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:

Meningococcal infection can produce symptoms that have severe morbid or even fatal effects. The survival rate has increased over the last 20 years and health care workers are now faced with managing the sequelae of cutaneous and skeletal necroses. It is important for nurses to recognize symptoms of the disease as well as associated complications. A multidisciplinary approach is needed to manage all phases of the illness. This phenomenon occurs most commonly in children but may be seen in adolescents and young adults as well. Despite extensive alteration in body image and the need for long-term rehabilitation, with proper management, a full recovery may be expected.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article describes the results of a NAON funded descriptive design research project developed to gather data on how clinical nursing assistants are being used in the practice setting by examining the role responsibilities, extent of delegation, training effectiveness, and evaluation measures designed by agencies to evaluate the effectiveness of this model of care. Fifty-three hospitals from 31 states participated in the investigation, with 53 nurses managers, 620 staff nurses, and 305 nursing assistants responding to questionnaires. The most common role description of clinical nursing assistants was in providing supportive care; however, there was a clear trend toward using clinical assistants to provide care requiring higher levels of observation and technical skill. Deficiencies in the infrastructure to support this model were identified as limited education and training of both assistants and staff nurses, inadequate mechanisms to deal with role confusion and delegation deficits, lack of evaluation systems, and lack of ongoing procedures to assure competency.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Blount disease or idiopathic tibia vara is a developmental deformity of the proximal tibia! medial physis that produces a varus deformity of the knee. It is classified by early or late onset. The etiology is not entirely clear but is presumed to be related to an abnormal compression on the medial aspect of the proximal tibia! physis. Early diagnosis is important for a better prognosis. In general, the later the onset and the greater the progression of the deformity, the increased likelihood of articular changes. Orthotics are recommended as the first type of treatment. If progression occurs or onset is late, surgical intervention may be warranted. The nurse's role ranges from educating the family about the disease to helping them adapt to the varying treatments.

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:

This Quick Reference Guide for Clinicians contains highlights from the Clinical Practice Guideline version of Acute Low Back Problems in Adults, which was developed by a private-sector panel of health care providers and consumers. The Quick Reference Guide is an example of how a clinician might implement the panel's findings and recommendations on the management of acute low back problems in working- age adults. Topics covered include the initial assessment of patients presenting with acute low back problems, identification of red flags that may indicate the presence of a serious underlying medical condition, initial management, special studies and diagnostic considerations, and further management considerations. Instructions for clinical testing for sciatic tension, recommendations for sitting and unassisted lifting, tests for identification of clinical pathology, and algorithms for patient management are included.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Patients who sustain complex orthopaedic fractures related to a traumatic event can develop devastating complications. Patients who sustain open fractures are at greater risk for complications such as wound and systemic infections and nonunion of the fracture itself. This article describes the management of open complex extremity fractures through a case study approach.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

These are years of rapid change in health care. Nurses face many challenges and have many opportunities to participate in and influence the formation of health care policy. Nurse citizens can become very effective in their lobbying efforts, whether on the federal, state, or local level, when they are armed with information about the key players and the processes and their belief in what nursing can contribute to the health care system.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Chinese foot binding embraced several modern principles of brace treatment. It was initiated in childhood while the foot was cartilaginous and moldable. Culturally, the practice attempted to shape the foot into a pointed lotus flower. The resultant cavus foot deformity was dysfunctional and crippling. This curious custom, outlawed by the Communist party, is ironically analogous in some ways to high-heel shoe wear.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID