ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Spinal cord injury affects about 200,000 people in the United States. This article discusses the disease process after acute hospitalization and the role of the nurse in the care and empowerment of the spinal cord injured patient during the rehabilitation phase. In addition to a review of didactic information concerning spinal cord injuries, this article will focus on the role of the nurse as “teacher.” The manuscript stresses the importance of patient involvement and that the ultimate goal of successful rehabilitation (a lifelong process) is for the patient to direct and plan his or her own care.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article discusses autonomic dysreflexia, which can occur in patients with spinal cord injury. This potentially lifethreatening complication can be managed through an understanding of the disorder and its primary causes. The primary cause of this problem is usually a noxious stimuli that precipitates an abnormal response from the autonomic nervous system. Prevention is the primary nursing treatment and includes implementation of a bladder and bowel management program early in the treatment of the patient with spinal cord injury.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

For many years society viewed the spinal cord injured person as an asexual being. Within the past 10 years health care providers have recognized the need to incorporate information on sexuality into the care of this population. This article reviews the physiologic and psychologic changes experienced by the spinal cord injured person, explores methods of enhancing the physiologic function inherent in the sexual experience, and presents nursing's role in sexual counseling.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Patients undergoing total hip replacement surgery may experience edema around the incision related to intraoperative positioning and manipulation of the extremity, as well as general soft tissue damage. The edema may contribute to the impairment of skin integrity when tape is applied to secure postoperative dressings. This article describes how the problem of impaired skin integrity was identified and the process used to determine the contributing factors. The interventions used by three nursing specialty areas to correct the problem are also described.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Chest pain is a common complaint among adult patients. Chest pain may be a signal of an impending life-threatening event. The accurate assessment of chest pain is difficult. The responsibility of identifying a potentially life-threatening condition accompanied by chest pain presents the nurse with an incredible challenge. Chest pain may be caused by a variety of cardiac, respiratory, gastrointestinal and musculoskeletal illnesses. A complete, thorough history that includes family history and risk factors is the most important part of the assessment. The history is followed by the physical assessment. This phase of the assessment process may include important tests such as a chest X ray, 12-lead electrocardiograph and cardiac isoenzymes. A perceptive and observant nurse with astute assessment skills will set the tone for optimal patient treatment leading to a more positive outcome for the patient.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Nurses who care for a range of medicalsurgical patients may not be required to have ACLS training and may have limited experience in dealing with cardiac or pulmonary arrest. A need for staff training was identified by the designated code team members with the critical focus being the first 3 minutes of the code. A code preparation class was developed reflecting the staff's areas of deficiency. After all medical-surgical units had attended the class, mock codes were initiated, focusing on skills required of licensed nurses or nursing assistants before the arrival of the code team. This code preparation program resulted in staff nurses becoming more skilled and comfortable with their roles during a cardiopulmonary arrest.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This case study presents a patient with severe osteomyelitis of the femur, which did not respond to vigorous antibiotic therapy. Compromised kidney function, malnutrition, and copious drainage from an open wound led the patient and physician to select a seldom used procedure, the “turn up” plasty to treat the problem. This procedure provides a stump for an above-the-knee prosthesis providing the patient with more optimal function than if the femur and lower leg were amputated. The procedure involves removal of the infected femur, foot amputation, knee disarticulation and turning the lower leg up, using the tibia to support the femoral component of a joint replacement. After several months, the patient is wearing a prosthesis, walking without pain, and satisfied with his decision.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Mentoring in nursing is a concept that merits close scrutiny in today's chaotic health care environment. Mentors can shape a positive environment for nurses to nurture career development, satisfaction and leadership. One of the issues of mentoring is that there is no agreement as to the role and functions of a mentor. Most of the controversy deals with the similarities and differences between mentors and preceptors. The purposes of this study were to identify attributes of mentors as perceived by orthopaedic nurses and to identify who orthopaedic nurses feel are the most appropriate persons to serve as mentors. This may enable nursing leaders to develop specific programs and strategies to increase job satisfaction and nurse retention among orthopaedic nurses.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID