July 17, 2009

GUIDE TO HOME NURSING a Guide for every Care givers


GUIDE TO HOME NURSING
A book for caregivers
By pekwan Mmail
Created Wednesday, July 15th
Wednesday, July 15th, 2009 06:34:00

A STITCH in time can save nine - or perhaps more. That's the saying the founder of Home Nursing Providers Sdn Bhd, Yakob Abdul Rahman Wilhelm Scholer, always uses to describe how home nursing can help add days to a life.
The well known ­ gure in the local auxillary health scene feels that it's time Malaysians possess ­ first-hand knowledge of the subject with the launch of his book, Guide to Home Nursing.
"The book provides nurses, healthcare providers and caregivers with an idea of how to help patients who are being looked after in a home setting," he said.
Despite many wishing to care for their loved ones at home, Yakob expressed his concerns that they aren't aware of the proper techniques.
"The right techniques should be brought forward and explained," said the man who initiated Malaysia's ­ first AIDS Awareness Committee, which developed into the present Malaysian Aids Council.
While medical literature is expensive, Yakob said: The book is at RM32 only available in MPH and POPULAR book stores in the country. In the international market, the books will be sold around US$29.50 each (RM72) or more. I feel that the Malaysian community should have it at a lower price."
Home Nursing Providers Sdn Bhd

First Mobile Doctor service in Malaysia


What role a mobile doctor plays

We are proud to announce the service of Malaysia’s first MOBILE DOCTOR.
While house visits of a doctor are standard procedures in most European countries it is still a novelty in Asia.
This leads to the situation where in particular the elderly population has to travel to hospitals and clinics, seeking medical attention often for simple ailments and/or for a medical prescription of drugs, or taking laboratory specimens for analysis. This does not just cause a lot of discomfort for the patient but is also a time and cost consuming affair to the family which has to make the necessary arrangement often requiring ambulance transport service.
This is one of the problems we have been facing over the last few years of our mobile nursing service and we have decided to employ our own mobile doctor.
This mobile doctor does not merely serve our own clients but is also available to nursing homes, and family that might require medical attention for a family member who might find it difficult to get to a clinic or hospital.
The doctor has the back up of a Pathological Lab. Service, where blood or other specimens may be sent for analysis. Being attached to a mobile nursing service it might also facilitate swift and uncomplicated nursing attention as may be required by the patient.
The service is currently available in the Klang Valley. It comprises amongst others:
Medical check up
Taking of medical specimens
Providing medical prescriptions
Settings drips and other medical procedures
Advising and counseling patients and families in respect of the management of the illness
Liaise with hospitals (doctors) where the patient may be in treatment prior to discharge into mobile nursing care at home
Provide initial medical diagnosis and recommend further medical investigation or hospitalization as may be appropriate.
The Mobile Doctor Service is available from Monday to Friday from 9.00 to 6.00 pm, On Saturday from 90.00 to 13.00pm
Those needing this service may call: 03-78777202 asking for the Mobile Doctor Service.

July 5, 2009

Oxygen therapy and supply easy available in Malaysia






Oxigen if used according to doctors advise and prescription is one form of therapy.
By Yakob Abdul Rahman W.Scholer


Perhaps hardly any form of therapy is as little known as that of oxygenation. Most persons relate to the use of oxygen in relationship to the severity of an illness. Litle has come to the understanding of the general public about the various applications of oxygen for different ailments.
Definition
Oxygen may be classified as an element, a gas, and a drug. Oxygen therapy is the administration of oxygen at concentrations greater than that in room air to treat or prevent stationary, portable, or ambulatory. Oxygen can be administered by nasal cannula or mask,
Oxygen is an essential element that is present in the air we breathe. Each of us has experienced the burning sensation in our chest and muscles that comes from physical exertion. This occurs because we have not provided working tissues the necessary supply of oxygen to fuel the cellular machinery that produces energy. Oxygen is also an important component in our body's defense system against many forms of disease. Conventional western medicine uses oxygen in its gaseous form to help treat many patients who suffer from pulmonary (lung) disease, infections, those who require surgery, and many others.
Use
Among the diseases which kill many millions of people world wide are lung cancer, COPD (chronic obstructive pulmonary disease), asthma, sarcoidosis, pulmonary hypertension, influenza, and pulmonary
At the point where an individual can no longer maintain a blood saturation level of 90% or greater, the physician will prescribe oxygen. The normal level is 95-97%; below 90% is called hypoxemia. Some insurance companies will cover oxygen therapy if the SP02 (Saturation of Peripheral Oxygen) is as low as 88%, others at 90%. One's physician will make the decision, as a prescription is required to receive oxygen.
The status of oxygen saturation can be established in a simple procedure with an oxymeter attached to a finger, toe or earlap. The reading is almost instant and indicated if the patient has a need of additional oxygen supply.
Normal results
A normal result is a patient that demonstrates adequate oxygenation through pulse oximetry, blood gas tests, and clinical observation. Signs and symptoms of inadequate oxygenation include cyanosis, drowsiness, confusion, restlessness, anxiety, or slow, shallow, difficult, or irregular breathing. Patients with obstructive airway disease may exhibit "aerophagia" (air hunger) as they work to pull air into the lungs. In cases of carbon monoxide inhalation, the oxygen saturation can be falsely elevated
Supply
To enable the patients in Malaysia needing oxygen to have easy and quick access to medical oxygen supply in their home environment, HNP-Home Nursing Providers has gone in cooperation with MOX-Linde.
This is to ensure that patients at any time day or night can have access to medical oxygen without much administrative procedures. Many people are not aware of the difference between ‘normal=commercial’ or medical oxygen. Medical oxygen provides the guaranty that it is free of any impurities that might be harmful to the recipient.

For information of supply of oxygen,