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Mendoza, Marc Daryl I.

BSN IV – 6

Drug Used to Treat Heavy Periods Can Stop Trauma Patients Bleeding to Death, Study Finds
ScienceDaily (Jan. 20, 2011) — Tranexamic acid (TXA), a drug used to treat heavy menstrual periods, could save the lives of tens of thousands of bleeding accident victims each year and reduce combat deaths, say Cochrane researchers. The researchers carried out a systematic review of trials examining the effectiveness of tranexamic acid (TXA) in patients with bleeding after severe injury. TXA is an inexpensive drug that reduces clot breakdown. It has been used for many years to reduce heavy menstrual bleeding and is often given during planned surgery to reduce the need for blood transfusion. However, more recently, tranexamic acid has been tested in bleeding trauma patients. Of such patients who die in hospital, nearly half die due to excessive blood loss and most others die from injuries that are worsened by bleeding. According to the results of the new review, TXA reduces the risk of death in injured patients with severe bleeding by about 10%

compared to giving no treatment, which equates to saving over 70,000 lives each year if TXA was used worldwide. The results are based on one large trial involving 20,211 patients and one small trial in 240 patients, both carried out since an earlier, inconclusive review in 2004. Lead researcher Ian Roberts of the London School of Hygiene & Tropical Medicine in London, UK, said, "TXA reduces the risk of a patient bleeding to death following an injury and appears to have few side effects. It could save lives in both civilian and military settings." "These results are based on a large number of patients (men and women) who came from many different countries. Given the high quality of the evidence for the benefits of this drug, we recommend it be used more widely in injury victims with bleeding." A separate Cochrane Systematic Review focused on trials of TXA and other similar drugs in people scheduled for non-urgent surgery showed that TXA was highly effective at reducing blood loss and the need for red blood cell transfusion

Source:
http://www.sciencedaily.com/releases/2011/ 01/110118200810.htm

which is the Tranexemic Acid. science showed that this drug. personal. caring for the sick. Nursing is a human science of persons and human health-illness experiences that are mediated by professional. . and restoring health. And in this study. preventing illness.Reaction: This study says that Tranexemic Acid which is a commonly used drug by women even in the community to treat heavy menstrual bleeding and is often given to surgeries is a drug that can also stop trauma patients that is bleeding to death. Health care professionals and science proved that this study is very beneficial to them. This drug can become one of the drugs that will really become a life saver to those clients experiencing trauma and is bleeding heavily. scientific. This study is really beneficial to everyone especially for the clients in the surgical ward or even the patients that is experiencing trauma. can save lives especially on trauma patients. esthetic and ethical human care transactions. Theories: Jean Watson’s The Philosophy and Science of Caring Nursing is concerned with promotion health.

ground-level falls -. Trauma surgeon and researcher Julius Cheng. according to a new study published in The Journal of Trauma: Injury. the new study found elderly adults -. such as slipping and falling on a wet tile floor. "An 80 year old often . 7. such as heart disease. Many elderly adults are frail and have pre-existing medical conditions. Adults 70-Plus Three Times as Likely to Die Following Low-Level Falls ScienceDaily (Dec. Elderly patients are three times as likely to die following a ground-level fall compared to their under-70 counterparts. far-reaching consequences. type and severity of injuries and final outcomes. such as slipping while walking off a curb.P. According to Cheng. may seem relatively harmless. 2010) — While simple falls. Because of the increasing age in the general population. M. "There is the potential to minimize what people see as a relatively trivial issue. In contrast to falls from greater heights. "Instead of an influx of 'traditional' knife-andgun club victims. Helling.For Elderly.. associate professor in the Department of Surgery at the University of Rochester Medical Center and lead author of the new study.who experience ground-level falls are much more likely to be severely injured and less likely to survive their injuries compared to adults younger than 70 years.have traditionally been considered minor injuries. In these types of patients. with feet touching the ground prior to the fall -." said Thomas S. there was a 55 percent increase in the rate of fatal falls for elderly adults. especially in older patients.302 patients with ground-level falls from 2001 through 2005 using the National Trauma Data Bank and analyzed demographics. and will likely continue to rise in the future. M. M.essentially falls from a standing position.D.. they can actually lead to severe injury and death in elderly individuals. a low-level fall that results in a broken hip could have serious. As the population continues to age. and Critical Care. from the Department of Surgery at the University of Mississippi Medical Center who wrote an editorial accompanying the study. Even Short Falls Can Be Deadly. conducted the largest analysis to date of trauma patients experiencing ground-level falls. which could significantly impact the overall health and wellbeing of older adults. the number of elderly patients visiting the emergency department with ground-level falls is increasing.70 years or older -.D.H. Infection." said Cheng. His team identified 57. Between 1993 and 2003. Our research shows that falls from low levels shouldn't be underestimated in terms of how bad they can be. It is now estimated that 30 percent of adults older than 65 years will experience an unintentional fall each year. The negative effect of age on health outcomes has been well established in past studies in other areas as well. trauma centers of the future may need to prepare for treatment of a less dramatic but no less relevant form of injury that may very well have a substantial impact on the health and independence of our older citizens. it is important for physicians and caregivers to be aware of and prepared to deal with this issue. But.

the reality is that almost three-quarters of patients with ground-level falls are not severely injured. compared to 41 percent of non-elderly patients. Source: http://www.5 percent of non-elderly patients. While more research is needed on the management and treatment of the everexpanding subpopulation of elderly patients in trauma centers.htm .sciencedaily." Cheng's team found that approximately 4.5 percent of elderly patients (70 years and above) died following a ground-level fall. Cheng's team identified two major predictors of death in patients who have experienced ground-level falls: Age older than 70 years and a Glasgow Coma Scale (a widely used indicator of brain injury) score of less than 15. These specific factors may help emergency department staff better determine which patients have a higher risk of death and are more likely to require aggressive evaluation and treatment. Though low-level falls can potentially lead to significant injury and death. Elderly patients remained in the hospital and the intensive care unit longer and only 22 percent were able to function on their own after they left the hospital. Cheng emphasizes the need to focus on prevention as well.can't tolerate and recover from trauma like a 20 year old. compared to 1. Given the limited resources available to most medical centers across the United States and the increasing number of elderly patients needing treatment.com/releases/2010/11/101101130135.

The adults should also know how to take care of themselves with us nurses that guides and assists them on what they do. Like I said earlier. Instead of just treating falls as they happen. .Reaction: This study brings up the important question of what we need to do as a society to help our older folks take care of themselves. the focus should be on what we can do to help older people avoid them in the first place. Theories: Dorothea Orem’s Self-Care Theory Focuses on activities that adult individuals perform on their own behalf to maintain life. health and well-being. This can be as simple as making sure there is no loose carpeting in their home and putting railings on both sides of stairways and in bathtubs and showers. making sure that there are no loose carpetings and also using rubber mats in the bathrooms can help them to take care of themselves properly and reduce the risk of falls.