 qualified nurses and midwives per year. As there is tremendous shortage of qualified nurses in global arena, in that prospects of Bangladeshi nurses can largely contribute to meet its own demand. But there is also lot of constraints in terms of immigration and recruitment of qualified nurses in Bangladesh. As the health care sector is expanding worldwide day-by-day, but the shortages of nurses are increasing in comparison to increasing number of patient and population. It is one of the major problems to establish quality patient care due to lack of qualified nurses. Hospital staying, patients’ sufferings and nurses’ workload has been contributing nurses burnout. As a result study showed its negative impact on health care. A new dimension is to be opened for the nurses in both public and private sector to uphold the position of nurses.
Snezana Medakovic
Institute for Cardiovascular Diseases Dedinje, Serbia
Title: Emergency conditions in cardiac surgery and obstetrics: A case report
Time : 12:15-12:45
Biography:
Snezana Medakovic has 29 years of experience of working in the operating theatre. She has published and presented over 40 publications at various congresses. She is accredited as a Lecturer of the Belgrade Association of Health Workers of Belgrade since 2012. From 2012 she was the Lecturer of Practical Training for the Scrub Nurses of the Medical College of Professional Studies in Belgrade.
Abstract:
During 2016, two pregnant women in the last weeks of gestation were admitted to the Institute for the Cardiovascular Disease Dedinje. Both patients were admitted urgently because they were diagnosed with acute dissection ascendant aorta. One was sent from the Novi Pazar Health Center and the other from the Clinical Center of Kragujevac (two regional hospital centers). Coordinating health professionals at all levels contributed to good, rapid and effective preparation for the reception of these patients. Three teams were organized: Gynecologic-obstetric, neonatological and cardiac surgery. With such an extensive and large team, communication and cooperation are of the utmost importance. Mutual cooperation between health professionals with in such big teams is extremely important for successful surgical procedures. The assessment of team leaders was that, it was necessary to begin with the imperial cut-release pressure on the abdominal aorta in order to reduce the pressure on the ascendant aorta as well as to free the child from reduced oxygenation and then immediately perform cardiac surgery. The gynecological-obstetric team was on standby, and the neonatal team prepared transport incubator. With the last surgical suture in the abdomen, the patients were admitted to the cardiac surgery team. Successful collaboration of the multidisciplinary team has led to complete success because the mothers and the babies survived this extremely difficult state of health. The satisfaction of all three teams is enormous, because the mothers and the babies, post-operative over the period continued their normal life.