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:

Trauma is the leading cause of death in the United States for persons less than 40 years of age. It is the fourth leading cause of death in persons of all ages. Over 60 million injuries occur annually, therefore multiply injured patients represent a large portion of hospital admissions (Cordona, Hurd, Mason, et al., 1994; Geerts, Code, Jay, etal., 1994) Due to the complexity of patient care, and the potential for complications, nurses caring for these patients must be knowledgeable of their role in the patient's management and recovery. The following case scenario represents a typical multiply-injured patient and discusses common potential complications and how the nurse can intervene to prevent these complications from occurring.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article describes the uses of external fixation for lower extremity problems and addresses some issues related to the correct way to lift an extremity with an external fixator. The differences in opinions between nurses and among physicians is discussed, followed by suggestions for solving this confusion within the settings in which people work. The article then pictorially demonstrates how to lift an extremity with an external fixator. It proceeds through a series of photographs depicting how to transfer a patient into a chair by supporting the extremity, and again by supporting the external fixator itself.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Developing quality nursing continuing education for contact hour approval requires a basic understanding of the nursing continuing education system and the application process. The Regional Education Approver Unit (REAU) of the National Association of Orthopaedic Nurses (NAON) helps providers (i.e., members, chapters, corporate members) develop educational activities and grants contact hour approval. This article reviews terminology used in nursing continuing education and the application process for contact hour approval through NAON.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Anabolic-androgenic steroids (AAS) may, unfortunately, be the breakfast of some youngsters aspiring to become champions. Awareness of this problem by health care providers is important so youngsters tempted to take, or taking, AAS may be identified and counseled.

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:

Pain and loss of motion, the results of rotator cuff tears, can be disabling. Initially, treatment is conservative, but surgical repair may be indicated after failed nonoperative management. Rotator cuff anatomy is reviewed in this article as well as clinical and radiographic assessment of the patient with presumed rotator cuff pathology. Nonoperative and surgical treatment strategies are outlined. The rate of motion and functional recovery after repair is presented on the basis of a prospective study. Although most patients are able to perform work and daily activities 3 months after surgery, motion recovery can continue for at least a year.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The goal of managed care is to control health care costs by such means as keeping people healthy and decreasing the length of hospital stays. This change in health care delivery has resulted in work redesign programs, lay-offs, cross-training, and the use of an increasing number of nonprofessional care providers. The challenge for nursing, as a result of these changes, is how to fulfill its obligations of fidelity and due care. The authors discuss these ethical responsibilities and the impact that managed care is having on the fiduciary relationship between nurse and patient. Four strategies that nurses can use to fulfill their obligations include engaging in personal reflection, communicating and collaborating, protecting patient's rights, and evaluating patient outcomes.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article describes the results of a NAONfunded 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. Overall results indicated that models of care using unlicensed assistive personnel are not working. Primary impediments were identified as lack of role clarity, ineffective educational preparation of nursing assistants, ineffective educational preparation of staff nurses, lack of an adequate infrastructure to support the model, and lack of evaluation systems.

ISSN:0744-6020    

出版商:OVID    

年代:1995

数据来源: OVID