ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

In a prospective study, a subcutaneous infusion of narcotics (SCIN) was started in subclavicular or abdominal regions using a no. 25 butterfly needle. The subcutaneous infusion site was not changed unless signs or symptoms of local toxicity were evident. Triceps skinfold was determined as a measure of subcutaneous tissue. In 45 consecutive inpatients with cancer pain requiring SCIN, 119 sites were studied. Mean duration of the sites was 7.3 ± 5.2 (range 1- 29) days. Age, sex of the patients, type or concentration of the narcotic, use of the same site for extra doses of narcotic, or the measurement of the subcutaneous tissue did not significantly affect the duration of subcutaneous site. The most frequent reason for changing the site was patient discharge; the most common local toxicity found was redness. It is concluded that subcutaneous sites for morphine and hydromorphone infusions can be changed weekly, which gives further support to the safety and efficacy of using these narcotics subcutaneously.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A Phase I study of continuous intravenous administration of 4'-epidoxorubicin (4-ED) over 21 days was performed. The aim of this study from the nurse's point of view was to achieve optimal patient instruction to make continuous intravenous infusion via an Infuse- A-Port possible on an outpatient basis. The nurse explained the treatment to the patients. They were specifically taught how to dissolve the 4-ED and how to handle the pump. Once a week the patients were seen in the outpatient department; their performance state was then reassessed and the system changed. Patients knew they could call the staff day and night in case of problems. At the end of the study, 22 patients had entered and were given a total of 57 completed cycles over 1,197 infusion days. Serious complications due to the infusion (for example, septicemia) were not observed. The advantages of the procedure are that patients do not have to be admitted to the hospital for the infusion period, patients and their relatives are actively involved in the therapy, and patients are free to go where they wish. They are almost independent of the hospital. The nurse developed appropriate policies and procedures for the use of the pump, the mixing of the 4-ED, and an educational program for patients and their relatives.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Ethical and legal considerations play a major role in nursing the terminally ill. It is, therefore, important before setting up a hospice program to examine the legal rights of a patient in that particular culture, and how the predominant religious belief influences those rights. This article will first analyze the basic rights of a dying patient. This is followed by a discussion of the Christian and Jewish religious beliefs and of how these beliefs may influence terminal care. The article concludes with a survey of the law in three different countries, as it pertains to terminal care: the United States, Great Britain, and Israel.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A multi-institutional, federally funded demonstration project was initiated by the Illinois Cancer Council and the Illinois Department of Public Health to evaluate methods for improving home health nurse performance in providing cancer patient care. A total of 29 home health agencies in two health planning regions of Illinois were randomized into one of three study groups: (a) those which received the services of an oncology nurse specialist plus continuing education on cancer, (b) those which received only continuing education on cancer, and (c) those which were only observed. In general, improvement in the home health nurse's assessment and management skills of patients with colon or breast cancer was noted among all study groups. Significant improvement was found in the nutritional assessment skills of the home health nurses in the group receiving the consultative services of the oncology nurse, supplemented with continuing education on cancer. Evaluation results indicate that further study should be directed toward more intensive methods for influencing home health nurse performance in cancer care, particularly for pain management.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Carcinoma of the cervix is the third most common gynecologic malignancy in women in the United States. Dysplasia and carcinoma in situ are significant factors of the cervical cancer problem. Research shows a significant increase in the diagnosis of cervical dysplasia, especially in younger women. The mounting frequency of this diagnosis is directly related to the increased use of the Papanicolaou smear. Recently, significant attention has been directed toward the viral agents, herpes virus and papillomavirus, as possible etiologic factors in the development of this disease. The epidemiology, histology, detection, diagnosis, and treatment of cervical dysplasia are discussed. The oncology nurse must have a comprehensive understanding about the disease entity and treatment. With this knowledge, the nurse will be able to identify the high-risk patient and provide effective care to the patient.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Social support is a concept of particular interest to nursing because of its influence on clients' physical and mental well-being. A qualitative study exploring parents' experiences when their children were hospitalized for the treatment of cancer provided the opportunity to explore the informal relationships parents established with parents of other children also hospitalized with cancer. As 27 parents of 24 children participated in extensive interviews it became clear that the relationships established with other parents were generally perceived as supportive. Analysis and interpretation of the data identify characteristics and foci of interactions perceived as supportive. In addition, conditions related to the diagnosis of cancer and the hospitalization experience that acted to enhance and detract from the supportiveness of the relationships are also noted. Findings are analyzed in relation to the current literature on social support. Implications for nursing are identified.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Because the prevalence of smoking among nurses remains higher than that among members of other health professions, a study was designed to evaluate whether competition among nursing groups would be an effective way of recruiting nurses into a worksite self-help quit-smoking program. Registered nurses were divided into “teams” along naturally occurring competitive specialties. Both nonsmokers and smokers were invited to participate in the competition. At the end of a 2-week period, the team with the greatest percentage of smokers who enrolled in a work-site self-help quit-smoking program would win. Smoking prevalence among each team was determined through a questionnaire/interview administered to all head nurses in the hospital. A comparison site was used to determine the effect of this strategy. Results indicate that during the 2-week period of competition, no nurses called or came in to the quit-smoking program. Formal and informal surveys enabled the researchers to identify reasons why the nurses did not participate. Recommendations for making competition among nurses a more effective strategy are provided.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID