ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Ménétrier’s disease is a type of hypertrophic gastropathy, a rare, acquired premalignant disorder of the stomach accompanied by debilitating symptoms such as nausea and vomiting, anorexia, edema, epigastric pain, and weight loss. The disease results in a marked negative effect on the patient’s quality of life. This article will present information on Ménétrier’s disease, quality of life, and the effect this disease and subsequent treatment had on a patient’s physical, emotional, and spiritual well-being.

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Gastroenteritis is one of the most common reasons for hospitalization in the United States for children under the age of 5 years. Second only to respiratory problems, the cost of providing care for these children is estimated to exceed $2 billion dollars annually (Burkhart, 1999;Prescilla, 2002). This article reviews the causes of gastroenteritis as well as the 1996 American Academy of Pediatrics Guidelines for treatment of gastroenteritis. These guidelines and more recently published literature were used to develop a clinical pathway to improve the care of pediatric patients admitted to the hospital with gastroenteritis. The article discusses the importance of clinical pathways and the process of implementation of a pathway for pediatric gastroenteritis. Additionally, the article provides a parent teaching tool to address recurrent questions parents have related to home management of a child with gastroenteritis. Useful web sites for resource information related to gastroenteritis are provided as well.

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The goal of this study was to evaluate the effect of preoperative education on patient satisfaction and cooperation during an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Risk reduction was also studied in terms of decreased meperidine administration. Subjects were preoperatively educated by the endoscopy nurse regarding the ERCP procedure and how to communicate with the nurse during the procedure. Forty-five patients with a mean age of 58 years participated in the study. Effective patient cooperation was achieved. All subjects were satisfied with the educational process and the ERCP team. These findings suggest preoperative education is a cost-effective intervention in enhance patient cooperation and patient satisfaction for patients undergoing ERCP.

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Changing demographics, specifically an aging population associated with an increase of chronic and terminal illness, have highlighted the need for palliative or comfort care in nursing from the time of diagnosis through the dying process. Palliative or comfort care is now on the national healthcare agenda. The purpose of this article is to provide an update on selected palliative care and end-of-life issues and resources related to practice, education, research, and policy for gastroenterology nurses. In addition, selecting one of the suggested resources to review on a regular basis will provide the reader with a strategy for keeping up-to-date in palliative and end-of-life care.

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Occasional constipation is a frequent complaint in medical practice. Bulk-fiber laxatives are often recommended as a safe and effective treatment of this disorder. The viscous suspensions required for administering most bulk-fiber laxatives, however, can negatively affect compliance. This study summarizes physician and patient assessment of a new, oral bulk-fiber laxative caplet following 2 weeks of open-label use for the treatment of constipation and related disorders. Forty-two patients recruited from colorectal surgical practices and who were recommended bulk-fiber as part of their treatment completed the study. Recommended dosage was 2 caplets b.i.d., with each 2-caplet dose providing 1 gram of methylcellulose. Patient diaries reported average daily use of 3.13 ± 1.20 caplets/day and a total of 577 patient-days of use (calculated as total days product used × number of subjects). Ninety percent of the diaries reported at least one bowel movement daily. Fourteen days of treatment progressively and significantly increased the percentage of complete bowel movements, bowel movements having normal stool consistency, and reduced straining. Physicians rated more than 75% of patients’ responses to treatment with methylcellulose caplets as “very good” or “excellent,” and considered the responses equal or better than that expected for a fiber treatment in 90% of subjects. Among 24 patients who had previously used fiber, 21 preferred the caplets over prior fiber products. Methylcellulose tablets may provide a useful alternative for improving compliance among patients using fiber therapy.

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Small-bowel disorders have typically been challenging to diagnose because of difficulty visualizing this organ. The recent development of an innovative M2A™ Capsule that provides video visualization of the small bowel may have a unique niche in the diagnosis of small bowel disorders. This article highlights a pediatric patient’s experience of capsule endoscopy to help the reader more clearly understand the procedure and appropriate nursing care.

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:2003

数据来源: OVID