ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The events of September 11, 2001, horrified each of us and changed each of our lives individually. The members of the Orthopaedic Nurses of New York, many of whom lived through that historic day getting through the crisis, were asked to share their reactions and feelings during this historic day. The following article chronicles their lives as nurses, parents, citizens, and proud Americans during this difficult time.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The Bone and Joint Decade, 2000–2010, is a worldwide effort to advance understanding and treatment of musculoskeletal conditions and to promote research. The goals of the Bone and Joint Decade are to raise awareness of the growing burden of musculoskeletal disorders on society, to empower patients to participate in their own care, to promote cost-effective prevention and treatment, and to improve prevention and treatment through research. In recognition of the enormous public health crisis related to patients who sustain hip fractures, the Academy of Orthopaedic Surgeons invited several specialty associations to participate in planning a National Consensus conference to address this crisis. NAON was pleased to be among the invited participants. The conference convened in May 2001 in Washington, DC, with over 60 participants from 40 specialty organizations. The objective of the conference was to explore the strengths and weakness of the current continuum of care, develop recommendations for addressing problems in the system, and devise strategies for implementing the recommendations. The recommendations emerged in four broad categories: Communication/Continuum of Care, Reimbursement, Prevention/Education, and Research Initiatives. These recommendations will serve as a framework to coordinate ongoing efforts and focus strategies toward improving the continuum of care for patients with hip fractures. The following is a report of the nature of the problem, the development of the conference, and the recommendations for optimizing outcomes.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Technical advances in the field of radiology have not only led to improved diagnosis and evaluation of osteoporotic compression fractures but now provide the innovative treatment option of vertebroplasty. While this procedure is relatively new in the United States, success in the European medical communities has yielded impressive results. Specialty nurses need to be familiar with this treatment option in order to refer, educate, and provide nursing care for the patient who undergoes vertebroplasty. Additional outcome research is needed to answer questions surrounding this procedure and thus provides another opportunity for the nurse to be involved in the health care of patients.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Purpose:To examine the hypothesis that continuous low-dose infiltration of a local anesthetic into the postoperative wound incision for a 48-hour period will diminish the need for narcotics or other analgesic, lower postoperative pain, and may further enhance recovery by eliminating adverse events associated with narcotic usage.Methods:Forty-six patients prospectively randomized into blinded studies compared the new technique of continuous infiltration of bupivacaine (a local anesthetic) with placebo via an elastometric pump catheter. Parameters measured included pain and pain relief visual analog scale (VAS), narcotic consumption, and complications.Findings:Results demonstrated bupivacaine groups in both studies used fewer narcotics; this was statistically significant (P= 0.03) in the TKA study. Pain scores were significantly lower and pain relief scores higher in the ACL group using bupivacaine. There were no adverse events.Conclusion:Continuous infiltration of bupivacaine is a safe and effective method of improving postoperative pain management in ACL reconstruction and TKA surgery.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

One of the leading causes of death in the United States is coronary heart disease (CHD). Hypertension (HTN) also known to the general public, as high blood pressure has long been a risk factor associated with CHD. Hypertension affects 50–60 million Americans and is the second most common reason for office visits (Huffstutler, 2000). It is very important for a Perioperative Nurse Practitioner (PONP) to complete a thorough history and physical preoperatively to screen for HTN and avoid possible intraoperative and postoperative complications. A case study and guidelines for hypertension will be discussed in the article as well as the role of the perioperative nurse practitioner practicing in the orthopaedic perioperative setting.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The human thermoregulatory process allows the body to react to normal situations of heat production. When the body is exposed to extreme circumstances of heat, the system is unable to compensate, resulting in hyperthermia. Both exercise and the environment can contribute to this extreme heat production. Malignant hyperthermia and neuroleptic malignant syndrome are potentially fatal disorders that occur as a result of exposure to certain drugs. The resulting hyperthermia causes multiple system failure if not recognized and treated promptly. Although the causes of hyperthermia may vary, the diagnosis and intervention must be carried out immediately so that the crisis and complications associated with these disorders can be kept to a minimum.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Not all orthopaedic patients will develop peptic ulcer disease (PUD). However, the stresses, anxiety, and altered lifestyle that often accompany orthopaedic injury, surgery, or treatment increase the risk of developing or exacerbating PUD. Health care professionals who are knowledgeable about PUD and alert to the possibility that their orthopaedic patients may develop PUD or experience an increase in PUD pain are a major first-line defense against this painful complication. This article briefly reviews the epidemiology and pathophysiology of peptic ulcer disease. A description of some of the known causes of PUD will help identify those factors that could relate to a wide variety of orthopaedic patients. Examples of a variety of pharmacologic treatment approaches for PUD are also explored, with cautions and drug/drug interactions identified.

ISSN:0744-6020    

出版商:OVID    

年代:2002

数据来源: OVID