No abstract

Introduction: Ectopic Breast Tissue (EBT) is still a condition seen as sporadic (2-5%), and it is often delayed and ignored due to lack of awareness, whereas it may be exposed to malignant diseases. it must be always kept in mind for differential diagnosis of an EBT. We think that this case report is important because EBT associated with fi bro-adenoma is a quiet rare condition. Method: A 41-year-old female who has just given birth presented in bilateral axillary EBT with fi broadenoma. In order to present the nursing management to our case during hospitalization, Orem's (2001) self-care defi cit theory and North American Nursing Diagnosis Association (NANDA) classifi cation system were used. Results: Both axillary nodules were swelling and painful during lactation, measuring 6 cm × 3 cm and of 4 cm × 3 cm in left and right axilla respectively. There was no nipple or areola over the both axillary nodules. However, we encountered a nipple without areola under the right breast. An excisional biopsy was performed under local anesthesia for the nipple and it revealed EBT. An EBT with fi bro-adenoma was detected in the cytopathology of fi ne needle biopsy performed in both axillary nodules. Mammograms of both breasts were normal, no carcinoma was found. Based on Orem's self-care theory, this problem which has occurred as acute, led to the patient experience discomfort, decrease in daily activities, aesthetic concern, self-care problem and anxiety related to breast health. A patient-specifi c nursing plan was applied using NANDA classifi cation system and each process of self-care needs was evaluated with patient data. Our case was discharged on the 7th day without any complications. After one week, her sutures were removed when she came for control examination. Conclusion: It was determined that our patient entered the normalization process, regained her selfconfi dence and self-care power.

ÖZPerineal travma (PT) genital bölgede hemoroid, enfeksiyon, hematom, spontan laserasyon veya epizyotomi nedeniyle ortaya çıkan hasar olarak tanımlanmaktadır ve sıklıkla perineal ağrıya neden olmaktadır. PT'nın önlenmesi ve yönetimine yönelik farmakolojik yöntemlerin yanı sıra son zamanlarda tamamlayıcı ve alternatif tıp tedavileri de kullanılmaktadır. Bu uygulamaların hastaları tedirgin etmeden kullanılabilmesi ve olumlu sonuçlar alınabilmesi için sağlık çalışanlarının konuyla ilgili farklı yöntemler hakkında donanımlı olmaları ve kliniğe dayalı multidisipliner araştırmaları yaygınlaştırmaları gerekmektedir. Bu makalede, perineal travmanın önlenmesi ve yönetimine ilişkin kullanılan güncel yaklaşımlar kanıta dayalı çalışmalarla açıklanmaya çalışılmıştır. ABSTRACTPerineal trauma (PT) is de ned as damage due to hemorrhoids, infection, hematoma, spontaneous laceration or episiotomy in the genital area and frequently causes perineal pain. In addition to pharmacological methods for the prevention and management of PT, complementary and alternative medical treatments have been used recently. In order for these treatments to be used effectively on the patients and to obtain positive results, healthcare professionals should understand different methods related to the subject and should disseminate clinic-based multidisciplinary researches. In this article, current approaches to the prevention and management of perineal trauma are attempted to be explained with evidence-based studies.

Preterm birth is a potentially stressful, an unexpected and a multi-problematic event such as neonatal respiratory problems, jaundice, hypotermia, feeding problems and infections [1][2][3][4]. After preterm delivery, as newborn need instantly stabilization (support respiratory and body term regulation etc.), they are generally admitted to the neonatal intensive care units (NICUs) [3,5]. Keeping mothers away from the NICU for reasons such as infection, noise, and privacy prevents mothers from getting closer to their babies [1,4,6,7]. Sophisticated equipment and continuous sound stimulation in NICU can impair the parental affective attachment process, and can be commonly terrifying for parents in the early postpartum period [8][9][10]. Previous studies have been reported that interrupted by sudden unexpectedly early delivery caused negative feelings on the including, confusion, anger, guilt, sufferance, weakness, tiredness, helplessness, frustration, depression, anxiety, lack of confidence, stress and loss of control,

The relationship between art and disease is a subject that has been studied for centuries. Artistic activities are used therapeutically to distract attention and to move away from the focused health problem. In addition to reducing symptoms such as pain, it is also used in the rehabilitation and therapy of individuals with long-term health problems. Among the current therapeutic approaches, textile arts are actually both old and very new methods. This study has been prepared in order to express the importance of fine arts and textile art for disabled and especially visually impaired individuals. Textile arts are considered as a different and distinguished way for the visually impaired in terms of rehabilitation, therapy, improving the quality of life and acquiring modern occupations.