Education Archive

Peptic Ulcer – 4 Key Points on Patient Education

Patient education regarding causes, risk factors, and therapy of peptic ulcer disease is very essential for ulcer healing and for preventing ulcer recurrence. In this article, I’m focusing on 4 key points on peptic ulcer disease (PUD) patient education. The aim of this article is to help healthcare professionals who deliver (PUD) patient education to be prepared with the required knowledge, and so to “be informative” for their patients.1- Set treatment goals in participation with the patient.The main treatment goals for peptic ulcer diseases are:
Relief of ulcer pain
Healing of ulcer
Preventing ulcer recurrence
Preventing complication
The patient should at least understand the importance of each of the previous goals.2- Identify and modify risk factors.This is achieved by: first, taking patient history regarding:
presence of other illnesses,
patient medication history; especially use of OTC drugs as non-steroidal anti-inflammatory drugs (NSAIDs) and use of corticosteroids, and
lifestyle habits including diet, alcohol and cigarette smoking.Then, helping the patient to modify these risk factors.For example, modifying NSAIDs administration for peptic ulcer disease patients who are in need for NSAIDs. Another example, offering advice regarding foods and drinks to avoid by peptic ulcer patients.3- Encourage proper medication use.
encourage compliance to the specified regimens (whether it is Helicobacter pylori eradication regimen, proton pump inhibitor PPI therapy,… etc.) and educate the patient about PUD potential complications (bleeding ulcer – perforation of stomach or duodenum – gastric outlet obstruction) that might occur if these regimens are not followed properly. And make sure that the patient understands when to administer the medications. For example, PPIs should be administered 15-30 minutes before meals.
Identify potential drug – drug interactions by referring to patient medication history. Among PUD medications that may cause drug interactions are proton pump inhibitors and H2-receptor blockers.
Educate the patient about possible side effects that may make him/her stop taking the medications and how to overcome these side effects. For example, misoprostol that is used to protect the mucosa in chronic NSAID users, causes gastrointestinal effects (eg, abdominal pain, nausea, diarrhea). And to overcome these side effects, the patient should be instructed to decrease misoprostole dose & take it with meals.4- Always remember that good communication with the patient improves disease management.These are the points that I found most critical in educating peptic ulcer diseases patients. You might have other ideas regarding this topic so, please let me know them. To know more about peptic ulcer disease, please visit Peptic Ulcer Disease Concept Map.

Education – Fundamental Right of Every Child

“Education is a human right with immense power to transform. On its foundation rest the cornerstones of freedom, democracy and sustainable human development.”
-Kofi Annan

Education is an act or experience that has a formative effect on the mind, character or physical potential of an individual. A vital element to balance the societal factors, education contributes to the economic development of a country. Countries without educated population cannot foresee and implement the best policies necessary for the growth of an otherwise developing country.

The battle to make elementary education imperative for everyone was started by the great son of India, Gopal Krishna Gokhale about hundred years ago. He urged before the Imperial Legislative Assembly to confer upon the Indians the Right to Education. It was only after ninety years in August 2009 that the Right of Children to Free and Compulsory Education Act was enacted by the Parliament.

According to this act, education is declared as a fundamental right for all children of the age group of 6 to 14 years, irrespective of any caste, color or creed. The Right to Education provision eliminates discrimination in the educational system at all levels, thereby, setting standards. The fundamental right to education is explicitly set out in Article 26 of the Universal Declaration of Human Rights and Article 14 of the International Covenant on Economic, Social and Cultural Rights. This act also ensures that private school needs to reserve at least 25 percent seats for the students of weaker section.

However, the fundamental right to education can only be considered accomplished when it strictly adheres to the “4A” components, which precisely refers to Availability (free education), Accessibility (non-discriminatory system), Acceptability (culturally acceptable content) and Adaptability (evolve with changing times).

The free and compulsory education gives children the required sense of independence and empowers them to make a respectful livelihood on their own. One of the recent initiatives of the Indian Government launched in 2001, Sarva Shiksha Abhiyan (SSA), universalizes the elementary education by community-ownership of the school system. It aims at allowing children to learn and become proficient in their natural environment in a manner which allows human fulfillment in a holistic sense. The scheme under the fundamental right of education also include facilities like free school books, uniform and mid day meal.

Role of the Parents

A child’s school years plays an imperative role in his overall development process and future growth. So, it becomes integral for the parents to get actively involved in their child’s activity. And as a responsible parent, their priority should be towards providing the best education to their children irrespective of any law.

Role of the State

The State is the chief guardian where the Right to Education act is concerned. It functions as a crucial contributor in regulating the provisions of education. Conventionally, education was regarded as the primary duty of parents, but with the rise of education system, the role of parents has diminished and has become a larger responsibility which is why it has become a mandatory rule for the state government to scrutinize the proper implementation of the legislative act. With regards to realizing this particular fundamental right, the World Declaration on Education for All, adopted at the 1990 World Conference on Education states that the “partnership between government and nongovernmental organizations, the private sector, local communities, religious groups, and families” are necessary.

With this, the struggle to get access to education has ended. But to implement the act in a better way, greater awareness among the citizens is required so that its provisions can be clearly understood and incorporated by all institutions, thereby, paving the way for children to become glorious pillars of tomorrow to ensure a bright future.