ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The National Institutes of Health and the World Health Organization have targeted the treatment of mild or borderline hypertension as a critical health care issue. Conventional practitioners' focus on more intensive treatment for blood pressure elevations in the lower ranges is accompanying the consumer-driven movement toward the use of complementary methods. Over 60 million Americans used herbal therapies in the past year, and visits to complementary care practitioners are expected to increase beyond the 425 million now made annually. The purpose of this article is to identify four herbs that consumers commonly select for the treatment of hypertension and identify nursing care considerations for their use. Additionally, the article reviews research on the effectiveness of acupuncture for hypertension, along with nursing care implications for patients.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Hypertensive emergencies and hypertensive urgencies represent a large percentage of major medical emergencies and have the potential of producing serious organ damage or death if not treated promptly and selectively. Several classifications of antihypertensive agents are discussed, with emphasis on selecting agents appropriate for patients' hypertension manifestations and comorbid situations. Epidemiology and evaluation of hypertension, as well as common pharmacokinetics of several common and new oral and parenteral antihypertensive agents, are described. Special nursing considerations of medication administration and gerontology concepts are included.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Published guidelines set the standard of care for essential hypertension. The authors offer an audit tool based on national standards to evaluate how actual treatment measures up to the published standard of care. The measure of quality of care is based on three assumptions:Recording essential observations is an integral part of optimal health careWhat is recorded took place and what is not recorded did not take placeIf documentation of essential events agrees with audit criteria, the outcome of care will most likely be optimal

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

This article provides a demographic profile of the hypertensive adult in South Texas. Hypertension, a silent disease because of its lack of overt signs and symptoms, poses a major public health problem. Few prevalence studies have been completed reflecting Mexican-American populations. South Texas hypertension trends are comparable to national trends. However, the awareness of hypertension in South Texas is lower than that of the national population. The density of risk factors may be responsible for the patterns of South Texas hypertension.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Nurturing body, mind, and spirit is part of holistic care, and yet often the primary focus of care in nursing homes is physical needs. As part of a larger study examining factors related to hope among institutionalized elders, spirituality emerged as the only significant predictor of hope. Findings supported the active presence of hope despite age and functional limitations. The significant contribution of spirituality to hope calls for attention to the provision of opportunities to support and enhance spiritual practices in the nursing home setting. Nurses in nursing homes have the opportunity to establish close relationships with residents over time, often substituting for family and friends no longer available. Because length of stay is long, more time is available to enter into meaningful spirit-sharing relationships with residents. Suggestions for interventions that nurture hope and spirituality within a holistic and caring framework are presented.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Students entering nursing education present with a range of critical-thinking skills and dispositions that are affected by genetic influences, modeling by others, and formal learning experiences. The experience of higher education further contributes, positively or negatively, to the development of those skills and dispositions over time.A conceptual framework is presented as a model to explain the relationship between variables contributing to critical thinking as it is manifested in clinical judgment. A developmental model is presented to align the development of cognitive capabilities and the application of those capabilities in the subprocesses of the nursing process. Implications for nurse educators related to the understanding of critical-thinking development of students are discussed.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

This study examined validity evidence for using a general test of critical-thinking skills and dispositions to measure nursing students' critical-thinking abilities. Content evidence indicated strong support for the theoretical framework underlying the test but less support for the way in which the critical-thinking constructs were specifically measured. Scores related to critical-thinking skills demonstrated significant but low correlations with grade point averages, were moderately correlated with SAT scores, and were uncorrelated with scores related to critical-thinking dispositions. The evidence suggests that nursing programs may need to reconsider how critical thinking should be measured and evaluated.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

This article discusses issues and trends in care of the hypertensive client that pertain to practice, education, research, and health policy. Clinical practice issues center around obtaining accurate blood pressure measurements and educating patients about health promotion interventions and use of medications. These topics are important in the education of the beginning nurse student as well. Researchers have studied risk factors, incidence, and prevalence in global populations; use of pharmacologic agents; and investigative methods employing technology. Researchers are beginning to explore more holistic approaches to controlling risk factors before hypertension occurs. Funding for public education regarding prevention and control of hypertension is a number one health policy issue.

ISSN:0887-9311    

出版商:OVID    

年代:2001

数据来源: OVID