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nursing diagnoses

Ling-Yu Hsieh, Fang-Ju Chou, Su-Er Guo
The aim of this study was to analyze the information needs of lung cancer patients from diagnosis until first treatment follow-up. Sixty-nine participants with lung cancer were recruited from Ditmanson Medical Foundation Chia-Yi Christian Hospital in Midwest Taiwan. The Modified Toronto Informational Needs Questionnaire (TINQ) was used to assess information needs during visits to the outpatient oncology department. Generalized estimating equations were applied to compare changes in information needs over time and to examine correlates of information needs of lung cancer patients...
2018: PloS One
Sabrina L Dickey, Motolani E Ogunsanya
The purpose of this integrative review was to explore the impact of prostate cancer (PCa) on the quality of life (QoL) and factors that contribute to the QoL for Black men with PCa. Prostate is recognized as the prevalent cancer among men in the United States. Compared to other men, Black men are diagnosed more frequently and with more advanced stages of PCa. Black men also experience disproportionately higher morbidity and mortality rates of PCa, among all racial and ethnic groups. The initial diagnosis of PCa is often associated with a barrage of concerns for one's well-being including one's QoL...
June 1, 2018: American Journal of Men's Health
William Liu, Thomas Walsh
BACKGROUND: A goal of effective electronic health record provider documentation platforms is to provide an efficient, concise, and comprehensive notation system that will effectively reflect the clinical course, including the diagnoses, treatments, and interventions. OBJECTIVE: The aim is to fully redesign and standardize the provider documentation process, seeking improvement in documentation based on ongoing All Patient Refined Diagnosis Related Group-based coding records, while maintaining noninferiority comparing provider satisfaction to our existing documentation process...
June 20, 2018: JMIR Medical Informatics
Fernanda Paese, Grace Teresinha Marcon Dal Sasso, Gabriela Winter Colla
OBJECTIVE: To structure the Computerized Nursing Process using the International Classification for Nursing Practice (ICNP®) version 2.0 to emergency care units in a computerized structure. METHOD: This is a methodological and technological research that followed the stages: (1) establishment of the development team and resources; (2) adequacy of clinical situations, diagnoses and nursing interventions for the emergency area; (3) association of diagnoses and interventions based on ICNP®; (4) organization and codification of clinical evaluation, diagnoses and nursing interventions; (5) transfer of data to the a computerized platform...
May 2018: Revista Brasileira de Enfermagem
Christina Petersson, Ramona Fust, Carina Hagstedt, Per Vågström, Åsa Nilsdotter-Augustinsson
AIMS AND OBJECTIVES: To evaluate patient-reported experiences of facilitated subcutaneous immunoglobulin treatment in adults with primary or secondary immunodeficiency. BACKGROUND: Decreased levels of circulating antibodies (humoral immunodeficiency) are often associated with higher infection rates which cause problems in daily living, for example symptoms of severe and recurrent bacterial infections that may cause chronic lung diseases. For some diagnoses, treatment with immunoglobulin becomes critical and life-long...
June 19, 2018: Journal of Clinical Nursing
Anand Krishnan, Priyamadhaba Behera, Baridalyne Nongkynrih
Background.: Family studies are an integral part of teaching of community medicine to all undergraduate medical and nursing students. It enhances the understanding of students about social determinants and multifactorial causation of disease. However, there is no standard approach towards it and it is seen as a clinical presentation with some elements of family included. We describe a systematic and comprehensive approach to a family study. Methods.: Based on the existing literature and personal experience, we identified 11 domains under the acronym Family ASSESSMENT-Structure, Socioeconomic, Sickness, Nutritional, Educational, Environmental, Affordability, System (health), Mental, Family influence, Threats...
September 2017: National Medical Journal of India
M Sherry McDonald, Melanie Neumeier, Mark E Olver
Linear care plans have traditionally been used in nursing education to support nursing students in identifying potential and actual health care problems, and to follow up on those issues with nursing interventions. However, the linear care plan does not support the nursing student with learning in-depth critical thinking, clinical reasoning, creative thinking, and other ways of thinking. Concept mapping was introduced as a way to support the nursing student to improve upon critical thinking and clinical reasoning and to identify relationships among the patient's health care problems...
May 26, 2018: Nurse Education in Practice
Lorraine J Phillips, Nancy M Birtley, Gregory F Petroski, Carol Siem, Marilyn Rantz
INTRODUCTION: Antipsychotic use in nursing homes varies widely across the United States; inadequate staffing, skill mix, and geropsychiatric training impede sustained improvement. AIM: This study identified risk factors of antipsychotic use in long-stay residents lacking qualifying or potentially qualifying diagnoses. METHOD: This secondary analysis used 2015 Minimum Data Set and cost report data from 458 Missouri nursing homes. The full sample (N=29,679) was split into two subsamples: residents with (N=15,114) and without (N=14,565) a dementia diagnosis...
June 17, 2018: Journal of Psychiatric and Mental Health Nursing
Patrick OʼByrne, Jean Daniel Jacob
BACKGROUND AND PURPOSE: Depression is a major health concern encountered by nurse practitioners working in an array of health care settings. Many current guidelines and articles on this topic recommend using the Patient Health Questionnaire-9 (PHQ-9) as a screening tool. Nurse practitioners should have a sophisticated knowledge of this tool. METHODS: Review of the criteria for diagnosing depression as well as depression screening tools. Database search of EMBASE, CINAHL, and MEDLINE for articles about the PHQ-9...
June 4, 2018: Journal of the American Association of Nurse Practitioners
Roberta Baron, Karen Drucker, Liza Lagdamen, Maureen Cannon, Carrie Mancini, Erica Fischer-Cartlidge
Recent updates have led to variations in national recommendations. ABSTRACT: Breast cancer accounts for more than a quarter million diagnoses each year in the United States. Routine screening is the primary method used to detect cancer in its earliest stages, before symptoms develop. Recent changes to national screening guidelines have resulted in a lack of consensus and confusion among health care providers and the public. This article reviews the guidelines of the American Cancer Society, the U...
June 13, 2018: American Journal of Nursing
Maria C Mirabelli, Scott A Damon, Suzanne F Beavers, Kanta D Sircar
INTRODUCTION: Exposure to air pollution negatively affects respiratory and cardiovascular health. The objective of this study was to describe the extent to which health professionals report talking about how to limit exposure to air pollution during periods of poor air quality with their at-risk patients. METHODS: In 2015, a total of 1,751 health professionals completed an online survey and reported whether they talk with their patients about limiting their exposure to air pollution...
June 11, 2018: American Journal of Preventive Medicine
Febe Friberg, Catarina Wallengren, Cecilia Håkanson, Eva Carlsson, Frida Smith, Monica Pettersson, Elisabeth Kenne Sarenmalm, Richard Sawatzky, Joakim Öhlén
BACKGROUND: The assessment and evaluation of practical and sustainable development of health care has become a major focus of investigation in health services research. A key challenge for researchers as well as decision-makers in health care is to understand mechanisms influencing how complex interventions work and become embedded in practice, which is significant for both evaluation and later implementation. In this study, we explored nurses' and surgeons' perspectives on performing and participating in a complex multi-centre person-centred intervention process that aimed to support patients diagnosed with colorectal cancer to feel prepared for surgery, discharge and recovery...
June 13, 2018: BMC Health Services Research
Lisa Ruth-Sahd, Melissa Schneider
When a patient presents with stroke-type symptoms, the correct diagnosis is imperative to determine appropriate treatment. Cerebral amyloid angiopathy (CAA), a buildup of amyloid proteins on the brain artery walls, is a cause of intracerebral hemorrhage. Improved diagnostic criteria and enhanced neuroimaging have resulted in earlier detection of CAA, which will hopefully lead to better outcomes for these patients. More research is being conducted, and neuroscience nurses need to stay informed about this condition to be able to appropriately care for and educate their patients who are diagnosed with CAA...
June 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Jody L Miniard, Kathleen Ballman
BACKGROUND: Nurse practitioners (NPs) are helping to bridge the gap not only in primary care but also in specialty practice. In an outpatient, neurosurgical spinal clinic in the midwest, patient volume exceeded provider availability, and to rectify this problem, a proposal for an NP triage system and an NP-led spinal clinic was presented. PURPOSE: The aim of this project was to use NPs to facilitate patient triage in an outpatient neurosurgical practice to expedite patients' access to care and ultimately improve patient satisfaction, outcomes, and healthcare expenditure...
June 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Ngai-Yin Chan, Chi-Chung Choy, Chi-Kin Chan, Chung-Wah Siu
BACKGROUND: Opportunistic screening for atrial fibrillation (AF) in patients over 65 years of age is currently recommended. OBJECTIVE: We aim to examine the effectiveness of a non-governmental organization (NGO)-led, community-based AF screening program carried out by trained layperson volunteers. METHODS: AF screening was performed by using smartphone ECG in 11,574 participants. RESULTS: Among all participants, smartphone ECG's were interpretable in 10,735 (92...
June 8, 2018: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Lambert M Felix, Seamus Grundy, Stephen J Milan, Ross Armstrong, Haley Harrison, Dave Lynes, Sally Spencer
BACKGROUND: Bronchiectasis is a chronic respiratory disease characterised by abnormal and irreversible dilatation of the smaller airways and associated with a mortality rate greater than twice that of the general population. Antibiotics serve as front-line therapy for managing bacterial load, but their use is weighed against the development of antibiotic resistance. Dual antibiotic therapy has the potential to suppress infection from multiple strains of bacteria, leading to more successful treatment of exacerbations, reduced symptoms, and improved quality of life...
June 11, 2018: Cochrane Database of Systematic Reviews
Katherine Corsi, Virginia Lemay, K Kelly Orr, Lisa Cohen
OBJECTIVES: The objective of this study was to quantify the financial impact of a pharmacist-driven pilot medication therapy management (MTM) program within a visiting nurse service (VNS) and identify types of medication-related problems affecting the home health care population. METHODS: Patients were contacted to schedule a home visit with the primary investigator. At the appointment, a comprehensive medication review (CMR) was completed, and data collected included primary reason for VNS care, comorbid diagnoses, number of prescription and nonprescription medications at time of visit, and type of pharmacist-identified medication therapy intervention(s)...
June 7, 2018: Journal of the American Pharmacists Association: JAPhA
Anna Banik, Ralf Schwarzer, Nina Knoll, Katarzyna Czekierda, Aleksandra Luszczynska
PURPOSE/OBJECTIVE: Self-efficacy forms key modifiable personal resources influencing illness management, rehabilitation participation, and their outcomes such as perceived health-related quality of life (HRQOL) among people with a cardiovascular disease (CVD). Yet, an overarching research synthesis of the self-efficacy-HRQOL association in the CVD context is missing. This systematic review and meta-analysis of research on the self-efficacy-HRQOL relationship among people with CVD investigates whether the strength of associations depends on conceptualizations of self-efficacy and HRQOL (general vs...
May 2018: Rehabilitation Psychology
Artur Dalfó-Pibernat, Antoni Dalfó Baqué, Francisco Javier Pelegrina Rodríguez, Olatz Garin, Xavier Duran, Mercè Cladellas Capdevila, Josep Comin Colet
INTRODUCTION: Ambulatory blood pressure monitoring (ABPM) is fundamental to diagnosing and monitoring arterial hypertension (HTN), yet it is not known how effective training could be in improving knowledge of ABPM. PURPOSE: The purpose of this study was to evaluate ABPM knowledge before and after a training activity. METHODOLOGY: A before-and-after intervention study of 116 professionals. Data was collected on age, sex, occupational category, work setting, and work experience...
June 1, 2018: European Journal of Cardiovascular Nursing
P Kutschar, K Lex, J Osterbrink, S Lorenzl
BACKGROUND: Adequate pain management and palliative care structures are of significant importance in residential nursing homes. Whilst professional pain treatment and palliative care measures are frequently implemented for residents with oncological diseases, this is often not the case for residents with neurological disorders. Such a potential undertreatment is even more challenging when the means of interaction and communication with affected persons are aggravated by impairments in cognitive function...
June 5, 2018: Der Schmerz
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