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Certified Foot Care Nurse

Stephanie Wu, Andrew J Applewhite, Jeffrey Niezgoda, Robert Snyder, Jayesh Shah, Breda Cullen, Gregory Schultz, Janis Harrison, Rosemary Hill, Melania Howell, Marcus Speyrer, Howard Utra, Jean de Leon, Wayne Lee, Terry Treadwell
OBJECTIVE: Healthcare systems are being challenged to manage increasing numbers of nonhealing wounds. Wound dressings are one of the first lines of defense in wound management, and numerous options exist. The oxidized regenerated cellulose (ORC)/collagen dressing may offer healthcare providers a robust and cost-effective tool for use in a variety of wounds. DESIGN: A multidisciplinary panel meeting was convened to discuss the use of ORC/collagen dressings in wound care and provide practice recommendations...
November 2017: Advances in Skin & Wound Care
Pamela J Biernacki, Mary T Champagne, Shane Peng, David R Maizel, Barbara S Turner
The purpose of this quality improvement project was to implement and evaluate a care delivery model integrating the registered nurse care coordinator (RNCC) into a family practice that is certified as a patient-centered medical home (PCMH) by the National Committee for Quality Assurance. The initial target population was the 937 patients with diabetes in the family practice. A pre-post design was used to assess changes in patients' diabetic quality indicators after integrating the role of RNCC using existing staff...
October 2015: Population Health Management
Kazue Aoki, Miho Ishiguro
People with stomas who have either been cured of cancer or are living with cancer have achieved good interrelationships among the three issues of"establishing self-care","dealing with stoma complications", and"accepting stomas", and they are maintaining stable physical and mental states.However, self-care may become difficult due to stoma complications and adverse events caused by chemotherapy and radiation therapy in the cancer treatment period, and in advanced phases of cancer serious stoma complications may occur due to deterioration of general condition and advancing cancer...
January 2014: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Patrick J Boyle, Kevin W O'Neil, Carolyn A Berry, Stephanie A Stowell, Sara C Miller
OBJECTIVE: To improve the quality of care for residents of long term care (LTC) facilities who have diabetes by (1) improving glycemic control, (2) increasing comprehensive diabetes management, (3) reducing fragmented care, and (4) empowering patient-care teams to educate patients and families regarding this disease. DESIGN: Based on the Plan-Do-Study-Act principles of effective change, a baseline evaluation of contemporary care for residents with diabetes was conducted through focus-group interviews, a confidence survey, and chart review...
May 2013: Journal of the American Medical Directors Association
Diana Gallagher
No abstract text is available yet for this article.
March 2012: Journal of Wound, Ostomy, and Continence Nursing
Yoko Iizuka, Ken Ohashi, Kazuhisa Tsukamoto, Kohjiro Ueki, Takashi Kadowaki
Along with reduced physical activity, increased fat intake, and intensified psychological stresses associated with work and social life, the number of diabetic patients and diabetes-related complications has increased significantly in Japan. Our aim at The University of Tokyo Hospital is to provide comprehensive diabetes treatment, including the use a diabetes handbook with guidelines for the diagnosis and treatment of diabetes consistent with evidence-based medicine. Diabetes specialists and certified diabetes educators work together to provide the best possible treatment...
June 2011: Journal of Diabetes
Annette Etnyre, Perla Zarate-Abbott, Laura Roehrick, Sheri Farmer
The primary purpose of this article is to outline the role, opportunities, and benefits of the certified foot and nail care nurse (CFCN). Current demographic trends toward an aging population and associated health issues such as diabetes mellitus, arthritis, peripheral arterial disease, dementia, and loss of visual acuity hinder self-care of the feet and nails. The resulting foot and nail care needs create opportunities for CFCN to promote health and prevent adverse outcomes such as infection and limb loss...
May 2011: Journal of Wound, Ostomy, and Continence Nursing
Janet L Grady, Eileen B Entin, Elliot E Entin, Tad T BrunyƩ
This study examines how the framing of educational information affects changes in health-related knowledge, attitudes, and behavior. Patients with diabetes viewed either a gain- or a loss-framed informational video about proper foot care and its importance for the prevention of health-threatening problems. The gain-framed messages sustained long-term positive behavioral change. Regression analyses showed that changes in attitudes were predicted by changes in knowledge and that both framing and attitudes were predictors of long-term behavior...
February 2011: Applied Nursing Research: ANR
Chia-Yen Li, Su-Chiu Chen, Chung-Yi Li, Meei-Ling Gau, Chiu-Mieh Huang
OBJECTIVE: to examine the effectiveness of using foot reflexology to improve sleep quality in postpartum women. DESIGN AND SETTING: randomised controlled trial, conducted at two postpartum centres in northern Taiwan. PARTICIPANTS: 65 postpartum women reporting poor quality of sleep were recruited from July 2007 to December 2007. INTERVENTIONS: participants were assigned randomly to either an intervention or a control group...
April 2011: Midwifery
Karen Farid, Mark Farid, Claire M Andrews
Although total contact casting provides pressure relief and a moist wound-healing modality that allows patients to resume mobility while the wound is healing, it is not as widely used as it should be, in part because Board-certified pedorthists with relevant skills are scarce. As a result, clinicians may not appreciate the positive impact total contact casting has on the patient's overall condition. This case study of a 75-year-old woman with a potentially life-threatening diabetic foot ulcer offers a comprehensive picture of pervasive physiological changes in a context of challenging comorbidities...
June 2008: Ostomy/wound Management
Claire M Rickard, Brigit L Roberts, Jonathon Foote, Matthew R McGrail
OBJECTIVE: To measure Intensive Care Unit Research coordinator job satisfaction and importance and to identify priorities for role development. BACKGROUND: Research coordinator numbers are growing internationally in response to increasing clinical research activity. In Australia, 1% of registered nurses work principally in research, many as Research coordinators. Internationally, the Association of Clinical Research Professionals currently has 6536 certified Research coordinators in 13 countries, with likely additional large numbers practicing without the voluntary certification...
September 2007: Journal of Clinical Nursing
Nancy L N Stephenson, Melvin Swanson, Joann Dalton, Frances J Keefe, Martha Engelke
PURPOSE/OBJECTIVES: To compare the effects of partner-delivered foot reflexology and usual care plus attention on patients' perceived pain and anxiety. DESIGN: The experimental pretest/post-test design included patient-partner dyads randomly assigned to an experimental or control group. SETTING: Four hospitals in the southeastern United States. SAMPLE: 42 experimental and 44 control subjects comprised 86 dyads of patients with metastatic cancer and their partners, representing 16 different types of cancer; 23% of patients had lung cancer, followed by breast, colorectal, and head and neck cancer and lymphoma...
January 2007: Oncology Nursing Forum
Janice C Zgibor, Harsha Rao, Jacqueline Wesche-Thobaben, Nancie Gallagher, Janis McWilliams, Mary T Korytkowski
The quality of care delivered to patients with diabetes has an impact on long-term outcomes. The purpose of this quality improvement project was to examine the effect of a Diabetes Disease Management Program (DDMP) on compliance with recommended process measures of care in primary care practice settings. Certified diabetes nurse educators visited five participating primary care practices biweekly for 1 year providing education to physicians and office staff on standards for diabetes management and to patients regarding self-management...
July 2004: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
Wayne A Wilbright, James A Birke, Charles A Patout, Myra Varnado, Ron Horswell
OBJECTIVE: To determine if the management of forefoot ulcerations through telemedicine is medically equivalent to ulcer care at a diabetes foot program. DESIGN: Nonrandomized comparison of forefoot ulcer healing rates. SETTING: The Louisiana State University Health Sciences Center Diabetes Foot Program, Baton Rouge, LA, and Lallie Kemp Medical Center, Independence, LA. PARTICIPANTS: Twenty consecutive patients with diabetes were treated for neuropathic forefoot ulcerations via telemedicine consultation and 120 consecutive patients with diabetes were treated face-to-face at a diabetes foot program...
June 2004: Advances in Skin & Wound Care
A Philis-Tsimikas, C Walker
UNLABELLED: Diabetes mellitus (DM) is a common chronic health condition among the adult population in the United States. DM is more prevalent and complications higher in Latinos, possibly due to inadequate medical and self-care as well as inaccurate culture-bound beliefs. Project Dulce is a nurse-managed DM educational and treatment program designed to measure the effect on clinical outcomes, adherence to American Diabetes Association and American Heart Association standards of care, and cultural beliefs in 210 high risk (HbA1c > 9...
January 2001: Journal of Ambulatory Care Management
D K McCulloch, M J Price, M Hindmarsh, E H Wagner
OBJECTIVE: To determine the effect of a multifaceted program of support on the ability of primary care teams to deliver population-based diabetes care. DESIGN: Ongoing evaluation of a population-based intervention. SETTING/PARTICIPANTS: Group Health Cooperative of Puget Sound, a staff model HMO in which more than 200 primary care providers treat approximately 15,000 diabetic patients. INTERVENTION: A program of support to improve the ability of primary care teams to deliver population-based diabetes care was implemented...
August 1998: Effective Clinical Practice: ECP
J A Fain, G D Melkus
OBJECTIVE: To determine to what extent nurse practitioner (NP) practice patterns of diabetes care are consistent with standards of care suggested by the American Diabetes Association (ADA). RESEARCH DESIGN AND METHODS: A descriptive study was conducted to examine practice patterns. A convenience sample of 78 charts was audited, representing a proportionate number of charts for each of the six masters-prepared, certified NPs employed in an ambulatory primary-care center...
August 1994: Diabetes Care
E Feddersen, D H Lockwood
This study assessed the impact of an inpatient diabetes education program on: 1) staff nurses' and patients' knowledge about diabetes, 2) hospital length of stay, and 3) patients' glycemic control. Over the course of 1 year, a certified diabetes educator updated nursing staff about diabetes care and education and coordinated a diabetes education program on two experimental medical units. Length of stay of insulin-requiring patients with diabetes and their diabetes knowledge and glycemic control were compared with two control medical units that received no structured diabetes education program...
March 1994: Diabetes Educator
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