Mouth care to reduce ventilator-Associated pneumonia Essay

Mouth care to reduce ventilator-Associated pneumonia - Essay Example However, in most of the patients, the VAP is caused by a combination of organisms. The diagnosis of VAP is difficult, making it difficult to account for VAP incidences. The endotracheal tube increases the risks of VAP by prevention of cough, prevention of upper airways filtering and inhibition of epiglottis and upper ways reflex actions. The most risk patients are patients over the age of 65, with underlying chronic illness. This condition is also prevalent in patients with immunosuppressant and previous pneumonia infection. Oral hygiene The significance of a patient’s oral and nasal hygiene is overlooked in most cases, even though it is the most basic of all the nursing interventions. The use of closed suction system (CSS) contributes significantly to the reduction of these cases (Rello et al., 2010). The mouth is a host of both the normal flora and the pathogenic organisms. Most of the studies advocate the use of chlorohexidine. However, it is important to understand that ov eruse of this oral rinse could result in the reduction of the oral bacterial load. This could lead to the development of chlorohexidine resistant organisms. The common suction program can be used to reduce colonization. The installation of the endotracheal tube prevents the glottis closure. ... Oral hygiene is significant in prevention of ventilator associated pneumonia (VAP) due to the oral factors, encouraging the colonization of the bacteria (Hutchins et al., 2009). For example, mechanically ventilated patients in neurological and intensive care units are at a higher risk of development of VAP due to factors such as decreased levels of consciousness, dry open mouth and the increased levels of micro aspiration of secretions. Several interventions could be adopted for the prevention of VAP. However, oral hygiene is one of the most important and significant intervention. The oral care includes timed tooth brushing, in combination with the other measures can be effective in the control of this condition. Some of the best practices include education of the staff on the effectiveness of oral hygiene in reduction of VAP incidences. The study should surround the factors surrounding the reduction of colonization and aspiration. In addition, avoidance of unnecessary antibiotics an d nasal intubation in addition to oral hygiene can contribute significantly to the reduction of colonization. Maintenance of a clean healthy mouth through the prevention of plaque buildup biofilm on the teeth helps in reducing the risks associated with the development t of VAP. Oral hygiene care involves the use of mouth rinses, gel or toothbrush in combination to the aspiration of different mouth secretions can increase reduces the risk of infection with VAP. Previous studies revealed that the use of chlorohexidine mouthwash or gelled contributes to approximately 40% reduction in the chances of development of VAP (Reagan, 2011). Some of the best practices include education of the staff on effectiveness of oral hygiene in reduction of VAP

Personal Statement seeking admission to Master programme in History of

Seeking admission to Master programme in History of Science and Technology - Personal Statement Example Hence, the more reason I would want to undertake this Masters programme in History of Science and Technology in order to teach young people in school on the need for a country focusing in Science and Technology. One factor I have learned in life is the need for discipline in every pursuit that I engage in. Perhaps this comes from my military background where I worked as a finance administrator with Singapore’s People Defence Force ultimately attained the rank of Sergeant in 2009. Moreover, my other engagements, albeit in a co-curricular role, have enabled me gain focus in the direction that my career should take. These engagements in attending and organising delegates meetings within outside the country have played the crucial role in my life of finding value in helping people and influencing lives. In addition, the undergraduate scholarship-teaching award presented to me by the Ministry of Education in Singapore gave me the clear indication that I was destined to become a teacher and impact lives. They say that work without play makes Jack a dull boy. While my pursuit and the passion in becoming a teacher are self evident, I have a passion for media work. For this reason, I choose to pursue a Diploma in Multi-Media technology with a major in Film Studies and Production. In fact, my high average GPA score of 3.24 in my final semester emphasize my passion in every activity I focus on. Moreover, I have continued playing a part-time role by teaching camera handling and cinematography at a school I have helped organise. It is in light of the above that I would request for a placing in your prestigious institution to study for my Masters Degree in History of Science and Technology. I am a well-rounded student with an interest in teaching, which I believe will help me achieve my long life goals. I am a dynamic student who is ready to take what life offers in both hands and to use it to my best of