Friday, August 7, 2020

Poem: Breast Feeding - Monica Khatri

 

Breastfeeding


Breastfeeding is practiced from the time of ancients
It provide infants all the necessary nutrients

Contains Antibodies, Anti-viruses and Anti allergens
Protects the baby from infection and illness

Bond among the mother and baby is closely linked
Baby drink it helps mother uterus to shrink

Mothers milk to her baby is a first immunization
If given in time directly helps the family and nation

Some may say formula is good
But for child there is no any substitute food

People fear breastfeeding makes child clingy and dependent
But instead it binds them emotionally and makes more confident.


-RN Monica Khatri
PCL Nursing,
Basundhara, KTM

Breast Feeding : Importance and Practices - Maya Devi Adhikari (Manisha)


Breast Feedings: Importance & Practices

Important of Breast Feeding 

Breast Milk also Known as First immunization. Breastfeeding is important for a baby health and Mother health it provides the baby with necessary nutrients, promote growth and help to strengthen the baby immune system. Now a days, many women are axiety about feed their baby cause they worry about own health that cause directly and indirectly detorate baby Health. Breast milk provides nutrients, vitamins, proteins, fat and antibodies to help your baby body and brain develop properly, baby also emotionally attach .skin to skin contact with mom creates a strong bond and scene of security Benefit of Breastfeeding and have a lower risk of allergies,low risk of obesity and type 1 and 2 diabetes, reduce from infection (otitis media) better to immunization against polio, tetanus, Diphtheria, and Hemophiliacs influenza. Various studies have found that children who were breastfed exclusively for the first 6 months of life were less likely to contract an infection, develop diseases, or develop allergies. Furthermore, breast-milk is more easily digested, promotes digestive health, and helps to establish and maintain the child’s microbiome. Science Daily has found that breastfeeding reduces the chance that a mother’s child will develop autism. Child may develop autism because his brain neurons are unmyelinated. Demyelination may occur because the child has an inadequate supply of insulin-like growth factor (IGF), which is due to a combination of environmental and genetic factors. The study proposes that breast milk, which contains IGF, increases deficient IGF levels in susceptible children and helps to prevent the onset of autism. 


A mother’s breast milk, however, can also create vulnerability in her child. There is mounting evidence that shows toxins in a mother’s breastmilk increases the chances that a child will develop autism or other health complications. A mother may be exposed to toxins through her environment or diet. Breast milk contain a 71 kcal,protein 1.2gm, fat 3.8gm, calcium 33mg% ,Iron o.1mg% , Phosphorus 15mg%, vitamin A 80IU, Vitamin D 0.125 IV, Vitamin c 1.25mg. 


WHO recommendations


Infants should be exclusively breastfed for the first six months of life to achieve optimal growth, development and health.
Thereafter, to meet their evolving nutritional requirements, infants should receive nutritionally adequate and safe complementary foods, while continuing to breastfeed for up to two years or beyond


Breastfeeding Practices

The determinants of children’s growth include genetic potentialities, family size, lifestyle, socio-economic environment, infections, nutrition and the availability of medical care. However, nutrition is the most prominent factor which can either directly or indirectly influences children’s future development. For instance, those children who are malnourished and manage to survive do not enjoy a good health and experience impaired development in the long run. there is a rising concern about overweight and obesity in children. Therefore, proper nutrition and nurturing during the early years of life is crucial for an infant to achieve optimal health and well-being. Hence, there is no more precious gift in infancy than breast feeding. Breastfeeding is an unequalled way of providing ideal food for the healthy growth and development of infants; it is also an integral part of the reproductive process with important implications for the health of mother”.Saha et al.,23 reported that the current recommendations of WHO and UNICEF on breastfeeding are as follows Initiation of breastfeeding within the first hour after the birth.Exclusive breastfeeding for the first six months.Continued breastfeeding for two years or more and proper introduction of solid foods starting in the sixth month which are nutritionally safe and adequate. 


Exclusive Breastfeed

Exclusive Breastfeeding means breast milk from the mother or a wet nurse or expressed breast milk. The WHO and UNICEF, both recommend that mothers should breastfeed their child exclusively for the first 6 months and continue breastfeeding up to 2 years or longer rather than stop EBF practice as from 4-6 months. 


Although breastfeeding an infant exclusively for the first 6 months of life carries numerous benefits, many studies are centered on the “weanling’s dilemma” in developing countries which involves choosing between the protective effects of exclusive breastfeeding against infectious diseases and the (theoretical) insufficient breast milk to meet the infants’ energy and micronutrient needs beyond four months of age. However, the author claimed that there is no data giving an estimate of the proportion of exclusively breastfed infants at risk of specific nutritional deficiencies. 


Conclusion

Breastfeeding is the gold standard of infant feeding up to 6 months.It remains the most cost effective way for reducing the risk of diseases such as obesity, hypertension, eczema, type diabetes among others in later life as well as mortality. Breast engorgement, sore nipples, milk insufficiency and availability of various infant formulas are the main factors which influence breastfeeding practice in terms of initiation, exclusivity and duration. On the other hand, complementary foods in terms of nutrient-dense are normally introduced around 4 to 6 months. Difficulties encountered during the weaning process are often refusal to eat followed by vomiting, colic, allergic reactions and diarrhea. Given related problems associated with breastfeeding, it is highly likely that in the future, nutrigenomics (or nutrigenetics) based research will provide opportunities towards personalized modification of breast milk for optimum health of neonates. 


Maya Devi Adhikari "Manisha"
B.N./KMHSON
STAFF NURSE, Manmohan MTH, KTM

Wednesday, August 5, 2020

गजल -कल्पना बिलासी


गजल


खोकी न ला भए पनि खोक्नै पर्ने भयो
चलिराको सास एक्छिन रोक्नै पर्ने भयो

भोकै तिमी देखेसी याह खानाइ रुच्दैन
"लौ न सिस्टर मेरो वेट जोख्नै पर्ने भयो"

एउटा रोग्ले भर्ना भाको अर्को थपिदियौ
तिम्रै नाम्को सुइ मुटुमा ठोक्नै पर्ने भयो

येति छिटो मुटु चल्छ ,मर्छु तिमी बिना
डिउटी तिम्रो सकेसी त शोक नै पर्ने भयो!!


कल्पना निराैला (बिलासी)
स्टाफनर्स,
त्रि.वि. शिक्षण अस्पताल, महाराजगंज, काठमाडाै ।

Tuesday, August 4, 2020

Poem: Born to Serve - Isha Aryal


Born to Serve



Exhilarated and panicked, both I was,
The first time I wore that dress as a student nurse.
The nervousness for a new experience to climb,
Especially how I'd help the sick to well in time.

Nights I've spent completing assignments,
Nights I've spent in reducing client’s pain .
I witnessed his pain and witnessed her suffering.
And couldn't sleep after seeing someone's going.

Can't forget the day when an old man raised his voice.
That day I couldn't stop tears rolling from my eyes.
And also the happiness and smile of pleasure,
When his wife appreciated me of good behavior.

Bygone the days when I was a student,
More responsibilities in my hand now I’ve held.
Now I've understood we can't stop the death,
Instead have the power to make everyone feel safe.

And also have realized the old man wasn't arrogant
He was grieving through displacement.
Throughout the years I've felt myself change
As I gradually learnt how people behave insurgence.

With an empty stomach, I've worked with a full bladder
Many a times I do feel I can't handle the workload any longer.
Often I've had a thought of giving up
But, then I understand it's not just a job.

I feel grateful to see a mother with a smile
After hours of labor pain when she holds baby in her style.
I feel happy to see my patient getting well and cure
I'm glad whatever the problem there's still a ray of hope for sure

When I close my eyes to get some rest
I thank God for believing me the best .
No matter how difficult day was to hold the nerve
At the end I feel glad I'm nurse, born to serve.


-RN Isha Aryal
B.Sc.Nursing
Green City Hospital, KTM


Sunday, August 2, 2020

Nurses are undervalued, underpaid, unsafe and Unsupported: Silence must be heard - Trishna Shrestha

 

Nurses are undervalued, underpaid, unsafe and  Unsupported: Silence must be heard - Trishna Shrestha

Time and again, we get to hear that certain number of nurses is fired from their workplace. In spite of heavy workload and over duty hours, they are underpaid. There are heartbreaking stories of nurses whose parents have invested huge amount on her education and after graduation have been working in hospital for months without any remuneration.


Today, from a classical bedside nurse, nursing professional has transited to many other scopes like manager, administrator, researcher, educator, health coach, entrepreneur, travel nurse and many more. Thus, performing wide spectrum of roles, nursing professionals are still undervalued, underpaid, unsafe and unsupported. There is growing dissatisfaction and disgruntlement that is being shouted from mouth of nurses – silently. Government health centers need a total of 46,000 nurses. But only 15,000 have been employed so far, according to Nursing and Social Security Division under the Department of Health Services. There is this deficit because the government has not increased the number of posts for nurses and same problem is in private hospitals. This causes the nurse – patient ratio mismatched ultimately resulting in work overload, poor patient care, medication error, patient dissatisfaction and infuriation. Now think, is this sane to fire nurse stating dissatisfaction from her work by the management? Or is this fair to blame a nurse for not attending to patients, behaving rude and failing to provide services on time by patient parties?


Despite of workload and longer duty hours, nurses are not getting the salary they deserve. There are many nurses who have completed studies and recruited in a post receiving less than Rs.5000 per month and other nurses volunteering for months and months with full efforts to care patient. Nurses have no job stability. They feel unsafe as at any time they may get fire without any reason. Those nurses who advocate for their patients and ensure they get care they require are struggling their voice to be heard while trying to advocate for themselves. Nurses’ problems have been overshadowed by the management. In workplace, nurses have been devalued because of perspective that they possess superficial knowledge. They are undervalued because of the perception that it is old fashioned, feminine, caring and compassionate profession. Most people have out looked nurses as lovely, caring, giving some medications and dressing some wounds, but they really don’t know what knowledge and responsibility they hold. But all these perception regarding this profession has to be changed.


If you want to change the world, start with yourself. If you want to bring change in nursing profession, start from nurses. Change doesn’t happen overnight. There is no button that’s pushed to magically alter everything. Change happen little by little. Hour by hour. Day by day. All you have to be is persistence. Nurses should study more to make theoretical strong apply that knowledge practically in clinical. More focus should be given to evidence based learning. Independent nursing care can be given if we become ourselves more competent. Do not limit your creativity in your work and enhance your personal development to change the attitude of others. Unity among nurses should be established to raise the voice against exploitation. Beside from nurses, organization should appreciate and award the role models, “employee of the month/week” and encouraging them to take initiatives, conduct professional and social skill development programme. Nursing organization should work actively to protect and promote professional right.


Nurses are the hospitality of the hospital and nursing care has always been a major component of health systems. Thus in order to address the current problems of nurses, the government must ensure that hospitals comply with international labor laws and end unethical exploitation of nurses.

Thank You!

-Trishana Shrestha
B.Sc.Nursing
Pepsicola, Kathmandu

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Saturday, August 1, 2020

नर्स बन्नुकाे महत्व मलाइ मात्र थाहा छ (कविता) -भावना पाण्डे

 
जिवनको सपना   लिएर हिडेकी म।
 नर्स बन्नुको महत्व मलाई मात्र थाहा छ।
जब कुनै मनिस मसगॅ  आएर तिमीलाई  के पो थाहा छ र;
तिम्रो काम  BP check ,औषधी दिने डक्टरको पछाडि हिड्ने मात्र त हो नि।

त्यस्ता  शब्द सुन्दा मेरो मनमा कति धेरै  कुरा  खेल्छन ।
 म संम्झिन्छु ति दिनहरु जो बेला रात दिन मिहीनेत गरेर पढेको anatomy physiology biochemistry microbiology  अनि अन्य नर्सिङ बिषयको ज्ञानबाट म फेरी उही बिरामीको सेबा गर्न पुग्छु।
मलाई थाहा छ बिरामीको सेवा नै मेरो धर्म हो।
 जब कुनै बिरामी अस्पतालबाट निको भएर जानु हुन्छ।
मलाई धेरै खुशी लाग्छ।
नर्सिङ पेशा मानब शरिरमा काम गर्ने भएकाले मबाट जानाजान गल्ती हुनु हुदैन।
तर गल्तीनै नभइ कुनै अनलाइन मिडीयाहरु  नर्सले घाटी थिचेर बिरामीको मृत्यु भएको भन्ने  समाचार आइरहदा 
म र मजस्ता कलिलो १५, १६ बर्षको उमेरमा ९, ९ घन्टा उभिएर डिउटी गरेर सुन्निएका खुट्टा ! अनि  नर्सिङ पढेर अनबरत रुपमा दिनरात नभनी बिरामीको सेवा गर्ने नर्सको औचित्य नै रहेन।
हो म नर्स भएर घमन्ड गर्न कथापि  खोजेको होइन। 
तर ब्यक्ति, समुदाय, राष्टबाट नर्स र नर्सिङ पेशा तर्फ  सकारात्मक दृष्टिकोण देखिनु पर्ने होईन र?

THIS IS WHAT MY PROFESSION POSSESS- Anu Paudel

 

THIS IS WHAT MY PROFESSION POSSESS

People asked me
What's so special about your profession?
I took a deep breath 
With long exhalation 

      Millions of thoughts crossed in mind
      But i uttered something with kind
      "Nothing much to be counted"
      Here went a slient scream inside me shouted

I feed people when 
They dnt even feel their hunger
Ignoring my own hunger
With missed lunch and supper 

      I run to help 
      Even when my feets are burning like hell
      Running all day here and there
      With responsibility where i cant dare to fail

Some cant speak
Some cant move
Reading there eyes
I keep them smile and alive
  
      At midnight with my sleepy eyes
      Taking a round at patients side
      A grandma grabbed my hand and said
      Sit here with me my child 

I wanted to sleep
But couldn't say goodnight
There i spent all night
Listening to her assuring  eth will be alright 

   I have cried in their sorrows 
   And been profund in their progress
   I am a NURSE
   And this is what my profession possess.
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-Anu Poudel (BNS), Chitawan