Tuesday, May 20, 2014

Paediatrics ward for me

Pediatric ward feels like a family get-together where their kids were enjoying their freedom under the secure hands of their parents. I just feel like an observer of the 4 pillared room. That might be a satisfaction seeing the mini human crying the very day and dancing, babbling with playing the very next time.

Here a child pokes out with the childish talking from a bed,another replies with cutie smile from another, one says “ba-ba” and another “didi”,“auntiee”. A toddler runs out of the room as if s/he is a free driver and small one peeps out of the mother’s lap. They care the damn things out there,catching up and throwing its medicine, mobile iPod or laptop; they just want that.Sometimes funny out with their childish sweet act, anxiously making angry and making laugh too.

Clear hearted and short memorized these cutie pies are so adorable,they don’t have any revenge view, feared out with the white apron who hurt them but playing with the stethoscope as toys, dots at apron and the tag of apron,smile out cheeringly with the one or two teeth smile or one or two loose teeth face….so so funnier but touches the heart.

Piercing the little skin with needles and searching for veins or investigating, the cry of the young ones or the tears of the mother touches the heart of the medical person conducting the procedure; but simply cannot be empathetic at the mean time. Though they know well something done was for the beneficiary for the ones and their care takers knows that too.

The respect for own parents grows more and more. Their selfishless love, caring and secure attention shows the extent of humanity. Without a single gosh of sigh, staring and caring the kid whole day and night. “Parents are the god, in disguise of human. They forget the way of their dreams whilst continuing their path of fulfilling their kid’s dream “The family is how we make it. That’s why a kid feels secure in mom’s lap and dad’s arm, that’s truly truth.

These dreams focus of the new member since its birth. Who knows what and how the faith directs? Misfaith may leads to its last breath too sometimes. The time stuck somewhere the compression over the tiny chest,bagging over the face, attempting to reverse back or intubating, the staring eyes of guardian just waiting for the response of hope.

It’s the hope that even prognosed back the worst time to blossoms.A tearing grimace into the glowing smile. It’s the attitude and effort how ease a life could have move on with the support, the twist treebly finger will grasped up.

It’s amazing of what age s/he is; they have hospital anxiety for a while. Talking about medicine, it’s time to make them cry especially younger ones, schoolers and adolescents are quite admirable. Why don’t these minutes don’t like medicines, OMG look at their face after having it...Some arequite different ,they become fond of medicines they scared us of having accidental medicine overdose.So,as for medicine “keep it away from the reach of children”

This ward differ from other, seems like familiar. The caretaker of a bed share own experience to another. The kid of the bed is found in another. We had to be aware of side rails. Everyone fond of playing toys.The class rhymes, mathematical multiples, drawings, plays and cartoons are the favorite ones.

Whoever attempts steps for caring the child, how harsh the heart will be, will be soften with their innocence. The coordination,cooperation and collaboration just keep on going. Being a nurse and all other co-worker, our act seems like tough but delicate to handle these future adults and perform as caregiver, instructor, counselor, helper, teacher and more ever a humanly human with ethics and morale values.

Every profession has some hindrance but whenever I thought of my days hitherto, despite others, a sweet smile comes to my face, maybe that’s satisfaction.

KNOWLEDGE REGARDING CHILD RIGHT AMONG SCHOOL CHILDREN OF KATHMANDU

Manandhar Smriti
ACAS, Purbanchal University


Abstract
Background: Child rights are the fundamental rights of each human under the age of 18 years. The achievement of child right by every children of the world is still contradictory. Despite various international and national effort were focused on the children rights, the awareness and knowledge regarding the child right among the children is very crucial for optimal attainment of their rights.
Objectives: To assess the level of the knowledge of school children regarding the child right and the respondent’s status and attitude regarding child right in their life.
Method: A descriptive Cross sectional research study  was used to collect information of the students their Knowledge regarding the childrights using the self -administered semi-structured questionnaires The study area was conducted among 145 students of Secondary level (Class 8,9 and 10), within two schools in Kathmandu district ; Sai Niliyam School and Gillette  International Boarding School.
Result: Out of 145 respondents,79.31% were from Gillete International School and 20.7% from Sai Niliyam School with 35.9% identically from Class 8 and 9 and remaining from class 10.All the respondents were known about the child right, with majority of 84.8 % having good knowledge plus 97.2% responds as acquirement of child rights in their life.In aspect of family, majority feels “freedom from discrimination”(92.8%) whereas 42.76% feels “freedom from violence”and in school, 74.8% experience teacher punishment .
Conclusion: The findings and discussion about the study reveals that majority of the respondents had good knowledge about the child rights including knowledge for “Right for decision” “right for freedom” “Right to Life” and “Right to Protection”. The status of the respondents seems quite well stabilized in regards to family and school. But still, some amendment in school setting and family concern are required to elaborate the knowledge and enjoyment of child rights among children.

Keywords: Child rights, knowledge 

Saturday, May 17, 2014

It's simply a jot down of an  incident. One evening, on the way back to my home, at RNAC, I saw a crowd of 7-10 people. While approaching them, I hear them whispering "छारे रोग हो ।" but no one was helping the guy who was lying down on the floor of footpath and frothing with fits. May be humanity or being health personnel, I just move ahead and ask the crowd to move aside and let the fresh air in. The guy seems like having an epileptic fits, while assessing him I just turn him on the left lateral position to let the salivation drain laterally. Then, I ask the thela nearby for the jug of water and handkerchief. He seems acyanotic and his pulse was quite regular while the fits was about to over. I wipe up his face which was filled saliva and the dust of the floor with my hand consistently checking his pulse rate. I saw his mobile lying on the floor and ask the person nearby to put it in his pocket. The crowd was slowly over and three police men approach the area. While interrogating one of them says if its epilepsy let the guy smell the socks, he will wake up. The guy was in sleeping state then, I simply denied the phrase straightly. Whereas the other policemen starts asking about him and his goods is secure. They ask me why I was holding his hand, whilst I was checking his radial pulse; ask for his watch and other. I replied that his watch is his hand and the mobile has fallen so I had asked the other guy to put it in his pocket. The people answer that he is the footpath shopkeeper with his goods in the way. The guy was slowly regaining the consciousness so, I asked the other fellow nearby to handle him and let him rest. While defending the phrase of letting him smell the socks, the police guy was saying that the peoples use to say that. I raised up and told him that it means worthless that a guy with fits is smelling anything or any socks could wake him up. It's a disease condition. May be, state after the fits, he may smell the unpleasant smell in sleeping phase after fits. But in reality it's ridiculous to let one smell the socks in such state. I still confused, whether my words are rational or irrational. But at that moment I noticed three of them were staring on my words and felt the chills that I 'm talking with the policemen. The man stands slowly with the help of other fellow and I move on my way home.

On the way, my mind was filled with pleasure that despite being a pedestrian, I provided the first aid treatment to an epileptic patient. In the other thought, those people around, the misperceptions about the disease and its way of treatment .And lastly the police asking for the goods of the person. The abstract thought moves on, synonymously me and the policemen were doing our own responsibilities. I, as a health personnel, had prioritized the state of the person, providing primary care and aid to the epileptic guy whereas the policemen, being the civil servant, were concerned about the safety and security of the guy in need and his goods. May be its how one plays own role in this society.