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https://www.readbyqxmd.com/read/29917335/assessment-and-management-of-older-people-with-venous-leg-ulcers
#1
Marie Todd
A venous leg ulcer (VLU) is defined as the loss of skin below the knee on the leg or foot in the presence of venous disease, which takes more than two weeks to heal. The prevalence of VLUs is increasing, especially in older people, which will increase the demand for nursing care. Development of a lower leg ulcer should trigger immediate assessment of risk factors for chronic venous disease followed by action to identify the cause and initiate treatment, which should prevent progression to more complex and chronic problems...
June 19, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29917143/implementation-of-medication-related-indicators-of-potentially-preventable-hospitalizations-in-a-national-chronic-disease-management-program-for-older-patients-with-multimorbidity
#2
Gillian E Caughey, Jodie B Hillen, Stephanie Bacon, Nicholas Bullock, Virginia Bullock, Lisa Kalisch Ellett
Initial assessment: Older people are at increased risk of medication-related potentially preventable hospitalizations (MR-PPH) due to the presence of multiple chronic conditions (multimorbidity) and subsequent polypharmacy. Choice of solution: A pilot study was conducted, using evidence-based indicators to detect older patients in a chronic disease management program (CDMP) at risk of hospitalization due to sub-optimal medication use. Implementation: Previously validated indicators for MR-PPH were applied to patients with multimorbidity, aged 65 years or older and who were enrolled in a national community-based CDMP...
June 18, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29916525/chronic-grief-management-a-live-streaming-video-group-based-intervention-for-family-caregivers-of-individuals-with-dementia-in-long-term-care
#3
Olimpia Paun, Fawn Cothran
Family caregivers of individuals with Alzheimer's disease and related dementias (ADRD) experience long-term mental health effects. Although caregivers who place relatives in long-term care (LTC) experience increased depression, anxiety, and chronic grief post-placement, interventions to improve caregivers' mental health have focused mainly on in-home care. Current researchers previously tested a group-based Chronic Grief Management Intervention (CGMI) with ADRD caregivers of individuals in LTC, with significant effects on caregiver mental health outcomes...
June 18, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29916523/perinatal-nurses-and-midwives-knowledge-about-assessment-and-management-of-postpartum-depression
#4
Rami A Elshatarat, Mohammed I Yacoub, Zyad T Saleh, Inas A Ebeid, Ahmad H Abu Raddaha, Majed S Al-Za'areer, Roqia S Maabreh
The current study addresses lack of knowledge about assessment and management of postpartum depression (PPD) among nurses and midwives in Saudi Arabia. A descriptive, cross-sectional design was used to recruit a convenience sample of 181 nurses and 143 midwives. Data were collected using a self-administered questionnaire. Nurses and midwives lacked knowledge about various aspects of PPD, including its definition, prevalence, symptoms, risk factors, screening tools, and treatment. Only one third of participants were confident in their ability to provide education for women about PPD...
June 18, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29916416/need-for-ethics-support-in-clinical-practice-and-suggestion-for-an-ethics-consultation-service-views-of-nurses-and-physicians-working-in-italian-healthcare-institutions
#5
Cinzia Leuter, Cristina Petrucci, Valeria Caponnetto, Carmen La Cerra, Loreto Lancia
INTRODUCTION: Ethics Consultation Services (ECS) and Ethical Committees manage several aspects of clinical ethical issues. In Italy there are only Ethical Committees, and, although they should also perform ethical consultations, their activity is limited to approving clinical trial protocols. AIM: To analyse the opinions of a sample of Nurses and Physicians about their motivations to ask for an ethical consultation. METHODS: A cross-sectional study was conducted on a sample of Italian Nurses and Physicians...
April 2018: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29915435/lifestyle-intervention-using-internet-of-things-iot-for-the-elderly-a-study-protocol-for-a-randomized-control-trial-the-best-life-study
#6
Sawako Kato, Masahiko Ando, Takaaki Kondo, Yasuko Yoshida, Hiroyuki Honda, Shoichi Maruyama
Modification of lifestyle habits, including diet and physical activity, is essential for the prevention and control of type 2 diabetes mellitus (T2DM) in elderly patients. However, individualized treatment is more critical for the elderly than for general patients. This study aimed to determine lifestyle interventions that resulted in lowering hemoglobin A1c (HbA1c ) in Japanese pre- and early diabetic elderly subjects. The BEST-LIFE trial is an ongoing, open-label, 6-month, randomized (1:1) parallel group trial...
May 2018: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29914805/physiotherapy-education-is-a-good-financial-investment-up-to-a-certain-level-of-student-debt-an-inter-professional-economic-analysis
#7
Richard K Shields, Shauna Dudley-Javoroski
QUESTIONS: What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? DESIGN: Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree...
June 15, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29914436/treatment-in-the-stampede-era-for-castrate-resistant-prostate-cancer-in-the-uk-ongoing-challenges-and-underappreciated-clinical-problems
#8
Rosa U Greasley, Rebecca Turner, Karen Collins, Janet Brown, Liam Bourke, Derek J Rosario
BACKGROUND: This study aimed to explore the opinions of healthcare professionals regarding the management of men with advanced prostate cancer with particular emphasis on treatment timing and sequencing; treatment adverse-effects and exercise a supportive therapy. METHODS: Semi-structured interviews with a purposively selected group of healthcare professionals involved in prostate cancer care within the NHS, conducted over the phone or face to face. A total of 37 healthcare professionals participated in the interviews including urologists, clinical oncologists, medical oncologists, clinical nurse specialists, general practitioners, physiotherapists, exercise specialists, service managers, clinical commissioners and primary care physicians...
June 19, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29914142/prevalence-and-consequences-of-aggression-and-violence-towards-nursing-and-care-staff-in-germany-a-survey
#9
Anja Schablon, Dana Wendeler, Agnessa Kozak, Albert Nienhaus, Susanne Steinke
Acts of aggression by patients or clients are a part of the average working day for many Health care employees. The objective of the survey was to study the frequency and nature of violence and the handling of aggressive behavior by facility management. The cross-sectional study was conducted in 2017, 81 different healthcare facilities and 1984 employees participated. The questionnaire encompassed socio-demographic details, the frequency of physical violence and verbal abuse, consequences of violence and the stress of employees...
June 15, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29912027/evidence-based-practice-in-forensic-mental-health-nursing-a-critical-review
#10
Richard Byrt, Theresa A Spencer-Stiles, Ismail Ismail
METHOD: Literature searches of databases, particularly CINAHL, using key phrases were undertaken. RESULTS: Some authors argue that there is a lack of evidence in forensic mental health (FMH) nursing, with few randomized controlled trials and other methods providing definitive, generalizable evidence. However, literature searches revealed randomized controlled trials of relevance to FMH nursing, many qualitative studies by FMH nurses, and arguments for clinical experience and knowledge of service users, and the latter's views, as sources of evidence...
June 15, 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29911631/the-effectiveness-of-a-nursing-staff-development-intervention-to-improve-pain-management-a-randomized-controlled-trial
#11
S Zoëga, S E Ward, R C Serlin, H Sveinsdottir, E Th Gretarsdottir, N Fridriksdottir, E J G Hafsteinsdottir, S Gunnarsdóttir
Aims To test the effectiveness of the Pain Resource Nurse (PRN) education program in a university hospital. Methods This was a randomized controlled trial. Two nurses from each of the 23 participating surgical and medical units were selected to participate in the PRN program. The program consisted of a three day course in pain management with a structured follow up. After a baseline measurement, the units were randomized to either receive the intervention or to serve as a wait-list control. The control group received the intervention following a second data collection 10 months from baseline...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29910566/clonal-lineage-diversity-antibiotic-resistance-and-virulence-determinants-among-methicillin-resistant-and-methicillin-susceptible-staphylococcus-aureus-isolated-from-nurses-at-a-teaching-hospital-in-ilam-iran-successful-nares-decolonization-by-mupirocin
#12
Ali Hematian, Aazam Monjezi, Ramin Abiri, Parviz Mohajeri, Abbas Farahani, Setareh Soroush, Morovat Taherikalani
Background: Staphylococcus aureus is known to be responsible for nosocomial infections, and the typing method was useful in managing the reservoir of bacteria. The main aim of this study was to determine the prevalence of S. aureus in the nares and hands of nurses working in Imam Khomeini hospital, Ilam, Iran, as well as to determine the clonal relatedness, antimicrobial susceptibility profiles, different virulence, and resistance determinants among these isolates. The evolution of mupirocin activity in the eradication of methicillin-resistant S...
April 2018: Journal of Global Infectious Diseases
https://www.readbyqxmd.com/read/29909916/toxicities-associated-with-immunotherapies-for-hematologic-malignancies
#13
REVIEW
Mark B Leick, Marcela V Maus
Immunotherapy has generated tremendous hope for patients with cancer that is refractory to standard approaches. Hematologic malignancies have taken the lead in harnessing the most recent advances in cell-based immunotherapies, such as CAR T cells, and some patients have achieved durable remissions. However, these T-cell-engaging therapies are associated with a new set of toxicities which need to be managed by caretakers, oncologists, nurses, and healthcare staff. In this review we provide an overview of the toxicity of some of these revolutionary agents including bispecific T cell engagers, checkpoint inhibitors, chimeric antigen receptor T-cells...
June 2018: Best Practice & Research. Clinical Haematology
https://www.readbyqxmd.com/read/29909707/the-impact-of-a-mindfulness-intervention-for-nurse-managers
#14
Diane Ceravolo, Deborah A Raines
PURPOSE: To examine the impact of a mindfulness intervention on nurse managers in an acute care hospital. DESIGN: A pre/post intervention design with three data collection points: prior to, at the conclusion of, and at 3 months following the intervention. METHOD: A survey to measure the impact of a mindfulness workshops on nurse managers' perception of professional quality of life, burnout, and perceived wellness. FINDINGS: There were significant changes in the scores on the compassion satisfaction (T-1 mean 3...
June 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/29909058/effect-of-a-nurse-case-management-intervention-for-hypertension-self-management-in-low-income-african-americans
#15
Bev Zabler, Pei-Yun Tsai, Michael Fendrich, Young Cho, Murad Taani, Rachel Schiffman
No abstract text is available yet for this article.
June 14, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29908881/reimagine-health-care-leadership-challenges-and-opportunities-in-the-21st-century
#16
Esther Lee, JoAnn Daugherty, Thomas Hamelin
PURPOSE: This paper spotlights human capital management, digital technology, and costs control as issues that healthcare leaders will face in redesigning the health care ecosystem in the 21st century. DESIGN: The paper was designed to highlight the attributes that make effective leaders. It addresses how nursing leadership can take a lead to redesign the 21st Century health care system, supported by case examples. METHODS: An expansive literature review was done using MEDLINE, SAGE, Google Scholar, and University of California San Diego Library Catalogs...
June 13, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29908875/managing-aesthetic-referrals-in-nhs-scotland-outcomes-from-1122-patients-in-the-east-of-scotland
#17
Abdulla Ibrahim, Mahmoud K Nassar, Daniel J Jordan, Manish Sinha, Fiona J Hogg
The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.5-year period. Referrals were screened by a vetting panel comprising of a plastic surgeon, clinical nurse specialist, and clinical psychologist...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#18
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907181/a-patient-presents-with-a-history-suggestive-of-potential-elder-abuse
#19
Ghislaine Young
Catherine is an Advanced Nurse Practitioner and runs clinics in primary care where she is qualified to assess and manage patients autonomously. Today Joan, an elderly woman in her mid-80s, attends for a general health check-up. She is hypertensive and has a history of coronary artery disease. Joan is widowed and lives with her only son.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29907171/-carbon-monoxide-poisoning-treatment-and-orientation
#20
Thibaut Le Corfec, Olga Maurin, Stéphane Foucher, Kilian Bertho, Hugues Lefort
Colourless and odourless, each year carbon monoxide is responsible for several thousand cases of poisoning. Often collective, their symptoms are non specific and can result in serious neurological sequelae or even death, if they are not detected in time. The (pre-) hospital emergency nurse plays an important role in the management of these patients, in terms of assessment, treatment and monitoring as well as the organisation of the admittance of victims, categorisation and medical triage. As part of a team, the nurse ensures that the patient enters an adapted, regulated pathway, with the most serious cases being directed towards a hospital equipped with a hyperbaric medicine facility...
June 2018: Revue de L'infirmière
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