CHAPTER Ivf

7/23/2019 CHAPTER Ivf

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CHAPTER I

INTRODUCTION

The brain and spinal cord cannot be examined as directly as other systems of the body

thus much of the neurologic examination is an indirect evaluation that assess the function is

33an specific body part or parts controlled or innovated by the nervous system it provide cr

itical intimation that no other test can provide it tells us whether the patients nervous system is

working normally or not. It also helps to diagnose and localize the disease with in the nervous

system

The human nervous system is a highly specialized system responsible for the control and

integration of the body activities the ability to conduct neurologic assessment depends on the

nurses knowledge of neuro anatomy and neuro physiology and skill in recognizing and

interpreting subtle divisions from normal neurological assessment of the neurological patient is

based upon highly developed nursing assessment and clinical reasoning skills. The nurse must

know what parameters to assess. Proper technique for assessment and appropriate method of

documentation and how to interpret the data to decide what action should be taken. To detect

subtle and obvious changes in the neurologic examination and to in corporate such

information in to the context of the patient profile

The purpose of neurologic assessment for the advanced practiced nurse functioning in an

expanded role is

To identify the presence of nervous system dysfunction .

To determine the effects of nervous system dysfunction on activities of daily living

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and independent function. To detect life threatening situation.

To establish neurological data base for the patient.

To provide data base upon which nursing diagnosis will based.

!ssessment of a client experiencing a neurologic disorder is a challenge.

"eurologic disorders range from simple to complex and have profound consequences for

activities of daily living#!$%& and survival. "eurologic assessment establishes baseline data

that are used to compare ongoing assessment. $iagnosis actual potential health problems

manage client care evaluate health problems manage client care evaluate the outcome.

"eed for the study

'ead in(ury is a ma(or public health problem especially among male adolescent and

young adults ages )*+,- and among elderly people of both sexes * years and older. In the )/

th century little was understood about the brain and even less was known about how to treat

in(ury to it. 0ost serious in(uries to the brain resulted in death due to bleeding or infection.

Todaywe understand a great more about the healthy brain and it1s response to trauma although

science still has much to learn about how to reverse damage resulting from head in(uries. In

globally each year traumatic brain in(uries#T2I&contribute substantial number of deaths and

cases of permanent disability. In ,)*approximately * million people died from in(uries

globally and /4 came from low or middle countries. India is also experiencing and

increasing trend in in(uries particularly due to road traffic in(uries#5TI&at an alarming annual

rate of 34.the world report on road traffic in(uries prevention indicates that ,, road traffic

in(uries will be a ma(or killer accounting for 6 million deaths and )* million disability

ad(usted life years#$!%78&traumatic brain in(uries#T2I18&are a leading cause of morbidity

mortality disability and socio economic losses in india and other developing countries. It is

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estimated that nearly ).* +, million persons are in(ured and ) million succumb to death every

year in india. 5oad traffic in(uries leading cause#94& of T2I8 followed by falls #,4+,*4&

and violence #)4&alcohol involvement is known to be present among )*4+,4 of T2I8 at

the time of in(ury. In Tamilnadu every * mts some one become permanently disabled due a

head in(ury. +/ of those who survive will have life long disabilities. , more will

live in a persistent vegetative state. Tamilnadu had the highest number of road accident in the

country at 9,3, and the second highest number of deaths at )*)9. !t 5a(eev :andhi

government hospital and average of 9 road traffic accident victims is seen per day. In

;oimbatore is a main city in Tamilnadu were the accidents are happening regularly. The

statistical report say in a year of ,)*

• * traumatic brain in(uries in each year

• ,< of this in(uries require hospital admission

• =very * mts someone die from a head in(ury

'ence the investigator observed that most of the head in(ury #5T!&cases are admitted in the

hospital.Investigator also identified head in(ury patients are more risk for complication of

paralysis coma intra cranial hemorrhage some time death due to lack of knowledge regarding

staff nurses in early assessing of complications.Through the screening investigator found there

were more than * traumatic brain in(ury patient among ) population.so

8tatement of problem

! study to assess the effectiveness of planned teaching programme regarding knowledge

:lasgow coma scale among final year 2.8c. "ursing students in selected college at

;oimbatore

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>b(ectives of the study

To assess existing knowledge regarding :lasgow coma scale among final year 2.8; "ursing

students. To assess the post test knowledge regarding :lasgow coma scale among final year 2.8;

"ursing students To evaluate the effectiveness of planned teaching programme regarding glasgow coma scale

among final year 2.8; "ursing students. To determine the association between the socio demographic variables and post test

knowledge score among final year 2 8; "ursing students

'ypothesis

There is a significant difference between the level of knowledge regarding :lasgow coma scale

among final year 2 8; "ursing students. There is a significant association between the levels of knowledge and their selected

demographic variables.

>perational definition

I. =ffectiveness ?It is an extent to which an action produces a desired outcome. In this study if

refers to the extent to which structured teaching programme on :lasgow coma scale is

effective in improving the knowledge of nursing students

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II. Planned teaching programme?It refers to systematically well planned set of instruction which

focuses on a group designed to provide information regarding :lasgow coma scale through

lecture cum discussions with the use of ! @ aids

III. Anowledge? It refers to awareness and understanding of :lasgow coma scale of patient among

nursing students measured by knowledge questionnaire

!ssumption

"urses need adequate knowledge regarding :lasgow coma scale in assessing patients with

neurological disorders

$elimitation of the study

• The students who are studying final year 2 8; "ursing in 8ree !birami ;ollege >f "ursing.

• The students who are willing to participate.

• The study was limited to sample of 3 final year 2 8; "ursing students

Pro(ected outcome

The study will help the students to gain knowledge regarding :lasgow coma scale

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CHAPTER Ivf

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