Sleep without a pillow, does it hurt?

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Do not just lie in bed, forget your worries, try to relax and sleep. The idea is always to take some care, since sleep directly affects how your next day will be. And when it comes to sleeping care, the pillow plays an important role.

Taking into account that the spine should always stay straight, sleeping without pillow can do harm or not, it depends on the position you usually sleep. For example, if you sleep on your side, sleeping without a pillow is not a good option since your head will stay ‘hanging,’ damaging your spine. For sleeping on the side, using a pillow that leaves your spine in line is the best option.

They say that the best sleeping position is on your back, straight, on a surface not too soft, in this case sleeping without a pillow would not cause any problems for the spine and even help in case of back pain. I have heard many doctors recommend this position and also without apillow.

Dr. Andrew Weil says that the pillow is a matter of personal comfort, while some sleep peacefully without a pillow (not sideways) others need more than one pillow because of reflux. The only recommendation he makes is to choose a pillow that does not store heat since we need to lower the body temperature to sleep well, the goose down pillows perform well for example.

For babies, first of all, they did not ask you for a pillow to sleep, it is natural for them to sleep without a pillow. Secondly, pediatricians do not usually indicate pillows because of the formation of the spine and the shape of the head. And in case you prefer to put a pillow for your baby to sleep, use a thin crust.

Conclusion: At first sleep without a pillow has no problem, as long as it is not sideways. There are many people online who report relieving pain when they sleep without a pillow. I always sleep without a pillow; I do not have any pain or discomfort, I just keep the pillow in bed in case I read a book.

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Dog Medicine For Arthritic Pups

Arthritis can be devastating for people. But numerous dogs also suffer from this debilitating condition as well. They may feel pain or soreness in their joints, and they might not move around as ably as they did when they were younger. Here’s the good news: there are some medications on the market which can treat canine arthritis and improve your pup’s quality of life.

Some pet owners might be hesitant to give drugs to their furry friends. If your pup’s arthritic symptoms are minor, then forgoing medication might be an option. But your dog might need arthritis medicine if you notice any of these signs:

Limping or lameness
Stiffness
Decreased joint movement
Decreased exercise or activity levels
Reluctance to run, jump, climb stairs or stand
Difficulty running, jumping, climbing stairs or standing
Here is a list of medicines which can help arthritic dogs.

Adequan Canine

Unlike many arthritis medications, this is an injectable medicine which is designed to be directly administered in the muscles where your dog is experiencing discomfort. Generally, a dose is given every three to five days to help control the pain and discomfort associated with non-infectious degenerative arthritis or traumatic arthritis that is present in your dog’s synovial joints. The generic name for this drug is polysulfated glycosaminoglycan.

Adequan canine is classified as a Disease-Modifying Osteoarthritis Drug (DMOAD). It works by inhibiting cartilage destruction and diminishing any inflammation that is affecting your dog’s joints. The medicine is packaged in multiple dose vials, which are usually sold in pairs.

Deramaxx

This drug, also known as deracoxib, is an easy-to-administer chewable tablet which can be given to your pup one or more times per day, depending on your veterinarian’s instructions. Unlike Adequan Canine, Deramaxx is a nonsteroidal anti-inflammatory drug (NSAID) which is designed to reduce inflammation and pain in dogs who suffer from osteoarthritis.

Many dogs respond dramatically to this treatment. Also, the Deramaxx tablets are flavored, so your pup is more likely to gobble it out of your hand or from its bowl. The medicine is available in strengths of 25mg, 75mg and 100mg in 7, 30 or 90-count bottles.

Novox and Rimadyl

These medicines are packaged either in a chewable tablet form or a caplet for easier swallowing. Either one can be given to your dog once per day or more frequently if necessary. The goals of both medications are to improve mobility and lessen the pain and inflammation found in dogs that have osteoarthritis.

Like Dermaxx, Novox and Rimadyl are both NSAIDs which have the potential to produce significant improvement in your dog’s quality of life. The generic name for both medications is called carpofen. Novox comes in 30, 60, or 180-count bottles in doses of 25mg, 75mg and 100mg.

Zubrin

The active ingredient is this medicine is called tepoxalin, which is also an NSAID class drug. Zubrin is formulated as a tablet that rapidly disintegrates once it is placed inside your dog’s mouth. It is essential that this medication be given to your dog along with food or right after mealtime.

The medicine has the ability to combat the inflammation, pain and soreness that osteoarthritis inflicts on dogs. If administered regularly, it may possibly control all of the discomfort experienced by your pup due to the disease. A 50mg dosage of Zubrin is available in a 100-count bottle, while the 100mg and 200mg strengths can be purchased in 30, 60, 90 or 180-tablet containers.

Whichever medication you select for your arthritic pup, you should be aware of possible side effects which sometimes occur when these medications are taken. These side effects include:

Nausea
Vomiting
Diarrhea
Dark stools
Appetite loss
Changes in drinking patterns
Changes in urination patterns
Depression
Abnormal bleeding
Pain at the site of injection (for Adequan Canine)

In addition, many of these medications should not be given to dogs with certain conditions. Some of these conditions are:

Pre-existing kidney or liver problems
A predisposition to dehydration
Anorexia
Allergic reactions to NSAIDs or aspirin (such as itchy skin, hives, skin redness, or swelling in the face)
Blood in the vomit or stool

It is recommended that pups take their medications at the same time or times each day. Sometimes, pet owners’ schedules become erratic, which causes them to miss the time for administering their dog’s medicine. If this occurs, it is okay to give the dog the drug as soon as possible after the scheduled dose. But if the time arrives for the next scheduled dose, the pet owner should skip the missed dose altogether. It is not wise to give a dog two doses of medication at one time.

As with all medicines, canine arthritis drugs should be kept out of the reach of children. The medications should be stored at room temperature in a dry, cool place away from heat sources or direct sunlight. They should not be kept in a bathroom, next to the kitchen sink, or in any other locations which may be damp or humid; otherwise, the medicines could possibly break down and lose their potency.

No one wants to see a pup suffer. So if your dog is being slowed by arthritis, talk to your veterinarian soon about finding a medication that will put the pep back in his step!

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Patient Safety Practices

Introduction
Approximately 90% of all hospitalized patients have intravenous catheters (IVs), and 25 million Americans have them placed annually (Institute of Medicine, 2000 para.4). There is therefore a huge potential of hazard to the population hence the need for maximum sterile conditions. They are used because of their effectiveness in administering fluids to patients. Catheters have two major problems; they are significant in the catheter-related bloodstream infections (CRBSIs) and they have a complex and high cost of insertion (Institute of Medicine, 2000 para6).
Causes of the infections
Whether one is using a standard short cannula, a midline catheter or a peripheral inserted central catheter, maximum sterile procedures should be followed to minimize cases of other infections. The Agency for Healthcare Research and Quality (AHRQ) is the body responsible for the patients’ safety and has developed measures to ensure all patients are safe.
Infections in the process of catheter insertions may arise from the infused fluids, additional medication, the containers and water used, at the injection point, or due to changing the infusion set. Strict insertion procedure should be followed and the insertions should be due to severe dehydration or blood transfusion, or parental feeding. The catheter should be removed as soon as possible. And a good aseptic technique should be used in the procedure (International federation of Infections Control, 2008).
Measures of maximum sterility
Thorough hand disinfection and use of sterile gloves by the one performing the insertion and thorough disinfection of the site of insertion is necessary. The catheter should be removed if there are any signs of infections, and the need to use catheters should be assessed every 24 hours. Catheters should be secure to prevent any movement and irritation. The one performing the insertion should rub hands with alcohol or antiseptic for disinfection or wash hands for 20 seconds (US Department of Health and Human Services, 2009).
Shaving of insertion site should be avoided. And maximum barrier precautions such as gloves, gowns, caps, and masks for the operators and a large sterile drape to cover the patient. Use of antimicrobial ointment should be avoided and the site should be dressed as soon as possible. For replacements, it should be after 72 hours incases of blood infusions.
Conclusion
The practices of the safe use of catheters to prevent infections have been due to the occurrence of infections from catheters. When such practices are used, then the patients are safer and we build a healthy society. The Agency for Healthcare Research and Quality (AHRQ) has been much involved in patient protection and the evidence of progress is much seen in more prevention of the infections.

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