Monthly Archives: April 2014

Good Heal Trust is very pleased to say that its Comprehensive Health Care Service project has achieved the greatest success yet in its patient care service and in field activity. The team has crossed the target level of patients, reaching higher than expected! Service was given to a total of 708 patients. 112 of these patients were given follow up care in order to ensure they continue getting the care they need. Two health camps were held, one on the 9th and another on the 27th of April ,2014.  At the camps, a total of 92 patients were given medical care. Similar to previous months, the target diseases were: common diseases and gynecology related problems. Dr.Apurba Kumar Saha and Dr. Aynul Kabir (from the Medicine Department), Dr. Farhana Khatun (from the Gynecology Department) and Dr. Farhana Rahat (from the Pediatric Department) consulted the various patients.

Similar to previous sessions, Good Heal Trust presented health awareness sessions twice a week on general health advice to patients of the Korail Slum. Advice pertaining to personal hygiene, family planning, common diseases amongst women, common diseases present in households and many other issues were discussed. Focus Group Discussions (FDGs) were held with 840 people within the slum. Once again, the number for the FDGs continues to go up every month as the team looks to serve more and more of those who need it the most.

 

Skype consultancy was given to 16 patients. Dr. Aynul Kabir of BIRDEM (medicine) gave service to 8 patients and Dr. Apurbo Kumer Saha also of BIRDEM (medicine) gave service to 8 patients using the GHT Telemedicine Service. This was a great honour for GHT.

Good Heal Trust was also successful in referring a total of 127 patients to different hospitals across Dhaka, including Society for Assistance to Hearing Impaired Children (SAHIC), Islamiya Eye Hospital, Mohakhali TB Hospital, GHT Health Camp, Gulshan Seba Hospital, Dhaka Medical College Hospital, Dhaka Shishu Hospital and BRAC.

Patients who needed tests were sent to Gulshan Seba House for different health tests, including the Ultrasound Sonography Test (USG), Thyroid Test, X-rays, Complete Blood Count (CBC) and Urine Culture & Sensitivity (C/S) tests.

In the camps, a total of 52 patients registered as registered patients. 2 of them had already registered from before. Good Heal Trust provided a health card to each person. A mere Tk50 was charged as the card registration fee. Each card holder patient was also given a registration number. By showing this health card, a slum dweller can enjoy all the services offered by Good Heal Trust through its clinic. If a registered member needs any kind of pathological or radiology test, Good Heal Trust will provide the patient a 25 % discount. In addition, with the health card the patient receives a 50% discount on doctor visits.

By next month, the trust looks forward to completing one year since the starting of the health care service. The true is excited and hopeful regarding the success of its present and future endeavours.

Nurses’ Skill Enhancement Program

The Nurses Skill Enhancement Program (NSEP) continues to be in session at both Birdem and National Heart Foundation (NHF). Nurses continue to learn about the topics which relate to their profession in addition to getting sessions on the English Language, Computers and Grooming.

Nursing Classes: Nursing sessions continue to be the core of the program. The nurses at Birdem are taught modules related to Diabetes and the healthcare which Birdem gives whereas National Heart Foundation nurses are taught modules pertaining to cardiology and services which are provided by their hospital.

The topics covered at Birdem during April include:

a)       Venous diseases: Venous Thrombus, Deep Vein Thrombosis. Varicose Veins, the difference between arterial and venous leg ulcers.

b)      Angina pectoris: stable angina, unstable angina, variant angina (its types)

c)      Cardiac drugs: Antiarrythmia drugs, anti-angina drugs’ action, its side effects, contraindications and nursing interventions.

d)      Congestive Heart failure: its definition and the different types (i.e., right ventricular failure, left ventricular failure). Cardiac glycosides’ action, side effects, contraindications and its antidote.

e)      Inflammatory and structural heart disorders: pericarditis, endocarditis, rheumatic heart diseases, valvular disorders: regurgitation, stenosis and prolapsed.

The topics covered at NHF include:

a)      Specimen collection and the Nursing measures necessary for collection. Urine specimen: urine for microscope, urine for culture, 24 hours urine, culture and sensitivity test. Stool: for the microscope, occult blood, parasites, culture and sensitivity test. Sputum: collection, etc.

b)      Cardiac Diagnostic test: Cardiac enzymes, CBP, stress test cardiac catherization, hemodynamic measurements and specific nursing interventions.

c)      ECG interpretation: Conducting system of the heart, electrical conduction of the heart (i.e. Formation of P wave, QRS complex, T and U wave, J junction, time interval for each wave and calculation of Heart rate from ECG).

d)       Vascular diseases: Peripheral Arterial Diseases: Reynaud’s Disease, Thromboangiitis Obliterans, Acute Arterial Ischemic Disorders.

e)      Aortic Aneurysms and Aortic Dissection: its definition, etiology, pathophysiology, classification, complications, clinical manifestation, collaborative intervention and nursing care.

f)       Angina Pectoris: stable angina, unstable angina, and the different types of variant angina.

g)      Anti-angina drugs: Nitroglycerine, Beta Blockers, Calcium channel blockers: drug action, side effects, contraindications, complications and nursing interventions.

h)      Myocardial Infarction: Myocardial Ischemia, Myocardial Injury, Myocardial infarction Risk factors

 

 

English Classes: The English sessions keep group works and student centered learning as a top priority. The nurses are encouraged to speak and overcome their weaknesses in spoken English through group presentations. Pair/group works are done in each class based on the topic being taught.

The topics covered in the English Classes at Birdem and NHF this month include:

a)      Seasons- national and international seasons were discussed and elaborated on. The terms ‘rotation’ and ‘revolution’ were given special attention in order to explain the cause of the seasonal changes. For grammar, the usage of the verb ‘to be’ was practiced by the nurses.

b)      The definitions and usage of adjectives and adverbs. Nurses were also taught how to write brief descriptions using adjectives and adverbs.

c)      Article on fitness: different types of fitness and the need for fit nurses (and people in general). Nurses were suggested different physical activities to stay fit.

d)      The difference between fact and fiction/Fact or Opinion.

Computer Classes: Computer knowledge is absolutely essential in today’s fast paced, tech-savvy world.  Therefore, the trust continues to offer computer classes. We would like to see the nurses complete assignments using the computer.

This month, the computer topics covered at both Birdem and NHF include:

a)  Microsoft Word, the internet and its uses,    etc. 6 nurses had their email addresses opened by the computer instructor.

b)  Students were given an assignment after being divided into 4 groups. They had to submit the printed assignment.

Grooming Classes: In order to improve the overall presentation and work ethics of the nurses, GHT provides at least one grooming class per month to the nurses.

The topics covered for grooming at Birdem and NHF include:

a)     Health care services in Bangladesh- the different types of health cares available and their importance.

b)    Time Management- its importance and results/ways of developing time management.

If interested in working with us or if you simply want to find out more information about what we endeavor to bring to the over-all healthcare system, current/future projects and much more, please visit us at: www.goodhealtrust.org