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Related Concept Videos

Personal Protective Equipment01:20

Personal Protective Equipment

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Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
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Muscles of the Pelvic Floor and Perineum01:26

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The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
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Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
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Peritoneum01:21

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The peritoneum is a vital membrane that lines the abdominal cavity and covers most of the organs within it. It plays a crucial role in protecting the organs, providing a smooth surface for their movement, and facilitating various physiological processes. Understanding the anatomy and function of the peritoneum is essential for comprehending the complexities of the abdominal region.
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation
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Perineal protection.

Suyai Steinhauer

    The Practising Midwife
    |September 5, 2015
    PubMed
    Summary

    Midwives use perineal protection techniques during childbirth, but evidence supporting some methods is lacking. This article reviews techniques, evidence, and encourages reflection on current practices to improve maternal outcomes.

    Area of Science:

    • Obstetrics and Gynecology
    • Midwifery Practice

    Background:

    • Perineal tearing during childbirth is a frequent complication with significant maternal morbidity.
    • Midwives employ various hands-on techniques to prevent perineal trauma, though their evidence base is often not well-established.
    • The perceived role of midwives in preventing tears and the routine use of techniques without explicit consent are notable aspects of current practice.

    Purpose of the Study:

    • To explore and critically evaluate hands-on techniques used by midwives for perineal protection during childbirth.
    • To examine the existing evidence base for commonly employed perineal protection strategies.
    • To encourage critical reflection among healthcare providers regarding their practices and beliefs surrounding perineal tear prevention.

    Main Methods:

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  • Literature review of evidence-based and non-evidence-based perineal protection techniques.
  • Exploration of the subjective experiences and beliefs of midwives regarding their role in preventing perineal trauma.
  • Discussion of ethical considerations, including informed consent for the application of hands-on techniques.
  • Main Results:

    • Identification of several hands-on techniques for perineal protection, with varying levels of scientific support.
    • Highlighting a discrepancy between midwives' perceived efficacy of techniques and the available evidence.
    • Observation that patient consent for these interventions is not consistently obtained.

    Conclusions:

    • There is a need to align midwifery practices for perineal protection with robust evidence.
    • Further research is required to validate or refute the efficacy of various hands-on techniques.
    • Emphasis on patient-centered care necessitates obtaining informed consent before implementing perineal protection measures.