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Specialist Renal Nursing

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https://www.readbyqxmd.com/read/30480083/evaluation-of-a-guideline-directed-medical-therapy-titration-program-in-patients-with-heart-failure-with-reduced-ejection-fraction
#1
Kathir Balakumaran, Aadhar Patil, Shannon Marsh, Joseph Ingrassia, Chia-Ling Kuo, Daniel Louis Jacoby, Sabeena Arora, Richard Soucier
Introduction: Heart failure is associated with recurrent hospitalizations and high mortality. Guideline directed medical treatment (GDMT), including beta blockers (BBs), angiotensin converting enzyme inhibitors (ACE-Is), angiotensin receptor blockers (ARBs) and aldosterone antagonists (AAs) has shown to improve outcomes. Current guidelines recommend the use of these medication classes at maximally tolerated dosages. Despite the evidence, < 25% of patients with heart failure with reduced left ventricular ejection fraction (HFrEF) are on the appropriate medical regimen titrated to the target doses...
March 2019: IJC Heart & Vasculature
https://www.readbyqxmd.com/read/30390999/a-new-renal-inpatient-nutrition-screening-tool-renal-inut-a-multicenter-validation-study
#2
Helena S Jackson, Helen L MacLaughlin, Alberto Vidal-Diez, Debasish Banerjee
BACKGROUND: Screening of patients with renal disease for malnutrition risk on hospital admission provides an opportunity to improve prognosis. This study aimed to assess the validity and reliability of the Renal iNUT, a novel renal-specific inpatient nutrition screening tool. METHODS: Adult inpatient admissions to three renal units were screened using the Renal Inpatient Nutrition Screening Tool (iNUT) and the generic Malnutrition Universal Screening Tool (MUST) and compared against nutritional status using Subjective Global Assessment (SGA) as the standard...
October 9, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30152410/a-nursing-perspective-of-caring-for-patients-with-end-stage-renal-disease-in-hospitals
#3
EDITORIAL
Theresa M Garvey, Nora M McCarron
There has been a rapid increase in the incidence of chronic kidney disease and those requiring renal replacement therapy. Managing these patients requires a multidisciplinary team approach. Clinical nurse specialists (CNS's) play a vital role in ensuring the highest quality care is delivered in a cost-effective manner. There is an acute shortage of CNS' in the Middle East and other developing countries. Development of the CNS's role necessitates comprehensive training programs in conjunction with multi-stakeholder acceptance...
July 2018: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/29961288/-analysis-on-treatment-of-eight-extremely-severe-burn-patients-in-august-2nd-kunshan-factory-aluminum-dust-explosion-accident
#4
J K Chai, Q Y Zheng, L G Li, S J Ye, Z G Wen, J J Li, S J Wang, D J Li, W Z Xie, J L Wang, H L Hai, R J Chen, J C Shao, H Wang, Q Li, Z M Xu, L P Xu, H J Xiao, L M Zhou, R Feng
Objective: To summarize the measures and experience of treatment in mass extremely severe burn patients. Methods: The clinical data and treatment of 8 extremely severe burn patients in August 2 Kunshan factory aluminum dust explosion accident who were admitted in the 100th Hospital of PLA on August 2nd, 2014, were retrospectively analyzed. There were 4 males and 4 females, aging 22-45 (34±7) years, with total burn area of 55%-98% [(89±15)%] total body surface area (TBSA) and full-thickness burn area of 45%-97% [(80±21)%] TBSA...
June 20, 2018: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29757885/maximizing-your-nutrition-minute-bridging-nutritional-gaps-across-the-life-span
#5
Wendy L Wright, Kathleen M Zelman
BACKGROUND AND PURPOSE: Poor diet quality has been associated with increased mortality and an increased risk of chronic disease. Given the shortfalls in the typical American diet and the prevalence of nutrition-related chronic disease among US adults, the need for nutrition education is paramount. Nurse practitioners (NPs) are well placed to provide basic nutrition counseling but often face challenges to making this a reality. In a typical office visit, the time available to discuss diet and nutrition can be as little as one minute or less...
March 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29487226/emerging-perspectives-on-mtor-inhibitor-associated-pneumonitis-in-breast-cancer
#6
REVIEW
Ricardo H Alvarez, Rabih I Bechara, Michael J Naughton, Javier A Adachi, James M Reuben
Substantial improvements in the early detection and treatment of breast cancer have led to improvements in survival, but breast cancer remains a significant cause of morbidity and mortality in women. In 2012, the mammalian target of rapamycin (mTOR) inhibitor everolimus was approved by the U.S. Food and Drug Administration for the treatment of advanced breast cancer in patients resistant to endocrine therapy. Although everolimus is generally well tolerated, mTOR inhibitor-associated pneumonitis is one of the most common adverse drug events leading to treatment discontinuation...
June 2018: Oncologist
https://www.readbyqxmd.com/read/29160599/models-of-care-for-chronic-kidney-disease-a-systematic-review
#7
REVIEW
Ruairidh Nicoll, Lynn Robertson, Elliot Gemmell, Pawana Sharma, Corri Black, Angharad Marks
AIM: Chronic kidney disease (CKD) is common and presents an increasing burden to patients and health services. However, the optimal model of care for patients with CKD is unclear. We systematically reviewed the clinical effectiveness of different models of care for the management of CKD. METHODS: A comprehensive search of eight databases was undertaken for articles published from 1992 to 2016. We included randomized controlled trials that assessed any model of care in the management of adults with pre-dialysis CKD, reporting renal, cardiovascular, mortality and other outcomes...
May 2018: Nephrology
https://www.readbyqxmd.com/read/29160476/cultural-adaptation-of-the-end-stage-renal-disease-adherence-questionnaire-for-hemodialysis-patients
#8
Silvia Maria de Sá Basilio Lins, Josete Luzia Leite, Simone de Godoy, Patrícia Dos Santos Claro Fuly, Silvia Teresa Carvalho de Araújo, Ítalo Rodolfo Silva
OBJECTIVE: To describe the stages in the cultural adaptation of "The End-Stage Renal Disease Adherence Questionnaire" for use in Brazil. METHOD: A descriptive, transversal study with a quantitative approach. The cultural adaptation followed the steps of translation, professional committee, back translation, panel of patients and pretest. RESULTS: the translation stage created a version in Portuguese that was analyzed by specialists, who suggested alterations in the title, seven sentences in the questions and three sets of answers...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28721761/-always-listen-reflect-and-learn
#9
(no author information available yet)
Jodie Deards, winner of the RCNi Nurse Awards 2017 Commitment to Carers category, earned her degree as part of Australia's first cohort of university-trained nurses in 1993. She came to the UK on a two-year working holiday in 2000 but stayed. After 10 years in the renal unit at Lister Hospital in Stevenage, she took up posts as a community diabetes specialist nurse, practice nurse and community matron. Her current role as carers lead has brought her back to Lister Hospital, part of East and North Hertfordshire NHS Trust...
July 19, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28474361/iconnect-ckd-virtual-medical-consulting-a-web-based-chronic-kidney-disease-hypertension-and-diabetes-integrated-care-program
#10
RANDOMIZED CONTROLLED TRIAL
Ivor J Katz, Saiyini Pirabhahar, Paula Williamson, Vishwas Raghunath, Frank Brennan, Anthony O'Sullivan, George Youssef, Cathie Lane, Gary Jacobson, Peter Feldman, John Kelly
AIMS: Chronic kidney disease patients overwhelm specialist services and can potentially be managed in the primary care (PC). Opportunistic screening of high risk (HR) patients and follow-up in PC is the most sustainable model of care. A 'virtual consultation' (VC) model instead of traditional face to face (F2F) consultations was used, aiming to assess efficacy and safety of the model. METHODS: Seventy patients were recruited from PC sites and hospital clinics and followed for 1 year...
July 2018: Nephrology
https://www.readbyqxmd.com/read/28417662/clinician-views-of-patient-decisional-conflict-when-deciding-between-dialysis-and-conservative-management-qualitative-findings-from-the-palliative-care-in-chronic-kidney-disease-packs-study
#11
Helen Noble, Kevin Brazil, Aine Burns, Sarah Hallahan, Charles Normand, Paul Roderick, Colin Thompson, Peter Maxwell, Magdi Yaqoob
BACKGROUND: Only a paucity of studies have addressed clinician perspectives on patient decisional conflict, in making complex decisions between dialysis and conservative management (renal supportive and palliative care). AIM: To explore clinician views on decisional conflict in patients with end-stage kidney disease. DESIGN: Interpretive, qualitative study. SETTING AND PARTICIPANTS: As part of the wider National Institute for Health Research, PAlliative Care in chronic Kidney diSease study, semi-structured interviews were conducted with clinicians (nephrologists n = 12; 7 female and clinical nurse specialists n = 15; 15 female) across 10 renal centres in the United Kingdom...
December 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28002690/diabsat-telemedicine-itinerant-screening-of-chronic-complications-of-diabetes-using-a-satellite
#12
Marie-Christine Turnin, Solène Schirr-Bonnans, Marie-Christine Chauchard, Patrice Deglise, Catherine Journot, Yann Lapeyre, Antonio Güell, Benoit Lepage, Helene Hanaire, Jacques Martini
BACKGROUND: Health authorities recommend regular screening for the chronic complications of diabetes. The ENTRED * survey results show that insufficient screening is undertaken. The DIABSAT † program aims to improve care for diabetes patients in rural areas of the Midi-Pyrénées region, telemonitoring complications of diabetes through an itinerant screening service. METHODS: A vehicle was equipped with a satellite dish and medical equipment for screening ophthalmological, renal, vascular, and neuropathic damage and assessing the level of risk of diabetic foot ulceration...
May 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27710027/cbe-awarded-to-doh-officer-england
#13
(no author information available yet)
Julie Hartley-Jones, Department of Health (England) nursing officer with responsibilities for acute and specialist services including A & E, has been awarded a CBE in the New Year's honours list. Ms Hartley-Jones, who was awarded her CBE for services to renal nursing, is also a former president of the European Dialysis and Transplant Nurses Association/European Renal Care Association. She recently spoke at the RCN A & E Nursing Association Conference on 'Making a Difference' and has a keen interest in emergency nursing issues...
February 1, 2000: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27680268/points-of-view
#14
Annie Chellel
As a nurse in a small district general hospital, I have been called upon to accompany patients who are being transferred to London hospitals for specialist treatment of conditions such as renal or hepatic failure, acute head injury and ischaemic heart disease.
December 18, 1991: Nursing Standard
https://www.readbyqxmd.com/read/27534988/association-between-human-resources-and-risk-of-hospitalisation-in-end-stage-renal-disease-outpatients-receiving-haemodialysis-a-longitudinal-cohort-study-using-claim-data-during-2013-2014
#15
Hoon-Hee Choi, Kyu-Tae Han, Chung Mo Nam, Ki Tae Moon, Woorim Kim, Eun-Cheol Park
OBJECTIVE: The number of patients requiring haemodialysis has gradually increased in South Korea. Owing to this growth, concerns have been raised regarding haemodialysis quality of care, and healthcare professionals must consider alternatives for appropriate management of patients with chronic kidney disease (CKD). Therefore, we investigated the association between risk of hospitalisation of outpatients who received haemodialysis due to end-stage renal disease (ESRD) and the human resources of the haemodialysis unit...
August 17, 2016: BMJ Open
https://www.readbyqxmd.com/read/27516120/variation-in-practice-patterns-for-the-management-of-newborn-spina-bifida-in-the-united-states
#16
Daniel Lodwick, Lindsey Asti, Katherine Deans, Peter Minneci, Daryl McLeod
OBJECTIVE: To survey variations in recommended initial management of newborn spina bifida (SB). METHODS: Members of an international pediatric urology ListServe and of the Pediatric Urology Nurse Specialists organization were surveyed on practice patterns for newborn SB. Pediatric urologists, nurse practitioners, and physician assistants practicing in the United States were included. RESULTS: A total of 63 practitioners (48% pediatric urologists and 52% nurse practitioners or physician assistants) were included...
February 2017: Urology
https://www.readbyqxmd.com/read/27469153/nephrology-in-africa-challenges-of-practice-in-resource-limited-environment
#17
REVIEW
Saraladevi Naicker
Chronic kidney disease (CKD), a major public health problem, is especially challenging for patients and healthcare personnel in Africa, a region with poor economic resources and a massive shortage of health-care workers. The burden of kidney disease is increased in poorly-resourced regions due to increased exposure to infections, poverty, poor access to healthcare, and genetic predisposition to kidney disease, contributing further to the problems when managing CKD and acute kidney injury. The vast majority of patients do not have access to renal replacement therapy...
2016: Clinical Nephrology
https://www.readbyqxmd.com/read/27457661/advance-care-planning-for-haemodialysis-patients
#18
REVIEW
Chi Eung Danforn Lim, Rachel W C Ng, Nga Chong Lisa Cheng, Maria Cigolini, Cannas Kwok, Frank Brennan
BACKGROUND: End-stage kidney disease (ESKD) is a chronic, debilitative and progressive illness that may need interventions such as dialysis, transplantation, dietary and fluid restrictions. Most patients with ESKD will require renal replacement therapy, such as kidney transplantation or maintenance dialysis. Advance care planning traditionally encompass instructions via living wills, and concern patient preferences about interventions such as cardiopulmonary resuscitation and feeding tubes, or circumstances around assigning surrogate decision makers...
July 26, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27417819/spirituality-in-renal-supportive-care-a-thematic-review
#19
REVIEW
Richard Egan, Sarah Wood, Rod MacLeod, Robert Walker
Chronic kidney disease is marked by a reduced life expectancy and a high symptom burden. For those who reach end-stage renal disease, the prognosis is poor, and this combined with the growing prevalence of the disease necessitates supportive and palliative care programmes that will address people's psychosocial, cultural and spiritual needs. While there is variation between countries, research reveals that many renal specialist nurses and doctors are reluctant to address spirituality, initiate end-of-life conversations or implement conservative treatment plans early...
November 16, 2015: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27261187/cbe-awarded-to-doh-officer-england
#20
(no author information available yet)
Julie Hartley-Jones, Department of Health (England) nursing officer with responsibilities for acute and specialist services including A & E, has been awarded a CBE in the New Year's honours list. Ms Hartley-Jones, who was awarded her CBE for services to renal nursing, is also a former president of the European Dialysis and Transplant Nurses Association/European Renal Care Association. She recently spoke at the RCN A & E Nursing Association Conference on 'Making a Difference' and has a keen interest in emergency nursing issues...
February 1, 2000: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
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