An interpretative phenomenological analysis of the lived experience of people with multimorbidity in low- and middle-income countries.

People living with multimorbidity (PLWMM) have multiple needs and require long-term personalised care, which necessitates an integrated people-centred approach to healthcare. However, people-centred care may risk being a buzzword in global health and cannot be achieved unless we consider and prioritise the lived experience of the people themselves. This study captures the lived experiences of PLWMM in low- and middle-income countries (LMICs) by exploring their perspectives, experiences, and aspirations.

Opinions and Perceptions Regarding Traditional Male Circumcision With Related Deaths and Complications.

The notion of manhood values is highly treasured and respected by various cultural groups practicing traditional male circumcision (TMC) in South Africa. This study was conducted at Libode, Eastern Cape, South Africa. The goals of this study were to (a) explore opinions and perceptions related to TMC among boys from 12 to 18 years of age, and (b) determine the actions to be taken to prevent high mortality and morbidity rates related to TMC.

South African guideline for management of ischaemic stroke and transient ischaemic attack 2010: a guideline from the South African Stroke Society (SASS) and the SASS Writing Committee.

Background: Stroke is a leading cause of death and disability in South Africa. An increase in the burden of stroke is predicted as the population is undergoing a rapid epidemiological transition with increased exposure to, and development of, stroke risk factors, together with aging of the population. Objective.

Hypertension guideline 2003 update.

Outcomes: Extensive data from many randomised controlled trials have shown the benefit of treating hypertension. The target blood pressure (BP) for antihypertensive management should be systolic BP < 140 mmHg, diastolic < 90 mmHg, with minimal or no drug side-effects. However, a lesser reduction will elicit benefit although this is not optimal.

Conscious sedation clinical guideline. Conscious Sedation Working Group, Medical Association of South Africa.

Objective: The objective of this guideline is to promote safe conscious sedation technique.

Outcome: (I) The use of safe conscious sedation techniques with endpoints of patient comfort and anxiolysis without loss of protective reflexes; (II) the use of drugs with a wide margin of safety that will protect against unintended oversedation.

Evidence: Based on existing consensus statements and some research reports.

Ambulatory nursing. The handmaiden/specialist dichotomy.

Will ambulatory nursing roles change sufficiently to cope with the healthcare demands of the next century or should they be taken over by administrative personnel? The authors analyze traditional and clinical nurse specialist ambulatory nursing activities and highlight the dichotomy between menial handmaiden and professional nursing activities that must be bridged if ambulatory nursing is to survive.

Managing hypertensives.

Managing the ambulatory client with hypertension is not easy. Legislation impacting on the individual nurse's practice, and the legal implications of the nursing management of the hypertensive client, translate into dependent functions which affect the day to day care given by the nurse.

The role of the advanced clinical nurse in a hypertension clinic.

The use of advanced clinical nurses (ACNs) has enabled expansion of the Hypertension Clinic at the Johannesburg Hospital. The ACNs care for elderly patients whose hypertension is stable and who require a minimum of drugs. Blood pressure control in this group of patients is satisfactory and the default rate is low.