Introduction
Jellyfish stings are a major and increasing problem in Australia and require prompt medical treatment to prevent extensive injury or death (1). There are many methods to the treatment of Box Jellyfish envenomation in Australia; from sea water and ice, to vinegar and urine (1). Therefore, it is vital to remain relevant with current research and literature on the best treatment of this controversial topic, to ensure patients are receiving the best possible care. This paper will include a reflective paper on current literature pertaining to the topic and the practicality of interventions and methods of management in the out-of-hospital setting. Furthermore, utilising this information, a critique of current local clinical practice guidelines (CPG) and Justifications and recommendations for amendments will be made.
Literature Review
In Australia, Box Jellyfish are found in Northern tropical waters (2). Stings from the Box Jellyfish are most common in summer months, however, can occur all year round, typically close to the shore line (2). The contact marks from a Box Jellyfish typically present in a ladder pattern and cause intense pain (3). In
…show more content…
However, other resources, such as mobile doctors may be available to prevent the patient from requiring hospital admission (17). Furthermore, certain approaches to pain relief, such as warm running water and cold packs, are not always readily available to paramedics. Thus implementing these procedures as a necessary part of paramedic practice would not prove practical. However, paramedics should be aware of the different approaches to relieving pain for these patients and be further aware that if the resources are available, they should be utilised in order to provide as much relief as possible to the suffering
pain is the usual cause for persons to look for treatment. Inadequate pain management can cause delay in healing process. It can also leads to prolonged hospital stay. The acute pain management theory describe how nurse can manage pain with minimal effects from the pharmacological interventions and use of alternative methods of pain management (Good &Moore, 1996) The main factors are in the management of pain are Pharmacological, non-pharmacological, patient participation, education and different interventions. Effective pain management involves the application of non-pharmacological interventions and usage of pain medications. (McEwen & Willis, 2014). The pain management theory deals with management of pain in daily basis. It offers the knowledge about alternate methods in pain
It’s a beautiful day at the beach, the sun is shining down on you as you float and drift on top of the waves. As you lay there without a care in the world, you are suddenly interrupted by a massive swarm of jellyfish; also known as a bloom. Not only does this send you into sudden terror, it also causes a much bigger threat to the ecosystem below you. The excessive growth of jellyfish swarm drastically lowers the population of fish eggs in the ecosystem. Because of this, fishermen lose millions of dollars. People in local communities are figuring out ways to solve this mass production.
Imagine you are in the middle of your typical day-to-day activities. Maybe you are driving, spending time with family, or working. If you are like most people, your phone is at your side on a daily basis. Little do you know that, at any time, police and law enforcement could be looking at information stored on your phone. You haven’t done anything wrong. You haven’t been asked for permission. You aren’t suspected of any crime.
There is a huge need for alternative ways to provide comfort for patients that have adverse
This jellyfish is known to thrive in Northern Australia, Southeast Asia and the Indian Ocean. The Sea Wasp has a bell that can reach almost ten inches in diameter. The tentacles can reach as long as fifteen feet. This jellyfish has been known to cause many deaths and can kill a person within minutes of being stung. Children are especially vulnerable to death because they are smaller in size and the venom disperses throughout the body at a faster rate. When a human makes contact with the box jelly’s tentacles the skin will swell up and a brown or purple lines start to appear. Doctors have developed antivenin but usually the victim dies before they can receive it.
Pain is not just a symptom, but a specific problem that needs to be treated. Pain is a neurologic response to unpleasant stimuli. What is the gate control theory of pain? What are the classifications of pain? What are some ways to manage pain?
The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety
Echinoderms such as starfish, sea cucumbers, and urchins are identified by their symmetry and central mouth. This species is found decorating the coral reefs by their variety of color and sizes. Because some of these animals like to burrow in the sand, they can supply oxygen to some of the depths in the ocean. Echinoderms are a staple food in many sea animals diet.
After such, it goes into the strobular stage, and begins to segment and reproduce. They reproduce asexually, but they can also produce via sperm and eggs during their medusa state. It lives mostly in the South-Eastern US and Gulf Coast regions, usually in waters in temperatures around 23.1 degrees Celsius. It turns out that they may have medicinal uses, such as helping with arthritis, and bronchitis. The cannonball jellyfish known as the Cabbage Head Jellyfish, and is considered a delicacy in Japan. So much so that it has been a huge problem. In many such areas that this jellyfish inhabits, it is either incredibly overpopulated to the point where it is causing water problems, or being very over-harvested, and harming the ecosystem. They can especially harm the leatherback sea turtle, as these jellyfish so happen to be their main food source. It does not help any that the leatherback sea turtle is endangered. The Cannonball Jellyfish is also incredibly quick to go stale, so they are processed as soon as they are caught. They are among the most harvested in the fish market, and also one of the most populated. While Cannonball Jellyfish are being harvested, some fishermen and fisherwomen
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
Nurses have a unique role in alleviating the pain experienced by their patients. With their professional knowledge and regular close contacts with patients, they are ideally placed to listen and respond to any concerns. Taking time to assess the individual will allow for the development of a thrusting relationship between the nurse and patient. Accurate assessment and documentation can help to chart the multi- dimensional nature of the pain, aiding decision making and patient care planning (Mcguie 1992).
The purpose of the experiment is to test effective cures for box jellyfish stings to help US special combat divers. The university of Hawai'i -- Manoa, created an experiment to test different treatments. Methods of treatment ranged from urine to State of the art technologies made for the military. Since Box Jellyfish stings can be deadly testing on humans was not option for them the article stated. So instead they used live stinging tentacles on live human red blood cells. The experiment also looked at how the could slow the tentacle firing and the venom toxicity. The results showed that the humble methods of treatment work, for example: vinegar and hot water immersion. Dr. Yanagihara, the lead author on the paper and assistant research professor,
The major concepts of this theory are defined theoretically since the use of these definitions is from a broader theoretic concept. Therefore, an operational concept could be developed from them. There is consistency in the use of these concepts throughout the theory of acute pain management with examples given using the same language as well as maintaining the integrity of the concepts.
It is appreciated that the given case study contains other factors such as psychological trauma and the impact of blood loss. However this essay is going to explore the efficacy of pre hospital immobilisation utilising cervical collars and extrication/ orthopaedic stretchers, reflecting on an account from the paramedic’s practice. A modified framework of Gibbs Reflective cycle (1988) will be used. Including Description, Feelings, Evaluation, Conclusion and Action Plan. This essay is supported throughout using relevant evidence and seminal work.
Get ready to have those tweezers ready because plucking is found to be one of the most effective methods of removing remaining tentacles from an affected sting-site. Not only does it prevent further contact with other surrounding areas of skin, but because pressure—usually caused by scraping with an object (e.g. credit card scraping is a method known to be popular among false data)—can trigger a release of venom from the tentacles, plucking with tweezers proves to prevent this occurrence. In an attempt to encourage increased effectiveness, apply heat. Application of heat may be suggestive of accelerating the firing of venom, but quite the contrary, it reduces the activity of the affected sting-site whereas cold significantly induced activity. Although, their experiment concluded that it was ineffective for Australian Jellyfish because complete rupture of cells in the sting-site occurred faster than the heat could prevent, so seek medical assistance as soon as possible and pluck the tentacles until they