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Tuesday, October 13, 2015

How to Choose the Right Natural Treatment Mask


White facial skin has become a dream every person, whether it's women or men. Many people are willing to do anything to get a smooth white face. There were go to a doctor with a big cost, there is also wearing facial bleach, there is injected and much more. But nothing last long, that there is even damage the skin. Better try a natural material that you can create and process their own.

With traditional ingredients guaranteed to make more effective and economical. But before making the traditional ingredients, you first need to know your skin type. So you can make maximum skin care.

Types of Skin

1. Normal Skin


Normal skin generally has a degree of dryness and humidity standards. So that normal skin is usually very rarely got into trouble on the skin. So that when the process whiten the skin, normal skin tends to be easier. The skin looks a bit dry, but not too dry, but it is also the skin look smoother.

2. Oily Skin


Oily skin has the characteristics of a shiny face. The skin produces more oil. So sometimes it is very difficult for oily skin wearing makeup, because it will be easier to fade. However, the skin will tend to be more youthful because humidity is maintained. Although with difficulty a lot of dirt and may clog pores causing acne. Well then of the people who have oily skin are at high risk of acne. So wash your face frequently, especially after traveling and wearing makeup.

3. Dry Skin


For dry skin is recommended to always use a moisturizer to keep skin smooth and moist, so the skin is maintained and away from wrinkles. This skin tends to look dry even face sometimes looks flaky.


Which Must be Considered
  • For dry skin should never or too frequently wash your face with warm water because it will make the skin more dry. But for oily skin it is recommended to use warm water.
  • For dry skin are preferred to wear a mask least once a week use milk cleanser and toner as well, but for oily skin should not.


Choosing the Right Natural Treatment Mask
  • Normal skin: For normal skin is not too problematic, you want to use any natural mask. Provided that thereafter washed and cleaned. But should wear cucumbers, carrots, potatoes etc.
  • Oily Skin: For oily skin is highly recommended to make a natural mask of pineapple or lime. Other materials that can be used is egg white, egg yolk and honey.
  • Dry skin: For dry skin you can make a mask of avucado, yam, bananas and other fruits. Moreover mask that contains flour is also very good.

Monday, October 12, 2015

Do You Know The Common Symptoms of Sinusitis ?

If you are having difficulty breathing, nasal congestion, pain in the eye or forehead, face like feel full, even on your teeth ache. You'd better be careful. You can be exposed to sinusitis. Those are some common symptoms of sinusitis. Do you know what exactly is sinusitis?

Sinusitis can be described as an inflammation of the sinus area. Sinus itself an air space that is located in the area of the face and connect directly with your nose.

Well, due to the inflammation of the sinus area are stockpiling the lenders in the sinus area. This resulted in the growth of bacteria. Well, but to diagnose sinusitis a person is infected with is not easy.

This is due to sinusitis symptoms similar to flu symptoms. A child whose flu for more than ten days is suspect that the child has been exposed to sinusitis.

Well, that's why on this occasion will discuss these concerns sinusitis symptoms. And expected you able to cope.

1. Nose colds
At first the disease begins with cold sinusitis. It is caused by inflammation triggered by colds, irritation or allergy attack that is common in sinusitis.

2. Pressure around the teeth and face
Basically sinusitis patients who are already infected will experience symptoms much. Usually a patient will experience nasal congestion even sick or feel excessive pressure in the area around the teeth and face. Excessive pressure on the teeth and facial area is a major sign that signifies that a person infected sinusitis. The pressure caused by the already inflamed tissue in the wall of nerve endings in your sinuses.

If you feel pain in the forehead area or even hurt your head then this is caused by frontal sinusitis which is located in the upper area of the forehead or eyes. If you feel pain in the cheek area and then spread to an area of the upper teeth, then this is caused by maxillary sinusitis located in both your cheekbones.

However, if you feel pain in your eye area, then this is caused by ethmoid sinusitis that lies between your eyes. Whereas if the pain in the crown of the head, behind the eyes or even along your neck, then this is a result of the sphenoid sinusitis which is located below the brain and behind your nose.

3. Nasal mucus
Symptoms of sinusitis worse still is the patient's nose will discharge that is green, yellow, or clear it. Other symptoms experienced by the patient is feeling excessive fatigue.

4. Decreased sense of smell and taste
In addition to the symptoms of sinusitis above, there are also symptoms of a reduction in your sense of smell. Due to the swelling of the lining of the nose will inhibit many kinds of smells that you can breathe.

So make your olfactory receptors will gradually experience a reduction. It turns out in addition to the reduction of sense of smell, your taste buds power will also decrease.

5. Cough and breath odor
Other common symptoms of sinusitis are experienced by patients is that bad breath and coughing. Bad breath caused by mucus that had been infected. This mucus containing bacteria so that if the exit going to stink.

If cough, this occurs because the mucus that can touch your vocal cords so will cause you to cough. Some symptoms of sinusitis should be considered because of the help that is ignored or overlooked (untreated), will make the germ of a sinusitis infection spread to the bone around the affected sinus cavity, eye, receptor (brain), and even the lungs.

Symptoms of Anemia That Can Facilitate You To Know

Anemia is a condition where the body is deficient in red blood cells or hemoglobin (the oxygen-carrying protein). Hemoglobin is an important element that should be normal so that oxygen is successfully distributed to all tissues of the body through the lungs.

Someone said anemia when the concentration of hemoglobin (Hb) less than 13.5 g / dL or hematocrit (HCT) is less than 41% in men, and hemoglobin concentration of less than 11.5 g / dL or Hct is less than 36% in women.

Anemia makes the process of circulating red blood cells to be disrupted, so that the body is deprived of oxygen which is then processed into energy. From here already clear that the initial symptoms of anemia can be often feel tired, tongue and eyelids pale.

Anemia is also associated with less blood condition. Here is a series of symptoms of anemia that can facilitate you to know anemic from sources Activebeat.

1. Fatigue and lack of energy
Fatigue is a common symptom of anemia that all patients must have experienced it. Some types of anemia, such as iron deficiency or vitamin B-12, may cause long-term excessive fatigue due to low hemoglobin levels.

2. Headaches and shortness of breath
Anemia makes patients feel tired often excessive, although it is not currently doing any strenuous activity. Moreover, it is not uncommon patient complained of headaches and shortness of breath. Such as when getting up suddenly from sitting, the head feels dizzy and the room seemed to move round. The condition indicates severe anemia caused by multiple organ finds no sufficient blood and oxygen. If there is a long term concern of the body ischemia, ie, the death of some tissues or cells.

3. Damage to some organs, such as brain and heart
Some parts of the body requires oxygen carried by hemoglobin so that its performance remains stable. Therefore, anemia interfere with the delivery process, the cardiovascular system disorders. Lack of oxygen-carrying blood not only result in extreme fatigue, but rather lead to damage some organs, such as brain and heart.

4. Leg cramps
Other common symptoms of anemia are leg cramps. In the mild anemia, leg cramps only occur once or moderate physical activity, such as walking, running, and long standing. Whereas in patients with severe anemia, leg cramps can occur even during rest. Will clearly called anemia when accompanied by muscle weakness, pale skin, and shortness of breath.

5. Skin pale
Skin look pale, an indication of anemia. This is a direct effect of the decrease in the amount of hemoglobin against the skin. Too pale fingertips, you can find out by pressing the tip of a finger and see the change to white or pale. While the body is yellowish skin.

6. Difficulty concentrating
Hemoglobin inability to circulate oxygen also affects the brain's ability to concentrate. This is compounded by unmet needs essential nutrients for the brain such as vitamins and minerals (folic acid, iron, and vitamin B12).

7. Irregular heartbeat
In the medical world this condition is called palpitations, the heart rate is not stable. Palpitations can occur when the heart is deprived of oxygen.

8. Insomnia
Sleep disorders, such as anxiety are also considered as a symptom of anemia after research conducted in 2008 in Ireland involving children and adolescents. Iron deficiency in some people cause insomnia, legs often move because feel uneasy or restless leg syndrome called.


Immediately consult a doctor when the body starts showing some symptoms of anemia above, especially for pale skin that must be addressed by a doctor.

Thursday, October 8, 2015

Risk for Aspiration related to GERD (Gastroesophageal Reflux Disease)

Nursing Care Plan for GERD (Gastroesophageal Reflux Disease)
 
Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach contents flowing back into the food pipe (esophagus). Backwash (reflux) irritate the lining of the esophagus and causes GERD.

Both disorders stomach acid and heartburn is a common digestive condition that many people experience from time to time.

Signs or symptoms of GERD:
  • A burning sensation in the chest (heartburn), sometimes spreading to the throat, along with a sour taste in the mouth.
  • Chest pain.
  • Difficulty swallowing (dysphagia).
  • Dry cough.
  • Hoarseness or sore throat.
  • Regurgitation of food or sour liquid (acid reflux).
  • Sensation of a lump in the throat.

Nursing Diagnosis and Interventions for GERD (Gastroesophageal Reflux Disease)

Risk for aspiration related to barriers to swallow, decreased reflexes of the larynx and glottis to liquid reflux.

Goals: None of aspiration.

Expected outcomes:
  • The client can breathe easy, normal breathing frequency.
  • The client is able to swallow, chew without aspiration, and capable of performing oral hygiene.
  • Patent airway, breathing easily, do not feel suffocated and no abnormal breath sounds.

Interventions:
  • Monitor the level of consciousness, cough reflexes and the ability to swallow.
  • Raise the head of 30-45 degrees after eating.
  • Cut food into small pieces.
  • Avoid eating when residue is still a lot.
Rationale:
  • Increase the maximum lung expansion and airway clearance.
  • Increase air filling the entire segment of the lung, mobilize and remove secretions.
  • Avoid the risk of aspiration is too high.
  • Gastroesophageal may limit expansion.

Monday, October 5, 2015

Relationship Between Anxiety with Migraine

More than 100 years the relationship between psychological factors and headache studied.
Emotional factors often trigger a headache, especially migraine. Three types of headache is most often associated with psychological factors are studied in migraine more intensive compared than other forms.

Typically, migraine sufferers have a specific personality (perfect, ambitious, rigid) as a group, patients with migraine usually intelligence and perfectionist and they are people who are capable of facing the day-to-day crises. But in adaptation to life changes such as puberty, menstruation, separation from family and home, change jobs, marriage, parenthood, or get a high position, it turns out the ability to tackle problems that are usually good, being less well and therefore attack headache then arise.


Migraine


Migraine is a painful headache, often accompanied by nausea, vomiting, and sensitivity to light.

The exact cause of migraines is unknown, although migraine related to changes in the brain and genetic causes. People with migraines may inherit the tendency to be affected certain migraine triggers, such as fatigue, bright lights, weather changes, and others.

For many years, scientists believed that migraines associated with the expansion and inhibition / constriction of blood vessels in the brain's surface. However, it is now believed that migraines are caused by inherited abnormalities in certain areas of the brain.

There are "central pain" migraine, or generator in the brain. Migraine begins when hyperactive nerve cells send impulses to the blood vessels, causing the blood vessels are prohibited or restricted, followed by dilation (expansion) and the release of prostaglandins, serotonin, and other inflammatory substances that cause painful pulse.

Most migraines seem to be triggered by external factors. Some triggers may include:
  • Emotional stress. This is one of the most common triggers of headache / migraine. Migraine sufferers are generally highly affected by stressful events. During stressful events, certain chemicals in the brain are released to combat the situation (known as response "fight or retreat"). The release of these chemicals can provoke vascular changes that can cause migraines. Repressed emotions surrounding stress, such as anxiety, fear, excitement, and fatigue can increase muscle tension and dilation of blood vessels can increase the severity of migraine.
  • Sensitivity to certain chemicals and preservatives in food. Food and beverages, such as aged cheese, alcoholic beverages, and food additives such as nitrates and monosodium glutamate may be responsible for triggering mingrain up to 30%.
  • Caffeine. Excessive caffeine consumption or the effects of caffeine withdrawal can cause headaches when the caffeine level suddenly drops. The blood vessels seem to be sensitive to caffeine, and when caffeine is not ingested, a headache may occur. Caffeine itself is often helpful in treating acute migraine attacks.
  • Changes in weather conditions. Storms, changes in air pressure, winds, or changes in altitude, all can trigger a migraine.
  • Menstrual period.
  • Overexertion.
  • Skipping meals.
  • Changes in normal sleep patterns.

The symptoms of migraine can occur in various combinations and include:
  • Headache hitting or beating, which often begins as pain and develops into throbbing pain. The pain is usually aggravated by physical activity. The pain can shift from one side of the head to the other, or it can affect the front of the head or felt like illness affects the whole head.
  • Sensitivity to light, noise and odors.
  • Nausea and vomiting, abdominal unwell, abdominal pain.
  • Loss of appetite.
  • The taste sensation that is very warm or cold.
  • Paleness.
  • Fatigue.
  • Dizzy.
  • Blurred vision.
  • Diarrhea.
  • Fever (rare).
Most migraines last about four hours despite severe can last up to a week. The frequency of migraines varies greatly between individuals. Common for a migraine sufferer to get a headache from two to four times per month. However, some people may have headaches every few days, while others only get a migraine once or twice a year.


Anxiety


Anxiety is a feeling worried vague source, often non-specific or unknown to the individual.

Anxiety is a feeling / emotional response to the judgment, feelings of uncertainty and helplessness (Stuart and Sundeen, 1988). Emotional state experienced objectively and communicated in interpersonal relationships. Anxiety is the emotional response to the judgment in everyday life. Anxiety describe the state of worry, anxiety, fear, do not feel at ease with a variety of physical complaints.

Levels of Anxiety

Mild Anxiety

Mild anxiety associated with the tension of the events of everyday life. At this level of perception widen and individuals will be cautious and alert.

Physiological responses:
  • Occasionally short of breath.
  • Tone and blood pressure rises.
  • Mild symptoms in the stomach.
  • Wrinkled face and lips quivering.
Cognitive Response:
  • Capable of receiving stimuli complex.
  • Concentration on the issue.
  • Solve problems effectively.
Behavioral and emotional responses:
  • Unable to sit quietly.
  • Fine tremor of the hands.
  • Voice sometimes rising.

Moderate Anxiety

At this rate decreased perception of the environment, individuals are more important things to focus on the moment and the exclusion of anything else.

Physiologic response:
  • Often short of breath.
  • Pulse and blood pressure rises.
  • Dry mouth.
  • Anorexia.
  • Diarrhea / constipation.
  • Agitated.

Cognitive responses:
  • Field narrowed perception.
  • External stimuli are not able to be accepted.
  • Focusing on what the attention.
Behavioral and emotional responses:
  • Jerky movements / squeezing hands.
  • Talk and more quickly.
  • Insomnia.
  • Feelings of insecurity.

Severe Anxiety

Physical response:
Muscle tension weight, hyperventilation, eye contact is bad, sweating increased, fast talking, high tone, action aimless and haphazard, jaw tensed, gritted his teeth, need for space increases, pacing, yelling, squeezing hands and shaking.

Cognitive response: field is limited perception, thought processes fragmented, difficulty thinking, problem solving poor, unable to take into consideration the information, only to notice the threat, preoccupation with his own thoughts, and self-centered.

Emotional response: very anxious, agitated, scared, confused, feel inadequate, withdrawal, denial and want to be free.


Relationship Between Anxiety with Migraine
  1. Anxiety is common in migraine sufferers.
  2. There is a relationship between the degree of pain intensity with anxiety due to the severity of migraine.
  3. There is a relationship between duration of pain with the severity of anxiety in patients with migraine.

Sunday, October 4, 2015

Causes, Prevention, Signs and Symptoms of Gout

Causes, Prevention, Signs and Symptoms of Gout
Gout is a type of arthritis caused by a buildup of uric acid crystals in the joints. Uric acid is a breakdown product of purines that are part of the food we eat. Abnormality in handling uric acid and crystallization of these compounds in the joints can cause attacks of painful arthritis, kidney stones, and blockage of the filtering process of the renal tubules with uric acid crystals, leading to kidney failure.

Acute gout attack is characterized by rapid onset / sudden pain in the affected joint followed by a warm feeling on touching the joints, swelling, redness, and pain. Small joints at the base of the big toe is the most commonly attacked. Other joints that can be affected include the ankles, knees, wrists, fingers, and elbows. In some people, the pain suddenly / acute so strong that even the sheets at the foot of causing severe pain. Painful attacks usually subside within a few hours or days, with or without medication. In rare cases, attacks can last for weeks. Most people with gout will experience repeated attacks of gout arthritis for many years.

Gout is nine times more common in men than in women. It mainly affects males after puberty, with a peak age of 75 years of age. In women, gout attacks usually occur after menopause.

Obesity, excessive weight, especially in youth, drinking moderate to severe, high blood pressure, and abnormal kidney function is one of the risk factors for developing gout. Drugs and certain diseases can also cause an increase in uric acid levels. Interestingly, a recent study showed an increased prevalence of abnormally low thyroid hormone levels (hypothyroidism) in patients with gout.

The base of the big toe joint is the most common site of an acute Gout attacks. These attacks can occur, except gout treated. See your doctor, even if you are sick rheumatism / gout has been lost. Over time, they can harm the joints, tendons, and other tissues.

Uric acid crystals in the finger joints and stiffness which result in painful inflammation.

People may experience gout by deposition of uric acid crystals in the joints of their fingers. To reduce the pain of a gout attack, rest the painful joints.

Maintain adequate fluid intake helps prevent acute gout attacks and reduce the risk of kidney stone formation in people having gout. Alcohol is known to have diuretic effects that can cause water shortages and triggered an acute gout attack. Alcohol can also affect uric acid metabolism and cause hyperuricemia. This causes gout, therefore slowing spending uric acid from the kidneys as well as to cause shortage of liquid, which causes uric acid crystals to precipitate in the joints.

Dietary changes can help reduce uric acid levels in the blood. Because purine chemicals are converted by the body into uric acid, purine rich foods should be avoided. Foods rich in purines include shellfish and organ meats, such as liver, brain, and kidneys. Researchers have reported that meat or seafood consumption increases the risk of gout attacks, while dairy consumption seems to reduce this risk. Weight loss can help in lowering the risk of recurrent gout attacks.


Reference:

MedicineNet.com WebMD Medical Reference from Healthwise: "Gout - Topic Overview."

Acute Bronchitis - Definition, Etiology, Risk Factors, Signs and Symptoms

Acute Bronchitis
Definition of Acute Bronchitis

Acute bronchitis is an acute respiratory tract infection disease (inflammation of the bronchi) that usually occurs in infants and children are usually also accompanied by tracheitis (Ngastiyah; 1997; 36).

Etiology
  • Acute bronchitis is usually often caused by viruses such as Rhinovirus, respiratory syncytial virus, influenza virus, parainfluenza virus, and coxsackie virus. Acute bronchitis can also be found in children who are suffering from measles (morbilli), pertussis and Mycoplasma pneumoniae infections.
  • Another cause of acute bronchitis may also by bacteria (staphylococcus, streptococcus, pneumococcus, haemophilus influenzae). Bronchitis can also be caused by a parasite such as ascariasis and fungi.
  • Causes of non-infectious is due to aspiration of the physical or chemical materials. Predisposing factors occurrence of acute bronchitis is a change in weather, allergies, air pollution and chronic upper respiratory tract infections predispose to bronchitis.


Risk Factors

Factors that increase the risk of bronchitis include:
  • Cigarette smoke. People who smoke or who live with smokers are at higher risk for symptoms of acute bronchitis and chronic bronchitis.
  • Low resistance. This is usually the result of other acute illness, such as a cold or a chronic condition that compromise the immune system. Adults, infants and children have a greater susceptibility to infection.
  • Exposure to irritants on the job. Bronchitis disease risk is greater when working around the place that may be exposed to lung irritants, such as iron ore or textiles and exposed to chemical vapors.

Signs and Symptoms of Bronchitis

Both symptoms of acute bronchitis and chronic bronchitis, signs and symptoms may include:
  • Cough.
  • Production of mucus (sputum), which can be clear, white, gray or yellowish green.
  • Fatigue.
  • Slight fever and chills.
  • Discomfort in the chest.


Reference :
  • (Ngastiyah; 1997; P 36, 37).
  • (Purnawan Junadi; 1982; 206).

Friday, October 2, 2015

Knowledge Deficit related to Urinary Tract Infection (UTI)


Urinary tract infection is an infection caused by pathogenic microorganisms in the urinary tract, with or without symptoms. (Brunner and Suddarth, of Medical Surgical Nursing 8th Edition Vol. 2, page 1428).

Etiology

1. Risk Factors
  • Women are more at risk than men.
  • Have a history of sexually transmitted disease.
  • Catheterization.
2. Factors Predisposition
  • Escherichia coli, Proteus, Klebsiella, Enterobacter, Pseudomonas, and Staphylococcus saprophyticus.
  • Disruption of glycosaminoglycans.
  • Ureterovesical reflux.
  • Obstruction of urine flow.
3. Factors Precipitation
  • Poor hygiene.
  • How to wash genitals that are less clean / not true.
  • Often hold urine.


Knowledge Deficit about the condition, prognosis, and treatment needs related to a lack of resources.

Characterized by:

Subjective Data:
  • Patients say do not know about his illness.
  • Patients say do not know about the treatment of the disease.
Objective data:
  • Patients looked confused when asked about his illness.

Goal:
  • Expected lack of knowledge of the patient can be resolved,
with expected outcomes:
  • Expressed and understood about the condition, diagnostic examination, treatment plan, self-care and preventive measures.

Interventions :
  • Review the disease process and hope that will come.
  • Provide information: the source of infection, measures to prevent the spread, explain antibiotics, diagnostic examinations: a goal, a brief description, preparation required prior to the examination, examination after treatment.
  • Make sure the patient or significant others have written agreements for further treatments and written instructions for care after the examination.
  • Instruct the patient to use the drug administered.
  • Provide the opportunity for patients to express their feelings and concerns about the treatment plan.

Rationale:
  • Provide basic knowledge in which patients can make informed choices.
  • Knowledge of what is expected to reduce anxiety and help make the client adherence to the plan of therapeutic.
  • Verbal instructions can easily be overlooked.
  • Patients often discontinue their medications, if signs of abating disease. Fluids help flush the kidneys.
  • To detect cues indicative of the possibility of non-compliance and help develop the acceptance of the therapeutic plan.

Thursday, October 1, 2015

Causes and Common Symptoms of Gastritis in Children


Gastritis is an erosion in the lining of the stomach, where this process can occur suddenly, called acute gastritis or slow and takes a long time (chronic gastritis). In addition to erosion of the stomach lining, inflammation or irritation can also cause gastritis.

Gastritis can strike from children to adults, where if it is not in the intensive treatment, it can cause a variety of diseases of the stomach.

Many things can cause gastritis, one of the main factors is an infection of the microorganism Helicobacter pylori (H.pylori). Rising back bile into the digestive system can also cause gastritis. Or patients 'Pernicious anemia' in which a person can not digest vitamin B12 can also trigger gastritis.

Another cause could be a precipitating factor gastritis are undergoing treatment for a long time such as cancer patients undergoing chemotherapy or people with HIV-AIDS.


Here are the common symptoms of gastritis in children:
  • Stomach feels uncomfortable.
  • Pain in the abdomen either before or after meals.
  • Flavor full or satiated.
  • Nausea and vomiting.
  • Indigestion after eating food.
  • Loss of appetite.
  • Insomnia.
  • Uninterrupted night's sleep suddenly, due to abdominal pain.
  • Diarrhea.
  • Frequent hiccups.
  • Feces when defecation is black.
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