ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The winner of the 1994 Journal Manuscript Award is Paula Trahan Rleger, RN, MSN, OCN. Her article, “Blotherapy for Colon Cancer: Promise or Progress?” was published In the May 1994 Issue of the Journal

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A cross-sectional study design was used to document perception of pressure ulcer pain in 132 patients In an acute care setting. Subjects were evaluated by means of the Folstein Mini-Mental State Examination, Beck's Depression Inventory, the Faces Pain Rating Scale, and the Visual Analog Scale for pain intensity. Charts were reviewed for demographic data and related medical treatments. The group comprised 44 subjects (33.3%) who were able to respond to the evaluation instruments and 88 subjects (66.7%) who were unable to respond to the evaluation tools. Forty-one percent of the respondents denied pressure ulcer pain and 59% reported pain of some type. According to the Faces Rating Scale, 32% of this group reported no pain and 68% reported some degree of pain. The respondents included 48% who scored below 24 on the Folstein Mini-Mental State Examination, indicative of cognitive impairment, and 52% who were found to be cognitively intact, with scores of 24 or above. Only 2% (n = 3) were given analgesics for pressure ulcer pain within 4 hours of the interview.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Necrotizing fasclitis is an Infection caused by aerobic or anaerobic microorganisms that rapidly spread along the fascial plane, causing necrosis of the fascia, overlying skin, and vasculature. Septicemia and systemic toxic effects may lead to death within as short a time as 24 to 96 hours. Successful treatment, comprising radical surgical debridement, relies on early recognition. Despite the Importance of early recognition, however, a review of nursing literature during the last 10 years revealed only one article dealing specifically with this condition. The purpose of this article is to review the causes and treatment of cellulltis complicated by necrotizing fasciitis.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Nurses In many parts of the United States have limited experience In caring for patients with Kaposi's sarcoma. The severity of the disease can range from a few lesions to extensive cases with fungating, encrusted wounds. This case study describes the wound management of a 43-year-old patient with an advanced case of Kaposi's sarcoma with elephantiasis of the lower extremities. Use of a collaborative care approach resulted in dramatic Improvement of this patient's wounds. Although the patient's serum albumin level remained low, no secondary skin breakdown or infection occurred.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Many clinical studies have found patients with ostomies to be a group facing multiple adjustment demands. One of these demands Is coping with a significant change In body Image. At the Medical College of Wisconsin, a team approach has been Initiated; the ET nurse, the psychologist, and the surgeon deal with body Image concerns together. Problems requiring counseling have Included difficulty with personal acceptance, personal and social body-Image disruption, sexual concerns, reduced self-care skills, and the management of surgical complications. This article represents a study employing a methology of selected case presentations. Cases were chosen to outline the types of problems encountered and were selected from referrals made for psychologic Intervention by the surgeon and ET nurse. The patients Included four women and three men, ranging In age from 22 to 79 years. Data were compiled by examining the records of the surgeon, ET nurse, and psychologist. The primary needs revolved around personal or social acceptance of altered body Image. By addressing these needs In a straightforward, time-limited manner, postsurgical counseling was delivered effectively for these patients. In conclusion, we have demonstrated the multidisciplinary approach to be successful In facilitating adaptation to an altered body image.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Pyoderma gangrenosum Is an ulcerating skin condition associated with Inflammatory bowel disease and other diseases. During an 18-month period beginning In the fall of 1991, seven patients were followed up for pyoderma gangrenosum. Three of these cases, with assessment and treatment plans, are presented. A discussion of treatment principles for managing pyoderma gangrenosum follows.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID