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Rheumatic Heart Disease IV: Nursing Management01:20

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Rheumatic Heart Disease III: Medical Management01:21

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Rheumatic Heart Disease I: Introduction01:23

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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The confidence coefficient is also known as the confidence level or degree of confidence. It is the percent expression for the probability, 1-α, that the confidence interval contains the true population parameter assuming that the confidence interval is obtained after sufficient unbiased sampling; for example, if the CL = 90%, then in 90 out of 100 samples the interval estimate will enclose the true population parameter. Here α is the area under the curve, distributed equally under...
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Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Confidence amongst Multidisciplinary Professionals in Managing Paediatric Rheumatic Disease in Australia.

Samuel Cassidy1, Andrea Coda1, Kerry West2

  • 1School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Health Precinct, No. BE154, P.O. Box 127, Ourimbah, NSW 2258, Australia.

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Summary

Many allied health professionals and nurses lack confidence in treating pediatric rheumatic diseases (RD) due to inadequate education. Enhanced training in interprofessional collaboration is recommended to improve care for these children.

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Area of Science:

  • Pediatric Rheumatology
  • Interprofessional Healthcare
  • Allied Health Professions

Background:

  • Interprofessional collaboration is vital for managing pediatric rheumatic diseases (RD).
  • Effective care prevents disability and improves long-term outcomes for children with RD.

Purpose of the Study:

  • To assess allied health professionals' and nurses' confidence levels in treating pediatric rheumatology patients.
  • To identify gaps in education and continuing professional development (CPD) for these healthcare providers.

Main Methods:

  • A survey was conducted among allied health professionals and nurses.
  • The survey explored participants' confidence, educational background, and CPD practices related to pediatric rheumatology.

Main Results:

  • A significant majority (77.9%) reported low confidence in treating pediatric RD.
  • Most participants (67.2%) found their undergraduate education in pediatric rheumatology inadequate.
  • Many relied on traditional resources for CPD, with a notable percentage not undertaking RD-specific CPD.

Conclusions:

  • There is a perceived deficiency in undergraduate education for pediatric RD among allied health professionals and nurses.
  • Low confidence in recognizing and treating pediatric RD highlights a need for improved training.
  • Development of interprofessional education programs is crucial to address this workforce gap.