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All Journal Indian Journal of Forensic Medicine & Toxicology
Vaishali Tembhare
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Addressing Mental Health Issues During COVID -19 Pandemic Savita Pohekar; Arti Raut; Vaishali Tembhare; Sheetal Sakharkar
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14411

Abstract

Objectives: analyzing psychological issues due to covid 19 and emphasizing psychological copingmechanisms.Method: International journals found in two electronic databases were used to identify studies with largecirculation: Scopus and Embase.Findings: The present epidemic in Wuhan (China) triggered by the pandemic COVID-19, corona virusinfection on human sites around the world, has a major impact on global health and mental health. Inaddition, given all instruments used to battle virus spread, additional strategies for addressing the mentalhealth balance in India are needed. The general issues of mental health are growing, COVID-19 patientstainted, near contacts, older citizens, kids and health staff. Most health professionals who work in isolationunits and hospitals are not trained on mental health. The consequence of mass quarantine seems more likelyto be fear.
Assess the Effects of Back Massage to Improve Sleeping Pattern of the Postoperative Cardiothoracic Patients among the Selected Hospitals Vaishali Tembhare; Menaka S.P.
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14478

Abstract

Background : During the recovery time after cardiac surgery, some patients find that they have disturbed sleep.This is due to a combination of the effects of anesthesia, pain or discomfort in the area of the incisions, back,shoulder, and neck pain from manipulation of body during surgical procedure and the post-operative changesto daily routine and stress. Lack of sleep may cause fatigue; delay in recovery process and lead to prolongedhospitalization Therapeutic back massage has gained support as an intervention that improves the overallrelaxation of the body. Patients experience back massage as a calming, stimulating and effective measure ofsleep-inducing influence. Objectives: To assess the sleeping pattern of post operative cardiothoracic patientsbefore giving back massage, To assess the sleeping pattern of post operative cardiothoracic patients aftergiving back massage, To compare the difference between before and after massage effect on sleeping patternof post operative cardiothoracic patients, To correlate the effects of back massage with selected demographicvariables and to find out association between before and after back massage effects on sleeping pattern ofpost operative cardiothoracic patients. Material and Methods: An experimental method research with aconfiguration which is quasi experimental (non-randomized control group). This research was carried outin selected hospitals of the Vidharbha Region on postoperative cardiothoracic patient. Result: Statisticallysignificant difference was found in sleeping pattern score of postoperative cardiothoracic patients, beforeand after massage effect in experimental group. Conclusion: Massage evokes an aura of acceptance, bodyrespect and treatment. The intimate personal contact suggested in massage improves the bond between thenurse and the patient and this in effect provides an environment for wellbeing and healing. The present studyconcludes that back massage has an effect on improving the sleep pattern of postoperative cardiothoracicpatients in order to cope with the problem of postoperative sleep disruption that helps to recover early aftersurgery.
Case Report on “Budd Chiari Syndrome” Mercy Joseph; Vaishali Tembhare
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14801

Abstract

Background: Hepatic Vein Thrombosisis also known as Budd Chiari Syndrome is a sparse disordermarked by obstruction and narrowing of the hepatic veins i.e., veins of the liver. 70% casers of Budd ChiariSyndrome are unknown. Approximately 10% have polycythemia vera which is a type of blood cancer.Clinical manifestations can be developed due to the blockage of the major veins which carries blood fromthe liver to the heart. Features may include hepatomegaly (an abnormally enlarged liver), pain in the upperright part of the abdomen, yellowish color of the skin and sclera (whites of the eyes) jaundice i.e., due tojaundice, ascites i.e., accumulation of fluid in the peritoneal cavity between the two layers of membranethat lines the stomach. Portal hypertension (due to increase in pressure of the portal veins) etc. Diagnosisof hepatic vein thrombosis is made based upon a detailed diagnostic findings, a thorough history of patient,and a variety of specialized tests. Management of hepatic vein thrombosis includes corticosteroid drug.anticoagulants, angioplasty, etc. Patient history: The patient is a female, 46 years old who was admittedin A.V.B.R.H. on 29/11/19 with chief complaints of tenderness in abdomen on palpation, fever, rigor andpain. Past history: Patient is a known case of hypertension and cerebrovascular accident. Clinical findings:The patient has undergone venography, Complete blood count, etc. Pharmacology: The patient was treatedwith medications such as, tab. Augmentin 625 mg, tab. Pantop 40 mg, tab. Ultracet 50 mg, tab. Mucomix625 mg. Nursing management: Administered IV fluids as advised by physician. Administered medicationsas prescribed by physician. Monitored vital signs. Conclusion: The 46 years old female was admittedto AVBRH in Cathlab ICU with chief complaints of pain in abdomen, fever, rigor etc. after undergoinginvestigations she was diagnosed as Budd Chiari Syndrome.
Co-Authors Arti Raut Menaka S.P. Mercy Joseph Savita Pohekar Sheetal Sakharkar