ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Working on the front lines in health care at the bedsides, in the primary and specialty care offices and in the community with patients; and in health care education, teaching graduate and undergraduate students, is more challenging today than ever before. Shifts in reimbursement from fee for service to a managed care model, increasingly informed consumers, and increasingly complex health problems create a tension that often leaves the advanced practice nurse (APN) managing conflicting human and business interests. Nurse educators must prepare providers to function in that world.Using Problem-Based Learning (PBL) to provide APN students with experiences that will supply them with rehearsal will better prepare them to function in today's primary care environment. Providing PBL using the Internet is the next logical step and may insure that this type of experience is more widely available to students.

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Urinary incontinence has significant medical, social, psychologic, and economic implications. Continence management requires a sensitive, comprehensive, and holistic approach that accounts for the many facets of this distressing and life-altering condition. Assessment of urinary incontinence includes a focused physical examination, comprehensive history, and accounting for factors that can impact continence, such as cognition, functional ability, and impact on quality of life. Behavioral therapy for incontinence includes diet modification, toileting programs, bladder retraining, and pelvic muscle re-education. Biofeedback and electrical stimulation are treatment modalities that help clients to identify, recruit, and strengthen pelvic floor muscles and improve treatment outcomes. Other approaches include medications and devices, such as a pessary.

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Members of the hospice team weave a tapestry of care with patients and families. Relief of suffering—physical, emotional, and spiritual—is the goal of hospice care. Nurses' contribution to that care is central but often seemingly unnoticed. Their contribution to the tapestry constitutes the subtle threads of the background upon which the tapestry evolves. Nurses' work is often viewed simplistically, and the complexity of simple tasks is hidden. Work examples of nurses in hospice are discussed, and the previously unseen yet central parts of nurses' work are highlighted.

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The specific purpose of the participatory action research study was to facilitate formerly incarcerated women who participate in Welcome Home Ministries (WHM) to develop their own plans and specific strategies, and to take action to build their own healthy futures. The research had a duel purpose of joint generation of knowledge and intervention relative to women's capacity building. The research intervention was the creation, implementation, and follow-up of a future search conference. The outcomes, conclusions, and implications for practice are discussed.

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The indigenous people of Hawaii have had difficulty adapting to the Western diet and stressful lifestyle of today's mixed cultural and economic development. This has left a health toll of high rates of diabetes, hypertension, hypercholesterolemia, cardiovascular problems, asthma, and obesity. To promote a healthy lifestyle and promote the U.S. Department of Health and Human Services (DHHS) goal of 100% access to health care and 0% disparity (no one will be denied health care), nurse practitioner/traditional Hawaiian healing clinics have been placed in community settings, which are known to community people and comfortable to access. These clinics provide health care to uninsured and underinsured people in an atmosphere that assures respect for the culture and the health needs. This pilot study examines the perceptions of 30 residents of Hawaii and the type of provider sought. Seventy-five percent of the respondents were generally satisfied with the health care received from both Hawaiian and Western care providers. Back and neck problems and injuries were associated with the use of Hawaiian therapies and appeared to reflect chronic conditions. Western health care is sought for predominantly acute conditions (infections, allergies, and upper respiratory conditions) and for diabetes and hypertension.

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Native WEB (Women Enjoying the Benefit) is a unique training program for nurses employed by the Indian Health Service (IHS), tribal clinics, and other clinics with large, underserved populations. It teaches nurses breast and cervix cancer screening techniques and trains them to administer and maintain high-quality screening programs that include patient outreach, education, and training. We review American Indian (AI)/Alaska Native (AN) women's need for screening services, identify some of the obstacles to screening, and present our evaluation of the Native WEB's impact on clinics, nurses, and patients. Findings show that Native WEB training is associated with increased screening activity at all three levels.

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Wound management is a daily occurrence in many practices. A short summary of current research in wound management is documented. Wound assessment guidelines are discussed. Included are evaluation of the patient's tetanus status, wound complexity and age, decisions as to the use of antibiotics, and closure methods. Follow-up care, patient education, and special considerations are also discussed. Billing information is considered. The objective of this article is that reader be able to:Identify several closure options for commonly seen woundsIdentify selection criteria for use of Steri-Strips, sutures, and surgical glue in closing wounds and lacerationsIdentify criteria indicating the need for antibiotics and the most common causative microbial agents associated with woundsIdentify over-the-counter (OTC) surgical glues and their popular usesEvaluate immunization status and recommend appropriate treatment for wound prophylaxis

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0887-9311    

出版商:OVID    

年代:2002

数据来源: OVID