ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The number of commercially marketed skin cleansing agents continues to grow, providing clinicians with an increasingly large variety of products from which to choose. This variety may lead to confusion about which product to choose, particularly for persons without expertise in the area of skin care. This article reviews common types of skin cleansers, their formulation, ingredients, skin compatibility, pH, and related infection control issues.

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Two alternative treatment methods for preventive interventions for pressure ulcers, tele-rehabilitation and contingency management, are discussed. Telerehabilitation uses a videophone that transmits both audio and still images over a telephone line. Using this technology, the WOC nurse can interview a patient who cannot be present at a clinic because of physical condition or distance. Telerehabilitation allows the nurse to assess a patient's pressure ulcer, consult with appropriate caregivers, and make recommendations for treatment. Contingency management procedures are designed for patients with high rates of noncompliance in skin care. The patients are seen as outpatients and are compensated systematically for appropriate skin care (ie, the lack of pressure ulcers). Examples of each of these patient interventions is described, discussed, and contrasted.

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

PurposeThe effectiveness of a disposable liner designed for a 2-piece colostomy appliance pouch was evaluated.DesignRandomized, crossover trial with follow-up surveys.Setting and SubjectsNineteen participants were recruited from the Mayo Clinic in Scottsdale, Arizona, and the surrounding community.InstrumentsA Daily Colostomy Care Evaluation Record and tally sheet of times for ostomy care were designed by the authors.MethodsParticipants, acting as their own controls, were randomly assigned to use either an unlined or a lined appliance for 9 days. On day 10, participants switched to the opposite regimen, which was maintained through day 18. They recorded the time required for daily colostomy care and perceptions of the lined and unlined appliances. The volume of ostomy supplies and cost were recorded at baseline, 1, 3, and 5 to 9 months after the initial trial.ResultsOdor, bother, perceived severity of leakage, and partner acceptance were better with unlined than lined appliances. Half of the participants were using a liner ≥75% of the time 3 months after the trial. There was no difference in cost when lined versus unlined ostomy systems were compared. Participants who chose to use the liners indicated high satisfaction. Problems noted included an inadequate seal with the liner (58%), inadequate liner size (16%), retention of flatus by the liner (11%), and difficulty removing the full liner (11%).ConclusionsThe study supports recommending liners to patients who have a modest amount of fecal output or flatus. However, patients who are unable to manipulate the seal or have a large output volume are unlikely to find the liners a convenience. Satisfaction with the liners was sufficient to warrant investigation and design of a lined device with an improved design, greater capacity, and tighter seal.

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Fecal incontinence affects slightly more than 1% of community-dwelling adults. This article describes an assessment format, with a research basis when available, that has been developed in a specialist nursing clinic in the United Kingdom. The focus is on how to obtain the most useful information from the patient to plan appropriate nursing interventions. A subsequent article will describe the biofeedback program developed as part of a package of care to meet individual needs of persons with fecal incontinence.

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID