Engaging families to participate in care of older critical care patients.
Journal - Critical care nurse (United States )
Provision of optimal outcomes for older adults can be understood through the use of the American Association for Critical-Care Nurses Synergy Model. These outcomes can be enhanced if strategies are designed to improve the characteristics of patients and families as described in the Synergy Model. When older adults are admitted to critical care units, spouses, children, and friends are in a position to participate in care. This column examines the Synergy Model's patient characteristic of participation in care relative to involvement of the family and significant others of the older patient as a method of enhancing optimal outcomes.
|ISSN : ||1940-8250|
|Mesh Heading : ||Aged Critical Care Family Humans Nursing Methodology Research Societies, Nursing|
|Mesh Heading Relevant : ||Geriatric Nursing Models, Nursing Professional-Family Relations organization & administration psychology|
Critical-care visitation: the patients' perspective.
Journal - Dimensions of critical care nursing : DCCN (United States )
The purpose of this study was to determine critically ill patients' satisfaction and preference with the restricted visiting hours in the critical-care units in a 435-bed acute-care hospital in North Carolina. The major aims of the study were to (1) identify the time that most patients preferred for visitation and (2) identify how often patients wanted to have visitors. This article discusses the findings of this study, one of which is that patients want more control over visitation.
Atrial fibrillation among older adults: pathophysiology, symptoms, and treatment.
Journal - Journal of gerontological nursing (United States )
Atrial fibrillation is the most common arrhythmia among older adults. Valvular heart disease, dilated cardiomyopathy, aortic stenosis, hypertension, coronary artery disease, pericarditis, thyrotoxicosis, pulmonary disease, cardiac surgery, alcohol excess, and alcohol withdrawal are associated with atrial fibrillation. Nurses caring for older adults need to understand the condition's pathophysiology, signs and symptoms, diagnostic data and treatment protocols, and adherence issues to prevent the formation of emboli in chronic atrial fibrillation and to understand treatment of this common arrhythmia. This article presents an individual example of an elderly man exhibiting a new onset of atrial fibrillation and the interventions required to manage the associated complications. Atrial fibrillation places patients at risk for stroke from a thromboembolism; thus, pharmacological and nonpharmocological care strategies for managing patients with atrial fibrillation are discussed.
|ISSN : ||0098-9134|
|Mesh Heading : ||Aged Anti-Arrhythmia Agents Atrial Fibrillation Catheter Ablation Electric Countershock Geriatric Assessment Geriatric Nursing Health Services Needs and Demand Humans Long-Term Care Male Nursing Assessment Patient Care Planning Risk Assessment Risk Factors Thromboembolism therapeutic use classification diagnosis etiology etiology prevention & control|
|Mesh Heading Relevant : ||Nurse's Role therapy organization & administration organization & administration|
Cat's claw: an Amazonian vine decreases inflammation in osteoarthritis.
Journal - Complementary therapies in clinical practice (England )
Cat's claw (Uncaria tomentosa and Uncaria guianesis) is a medicinal plant from the Amazon commonly used to treat disorders such as arthritis, gastritis and osteoarthritis. The mechanism of cat's claw appears to be as an inhibitor of TNFalpha and antioxidant. Understanding the processes in osteoarthritis may facilitate and clarify the potential role of cat's claw as a complementary therapy to assist in the reduction of pro-inflammatory mediators and effectors. The clinical relevance of this therapy as a viable modality of intervention will be discussed.
|ISSN : ||1744-3881|
|Mesh Heading : ||Free Radical Scavengers Humans Inflammation NF-kappa B Osteoarthritis Plant Preparations drug therapy antagonists & inhibitors physiopathology therapeutic use|
|Mesh Heading Relevant : ||Cat's Claw Phytotherapy drug therapy pharmacology|
Cardiac disease and sexuality: implications for research and practice.
Journal - The Nursing clinics of North America (United States )
Many symptoms of cardiovascular disease can impact the patient's level of sexual desire. Nurses are in a position to assess sexuality of the cardiovascular patient and to provide a high degree of counseling on the subject; yet, nurses frequently complain that they lack the proper knowledge to provide this education and counseling. This article attempts to provide the necessary information regarding the physiologic effects of sexual intercourse on the heart, the role of sexuality in various types of cardiovascular disease, and the evidence-based nursing interventions needed to provide holistic care to patients with cardiovascular disease.
|ISSN : ||0029-6465|
|Mesh Heading : ||Age Factors Aged Coronary Disease Evidence-Based Medicine Female Health Knowledge, Attitudes, Practice Health Promotion Humans Male Middle Aged Nurse Clinicians Nursing Methodology Research Patient Education as Topic Practice Guidelines as Topic Sexual Dysfunction, Physiological Sexual Dysfunctions, Psychological nursing psychology organization & administration etiology etiology|
|Mesh Heading Relevant : ||Coitus Nurse's Role complications organization & administration nursing nursing|
Telehealth's impact on nursing and the development of the interstate compact.
Journal - Journal of professional nursing : official journal of the American Association of Colleges of Nursing (United States )
The information age has opened a new era for nursing practice. Advances in telecommunications technology now allow nurses to care for patients and their families in geographic locations throughout the country. This new practice environment challenges many of the assumptions that have created a state-based system of nurse practice acts and licensing. In response to this challenge, the creation of a new mechanism for licensure and practice, the interstate compact, is developing. In this article, the development and regulatory challenges created by telenursing and the interstate compact are discussed.Copyright 2001 by W.B. Saunders Company
|ISSN : ||8755-7223|
|Mesh Heading : ||Humans Nursing Telemedicine United States|
|Mesh Heading Relevant : ||Licensure, Nursing Nurse Practitioners standards legislation & jurisprudence standards|