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https://www.readbyqxmd.com/read/28531782/the-financial-burden-of-malnutrition-in-hospitalized-pediatric-patients-under-five-years-of-age
#1
Kulnipa Kittisakmontri, Onwaree Sukhosa
BACKGROUND: Under-five children are a medically fragile group which is compromised by hospitalization. Malnutrition in those patients not only increases complications and mortality but also affects hospital resource utilization. Therefore, this study was conducted to clarify the impact of malnutrition on hospital expenditures. METHODS: This prospective cohort study was performed at a tertiary hospital in Thailand. Under-five children who were admitted to general pediatric wards were included...
October 2016: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/28523764/self-care-behaviors-in-heart-failure
#2
Agueda Maria Ruiz Zimmer Cavalcante, Camila Takao Lopes, Evelise Fadini Reis Brunori, Elizabeth Swanson, Sue Ann Moorhead, Maria Márcia Bachion, Alba Lucia Bottura Leite de Barros
OBJECTIVE: To identify self-care behaviors, instruments, techniques, parameters for the assessment of self-care behaviors in people with heart failure, compare these behaviors with the indicators of the Nursing Outcomes Classification outcome, Self Management: Cardiac Disease. METHOD: Integrative literature review performed in Lilacs, Medline, CINAHL, and Cochrane, including publications from 2009 to 2015. One thousand six hundred ninety-one articles were retrieved from the search, of which 165 were selected for analysis...
May 18, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28508702/cluster-analysis-in-nursing-research-an-introduction-historical-perspective-and-future-directions
#3
Heather Dunn, Laurie Quinn, Susan J Corbridge, Kamal Eldeirawi, Mary Kapella, Eileen G Collins
The use of cluster analysis in the nursing literature is limited to the creation of classifications of homogeneous groups and the discovery of new relationships. As such, it is important to provide clarity regarding its use and potential. The purpose of this article is to provide an introduction to distance-based, partitioning-based, and model-based cluster analysis methods commonly utilized in the nursing literature, provide a brief historical overview on the use of cluster analysis in nursing literature, and provide suggestions for future research...
May 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28497575/recognition-of-delirium-in-postoperative-elderly-patients-a-multicenter-study
#4
Tianne Numan, Mark van den Boogaard, Adriaan M Kamper, Paul J T Rood, Linda M Peelen, Arjen J C Slooter
OBJECTIVES: To evaluate to what extent delirium experts agree on the diagnosis of delirium when independently assessing exactly the same information and to evaluate the sensitivity of delirium screening tools in routine daily practice of clinical nurses. DESIGN: Prospective observational longitudinal study. SETTING: Three medical centers in the Netherlands. PARTICIPANTS: Elderly postoperative adults (n = 167). MEASUREMENTS: A researcher examined participants daily (Postoperative Day 1-3) for delirium using a standardized cognitive assessment and interview including the Delirium Rating Scale Revised-98 as global impression without any cut-off values that was recorded on video...
May 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28495487/effect-of-psychiatric-illness-on-acute-care-utilization-at-end-of-life-from-serious-medical-illness
#5
Kyle Lavin, Dimitry S Davydow, Lois Downey, Ruth A Engelberg, Ben Dunlap, James Sibley, William B Lober, Kelson Okimoto, Nita Khandelwal, Elizabeth T Loggers, Joan M Teno, J Randall Curtis
CONTEXT: Little is known about psychiatric illness and utilization of end-of-life care. OBJECTIVES: We hypothesized that pre-existing psychiatric illness would increase hospital utilization at end-of-life among patients with chronic medical illness due to increased severity of illness and care fragmentation. METHODS: We reviewed electronic health records to identify decedents with one or more of eight chronic medical conditions based on International Classification of Diseases (ICD)-9 codes...
May 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28495337/development-and-validation-of-detailed-clinical-models-for-nursing-actions-in-perinatal-care
#6
Joo Yun Lee, Hyeoun-Ae Park
OBJECTIVES: The aim of this study was to develop and evaluate detailed clinical models (DCMs) for nursing actions in perinatal care. We propose the use of action-target dyads as entities in DCMs for nursing actions. METHODS: We identified action and target concepts, attributes, and value sets by analyzing nursing documentation and reviewing the wider literature, in addition to published standards and models. We developed the DCMs by linking entities, attributes, and value sets...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28494507/subepidermal-moisture-detection-of-pressure-induced-tissue-damage-on-the-trunk-the-pressure-ulcer-detection-pud-study-outcomes
#7
Barbara M Bates-Jensen, Heather E McCreath, Anabel Patlan
We examined the relationship between subepidermal moisture measured using surface electrical capacitance and visual skin assessment of pressure ulcers at the trunk location (sacral, ischial tuberosities) in 417 nursing home residents residing in 19 facilities. Participants were on average older (mean age of 77 years), 58% were female, over half were ethnic minorities (29% African American, 12% Asian American, and 21% Hispanic), and at risk for pressure ulcers (mean score for Braden Scale for Predicting Pressure Ulcer Risk of 15...
May 11, 2017: Wound Repair and Regeneration
https://www.readbyqxmd.com/read/28488925/strategies-to-address-the-shortcomings-of-commonly-used-advanced-chronic-heart-failure-descriptors-to-improve-recruitment-in-palliative-care-research-a-parallel-mixed-methods-feasibility-study
#8
Pauline M Kane, Fliss Em Murtagh, Karen R Ryan, Mary Brice, Niall G Mahon, Brendan McAdam, Regina McQuillan, Geraldine O'Gara, Caroline Raleigh, Cecelia Tracey, Christine Howley, Irene J Higginson, Barbara A Daveson
BACKGROUND: Recruitment challenges contribute to the paucity of palliative care research with advanced chronic heart failure patients. AIM: To describe the challenges and outline strategies of recruiting advanced chronic heart failure patients. DESIGN: A feasibility study using a pre-post uncontrolled design. SETTING: Advanced chronic heart failure patients were recruited at two nurse-led chronic heart failure disease management clinics in Ireland Results: Of 372 patients screened, 81 were approached, 38 were recruited (46...
May 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28481683/applying-the-international-classification-of-functioning-disability-and-health-to-guide-home-health-care-services-planning-and-delivery-in-thailand
#9
Atipong Pimdee, Nomjit Nualnetr
Home health care is an essential service for home-bound patients in Thailand. In this action research study, we used the International Classification of Functioning, Disability and Health (ICF) framework to modify home health care services provided by a university hospital. Staff responsible for delivering the services (physical therapist, nurses, and Thai traditional medicine practitioners) participated in the development of an ICF-based assessment tool and home health care service procedure. After an 8-month trial of implementing these changes, professional satisfaction and empowerment were high among the home health care team members...
May 8, 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/28453581/-a-score-to-predict-medical-emergencies-in-hospitalized-patients
#10
Claudia Cofré, Gabriel Cavada, César Maquilón, Paula Daza, Ángel Vargas, Antonio Vukusich
BACKGROUND: The medical alert system (MAS) was created for the timely handling of clinical decompensations, experienced by patients hospitalized at the Medical Surgical Service (MSS) in a private clinic. It is activated by the nurse when hemodynamic, respiratory, neurological, infectious or metabolic alterations appear, when a patient falls or complains of pain. A physician assesses the patient and decides further therapy. AIM: To analyze the clinical and demographic characteristics of patients who activated or not the MAS and develop a score to identify patients who will potentially activate MAS...
February 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/28452281/assessment-prevention-and-management-of-skin-tears
#11
Maureen Benbow
Skin tears are common in older people. They are acute wounds that are at high risk of becoming complex, chronic wounds due to the interplay between the physiological changes in the skin and trauma from the external environment. Skin tears have been reported to have prevalence rates equal to, or greater than, those for pressure ulcers. A comprehensive risk assessment should include assessment of the individual's general health (chronic/critical disease, polypharmacy and cognitive, sensory and nutritional status); mobility (history of falls, impaired mobility, dependent activities of daily living, and mechanical trauma); and skin (extremes of age, fragile skin and previous skin tears)...
April 28, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28449363/health-literacy-interventions-for-immigrant-populations-a-systematic-review
#12
REVIEW
M Fernández-Gutiérrez, P Bas-Sarmiento, M J Albar-Marín, O Paloma-Castro, J M Romero-Sánchez
BACKGROUND: Health literacy is considered a social health determinant that influences improvement in health, patient empowerment and reduction in inequalities. There is a lack of health literacy interventions for vulnerable social groups (i.e. immigrants), and nurses have shown little familiarity with the concept. AIM: This study aimed to identify and analyse whether interventions directed at immigrant populations improve the functional (basic reading, writing and arithmetic skills), interactive (social and cognitive skills) and critical (advanced cognitive and social skills in critically analyzing information and making informed decisions) dimensions of health literacy, taking into account the role played by nursing in these interventions...
April 27, 2017: International Nursing Review
https://www.readbyqxmd.com/read/28424823/-coma-in-the-emergency-room
#13
M Braun, C J Ploner, T Lindner, M Möckel, W U Schmidt
Coma of unknown origin (CUO) is a frequent unspecific emergency symptom associated with a high mortality. A fast diagnostic work-up is essential given the wide spectrum of underlying diagnoses that are made up of approximately 50% primary central nervous system (CNS) pathologies and approximately 50% extracerebral, almost exclusively internal medical causes. Despite the high mortality associated with this symptom, there are currently no generally accepted management guidelines for adult patients presenting with CUO...
April 19, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28414537/developing-a-caseload-classification-tool-for-community-nursing
#14
Helen Chapman, Margaret Kilner, Rebekah Matthews, Abi White, Angela Thompson, Sally Fowler-Davis, Lisa Farndon
Acuity and dependency in the community nursing caseload in combination with safe staffing levels are a national issue of concern. Current evidence suggests that there are no clear approaches to determining staff capacity and skill mix in these community settings. As community nursing caseloads are large with differing complexities, there is a need to allocate community nursing with the best skill mix to achieve the best patient outcomes. A city-wide service improvement initiative developed a tool to classify and categorise patient demand and this was linked to an electronic patient record system...
April 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28409765/effects-of-patient-handling-and-individual-factors-on-the-prevalence-of-low-back-pain-among-nursing-personnel
#15
Seyed Ehsan Samaei, Maryam Mostafaee, Hasanali Jafarpoor, Majid Bagheri Hosseinabadi
BACKGROUND: Patient-handling is one of the main tasks of nursing personnel; it imposes compressive and shear forces on nurses' lower spine. The aim of this study was to determine the prevalence of Low Back Pain (LBP), risk factors in the incidence of such disorders, and patient handling risk assessment among nursing personnel. METHODS: This study was carried out on 243 randomly selected nursing personnel who played a role in handling the patients (58 wards). Patient Transfer Assessment Instrument (PTAI) checklists alongside Standardized Nordic Musculoskeletal Questionnaires (NMQ) were used for data collection...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28403297/knowledge-of-the-nursing-team-on-pressure-ulcer-prevention
#16
Nariani Souza Galvão, Maria Alice Barbosa Serique, Vera Lúcia Conceição de Gouveia Santos, Paula Cristina Nogueira
OBJECTIVE: describe and analyze the nursing team's knowledge about classification, evaluation and measures to prevent pressure ulcers (PU) in patients hospitalized in the ICU of a teaching hospital in the city of Manaus. METHOD: a descriptive and exploratory study was conducted after approval by a research ethics committee. Data were collected using a validated instrument. The study sample was made up of 40 nursing staff members, of whom 14 were nurses and 26 were nursing technicians/aides...
April 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28403281/brazilian-method-for-the-development-terminological-subsets-of-icnp%C3%A2-limits-and-potentialities
#17
Carina Maris Gaspar Carvalho, Marcia Regina Cubas, Maria Miriam Lima da Nóbrega
Reflection on the limits and potentialities of a Brazilian method for the development of terminological subsets of ICNP®,(International Classification for Nursing Practice) based on the correlation between this method and international methods. This issue has been debated by the International Council of Nurses (ICN). Although the council propose a guideline for elaboration, they encourage and reinforce the use of various perspectives and processes in the development of subsets. Brazilian Nursing needs to propose a method and deepen reflections on the use of terminological subsets of ICNP® in the reality of the country...
April 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28386935/exit-site-care-in-the-netherlands-the-use-of-guidelines-in-practice
#18
Bettie P Hoekstra, Anneke de Vries-Hoogsteen, Bieneke Winkels, Helma Zevenbergen-Osinga, Ingrid Thijssen-Broers, Trian Bellemakers
BACKGROUND: The aim of this paper is to describe the quality of exit site care by evaluating the use of the Dutch exit site guideline over a period of 15 years. METHOD: The special interest group (SIG) for peritoneal dialysis (PD) analysed results of three surveys concerning general exit site care among members of the Dutch Association for nurses and carers (V&VN), the dialysis and nephrology section. RESULTS: In 2002 (when no guidelines were available) the survey showed huge diversity in practice, with no definition of the post-operative period after catheter placement and no uniform monitoring of the exit site...
April 6, 2017: Journal of Renal Care
https://www.readbyqxmd.com/read/28374886/total-intravenous-anaesthesia-versus-inhalational-anaesthesia-for-adults-undergoing-transabdominal-robotic-assisted-laparoscopic-surgery
#19
REVIEW
Suzanne Forsyth Herling, Bjørn Dreijer, Gitte Wrist Lam, Thordis Thomsen, Ann Merete Møller
BACKGROUND: Rapid implementation of robotic transabdominal surgery has resulted in the need for re-evaluation of the most suitable form of anaesthesia. The overall objective of anaesthesia is to minimize perioperative risk and discomfort for patients both during and after surgery. Anaesthesia for patients undergoing robotic assisted surgery is different from anaesthesia for patients undergoing open or laparoscopic surgery; new anaesthetic concerns accompany robotic assisted surgery. OBJECTIVES: To assess outcomes related to the choice of total intravenous anaesthesia (TIVA) or inhalational anaesthesia for adults undergoing transabdominal robotic assisted laparoscopic gynaecological, urological or gastroenterological surgery...
April 4, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28365484/bolus-administration-of-fentanyl-and-midazolam-for-colonoscopy-increases-endoscopy-unit-efficiency-and-safety-compared-with-titrated-sedation
#20
Raymond Finn, Amanda Boyd, Li Lin, Ziad F Gellad
BACKGROUND & AIMS: Guidelines recommend slow titration of sedatives for moderate sedation. Bolus sedation, in which a larger weight-based dose of medication is given upfront, has been shown in a single trial to be beneficial. We evaluated the effects of bolus sedation on procedural safety, efficiency and patient experience. METHODS: We performed a retrospective analysis of colonoscopies performed between April 2010 and April 2011 at Duke Medical Center. Colonoscopies prior to October 2010 were performed with nurse-directed titration of sedative (n=966); colonoscopies performed after October 2010 were performed with physician-directed administration of bolus sedative (n=699)...
March 29, 2017: Clinical Gastroenterology and Hepatology
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