MedWorm: Nursing Top 20

Energy Therapies in Oncology Nursing

Seminars in Oncology Nursing — Fri, 27 Jan 2012 02:56:03 +0100

Conclusion: There is growing evidence that energy therapies have a positive effect on symptoms associated with cancer. While there is need for further research, it is clear that an appreciation for the value of research methods beyond the randomized control trial is important.Implications for Nursing Practice: Energy therapies offer additional strategies for oncology nurses providing integrated nursing care to alleviate suffering and symptom distress of patients with cancer. (Source: Seminars in Oncology Nursing)

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Nutrition in Complementary and Alternative Medicine

Seminars in Oncology Nursing — Fri, 27 Jan 2012 02:56:03 +0100

Conclusion: The interest in and use of special diets and nutrition-related CAM is prevalent in oncology patients. While some nutrition interventions may offer benefit, not all are without risk.Implications for Nursing Practice: Every patient must be assessed for the use of special diets and nutrition-related CAM, any use must be documented, and the person counseled about the pros and cons of these approaches. (Source: Seminars in Oncology Nursing)

The Potential Role of a Self-Management Intervention for Ulcerative Colitis: A Brief Report From the Ulcerative Colitis Hypnotherapy Trial

Biological Research For Nursing — Mon, 23 Jan 2012 05:00:00 +0100

This study supports future clinical trials testing gut-directed HYP as a relapse prevention tool for IBD. (Source: Biological Research For Nursing)

Introduction

Seminars in Oncology Nursing — Fri, 27 Jan 2012 02:56:03 +0100

EARLY national surveys have confirmed a sustained interest in and use of complementary and alternative medicine (CAM) therapies in the United States (US). These first surveys provided an important first look but lacked specifics including diagnoses, disease site, and special populations. By the end of the 1990s we knew more about the use of CAM by specific populations with cancer, including cancer site, geographic and ethnic differences, and the elderly. There have been growing pains typical of a new field in health care including clarification of terminology, enhanced understanding of cultural impact, identification of practice issues including certification and scope of practice, sorting an ever expanding body of knowledge, and establishing evidence based practice. (Source: Seminars in O...

Nursing leadership in a chronic pain management group approach

Journal of Nursing Management — Mon, 23 Jan 2012 05:00:00 +0100

Conclusions The results show how important it is to have firm overall leadership and trained group leaders with a common purpose, interdependent roles and complementary skills, who are thus well prepared to prevent or deal with challenging group processes.Implications for nursing management The leaders of both levels, which are highly interrelated, should have a current theoretical understanding of pain theory, group leadership skills and a cognitive behavioural approach. (Source: Journal of Nursing Management)

Nurses Paying Their Share of Medical Benefits

NurseZone.com Nursing News — Sat, 21 Jan 2012 02:23:50 +0100

January 18, 2012 - Across the country, employers are asking their workers to contribute more to the ever-growing cost of health insurance, and health care organizations are no exception. (Source: NurseZone.com Nursing News)

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Clinical outcomes associated with screening and referral for depression in an acute cardiac ward

Journal of Clinical Nursing — Tue, 24 Jan 2012 02:19:40 +0100

Conclusions. By providing a formalised mechanism for detecting depression, documented screening and referral rates improved for those with comorbid depression and heart disease affording an opportunity for early intervention. These findings support a move towards integrated approaches to screening of depression to become standard practice in the acute cardiac setting.Relevance to clinical practice. Such mechanisms also have the potential to initiate the development of new models of care that acknowledge the complexity of comorbid depression and heart disease and provide pathways from speciality to primary care which integrate the physical and psychosocial domains inclusive of screening, referral, systematic monitoring and streamlined behavioural and physical care. (Source: Journal of...

Scabies outbreak shuts hospital wards

Nursing Times Breaking News — Mon, 09 Jan 2012 00:00:00 +0100

Two wards at a hospital in Sussex had to be closed to new admissions for 48 hours after an outbreak of scabies. (Source: Nursing Times Breaking News)

Simple COPD score could help nurses predict exacerbation severity

Nursing Times Breaking News — Fri, 27 Jan 2012 00:01:00 +0100

Nurses can use a simple, eight-question test to accurately measure and predict the severity of symptoms in patients with chronic obstructive pulmonary disease, according to UK researchers. (Source: Nursing Times Breaking News)

Preop MRI aids prostate cancer surgery

Nursing Times Breaking News — Thu, 26 Jan 2012 10:09:00 +0100

Surgeons are able to make more informed decisions about nerve-sparing procedures in men with prostate cancer if they use preoperative MRI, a study suggests. (Source: Nursing Times Breaking News)

The assessment of quality of life in female Turkish patients with overactive bladder

International Journal of Nursing Practice — Sat, 21 Jan 2012 02:15:20 +0100

In conclusion, OAB negatively affects quality of life in Turkish women. However, many women's quality of life can be improved if the patients seek medical treatment. Thus, nurses should encourage the patients to seek medical support in order to cope with health‐related quality‐of‐life problems. (Source: International Journal of Nursing Practice)

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The roles of self‐efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults

Journal of the American Academy of Nurse Practitioners — Mon, 30 Jan 2012 05:00:00 +0100

Conclusions: The overwhelming majority of participants were (a) willing to undergo screening; (b) take suppressive antiviral medication if necessary; (c) share their results with sexual partners; and (d) consider safer sexual practices as a consequence of screening. Older patients were less willing to consider daily antiviral medication. Men who have sex with men (MSM) had lower perceived susceptibility to HSV‐2 but were more likely to undergo and report screening.Implications for practice: Future research should include predictive models for determining the most appropriate patients to screen for HSV‐2 and best practices for those who test positive. Shared decision making between patients and advanced practice nurses regarding the risks and benefits of screening for HSV‐2 should be ...

Constipation in patients admitted to the neurological rehabilitation program

Acta Paulista de Enfermagem — Wed, 18 Jan 2012 03:24:10 +0100

CONCLUSIONS: Conduct studies may provide treatment options for constipation, improving the quality of life for these individuals.OBJETIVOS: Conocer la prevalencia de la constipación intestinal en pacientes admitidos para rehabilitación y verificar los resultados de dos modelos de conductas instituídas para la reeducación intestinal durante el internamiento. MÉTODOS: Estudio longitudinal, analítico, realizado con 98 pacientes internados en una unidad de rehabilitación entre diciembre del 2009 y mayo del 2010. RESULTADOS: La prevalencia de constipación fue del 57,1%, no hubo correlación entre las variables sexo, escolaridad, edad, auxilio locomoción, alteración del lenguaje, actividad física, dieta y presencia de constipación intestinal; la mejora en la capacidad funcional fue u...

Advanced directives lower end-of-life medicare spending.

The American Journal of Nursing — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Kayyali A, Rosenberg K, Singh Joy SD PMID: 22277870 [PubMed - in process] (Source: The American Journal of Nursing)

Perioperative Pharmacology: Patient-Controlled Analgesia

AORN Journal — Mon, 30 Jan 2012 03:56:37 +0100

Abstract: Patient-controlled analgesia (PCA) is an effective treatment option for reducing pain, but PCA errors can be quite serious. Opioid analgesics are among the most effective pain relievers available, but all have contraindications and can have adverse effects, including respiratory depression and other effects on the central nervous system. Practitioners must weigh the potential benefits of PCA use against the risks. Errors associated with the PCA process have been documented in each phase of the medication-use process; therefore, practice improvements in prescribing, transcribing, dispensing, administering, and monitoring PCA may reduce the likelihood of errors. Perioperative nurses can make important contributions to safe PCA use by establishing standardized processes to help ens...

Drug 'increases risk' of carpel tunnel syndrome for cancer patients

Nursing Times Breaking News — Sun, 29 Jan 2012 00:00:00 +0100

Risk of carpal tunnel syndrome is higher in breast cancer patients given the drug exemestane than in those treated with tamoxifen, according to an international study in the Lancet Oncology. (Source: Nursing Times Breaking News)

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Nursing interventions for stroke patients: an integrative literature review

Revista da Escola de Enfermagem da USP — Sat, 14 Jan 2012 11:51:43 +0100

The objective of this study was to analyze the knowledge on nursing interventions for hospitalized stroke patients. An integrative literature review was performed by accessing five online databases, in September 2009. The descriptors used in the search were nursing care and stoke, in Portuguese, English and Spanish. A total 223 articles were found, and 12 were selected. It was found in the articles that there was a greater number of clinical nursing interventions, followed by educational, managerial and research interventions. Clinical interventions are more related to the biological aspects of patients. As to the educational interventions, the articles point at the fundamental role of nurses, as well as that of relatives and caregivers. The main managerial intervention was the coordinatio...

Assessing advanced cancer pain in older adults with dementia at the end‐of‐life

Journal of Advanced Nursing — Wed, 25 Jan 2012 05:00:00 +0100

Conclusion. Because people with worsening Alzheimer’s disease have fewer pain behaviours, assessing pain using behavioural indicators can be a challenge. Improving methods to assess for pain in people with Alzheimer’s disease is of critical public health importance. Moreover, future studies are urgently needed to further examine the sensory, emotional, and behavioural responses to pain in people with Alzheimer’s disease. (Source: Journal of Advanced Nursing)

Poll Looks at New Year’s Resolutions for Health

NurseZone.com Nursing News — Mon, 09 Jan 2012 02:42:33 +0100

January 6, 2012 - Roughly one-third of Americans say they have made a New Year's resolution to lose weight in the last five years and 42 percent of people who said they smoke regularly in that time frame pledged to quit the habit, according to the Thomson Reuters-NPR Health Poll. (Source: NurseZone.com Nursing News)

Self‐care strategies to facilitate sleep in patients with heart disease—A qualitative study

International Journal of Nursing Practice — Sat, 21 Jan 2012 02:15:25 +0100

This study aimed at exploring and describing the self‐care management strategies used by patients with coronary artery disease to facilitate sleep. Qualitative interviews in a dialogue manner, in a phenomenographic reference frame analyzed according to manifest and latent principles of qualitative content analysis, were performed. A purposeful sampling technique was used including 11 patients with coronary heart disease in a Heart Medical Unit in a general hospital setting. Two main themes were identified: ‘sleep‐rhythm’ and ‘sleep‐hygiene’ including four descriptive categories. The categories reveal five basic responses including emotions, cognition, physical symptoms (reactions), behaviours and/or the sleep environment, which were related to perceived or actual presence of ...