Monday 29 December 2014

Care in patient care

Care in patient care

In Medicine, the patient is someone that suffers pain or discomfort. From the sociological point of view, the patient is a person receiving services from a healthcare professional to do a test, treatment or a surgical intervention.

Patients are in a vulnerable position, depending on doctors, nurses, therapists, etc. They have to go through bad experiences with injections, ailment, pain, medical techniques they do not understand, loss of privacy, loss of control of the environment, etc.


It is very important that the patient feels secure in all treatment process and the persons around him (doctors, nurses, family, etc.) give him this security.

Nurses know very well the importance of a proper relationship with the patient. In English, there is a term that defines this concept: “Bedside manner”.  We don´t have this phrase in Spanish, but all healthcare professionals know the importance of the meaning.

In the relationship of patient-nurse/doctor, it is very important:
  •      Communication (verbal and non-verbal)
  •           Forms and expressions of communication
  •           Help relationship

Patients need to feel that they are in the best hands (professional and personal). During a treatment or test the patient needs:
  •           To feel that he is important for the nurse/doctor
  •           To understand technique (it is necessary that you explain it to him)
  •           To understand that this is a phase to be better  (improvement or healing)
  •           To feel comfortable and confident

It is necessary that the nurse/doctor knows how to handle:
§  Kindness
§  Empathy
§  Accompanying
§  Sympathy
§  To make the patient participant in the technique
§  To transmit relaxation

With all these ideas, I have wanted to do a summary of the principles of nursing care in general and relate from personal experience the concepts of nursing care that we put into practice on a daily basis with our patients in the IMTRA Incoma clinic.


Key words: nurse, patient, communication, help relationship, enfermería, paciente, cuidado, care, relación de ayuda.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Friday 19 December 2014


Obtaining Rich Plasma in Growth Factors (PRGF)

Rich Plasma in Growth Factors (PRGF) is a novel and relatively recent technique applicable to tissue repair. It consists of platelet proteins obtained from a blood sample of the patient.

In the scope of Traumatology and Orthopaedics, the application of PRGF improves the evolution of patients with tissue regenerative necessities in different pathologies such as:
  •    To accelerate bone healing in the postoperative period,
  •    To decrease pain and improved mobility in incipient osteoarthritis,
  •        To improve the healing of tendon injuries,
  •        Wounds healing, etc.
The effects of PRGF on the cells of organisms are:
  •         Proliferation of osteoblasts (cells that help with bone formation)
  •        Proliferation of fibroblasts (cells that help with soft tissue formation)
  •        Chemotaxis (movement to specific point of injury)
  •         Synthesis of extracellular matrix (tissue repair).
The process of obtaining PRGF has several phases:
           1.- Extraction of blood (venous puncture) 
             


     2.- Cell separation (centrifugation) 


    3.- Catching and activating the serum with highest concentration of platelet rich growth factors (PRGF). 
 

  4.- Application to the patient (surgery intraoperative in the Hospital or intrarticular, on the tendon injury, etc. in the clinic)


In our IMTRA INCOMA Clinic, the preparation of the rich plasma in growth factors is made with the latest technology. We use a laminar airflow cabinet to separate the two different serum - the serum which poor in growth factors from the serum which rich in growth factors. This cabinet is designed to prevent air contamination of biological samples having a system where air is drawn through a HEPA filter and provides clean air to the work area.


After a study of your pathology in the IMTRA INCOMA Clinic, Dr Galindo Andújar may treat you with rich plasma in growth factors.


Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.es

Monday 22 September 2014

10th Update Course for scrub nurses in Traumatology and Orthopaedic Surgery

10th Update Course for scrub nurses in Traumatology and Orthopaedic Surgery

Next update course for scrub nurses in Traumatology and Orthopaedic Surgery organised by the Spanish Traumatology and Orthopaedic Nursing Association AEETO (Asociación Española de Enfermería en Traumatología y Ortopedia) will be from 22nd to 24th of October 2014 in Fuenlabrada Hospital. This course is accredited by the Commission of Continuous Health Professional Training of Madrid (Comisión de Formación Continuada de los Profesionales Sanitarios de la Comunidad de Madrid, Sistema Nacional de Salud) with 4.3 Credits CFC EXP-07-AFOC-03458.8/2014.

Elena Miguel is the educational coordinator of these courses. She always seeks new topics for the nursing courses each year. During this course the participants will be able learn among others about:
  •        Kyphoplasty
  •        Limb replantation
  •       Custom prosthesis (hip and knee)
  •        Obtaining stem cells
  •        Knee prosthesis with navigator



She expects all students to learn new knowledge and acquire new skills in this theoretical and practical course.




Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Monday 15 September 2014

Artroscopia Clinica Imtra Incoma Madrid Elena Miguel Dr Enrique Galindo Andujar by imtra on SoundCloud - Hear the world’s sounds

Artroscopia Clinica Imtra Incoma Madrid Elena Miguel Dr Enrique Galindo Andujar by imtra on SoundCloud - Hear the world’s sounds







Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Artroplastia de cadera Imtra Incoma - Madrid Elena Miguel Poza by imtra on SoundCloud - Hear the world’s sounds

Artroplastia de cadera Imtra Incoma - Madrid Elena Miguel Poza by imtra on SoundCloud - Hear the world’s sounds







Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Protesis de rodilla con guias a medida Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds

Protesis de rodilla con guias a medida Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds









Protesis de rodilla con guias a medida Imtra Incoma Elena Miguel Poza Enfermera Coordinadora en el Instituto Madrileño de Traumatología.
Doctor Enrique Galindo Andújar
Cirujano Ortopédico, Cirujano Traumatológico, Traumatólogo.
Tlf: (0034) 915545405
Email: info@enriquegalindo.info
Dirección: Calle Explanada 16, 28040 Madrid España
Clínica IMTRA Instituto Madrileño de Traumatología. Centro médico Incoma en Madrid en la zona de Moncloa Aravaca. 
www.enriquegalindo.info/

Camara Oxigenoterapia Hiperbarica Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds

Camara Oxigenoterapia Hiperbarica Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds







Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Monday 9 June 2014

Injury prevention in older age - risk reduction for senior citizens

Injury prevention in older age (over 70 years)

Leading cause of injuries in older adults

  • ·      Falls (bone fractures, joint dislocations, etc.)
  • ·      Choking
  • ·      Heatstroke
  • ·      Burns


Risk factors

The aging process causes changes in people related to normal mental and physical capacities:

  • ·      Diminution of vision;
  • ·      Degenerative joint disease (pain causes less mobility);
  • · Osteoporosis (progressive bone disease that is characterized by a decrease in bone mass and density);
  • ·      Decrease in strength and flexibility;
  • ·      Slowness in the posture control.


Tips to prevent injuries

Sometimes a lifestyle modification is necessary. Physical activity has to be adapted to current capacity.

It is important:
  • ·  Weight control (if there is overweight) and moderate exercise are beneficial with respect to pain and function in the knees and hips worn by aging;
  • ·      Remove clutter at home. Do not leave objects on the stairs or walkways;
  • ·      Use nightlights in the bedroom, hall and bathroom;
  • ·      Avoid loose rugs to avoid tripping;
  • ·      Use hand grip bars in the bathroom and shower area;
  • ·      A shower unit is preferable to a bathtub;
  •     Be sure the bottom of the bath tub or shower has a non-slip surface;
  • ·      Avoid contact sports. There is more risk of injuries than in other kinds of sport;
  • ·      No standing on unstable areas (chairs, ladders, etc.);
  • ·      Balanced diet (plenty of water, fruit vitamins, vegetables, no diets high in animal protein etc.);
  • ·   Avoid going outside during the hottest hours of the day and protect yourself from the sun by using sun cream, wearing a sun hat and sun glasses and walking in the shade;
  • ·      Home care and assistance (with centralized called device, for example).


Home care and assistance

Home care is the resource system directed to help and care for  people at home when they cease to be fully autonomous, for any reason (they are usually elderly).

There are three types of services:
  •          Personal attention service;
  •      Home care service;
  •      Integration in the environment service.


There are also other services like:
  • ·      Telecare
  • ·      Adaptation to housing
  • ·      Meals on wheels
  • ·      Laundry at home
  • ·      Nursing or physiotherapy at home, etc.


Telecare
Telecare allows calling from home in case of emergency. The person has a button (medallion or bracelet) and a hands free system that allows communication with a control unit 24 hours a day. When the person presses the button, a care control operative contacts the user through a loudspeaker that allows communication between the two to resolve the problem, that may include sending a doctor, ambulance or firemen, as necessary.



Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz