Tia’s Post

The escalating prevalence of childhood obesity in the United States presents formidable challenges in pediatric healthcare, particularly regarding preoperative sedation. With obesity rates climbing from approximately 7% in 1980 to 18.5% in 2016 among children aged 2–19 years, a significant portion of this demographic now faces increased risks associated with sedation and anesthesia. Obesity introduces critical alterations in respiratory physiology, including lower airway obstruction, heightened asthma prevalence, obstructive sleep apnea, and reduced lung volumes, which collectively exacerbate the complexity of sedation protocols. Administering sedatives in obese pediatric patients necessitates nuanced clinical acumen to circumvent the pitfalls of over-sedation and under-sedation. Conventional dosing strategies, if solely reliant on total body weight, risk over-sedating the patient, while calculations based on lean body mass might not achieve sufficient sedation, potentially leading to patient distress and procedural complications. Moreover, obesity significantly influences the pharmacokinetics and pharmacodynamics of sedative drugs, demanding meticulous adjustment of dosages to achieve optimal therapeutic outcomes. Furthermore, the clinical landscape is compounded by the necessity to extend post-procedural observation periods, particularly for patients with obstructive sleep apnea (OSA), thereby increasing hospital length of stay and resource utilization. In addition to respiratory considerations, obesity elevates the risk of comorbidities such as hypertension and diabetes, further elevating the likelihood of perioperative adverse events. Read tuis article: https://bit.ly/49Xj2yS In response to these challenges, innovative approaches like the PEDIA anesthesia technique offer a promising alternative. By integrating play and dignity into the induction of anesthesia, PEDIA techniques circumvent the reliance on pharmacological sedation, thereby mitigating the associated risks and stressors for both patients and healthcare providers. This paradigm shift towards non-pharmacological induction methods exemplifies the evolving strategies in pediatric anesthesia, prioritizing safety, efficiency, and the psychological well-being of the child. #pedia #pediaballoons #childhoodobesity #Pediatricobesity #childhoodOSA #pediatricOSA #pediatricanesthesiainduction #pediatricsedation

Incontinence Has Been Identified As One Of The Major Risk Factors That Leads To Nursing-Home Admission 🏡🇺🇸 . . https://lnkd.in/gejQ_NUD #urology #urologyXY #agedcare #caregiving #carehome #continence #eldercare #homehealthcare #incontinence #memorycare #neurologicaldisorder #nursinghome #snf #spinalcordinjury #wheelchair

HOSPITAL DELIRIUM affects 70% of "top tier" adults. Sleep DEPRIVATION contributes AND so do sleeping PILLS. Even a mild sedative (such as Benadryl) increases the risk ACTIONABLE ITEMS: 1. Read through Leslie Kernisan, MD MPH's expert insights below. 2. Regularly receive practical tips for BETTER HEALTH WHILE AGING here https://lnkd.in/gmzu4Mff #1000thanks to Carol Bradley Bursack, CDSGF for your dedication as a moderator for Dr. Kernisan's endeavors and for your own 20 years leadership of MINDING OUR ELDERS. The newsletter sites several steps to reduce the chance of a bad delirium. Experts estimate that about 40% of delirium cases are preventable. DISCLAIMER: NONE of Leslie's content is a substitute for individualized medical assessment, diagnosis, or treatment. Her written words are information & educational. drkernisan.net "Aspects of Aging" are conversations amongst solution-creators that are LIVEstreamed on my LinkedIn profile header each WED NOON EASTERN /9am Pacific, then archived with screenshots on my resource website. Scroll down and click around! https://lnkd.in/gjCh7NYH #AgingBetterNetwork .com /LIVE #AgingEnthusiast #ageingwell #laterlife #GEROpreneur #hospital #PreActYourAge PROMPTED JOURNAL #aging #emotionalintelligence #relational #resilience #CareGRIEVERKit PRACTICAL GUIDE #md #gerontology #geriatrics #familycaregiving https://lnkd.in/gBsHZpsy

Understanding Hospital Delirium: What Every Family Caregiver Should Know Delirium is a critical concern for older adults in hospitals, affecting not only those with dementia but also many aging individuals. Often overlooked by family caregivers, hospital delirium can lead to worsened mental function and increased risk of physical restraint. In this post, we delve into essential information about hospital delirium and offer insights into prevention and management strategies for caregivers. #HospitalDelirium #FamilyCaregivers #ElderlyHealth #DeliriumPrevention

As a lactation consultant, I quickly became fascinated with oral restrictions, particularly lip and tongue ties. In Spring of 2023, I became Tethered Oral Tissue Specialty Trained with Chrysalis Orofacial to enhance my understanding on how to best support the families I work with. As luck would have it, less than a year later, my newest addition was born with both a lip and posterior tongue tie. This experience gave me a new perspective and valuable insights on the patient side. Here are some key takeaways from my personal experience: 😰 Latching an infant with oral restrictions is a different level of pain. Don't let anyone gaslight you into thinking it's "normal". 🆘 Triple-feeding (latching, pumping, & bottle-feeding) can feel IMPOSSIBLE when you're in the thick of things. Even as a lactation consultant myself, I still collaborated with my LC sisters to create a plan that felt sustainable for me as we worked through feeding issues. 🤝Oral restrictions (and releases) are still very taboo. Find a provider/office that understands the nuances and collaborates with a multi-disciplinary team to ensure the best outcome for you and your infant. For us, Shaina Holman, DDS, PhD, D. ABDSM and her team at Holman Family Dental Care were an absolute godsend! 💪🏾Infants with oral restrictions often need additional support (even following a release). Physical therapy was very beneficial in providing us with exercises to help us loosen our infant's body tension that is often associated with ties. 💙Ensure YOU have good support. The "4th trimester" can already be a beautiful challenge. However, feeding issues often lead to and/or exacerbate symptoms of perinatal mood disorders. I am thankful for organizations like Postpartum Support International, FamilyWell Health, and Shades of Blue Project that are working to ensure new parents have access to much needed perinatal mental health resources. 🤗If you or someone you know is experiencing similar challenges, know that you are not alone. Seeking specialized support from knowledgeable providers and resources can make all the difference. 👩🏽⚕️And if you are a provider working with these families, please remember to give them added grace and love. Your support is truly making a difference. *Pictured: My littlest love right before her lip and tongue tie release. Following her quick procedure, she fell right asleep when Shaina Holman, DDS, PhD, D. ABDSM brought her back to us.

#Postpartum hemorrhage (PPH) is a serious condition that occurs when a mother experiences excessive bleeding after childbirth. #PPH is one of the leading causes of maternal mortality during delivery, but it can be prevented and managed if identified early and appropriate measures are taken. Here are detailed insights about PPH and how to prevent it:- #Symptoms of PPH:- 1️⃣. Excessive Bleeding: Heavy bleeding from the vagina after childbirth. 2️⃣. Low Blood Pressure: Drop in blood pressure, nausea, or feeling dizzy. 3️⃣. Increased Heart Rate: Rapid and weak heartbeat. 4️⃣. Severe Fatigue: Feeling unusually tired. #Causes of PPH:- 1️⃣. Uterine Atony: The uterus fails to contract properly after childbirth. 2️⃣. Retained Placental Fragments: Pieces of the placenta remain inside the uterus. 3️⃣. Tears in the Birth Canal: Severe tearing or rupturing of the birth canal during delivery. 4️⃣. Blood Clotting Disorders: Blood clotting disorders that can cause excessive bleeding. #How to Prevent PPH:- 1️⃣. Regular Prenatal Care: Attend regular prenatal clinics to monitor your health and detect potential issues early. 2️⃣. Uterotonic Medications: Use medications that help the uterus contract properly after childbirth. 3️⃣. Communicate with Your Doctor: Inform your doctor immediately if you experience any unusual symptoms before and after childbirth. 4️⃣. Immediate Medical Care: Provide immediate medical care such as examining and removing retained placental fragments and using medical interventions to stop excessive bleeding. 5️⃣. Emergency Birth Plan: Have an emergency birth plan in place if there is a history of blood clotting disorders or PPH. #Advice:- 1️⃣. Health Education: Educate yourself about PPH and its risks through health resources such as childbirth preparation classes and clinics. 2️⃣. Discuss with Your Doctor: Discuss your individual risk factors for PPH with your doctor to plan preventive strategies. 3️⃣. Monitor Your Health: Closely monitor your health before and after childbirth to ensure prompt action if PPH symptoms occur. How to Manage PPH:- 1️⃣. Immediate Treatment: The doctor will take immediate action such as blood transfusions, uterotonic medications, or surgery if necessary. 2️⃣. Close Monitoring: Monitor the mother’s condition closely after childbirth to detect PPH symptoms early. 3️⃣. Professional Support: Ensure a professional healthcare team is present during childbirth to handle any complications that may arise. By understanding PPH and taking preventive measures, you can help ensure a safe delivery and promote the health and well-being of both mother and baby. Tanzania Sexual and Reproductive Health Forum Tanzania Healthcare Services - Frannie Tanzania Health Summit #PPHawareness #maternalhealth #pregnancy #safedelivery #preventivecare

Seizures are sudden, uncontrolled electrical disturbances in the brain that can cause changes in behavior, movements, feelings, or levels of consciousness. They can vary widely in severity, duration, and symptoms. Types of Seizures: Generalized Seizures: These affect both sides of the brain and may involve loss of consciousness.  Partial Seizures (Focal Seizures): These start in one area of the brain and may or may not spread to other areas.  Treatment for seizures in children depends on the underlying cause and type of seizure. Most important is to identify the seizures and their intensity and for this purpose neurologist suggest EEG EEG (Electroencephalogram) Monitoring: EEG is a test that measures electrical activity in the brain and can help diagnose seizures and determine the most effective treatment approach.  If seizures occur repeatedly then it can be called epilepsy. First Aid for Seizures: If your child experiences a seizure, it's important to stay calm and take the following steps: Keep your child safe: Move any nearby objects that could cause injury. Protect their head: Place a soft object or your hands under their head to prevent injury. Do not restrain them: Allow the seizure to run its course without trying to hold your child down. Time the seizure: Note the start time and duration of the seizure. If it lasts more than 5 minutes then immediately respond to emergency Stay with your child: Offer reassurance and comfort once the seizure has ended. Check for injuries: After the seizure, check your child for any injuries and seek medical attention if necessary. At American Wellness Center, Dr. Ahmad Hammoud - Consultant Pediatric Neurologist offers comprehensive care for children with neurological conditions, including seizures. Dr. Hammoud, a consultant child neurologist, is dedicated to providing personalized treatment plans tailored to each child's needs. With access to advanced diagnostic tools such as EEG machines and a team of experienced healthcare professionals, the department ensures that children receive the highest standard of care. Understanding seizures, knowing how to respond in emergencies, and having access to specialized care are crucial for children with epilepsy and other seizure disorders. Through education, awareness, and collaboration with healthcare providers children with seizures can lead fulfilling lives with optimal management of their condition. Book Your Appointment with our Doctor Free Call: 800 2923 WhatsApp +971 50 2770 888 (https://wa.me/971502770888) Or visit our website https://lnkd.in/dwHswwCf American Wellness Center Al Faris Building 39, Ground Floor, Dubai Healthcare City #epilepsy #epilepsyawareness  #seizures  #seizuresurvivor  #epilepticseizures  #pediatricians  #neurologistapediatrico  #mentalhealthtips #rediscoveryourwellness #americanwellnesscenterdubai

🏋️♀️ How do we know if the contractions are strong enough? 💪 Contrary to popular belief, the external contraction monitor, sometimes called a 'toco', doesn't tell how strong the contractions are. ⏳ External monitors tell the health care provider how often the contractions are coming and how long they are lasting. 📈 With an external monitor, big contractions on the graph do not mean strong contractions of the uterus. ⚖ In a lot of fetal monitoring tracings I have reviewed for birth injury cases, there is often a common theme- Contractions were not being effectively monitored. ⚠ When there is a high alert medicine (Oxytocin / Pitocin) infusing that is titrated based on contraction frequency, correctly monitoring contractions should be a priority. 🔎 If the nurse is having a hard time monitoring contractions during an induction of labor, an intrauterine pressure catheter (IUPC) should be requested. 🏥 In some facilities, nurses can place these. 👶 An IUPC is a little tube that slides up next to the baby’s head and measures in mmHG (like a blood pressure) the amount of force the contractions are generating. 📏The culmination of those measurements are referred to as Montevideo Units or MVUs. 🗻🗻With an IUPC, big contractions on the graph mean strong contractions of the uterus. Internal monitors are typically used when: 👉 External contraction monitoring does not provide a clear, continuous tracing (eg, some patients who are frequently changing position, some patients with obesity). 👉 The exact connection between fetal heart rate changes and contractions is unclear on the external tracing, but it's crucial for understanding the fetal heart rate pattern. This is useful for determining late (bad) vs early (benign) decelerations. 👉 Objective calculation of contraction strength (Montevideo units) is helpful to figure out why labor might be slow or stopped. This measurement is most useful when contractions are happening often enough, but their strength is uncertain. 👉 Measuring contraction strength in a precise way can also be useful in adjusting the oxytocin dose to achieve the best contraction pattern without overstimulating the uterus. In order to have an IUPC 💦 the bag of water must be ruptured 🤰 the cervix must be dilated enough for the tube to be placed through ✋ Feeling contractions with the hand has its place in L&D, but sometimes objective and clear data is helpful in guiding safe care. 💦 💦 The IUPC is also used for another intervention I'll save for another day... an amnioinfusion. Have you ever heard of an IUPC? Do you have any questions? #birthinjury #medicalmalpractice #legalnurseconsultant #SavvyLegalRN 📸 photo cred from Obgynkey

Primer: What causes incontinence in people with dementia? 🏥 . . https://lnkd.in/gbGMdzxb #urology #urologyXY #alzheimers #caregiving #continence #dementia #eldercare #incontinence #memorycare #neurologicaldisorder #nursinghome #skillednursingfacility #wheelchair

|°| Mastering Fetal Distress |°| •-Understanding •-Identifying •-Responding Fetal distress is a critical situation that demands swift and accurate action to safeguard the well-being of both the mother and the baby. |•|- Causes of Fetal Distress: Fetal distress can originate from various factors including : -Placental insufficiency. -Umbilical cord compression. -Maternal health conditions like: -Hypertension -Diabetes -Fetal anomalies. -Inadequate oxygen supply to the fetus can trigger distress, affecting the baby's heart rate and overall health. |•|- Recognizing Signs and Symptoms: Signs of fetal distress Encompass -Abnormal fetal heart rate patterns. -Reduced fetal movement. -Presence of meconium in amniotic fluid. -Irregular amniotic fluid levels. |•|- Potential Complications: Untreated fetal distress can lead to severe complications such as : -Fetal hypoxia. -Brain injury. -Organ dysfunction, and even fetal loss. |•|- Prevention and Response: Preventing fetal distress involves: -Comprehensive prenatal care. -Monitoring maternal health conditions. -Regular fetal assessments during pregnancy. When faced with suspected distress during labor interventions like : -Adjusting the mother's position. -Providing oxygen. -Expedited cesarean section may be required to alleviate distress and thwart complications. #FetalDistress #AnesthesiaTeam #OptimalCare Ezzadeen Al Kaiati.