Kawasaki Disease

First diagnosed in 1967 by Japanese Dr Tomisaku, Kawasaki,

the Disease is characterized by inflammed blood vessels and lymph nodes and sufferer presents with the following;

The disease affects children under the age of five,rarely affects adults.Although first diagnosed in japan,the disease can be found all over the world.In South Africa the disease seem to be more prevalent in mixed race kids and whites,and mostly affects males.

Causes: Exact cause or causes remain unknown,although thought to be genetic,bacterial,viral,chemical irritants or even environmental causes.

Few cases complicate to dysrythmia,myocarditis,mitral valve regurgitation and death

Management:Pain control and body temperature reduction,anti-inflammatory medications,immunoglobin to boost immunity and rarely surgery,Anti coagulant use,for example,Aspirin is given in low dose.

Nursing care

Empower the family with knowkedge:_Family need to know suspected causes,presentation of disease and its possible complications,treatments and its desired effects or side effects..

Monitor apain level and patients respond to analgesia;pain assesement should include chest pains as this may indicate to heart complications.

Assessment for signs of myocarditis like tarchycardia,gallop heart rhythm,chest pains and heart failure

Monitor intake and output,considering patients specific gravity, weight and skin turgor.

Child to be allowed to alternate activities, and have sufficient rest

Oral care to be done with soft toothbrush, and oral swabs.

Feeding include giving soft food,cool liquids and ice.

Discharge health education include having plenty of water,taking treatment as prescribed, as Aspirin can causes Reye’s syndrome.To mind appointment date.,Echo cardiogram scan can be done to asses heart problems.Aspirin can be stopped if the heart is fine.

Additional information extracted from:Healthline,Health24 websites

Nurses accused of unleashing cockroaches to get transfer out of the department

‘Some of the cockroaches were disorientated and some on their backs as if they were just scattered’says Emilio Noviello from university of Naples

.This is one of the report from the investigator. Nurses in Accident and Emergency ward at the Vecchio Pellegrini Hospital in southern Italy are blamed for intentionally dumping cockroaches to force the department to close.

‘Nurses and trade unionists appear to have sabotaged the Pellegrini in order to obtain a transfer elsewhere’said hospital director Maria Corvino.It is believed that overworked nurses did this intentionally to get transfer to less demanding jobs.This was after a patient filmed cockroaches and placed the video on social media.

Blaptica dubia species is thought to have been carried all the way from Argentina or Brazil as the carrier handled them in a bag containing saw dust and sheet

extract from Sky news 20 Feb

Nurses assaulted, two arrested

Nairobi, Kenya.Two suspects were arrested following arguments that left two nurses injured at Mama Lucy hospital.

The two accompanied a patient to hospital,to find nurses attending other critical patient. They insisted that they be attended to first,but the nurse asked them be be patient. ‘The quarrel started,leading to suspects assaulting two nurses with knives’Said hospital superintendent Dr Musa Mohammed.

All two suspects were arrested,while the would be patient escaped.

Assaulted nurses sustained minor cuts and were discharged.

Extract from Daily Nation

Nurse invention

Know of any nurses inventions?Not all nurses concentrated merely on provision of their intended services;as such we do have nurses who went beyond their duty call to contribute in a great way to medical and health innovations.

This time lets focus on one of our super nurses inventions.We say one as there are several inventions,some of which will be focused on, in our next publications.

Ostomy bag:Yes!ostomy bag is one of them.Imagine after colostomy or ileostomy surgery and the patient is left with exposed stoma expelling faecal matter timeously,causing embarassment and need for frequent cleaning.

As was the case with stoma surgery patients,they were sent home for self care.Apart from body image disturbance,patients had to endure social stigma and isolate themselves from the general public.(Medscape)

Witnessing how vulnerable her sister was,Danish nurse,Elise Sorenson had to step in.It was in 1954 when she developed a disposable prototype bag for her sister, more like ones in use today.She contacted a plastic firm,Dansk Plastic Emballage for mass production.

Today stoma bags are the answer to manage stoma contents, conceals smells and restore patients self esteem and dignity.Thanks Elise….

Irish nurses suspend industrial action following Labour court recommendations

The recommendations are aimed at resolving nurses disputes over pay conditions.

Nurses union,Ireland Nurses and Midwives Organisation(INMO),is consulting with its members to garner support in favour of new recommendations that will give way to 3 weeks of negotiations.

Kenyan nurses remain defiance to president’s order

This followed Kenyan president,Uhuru Kenyatta’s threat to fire nurses who will not heed his call to resume their duties by tomorrow, Friday.

Union secretary general Seth Panyako reiterated that the boycott is still on until nurses are paid what is rightful theirs ,and emphasized that branch officials in the counties are the ones who started the boycott,therefore he will acts on their directives.

Resume work or get dismissed, Kenyan nurses told

This was president Uhuru Kenyatta’s order to striking nurses, warning those on strike to resume their duties by Friday or face dismissal.He blames striking nurses of acting against the directives of court to suspend the strike.

Nurses are demanding allowance increment and implementation of 2017 Return to Work Formula resolutions which ended 2017 strike.

Nursing students arrested for Capetown nursing college protests

Up to 10 student nurses were arrested yesterday while protesting against lack of safety and water shortages in the college,which is part of Cape Peninsula University of Technology.They raised issues about malfunctioning cameras and water taps that run dry every morning.

Protesting students blocked college entrance, stoned passing motorists along nearby Klipfontein road and overturned a staff car.

Talks between college management,Dean of students affairs and students leaders are underway since last week


Denosa nurses to join Cosatu march today

13.02.2019_Nurses affiliated to Denosa will join Cosatu’s protest against job losses in health care system.

They are concerned that implementation of National Health Insurance that is aimed to achieve equal,quality health care to every citizen won’t be realised if nurses are not employed immediately after they qualify,and those resigned and retired are not replaced.

Cosatu spokesperson Sizwe said the strike is aimed at highlighting job losses in public and private sectors.