ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

ABSTRACTPremenstrual syndrome (PMS) is the title applied to a broad range of physical and psychological symptoms that occur cyclically, usually seven to 14 days prior to the onset of a woman's menstruation, and disappear during menstruation. Although the symptoms of premenstrual syndrome were described more than 50 years ago, recognition of PMS by the medical establishment as a discrete condition, which requires attention and treatment, is a fairly recent development. It is estimated that 30 percent of women experience PMS in a debilitating form at some point in their lifetimes from menarche to menopause. The symptomatology of PMS is varied; it includes such psychological symptoms as irritability, depression, oversensitivity, mood swings and anxiety, in addition to such physical symptoms as water retention, breast tenderness, weight gain and migraines. This broad range of symptoms has increased the difficulty of establishing an etiology for the syndrome, and it is now suggested that there may be several processes at work, each responsible for a different aspect of PMS. Care of the PMS patient by nurse practitioners initially requires acknowledgment of the legitimacy of her condition. A detailed physical examination should be accompanied by careful interviewing to elicit the most complete picture of the patient's experience with PMS. Treatment, which can involve dietary changes, hormone or antigonadotropin administration, must be individualized according to a patient's initial symptomatology and subsequent response. At present, research is in progress which will enhance our understanding and ability to deal with PMS.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Editor's Note:In the last several columns, authors have given examples of how nursing practice has used or could use theory “borrowed” from other disciplines. A number of advantages and disadvantages have been noted in each example. In this month's column, Ms. Kodadek deals with the theory of chronicity. She describes the way in which theorists have applied crisis theory to situations of chronicity. She further describes how they have suggested stages of development during adjustment to a chronic health condition and tasks that must be accomplished during these stages. If these theorists are correct, such knowledge should be most helpful to the nurse working with patients with chronic conditions. To be able to give anticipatory guidance about such stages and to use such knowledge as an assessment tool for spotting difficult situations would seem a most helpful contribution from the theoretician to the clinician. But perhaps most exciting in this article is Ms. Kodadek's suggestion of the contribution of the clinician to the theoretician. She suggests that clinicians “try out” the theory of these stages and tasks and see if they truly work in the real world of clinical practice, and then feed this information back into the theory so that it can gradually become more and more accurate and predictive, and, subsequently, more useful in the clinical area. It is exactly this back‐and‐forth movement between theory and practice which this column is meant to highlight and which the nursing profession needs so badly today if we are indeed to integrate our contribution to society with modern scientific knowledge.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Milk and Formula ProblemsMiller, Sanford and Joginder G. Chopra: “Problems with Human Milk and Infant Formulas,”Pediatrics,1984, 74:4 (Supplement, Part 2, October), pp. 639‐47.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

&NA;The Nurse Practitionerwelcomes readers' comments. Letters referring to a particular article are forwarded to the author for a response to be printed along with the letter. Please address your correspondence to: Letters to the Editor, The Nurse Practitioner, 109 W. Mercer St., Seattle, WA 98119.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID