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Friday 13 April 2018

Reiki


Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing. It is administered by "laying on hands" and is based on the idea that an unseen "life force energy" flows through us and is what causes us to be alive. If one's "life force energy" is low, then we are more likely to get sick or feel stress, and if it is high, we are more capable of being happy and healthy.
The word Reiki is made of two Japanese words - Rei which means "God's Wisdom or the Higher Power" and Ki which is "life force energy". So Reiki is actually "spiritually guided life force energy."
A treatment feels like a wonderful glowing radiance that flows through and around you. Reiki treats the whole person including body, emotions, mind and spirit creating many beneficial effects that include relaxation and feelings of peace, security and wellbeing. Many have reported miraculous results.
Reiki is a simple, natural and safe method of spiritual healing and self-improvement that everyone can use. It has been effective in helping virtually every known illness and malady and always creates a beneficial effect. It also works in conjunction with all other medical or therapeutic techniques to relieve side effects and promote recovery.
An amazingly simple technique to learn, the ability to use Reiki is not taught in the usual sense, but is transferred to the student during a Reiki class. This ability is passed on during an "attunement" given by a Reiki master and allows the student to tap into an unlimited ...Read more

Adventure in hospital land involving my wife Enid

My wife Enid on April 12th 2018 had a bit of an adventure at North District Hospital in Barnstaple North Devon United kingdom which involved her hospital bed.Enid told me how her hospital bed mechanism had failed causing the bed to elevate to more then average height She had to have 2 paramedics  to be with her due too health and safety issues and had to have her meals,tablets,drinks via a step ladder when her bed was moved she could be transferred to another hospital bed was only working on 3 wheels .To make the situation worse she had to wait for a air mattress to inflation to then moved on her another hospital bed this was from 8am to 5 pm on the day,so who said staying in hospital was boring I even did a bit on my podcast Holsworthy mark show about the event .Listen to too podcast

Wednesday 11 April 2018

Holsworthy mark show gulf stream news. .radio 5 live. .episode 316

Holsworthy mark show gulf stream news. .radio 5 live. .episode 316

My Reply from number chosen from Angelic dubois medium a future guest on my podcast Holsworthy mark show

 Number 2 you have Chosen in the vibration I have receive this for you :  you are on a new road will help you with reinstate change but keep balance  reflection so you dont get taken for a fool ...My reply  to Angelic dubois medium ..yes you have got this quite right ..my new road is that my wife Enid is in hospital and when she comes home she will need Sid with washing /shower via a home assistants,extra district nurses visits,help in night to help prevent further pressure wounds.As for taken for cool yes happened a few times now I only believe what told when I cross check all the information I can .The following was after a chat with Angelic dubois as I hoping to do a live version of my podcast Holsworthy mark show with this lovely lady in which people Wii l be asked to pick a number between 1 to 9 and Angelic will reply in example above.Also this may be on facebook live as well at same time to make podcast interactive with audience.



In memory of my uncle Roger. .I shall miss you

Today Wednesday 11th April 2018 is a sad day  as my uncle Roger raines funeral  is feel guilty  for not being  there  as he was there  for me at my dads funeral  as he and my dad were very  close. .both  Teds in their youth.So I am going to  my local church to say a few  prayers  and  his family are in my thoughts. https://youtu.be/SV7znC9TWYs

Saturday 7 April 2018

Please help this cause


Its really a pleasure to me that you have accepted my friend request. Am by names Luzinda Umaru from Uganda East Africa and am heading a charity home known as Hendrickson ministry Uganda(HMU).These charity has been existing for 6 years and we have been able to adopt 21 orphans and among the 21,8 of them have already got full sponsorship on their education program and these children are sponsored by our friend in Canada and Australia.The reason as to why i sent a friend request to you is because am looking for more people who can help us on other children who have not yet got sponsors on their education program and we have so many other programs that are going on to help the children.
WOULD YOU WANT TO KNOW MORE ABOUT THESE PROGRAM?

https://web.facebook.com/Hendrickson-ministry-Uganda-922217631204073/?fref=ts

Thursday 5 April 2018

Negative pressure wound Therapy

At present my wife Enid has to have the following treatment for wound i stomach area...

Negative-pressure wound therapy

Application of a vacuum pump using a foam dressing to a wound
Negative-pressure wound therapy (NPWT) is a therapeutic technique using a vacuum dressing to promote healing in acute or chronic wounds and enhance healing of second- and third-degree burns. The therapy involves the controlled application of sub-atmospheric pressure to the local wound environment,[1][2] using a sealed wound dressing connected to a vacuum pump.[3][4] The use of this technique in wound management increased dramatically over the 1990s and 2000s[5] and a large number of studies have been published examining NPWT.[6] NPWT appears to be useful for diabetic ulcers[7] and management of the open abdomen (laparotomy)[8] but further research is required for other wound types.[9]

OverviewEdit

NPWT promotes wound healing by applying a vacuum through a special sealed dressing. The continued vacuum draws out fluid from the wound and increases blood flow to the area.[3] The vacuum may be applied continuously or intermittently, depending on the type of wound being treated and the clinical objectives. Typically, the dressing is changed two to three times per week.[4] The dressings used for the technique include open-cell foam dressings and gauze, sealed with an occlusive dressing intended to contain the vacuum at the wound site.[1] Where NPWT devices allow delivery of fluids, such as saline or antibiotics to irrigate the wound,[10][11] intermittent removal of used fluid supports the cleaning and drainage of the wound bed.[12]
In 1995, Kinetic Concepts was the first company to have a NPWT product cleared by the US Food and Drug Administration.[13] Following increased use of the technique by hospitals in the US, the procedure was approved for reimbursement by the Centers for Medicare and Medicaid Services in 2001.[1]

TechniqueEdit

Pump used to create negative pressure
Pump used to create negative pressure
General technique for NPWT is as follows: "protect the periwound by applying a skin barrier then it should be followed by a transparent film."[14] A dressingor filler material is fitted to the contours of a wound (which is covered with a non-adherent dressing film) and the overlying foam is then sealed with a transparent film. A drainage tube is connected to the dressing through an opening of the transparent film. A vacuum tube is connected through an opening in the film drape to a canister on the side of a vacuum pump.[15] or vacuum source, turning an open wound into a controlled, closed wound[3]while removing excess fluid from the wound bed to enhance circulation and remove wound fluids. This creates a moist healing environment and reduces edema.[6] "There must be an air tight seal in order for this therapy to be successful."[14][15] The technique is usually used with chronic wounds or wounds that are expected to present difficulties while healing (such as those associated with diabetes).[4]
Three types of filler material are used over the wound surface: open-cell foamgauze and transparent film, or honeycombed textiles with a dimpled wound contact surface.
  • Foam dressings are used to fill open cavity wounds and can be cut to size to fit wounds. The foam dressing is applied, filling the wound and then a film drape is applied over the top to create a seal around the dressing.
  • Open weave cotton gauze can be covered with a transparent film, and a flat drain is sandwiched in gauze and placed onto the wound. The film drape covers the wound and create a complete seal, and then the drain is connected to the pump via the tubing.[16]
  • Layers of non-woven polyester, joined by a silicone elastomer, has a non-adherent wound contact surface made up of numerous small semi-rigid dome structures,[17] though this solution has not completed a clinical trial as of December 2012.[18]
With all three techniques, once the dressing is sealed the vacuum pump can be set to deliver continuous or intermittent pressures, with levels of pressure depending on the device used,[15][16][19] varying between −125 and −75 mmHgdepending on the material used and patient tolerance.[17][20] Pressure can be applied constantly or intermittently.[15]
The dressing type used depends on the type of wound, clinical objectives and patient. For pain sensitive patients with shallow or irregular wounds, wounds with undermining or explored tracts or tunnels, gauze may be used, while foam may be cut easily to fit a patient’s wound that has a regular contour and perform better when aggressive granulation formation and wound contraction is the desired goal.[21]

ContraindicationsEdit

Contraindications for NPWT use include:[22]
  1. Malignancy in the wound
  2. Untreated osteomyelitis
  3. Non enteric and unexplored fistulas
  4. Necrotic tissue with eschar present
  5. "Do not place foam directly in contact with exposed blood vessels, anastomotic sites, organs and nerves."[23]

EffectivenessEdit

A 2007 Cochrane Review stated that the evidence comparing NPWT to alternative care was flawed and required more study, but the evidence did support improved healing and called for more, better quality research to be conducted.[9] A 2010 systematic review found "consistent evidence of the benefit of NPWT" in the treatment of diabetic ulcers of the feet. Results for bedsores were "conflicting" and research on "mixed wounds" was of poor quality, but promising. The review did not find evidence of increased significant complications. The review concluded "There is now sufficient evidence to show that NPWT is safe, and will accelerate healing, to justify its use in the treatment of diabetes-associated chronic leg wounds. There is also evidence, though of poor quality, to suggest that healing of other wounds may also be accelerated."[7]

ReferencesEdit

  1. a b c Lillis, Karin (2003). "Effective wound care requires look at total patient picture"Healthcare Purchasing News27 (1): 32. ISSN 0279-4799.[unreliable medical source?]
  2. ^ Cipolla J, Baillie DR, Steinberg SM, Martin ND, Jaik NP, Lukaszczyk JJ, Stawicki SP (2008). "Negative pressure wound therapy: Unusual and innovative applications"OPUS 12 Scientist2 (3): 15–29.
  3. a b c Moody, Yasmeen (19 July 2001). "Advances in healing chronic wounds". The Ithaca Journal. Ithaca, NY. p. 10A.[unreliable medical source?]
  4. a b c Fogg, Erich (27 August 2009). "Best treatment of nonhealing and problematic wounds"Journal of the American Academy of Physician Assistants22 (8): 46, 48. doi:10.1097/01720610-200908000-00013PMID 19725415.
  5. ^ Driscoll, P (24 October 2009). "Negative Pressure Wound Therapy (Gauze and Foam)"Advanced Medical Technologies. Archived from the originalon 21 August 2011.[unreliable medical source?]
  6. a b Gupta, Subhas; Bates-Jensen, Barbara; Gabriel, Allen; Holloway, Allen; Niezgoda, Jeffrey; Weir, Dot (2007). "Differentiating Negative Pressure Wound Therapy Devices: An Illustrative Case Series" (PDF)Wounds19 (1 (Supplement)): 1–9. Retrieved 11 January 2011.
  7. a b Xie, X.; McGregor, M.; Dendukuri, N. (November 2010). "The clinical effectiveness of negative pressure wound therapy: a systematic review"Journal of Wound Care19 (11): 490–5. doi:10.12968/jowc.2010.19.11.79697PMID 21135797.
  8. ^ Fitzgerald James EF (2012). "Laparostomy management using the ABThera™ open abdomen negative pressure therapy system in a grade IV open abdomen secondary to acute pancreatitis". International Wound Journal10: 138–144. doi:10.1111/j.1742-481X.2012.00953.x.
  9. a b Ubbink, Dirk T; Westerbos, Stijn Joël; Evans, Debra; Land, Lucy; Vermeulen, Hester (2008). Ubbink, Dirk T, ed. "Topical negative pressure for treating chronic wounds". Cochrane Database of Systematic Reviews16 (3): CD001898. doi:10.1002/14651858.CD001898.pub2PMID 18646080.
  10. ^ Gerry R, Kwei S, Bayer L, Breuing KH (July 2007). "Silver-impregnated vacuum-assisted closure in the treatment of recalcitrant venous stasis ulcers". Ann Plast Surg59 (1): 58–62. doi:10.1097/01.sap.0000263420.70303.ccPMID 17589262.[unreliable medical source?]
  11. ^ Wendling, Patrice (April 2008). "Vacuum-assisted wound therapy uses expanded" (PDF). Skin & Allergy News. Retrieved 11 January2011.[unreliable medical source?]
  12. ^ Moch D, Fleischmann W, Westhauser A (1998). "Instillationsvakuumversiegelung: ein erster Erfahrungsbericht" [Instillation vacuum sealing—report of initial experiences]. Langenbecks Archiv für Chirurgie (in German). 115: 1197–9. doi:10.1007/978-3-642-45774-6_279PMID 9931834.
  13. ^ "Vacuum Assisted Closure Wound Therapy Cleared for Partial Thickness Burns". Reuters Health Medical News. January 27, 2003.[verification needed]
  14. a b "The Challenges of Negative Pressure Wound Therapy in Clinical Practice | Today's Wound Clinic"www.todayswoundclinic.com. Retrieved 2017-04-20.
  15. a b c d Baxter, Helena; Ballard, Kate (2001). "Vacuum-Assisted Closure"Nursing Times97 (35): 51–2. PMID 11957602. Retrieved 11 January 2011.
  16. a b Miller, Michael S.; Brown, Rhonda; McDaniel, Cheryl (1 September 2005). "Negative pressure wound therapy options promote patient care"Biomechanics. p. 49. Archived from the original on 29 September 2011.
  17. a b Glat, Paul (8 July 2010). "The use of negative pressure wound therapy with Bio-Dome™ dressing technology"Today's Wound Clinic. Retrieved 20 January 2011.[unreliable medical source?]
  18. ^ http://clinicaltrials.gov/show/NCT01107821
  19. ^ Michael S., Miller (February 2009). "Multiple approaches offer negative pressure options"Biomechanics. Archived from the original on 29 September 2011.
  20. ^ Morykwas, Michael J.; Argenta, Louis C.; Shelton-Brown, Erica I.; McGuirt, Wyman (1997). "Vacuum-assisted closure: a new method for wound control and treatment". Annals of Plastic Surgery38 (6): 553–62. doi:10.1097/00000637-199706000-00001PMID 9188970.
  21. ^ Long, Mary Arnold; Blevins, Anne (2009). "Options in negative pressure wound therapy". Journal of Wound, Ostomy and Continence Nursing36 (2): 202–11. doi:10.1097/01.WON.0000347664.10217.2e.
  22. ^ KCI clinical guidelines
  23. ^ "V.A.C. Therapy Indications and Contraindications"www.activactherapy.com. Retrieved 2017-04-20.
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