ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A survey including 15 extended care facilities with access to ET nurse consulting services was conducted to assess current wound care protocols, practices, and educational backgrounds as well as requirements. Sixty-seven percent of facilities surveyed used a system to describe pressure ulcers. Wound care was provided by licensed practical nurses in 90% of the institutions and product decisions were made by the physician in 65% of facilities surveyed. Gauze-type dressings were used most frequently on all stages and types of pressure ulcers. A significant correlation between ulcer type and dressings used was found for stage II pressure ulcers only. Hydrocolloid and polyurethane film dressings were more likely to be used on stage II ulcers without exudate than on any other type of ulcer (p<0.001). The ET nurse and a variety of other professionals, including product manufacturer representatives, were consulted to assess complicated wounds. In 9 of 15 instances, the ET nurse was rated as the best source of practical wound care information. Respondents preferred wound care meetings that were practical, included all levels of health care providers, focused equally on treatment and prevention, and were not expensive to attend.

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Colorectal cancer is the second leading cause of cancer-related death in America. Historically, chemotherapeutic treatment of colorectal cancer has met with mixed success. Continued research is securing a role for chemotherapy in the treatment of colorectal cancer, with fluoropyrimidines (5-fluorouracil and fluorodeoxyuridine), alone or in combination with modulating agents, being the most promising area of treatment. Knowledge of cell kinetics forms the basis for understanding chemotherapeutic activity and the management of drug-induced side effects. Nursing care is essential to the management of such common side effects as myelosuppression, stomatitis, nausea and vomiting, diarrhea, and cutaneous problems. Inadequate management of side effects can result in serious and distressing complications, including inability to complete therapy, risking an opportunity for potential cure or causing needless suffering and expense. In addition to supporting continued medical research, nurses need to pursue research that identifies the most effective nursing interventions for management of side effects from chemotherapy.

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The identification of the colonized versus the infected dermal ulcer continues to be a major challenge for clinical practitioners. The purposes of this 3- month, prospective study were (1) to examine the current practice of culturing and use of antibiotics in treating dermal ulcers and (2) to examine associated symptoms of infected dermal ulcers in a 250-bed community hospital. A consecutive series design was used to obtain all patients (N=63). The study revealed that 70% (44) of the patients dermal ulcers were not cultured. Additionally, symptoms normally associated with dermal ulcer infection, such as erythema, swelling, and abnormal drainage, were not always present in patients with infectious dermal ulcers.

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Research is critical for the continued development of ET nursing knowledge. Although ET nurses have an interest in research, some may lack understanding of basic terms used in quantitative research. This article is a research primer that focuses on basic information about the research process. Information is presented about a study's purpose, literature review, conceptual framework, questions or hypotheses, instruments, design, sample, and statistics. The reader participates in the process by answering questions placed throughout the article.

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Numerous options are available for pouching fecal stomas when liquid output is relatively low. When output is high and stool has a mixed consistency, however, pouch selection is more limited. This article describes a method of utilizing a sputum specimen trap to modify a one-piece pouch to accommodate intermittently greater output. A successful experience with one patient is described, demonstrating how this pouch modification aided in a complex terminal care situation. Other alternatives in management of the high-output ostomy are also discussed.

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1994

数据来源: OVID