Browsing by Author "Dasanayake, C. D. K."

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Case Report: High-Pressure Chronic Retention (HPCR) of an Elderly Female and Ongoing Care following Permanent Urinary Catheter Placement
(Faculty of Humanities and Sciences, SLIIT, 2022-09-15) Wijayarathne, G. H. P. D. S; Kumarasinghe, M. S; Dasanayake, C. D. K.
Chronic Urinary Retention is defined as a condition of the urinary bladder in which the residual urine after a normal void exceeds 300ml. High-Pressure Chronic Retention (HPCR) differs from chronic urinary retention with four characteristics as follows, late-onset anuresis, a tense painless palpable bladder, hypertension, and bilateral hydronephrosis with hydroureter which leads to uraemia and death (Goonawardena & Sivapriyan, 2004). A 79-year-old socially active lady has been diagnosed with type II diabetes mellitus, presented with frequency, urinary incontinence, dribbling, and urgency for three years reluctant to seek proper medical assistance by rationalizing her thoughts that this condition was normal with her advanced age. As nurses, it is important to initiate care systematically: addressing the informationseeking behaviour of clients with permanent urinary catheters, encourage them to express their feeling and concerns on this condition, provision of necessary knowledge on the management, care, and long-term follow up on permanent catheterization of patients with HPCR and family. This would relieve patients’ anxiety, and dissatisfaction, and leads to enhance patients’ quality of life during their advanced age. Further, evidence and updated clinical nursing guidelines are needed on long-term care and follow-up for this unique clinical entity of elderly women.
Open Access
A Case Report: Nursing Interventions of a Patient with Type B Aortic Dissection
(Faculty of Humanities and Sciences, SLIIT, 2023-11-01) Subasinghe, S. M. N; Ranasinghe, W. D. D. M.; Dasanayake, C. D. K.
Aortic dissection is a rare medical condition in which a tear of the aortic wall occurs. Type B aortic dissection occurs in the descending aorta and is a challenging medical emergency in the human circulatory system and may have serious complications such as renal failure, arterial dilatation or rupture, visceral branch hypo perfusion, and compromise of aneurism exclusion. Elderly patients greater than the age of 70 years with type B aortic dissection have the most striking mortality rate. A seventy-year-old woman with a history of acute aortic aneurysm began her illness with sudden onset generalized abdominal pain and back pain, vomiting, and loose stool and was admitted to the hospital. After careful analysis of the results of diagnostic tests, the patient was diagnosed with type B aortic dissection with kidney failure. Criteria to manage this patient with type B aortic dissection included reducing blood pressure on the aortic walls, relieving pain, and helping prevent tears from worsening. Nursing care provided for this patient included psychological support, close observation of vital signs and other discomforts to identify the signs of complications, administration of IV morphine infusion for relieving pain with the close observation, administration of medicine, and maintaining intake output of the patient to reduce blood pressure and prevent worsening of vascular and renal complications. All recommended management was continued but suddenly, the patient became unconscious and had a cardiac arrest. Even though maximal resuscitation efforts were taken, the patient died.
Open Access
The Most Influencing Factors for Cigarette Smoking Among Adolescents: A Systematic Review
(Faculty of Humanities and Sciences, SLIIT, 2023-11-01) Lakshmi, N.; Dasanayake, C. D. K.; De Silva, B. S. S.
Cigarette smoking is a major public health problem in the world, and smoking leads to diseases and disabilities and harms nearly every organ of the body. All forms of cigarettes are harmful, and there is no safe level of exposure to tobacco. Nicotine is one of the toxic chemicals found in tobacco and can cause carcinomas. A significant number of students experimented for the first time with cigarette smoking in adolescence. Cigarette smoking during adolescence causes significant health problems, such as an increase in the number and severity of respiratory illnesses, decreased physical fitness, and potential effects on lung growth and function. The participants who smoked had poor academic performance, drank alcohol, were sexually active, and were more likely to smoke with other adolescents. This study aims to identify the most influencing factors for cigarette smoking among adolescents. This systematic review included literature from 2017 to 2022 through databases such as PUBMED, CINHAL, and MEDLINE. The review includes six studies that revealed the influencing personal, environmental, and community factors for cigarette smoking among adolescents through multivariate logistic regression and path analyses in several countries. The probability of smoking was found to be higher among adolescents with male gender, high body mass index, social anxiety, high grades, sufficient pocket money, and positive attitudes toward smoking. Peer smoking, secondhand smoking (SHS) exposure, smoker parents, free cigarettes from tobacco companies, the indigenous population, and parenting patterns were found as influencing factors to combat the threat of cigarette smoking among adolescents. To combat the threat of cigarette smoking among adolescents, gender- and culture-sensitive prevention programs are required.
Open Access
The Progress of Wound Healing during the Application of Negative Pressure Wound Therapy to a Chronic Diabetic Foot Ulcer: A Case Report
(Faculty of Humanities and Sciences, SLIIT, 2023-11-01) Wickramasinghe, D. T.; Dasanayake, C. D. K.
Non-healing wounds and associated health care cost is a global burden. This issue is a great challenge for developing countries. Negative pressure wound therapy (NPWT) is a popular treatment method currently being used for chronic wound healing worldwide. NPWT is a non-invasive closed system that creates a sub-atmospheric (negative) pressure environment. This therapy is mostly utilized in patients who have chronic wounds such as pressure ulcers and diabetic wounds. NPWT reduces debris, decreases swelling of the tissues and promotes rich blood flow to the wound site. The aim of the present study was to explore the progress of wound healing with the application of NPWT to a delayed-healing diabetic foot ulcer. The case study was conducted based on data gathered through direct patient observation during the application of NPWT. The study was about a 59-year-old male person who was diagnosed with diabetes mellitus and had delayed wound healing for more than 2 months on his left lower limb foot ulcer. After applying NPWT to the delayed healing wound for seven days, the medical team observed a rapid wound healing process including redness over the wound, less debris, less amount of slough, and closure of the wound from edges gave evidence of the effectiveness of the wound healing process.