स्वास्थ्यकर्मी (मुक्तक)

 

स्वास्थ्यकर्मी (मुक्तक)

युद्ध लड्न हिँडेको सिपाई जस्तो भइयो,
परिवारबाट हेला पाउनेलाई पनि अगालियो ।
ज्यानको प्रवाह नगरी निरन्तर लागि परियो ,
सत्रु नै भएपनि माया ममता र उपचार गरियो ।।

 बदलामा

रोग फैलायौ हामीले भन्ने हल्ला सुनियो,
वरिपरिका आएर घर घेराउ र बन्द गरियो ।
कुटपिट गाली र धम्की पनि धेरै सहियो,
हिजाेआज त घरबाट निकाला भइयो ।।

तर        

खै यो समाज कहिले सम्म यस्तो हो ?
खै यो दूर्व्यवहार कहिले सम्म सहन पर्ने हो ??

आखिर कहिले ? आखिर कहिले ??

(जुना गुरागाइ मानवअंग प्रत्याराेपण केन्द्र, भक्तपुरमा  स्टाफनर्स पदमा कार्यरत हुनुहुन्छ ।)

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कोरोना भाइरस रोगको उपचार गर्नु भन्दा लाग्न नदिनु नै वेश । जुनसुकै रोग लाग्न नदिन मानिसले आफूलाई सक्षम बनाउनु पर्छ ।

के हो नोबेल कोरोना भाइरस ?
यो नयाँ प्रजातिको भाइरस हो जुन मानवजातिमा पहिचान भएको थिएन । कोरोना भाइरस श्वासप्रश्वासको माध्यमबाट सर्न सक्ने मानिएको रोग हो । यस भाइरसले सामान्य रुघाखोकी गराउन सक्छ । संक्रमित मानिसको श्वासप्रश्वास प्रणालीबाट बाहिर निस्किने थुक, खकार लगायतका छिटा (ड्रपलेट) बाट यो रोग निरोगी व्यक्तिमा सर्छ।

मानिस कसरि यो भाइरसबाट संक्रमित हुन सक्छ ?
मुख्य रूपले संक्रमित व्यक्ति खोकी, छींक वा बोल्दा उत्पन्न हुने थोपाहरू मार्फत फैलिन्छ। तपाईं दूषित सतहमा छुँदा र आफ्नो हात धुनु अघि आँखा, नाक वा मुख छोएर पनि संक्रमित हुन सक्नुहुन्छ। आफूलाई जोगाउनको लागि, कम्तिमा अरूबाट १-मिटर दूरी राख्नुहोस् र अक्सर छुने सतहहरूलाई कीटाणुरहित गर्नुहोस्। तपाइँको हात सफा गर्नुहोस् COVID-19 भाइरसले संक्रमित धेरै व्यक्तिहरूले हल्का देखि मध्यम श्वास रोगको अनुभव गर्नेछन् । पाको उमेरका व्यक्तिहरू, र हृदय रोग, मधुमेह, दीर्घकालीन श्वास रोग, र क्यान्सर जस्ता अन्तर्निहित मेडिकल समस्याहरूको साथ गम्भीर बिरामी हुने बढी सम्भावना हुन्छन्।

कोरोना भाइरसको लक्षणहरु के हो ?

•  ज्वरोआउनु एक सयदशमलब ४डिग्रीफरेनाइट भन्दा बढी ज्वरो आउनु· खोकी लागने
• टाउकोदुख्नने
• सुख्खा खोकी
• थकान
• दुखाइ र पीडा
• घाँटी दुखाइ
• पखाला लागने
• स्वाद वा गन्ध को घाटा

गम्भीर लक्षण:

• सास फेर्न कठिनाई
• छाती दुखाई

यदि तपाईंसँग गम्भीर लक्षणहरू छन् भने तत्काल चिकित्सकीय सहायता लिनुहोस्। सधैं तपाईंको डाक्टर वा स्वास्थ्य सुविधा भ्रमण गर्नु अघि कल गर्नुहोस्।

कोरोना भाइरस जोखिम 

• जेष्ठनागरिक, दीर्घरोगी
• मुटुरोग
• सुत्केरी र गर्भवतीआमाहरु, बालबालिका
• दीर्घकालीन किडनी रोग
• दीर्घकालीन अवरोधक फुफ्फुसीय रोग (सीओपीडी)
• अंग प्रतिरोपणको कारण कमजोर प्रतिरक्षा प्रणाली
• मोटोपना
• हृदयको गम्भीर अवस्थाहरू जस्तै मुटुको विफलता वा कोरोनरी धमनी रोग
• सिकल सेल रोग
• टाइप २ मधुमेह
• सिस्टिक फाइब्रोसिस
• उच्च रक्तचाप
• एचआईभी
• डिमेंशिया
• कलेजो रोग
• गर्भावस्था
• क्षतिग्रस्त वा दागको फोक्सोको टिश्यू (पल्मोनरी फाइब्रोसिस)

कोरोना भाइरसबाट कसरि आफु र अरुलाई बचाउने ?

• नियमित रुपमा साबुन पानीले राम्रोसंग हात धुने ।
• आफ्नो हात सफा राखौँ।हातले नाक–मुख छुन रोकौँ। संक्रमित व्यक्तिको नजिक नजाउँ, संक्रमित व्यक्तिको थुक वा खकारका छिटाआँखा, मुख र नाक सम्म नपुगोस्भनेर सतर्क रहौं। विश्वस्वास्थ्यसंगठन, नेपाल स्वास्थ्य तथा जनसंख्यामन्त्रालयले निर्धारण गरेको मापदण्डअनुसार मास्कलगाउने, हात सफा गर्नेर सामाजिक दूरी कायम गर्ने अभियान पालना गरौं ।
• फ्लु जस्तो लक्षणहरु देकेयमा चिकित्सकसँग परामर्स लिने ।
• मास्क लगाउने, बारम्बार साबुनपानीले हात धुने वा स्यानिटाइजरको प्रयोग गर्ने, भीडभाडमा नजाने, शंकास्पद बिरामीकोसम्पर्कमा नबस्ने, घर बाहिर निस्कन परे न्यूनतम दुई मिटर सामाजिक दूरी कायम राख्दै आफ्नो काम गर्ने। यति हुँदा हुँदै पनि कोरोनासंक्रमण भइहाल्यो भने भरखरै सरकारले जारी गरेको प्रोटोकलमा रहेर अस्पताल वा उपयुक्त स्थान भए सम्बन्धित स्वास्थ्यकर्मीको सल्लाह होम आइसोलेसन बसने ।
• नेपालमा प्रयोग गरिने मसला र प्राकृतिक जडीबुटीको प्रयोगबाट जीवनाशक गुणप्राप्तहुन्छ। रोग प्रतिरोधक शक्ति वृद्धि गर्न सघाउँछ । तर अहिलेको कोरोना भाइरसको संक्रमणबाट जोगाएको हालसम्म कुनै प्रमाण फेला परेका छैन। अहिलेको कोरोना भाइरसको संक्रमणबाट जोगाएको हालसम्म कुनै प्रमाण फेला परेका छैन।

• COVID भाइरस मुख्यत: नाकबाट डिस्चार्जको माध्यमबाट फैलिन्छ जब संक्रमित व्यक्ति खोकी वा छींक लाग्दछ, त्यसैले यो महत्त्वपूर्ण छ कि तपाईंले श्वासप्रश्वासको शिष्टाचार पनि अभ्यास गर्नु पर्छ (उदाहरणका लागि, खोकी द्वारा)
• यस समयमा, COVID-19 को लागी कुनै खास खोप वा उपचारहरू छैनन्। यद्यपि, सम्भावित उपचार गर्ने धेरै चलिरहेका क्लिनिकल परीक्षणहरू छन्। WHO ले क्लिनिकल खोजहरू उपलब्ध हुने बित्तिकै अद्यावधिक जानकारी प्रदान गर्न जारी राख्नेछ।
• कम्तिमा १ मिटर (feet फिट) दूरी आफु र अरु बीच राख्नुहोस्। जब कसैलाई खोकी लाग्ने, छींक लाग्ने, वा बोल्ने तिनीहरूले भाइरस समावेश गरेको नाक वा मुखबाट सानो तरल ड्रपलेटहरू स्प्रे गर्दछन्
• भीड ठाँउमा जानबाट जोगिनुहोस्। जहाँ मानिसहरू भीडमा भेला हुन्छन्, तपाईं COVID भएको कसैसँग घनिष्ठ सम्पर्कमा आउन सक्ने सम्भावना धेरै हुन्छ र १ मिटर को शारीरिक दूरी कायम गर्न गाह्रो हुन्छ।
• हातले धेरै सतहहरु लाई छुन्छ र भाइरस लिन सक्छ। एक पटक दूषित भएपछि, हातहरूले भाइरसलाई तपाईंको आँखा, नाक वा मुखमा सार्न सक्छ। त्यहाँ बाट, भाइरस तपाइँको शरीर मा प्रवेश र तपाइँलाई संक्रमित गर्न सक्दछ।

• तपाईको स्वास्थ्य लाभ नभएसम्म खोक्ने, टाउको दुख्ने, हल्का ज्वरो जस्ता सामान्य लक्षणहरू भए पनि घर र स्व-पृथक रहनुहोस्। कसैलाई तपाइँको आपूर्ति ल्याउन छ। यदि तपाईंले आफ्नो घर छोड्नु आवश्यक छ भने, अरूलाई संक्रमित हुनबाट जोगिन मास्क लगाउनुहोस्। अरूसँग सम्पर्क बेवास्ता गर्दा तिनीहरूलाई सम्भावित COVID-19 र अन्य भाइरसहरूबाट बचाउनेछ।
• तपाईंलाई ज्वरो, खोकी र सास फेर्न गाह्रो छ भने, चिकित्सा उपचार खोज्नुहोस्, तर सम्भव भएमा टेलिफोनबाट कल गर्नुहोस् र स्थानीय स्वास्थ्य अधिकारको निर्देशनहरू पालना गर्नुहोस्। तपाईंको क्षेत्रको अवस्थाको बारेमा राष्ट्रिय र स्थानीय अधिकारीहरूसँग सबैभन्दा पछिल्लो सूचना हुनेछ। अग्रिम कल गर्दा तपाईंको स्वास्थ्य सेवा प्रदायकलाई चाँडो तपाईंलाई सहि स्वास्थ्य सेवामा डाइरेक्ट गर्न अनुमति दिनेछ। यसले तपाइँको रक्षा गर्दछ र भाइरस र अन्य संक्रमणको प्रसार रोक्न मद्दत गर्दछ। 
• विश्वस्त स्रोतहरूबाट नवीनतम जानकारी राख्नुहोस् । जस्तै डब्ल्यूएचओ वा तपाईंको स्थानीय र राष्ट्रिय स्वास्थ्य अधिकारीहरू। स्थानीय र राष्ट्रिय अधिकारीहरु लाई राम्रो सल्लाह मा राख्न को लागी तपाईको क्षेत्र मा मान्छेहरु को आफ्नो सुरक्षा को लागी गर्नु पर्छ|
  

सेनिटाइजरको सुरक्षित प्रयोग

• रक्सीमा आधारित हात सेनिटाइजरहरू बच्चाहरूको पहुँचबाट टाढा राख्नुहोस्। सैनिटाइजर कसरी लागू गर्ने र यसको प्रयोगको अनुगमन कसरी गर्ने भनेर उनीहरूलाई सिकाउनुहोस्।
• तपाईको आँखा, मुख र नाकलाई छुने बित्तिकै एल्कोहलमा आधारित हात सेनिटाइजर प्रयोग नगर्नुहोस्, किनकि यसले जलन निम्त्याउन सक्छ।
• COVID-19 लाई बचाउन सिफारिस गरिएको हात सेनिटाइटरहरू रक्सीमा आधारित हुन् र त्यसैले ज्वलनशील हुन सक्छ। आगो चलाउनु वा खाना पकाउनु अघि प्रयोग नगर्नुहोस्।

अनुहारको मास्कले तपाईंलाई संक्रमणबाट बचाउँछ ?

• तपाईं भाइरस फैलाउन सक्नुहुन्छ जब तपाईं कुरा गर्नुहुन्छ वा खोक्नुहुन्छ । तपाईंलाई यो थाहा छैन कि तपाईंले संक्रमणका लक्षणहरू देखाउँदै हुनुहुन्न भने।
• सर्जिकल मास्कहरू र सीडीसीले सिफारिश गर्दछ कि यदि तपाईं सार्वजनिकमा बाहिर जानुहुन्छ भने तपाईं कपडाको फेस मास्क लगाउनुहोस्। यो सबैको सुरक्षाको एक मास्कहरू स्वास्थ्य सेवाकर्मीहरू र पहिलो प्रतिक्रियाकर्ताहरूको लागि आरक्षित हुनुपर्दछ,।

आफ्नो हेरचाह कसरि गर्ने?

• यदि तपाईं बिरामी महसुस गर्नुहुन्छ भने तपाईंले आराम गर्नुपर्दछ, प्रशस्त तरल पदार्थ र पेय पदार्थ खानुहोस्।
• परिवारका अन्य सदस्यहरूबाट छुट्टै कोठामा बस्नुहोस्, र सम्भव भएमा छुट्टै बाथरूम प्रयोग गर्नुहोस्।
• छुने सतहहरूलाई सफा र कीटाणुशोधन गर्नुहोस्।
• सबैले स्वस्थ जीवनशैली घरमा राख्नु पर्छ। स्वस्थ आहार कायम राख्नुहोस्, सुत्नुहोस्, सक्रिय रहनुहोस्, र प्रियजनहरू सँग फोन वा इन्टरनेट मार्फत सामाजिक सम्पर्क गर्नुहोस्। सकेसम्म नियमित दिनचर्या र तालिकामा राख्नुहोस्।
• ब्लीच र पानीको मिश्रण प्रयोग गर्नुहोस् घर सफा गर्ने |

निष्कर्ष
कोरोना भाइरस रोगको उपचार गर्नभन्दा लाग्न नदिनु वेश। जुनसुकै रोग लाग्न नदिन मानिसले आफूलाई सक्षम बनाउनु पर्छ| मास्क लगाउने, बारम्बार साबुनपानीले हात धुने वा स्यानिटाइजरको प्रयोग गर्ने, भीडभाडमा नजाने, शंकास्पद बिरामीको सम्पर्कमा नबस्ने, घर बाहिर निस्कन परे न्यूनतम दुई मिटर सामाजिक दूरी कायम राख्दै आफ्नो काम गर्ने। यति हुँदाहुँदै पनि कोरोना संक्रमण भइहाल्यो भने भरखरै सरकारले जारी गरेको प्रोटोकलमा रहेर अस्पताल वा उपयुक्त स्थान भए सम्बन्धित स्वास्थ्यकर्मीको सल्लाहमा होम आइसोलेसन बस्ने। यदि तपाईं बिरामी महसुस गर्नुहुन्छ भने तपाईंले आराम गर्नुपर्दछ, प्रशस्त तरल पदार्थ र पेय पदार्थ खानुहोस्। परिवारका अन्य सदस्यहरूबाट छुट्टै कोठामा बस्नुहोस्, र सम्भव भएमा छुट्टै बाथरूम प्रयोग गर्नुहोस् । 

 

(नर्स मायादेवी अधिकारी मनमाेहन मेमाेरियल मेडिकल कलेज तथा शिक्षण अस्पातल काठमाडाैमा कार्यरत हुनुहुन्छ)

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“God found some of the Strongest Women in the World they are Nurses” - RN Maya Devi Adhikari (Manisha)

 

“God found some of the Strongest Women in the World they are Nurses”

Nurse is a Person who provided care to individual or community in the problematic situation as well as healthy conditions. In the old Days, the nurse we known as women who took care of the sick injured, and dying person without any formal Knowledge. Nursing is being a Major profession in providing health Care of Preventive, Promotive, Curative and Rehabilitative services. The Scope of nursing is very broad and highly demanded.

Nursing encompasses so much more than just medical care- it has to do with the human touch as well. When a patient needs a drink of water or a painkiller, it is the nurse whom they turn to. Nurses look after even the most intimate needs of patients, and they do so with compassion and thoughtfulness. Tasks that range from coaxing the patient to eat, telling a joke while drawing blood, to helping the patient to take a few steps after a surgery, all fall within the nurses’ responsibilities.

While it is the doctor who manages the overall healthcare plan, nurses are the ones who carry it out; and in doing so they spend the most number of contact hours with the patient. Ninety-nine per cent of patient interactions in hospital are with their nurses, and patients learn to trust their swift handling of any problems they may be facing.

Nursing is a health care profession that involves years of training and continued specialized education to care for patients in a variety of settings. Nurses are often the first healthcare professional that patients meet. They are a technical expert, an educator, a counselor and a resource for the family, using all senses to better care for a patient.

Nursing profession is a career in which one has the opportunity to give care to others in need, share health information with others to help them live better lives, and grow professionally in almost any way one can dream possible. Whether one is interested in research, bedside nursing, or advanced practice, nursing provides the opportunities to do all of these things. Another nice thing about nursing is that nurses are able to be many different kinds of nurses throughout their career. For example, one could be a pediatric nurse for a few years, then decide to be a critical care nurse for the next few years, and then decide to become a nursing instructor! It is an amazingly, rewarding career. One piece of advice to always remember: Don't forget the basics. Everyone wants a caregiver who truly cares about their well-being and comfort.

Nursing focus is on the whole patient, thereby setting itself apart from other disciplines through the positive caring approach. A profession is the ability to acquire knowledge in areas of science and the nursing profession is one that is grounded in theories, sciences, math, biology, and anatomy and physiology. Nursing is a discipline that focuses on alleviating pain and suffering through protection, promoting health, wellness, and prevention of illness and injury. The nursing profession is an advocacy in the care of individuals, families, communities, and populations. The profession advocates education, prevention, collaboration, coordination of care, and adheres to a high standard of care. Today, the nursing profession transformation is a vision of Florence Nightingale’s showing in the hospital designs, evidence-based medical care, and holistic patient. Nurse work to promote health, prevent disease and help patients cope with illness. They are always advocate and health educators for patients, family, and communities. Nurse develop and manage nursing Care plans instruct patients and their families in proper care, and help individuals and groups take steps to improve or maintain their health they spend much of their time on care. Nurse motivates the people to find their health needs, increase interest to adopt healthy life style and increase awareness regarding health ,sanitation, hygiene etc. Until the people are interested and become aware of their needs, they will not consume the health service provided to them.

Nurses always reflects the trust that the public hold in nurses; and truly, whether by the bedside or in the executive boardroom, nurses are the most trusted in the healthcare system in any country. Patients look to nurses for care during their most vulnerable times, and the nursing profession has proven time and again that they do, indeed, deserve this trust!

Nurses must necessarily draw on this single minded trust that patients place in them, by advocating them on health issues and doing all they can to improve the welfare of the community at large. Recovering patients are more likely to listen to the words of advice from the nurse who has been at their bedside during their stay in hospital. They will follow the patient care advocated by them, as they perceive that their nurses honestly care for them and want their well-being.

However tired they may themselves be, nurses are trained to be cheerful and pleasant and to extend compassionate care at all times. When you are not in the best of health, a smiling face can make all the difference to your quick recovery! At times when the patient’s health prognosis is not so positive, it is again only nurses who can be relied upon to tell the truth, clearly and correctly. Nurses often help patients to make informed decisions about their continued healthcare. For this reason, patients learn to expect honesty from their nurses.

Do anything wrong, they can be trusted to do all the right things they are only Nurse. To stay on top of the profession and keep themselves abreast of all the advancements in the field, nurses must undertake professional development courses. This will help them to keep up the trust that the community has placed in them and to carry out their duties to the best of their ability.
 

Thank You!

Maya Devi Adhikari (Manisha)
PBBN: KMHSON
Staff Nurse : Manmohan  Memorial Medical College and Teaching Hospital

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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

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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

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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 ।

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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

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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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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?

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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

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