摘要:

Hypothyroidism is a common clinical entity encountered frequently in most adult primary care settings. The reported prevalence in the general population is approximately 3% in men, but as high as 10% in women (Sawin, Geller, Hershman, Castelli,&Bacharach, 1989). The disease process affects every major organ system, contributing to a broad range of symptoms. Clinicians need to be familiar with the signs, the symptoms, and the appropriate laboratory studies, so that timely and accurate diagnoses can be made. This article reviews normal thyroid physiology and thyroid pathophysiology, as well as the diagnosis and treatment of several important clinical entities resulting in hypothyroidism. Research findings are included insofar as they relate to current clinical practice.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00826.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Pain in children is a major concern of health care providers. To adequately relieve children's pain, nurses and other health care providers must be able to determine when children of all developmental stages are experiencing pain. The purpose of this article is to review what is known about children's response to acute pain.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00827.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Traditional health care of the expanding elderly population has focused on illness diagnosis and management. However, because more individuals, women especially, are living longer and living better, the emphasis should be shifted and modified to include primary health care for elderly people. Primary health care includes active health promotion and health maintenance, prevention of illness or disability, and attention to the quality as much as to the quantity of life. Unfortunately, the health concerns of elderly women, especially the oldest‐old groups who live more or less independently, have been addressed inadequately in medical and nursing literature. Routine approaches to health care for women aged 70 and older must consider women's apparent hardiness, potential social isolation, and unique worries about safety and independence. Nurse practitioners in adult health, family practice, and gerontology must expand their repertoire of health promotion and health maintenance strategies to meet the needs of this special population. This article outlines the role of the nurse practitioner in the care of the well elderly woma

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00828.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The clinical implications of research with battered women and their families are discussed using the holistic framework of nursing and anthropology. Moving beyond superficial answers to “Why do battered women stay?,” barriers to leaving that stem from the sociocultural roots of violence are examined. Understanding these obstacles and the characteristics of violent men is fundamental to sensitive interaction with abused women who frequently enter and leave health care systems with no direct attention given to their primary problem of abuse. Assessment techniques are suggested, and triage and comprehensive assessment protocols are presented to aid nurse practitioners and nurses in their response to this urgent public health prob

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00829.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

In the health care setting, knowledge of communicable diseases is critical in the prevention of transmission. Communicable diseases transmitted by the respiratory route pose several difficult problems for control. One such disease, frequently overlooked in adults, because it is considered a childhood disease, is varicella zoster (chickenpox). Recognition of the disease and knowledge about its epidemiology, control, treatment, and follow‐up care are necessary for the health care provider to prevent the spread of diseas

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00830.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00831.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1992.tb00832.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY