ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Suicide is the ninth-leading cause of death of the elderly, yet it is the leading cause of preventable death in this population. White males over the age of 65 are at special risk for suicide, with a suicide rate twice the national rate for all ages and six times the rate for women over age 65. The nurse practitioner is in a unique position to intervene in geriatric suicide because suicidal geriatrics typically will not seek help from mental health professionals. Rather, they will seek help from the primary caregiver. Strategies for assessment of suicide risk are presented, in addition to strategies for intervention in a suicide-related crisis.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

This article presents results of a descriptive study designed to assess gender differences in stress factors of adolescents attending rural, urban and suburban public schools. The Roy Adaptation Model of Nursing was selected as the theoretical framework for the study. Subjects were 323 freshmen in high schools in eastern Tennessee; mean age was 15.5 years. Most frequently reported stressors were hassling with parents, hassling with siblings, and making new friends. There was little difference between boys and girls in prevalence of these stress factors. However, gender differences in amount and types of other stressors were identified. Regardless of geographic location, mean stress scores of females were higher; urban females reported the highest stress levels. Females were more concerned with self-concept issues and interdependence issues, whereas males were more concerned with role function issues. Nurse practitioners and school nurses have unique opportunities to promote improved adaptation in adolescents experiencing stress. Intervention strategies are proposed for each of the four adaptation modes delineated by Roy.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The anguish families experience when they are asked to make health care decisions for incompetent members has stimulated the search for an adequate procedure to document patients' end-of-life decisions. This study explores a method of recording competent patients' wishes via a “value history,” a questionnaire that can guide families and the health care team during an incompetent person's terminal illness. Questions addressed were these: Can a primary care physician gather information from competent patients about their care before they become incompetent? Can a nurse practitioner gather the information as efficiently as a physician? Do patients want this information recorded in their charts? and, Is the primary care office as well as the patient's home an appropriate location to obtain a value history? Four hundred patients were invited to record their wishes for future care. Patients expresses that they wanted to be told the truth about their health and their health care, and they wanted to participate in decision-making even while dying. The majority did not want to be maintained indefinitely on life-support systems. Patient responses were similar regardless of whether the NP or physician conducted the interview. A primary care office or patient's home are both suitable for filling out the value history. Because of the enthusiastic patient responses, the authors recommend that value histories become a routine part of a patient's medical records.

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1988

数据来源: OVID