ABSTRACT
Neonatal bacterial infections leading to sepsis occur frequently in the first few days or weeks of life. NPs must be able to recognize the early signs of sepsis and understand the need for rapid evaluation and treatment. This article discusses antibiotic treatments for various types and locations of bacterial infections and sepsis in the neonate.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Bacterial Infections/nursing , Nurse Practitioners , Nursing Diagnosis , Sepsis/nursing , Early Diagnosis , Humans , Infant, NewbornSubject(s)
Dentist-Patient Relations , Dentists/legislation & jurisprudence , Internet/legislation & jurisprudence , Patient Satisfaction , Documentation , Humans , Liability, Legal , Persuasive Communication , Practice Management, Dental/legislation & jurisprudence , Risk Management , United StatesABSTRACT
OBJECTIVES: To develop and implement a health fair and educational sessions for elementary school children led by health professions students. DESIGN: The structure and process were developed with elementary school administration to determine the health topics to be covered. Students and faculty members created a "hands-on," youth-oriented health fair and interactive health educational sessions. Quantitative and qualitative data were collected on learning outcomes from the underserved child population and health professions students. ASSESSMENT: The health fair and educational sessions increased awareness of underserved youth in the areas of critical health behaviors, purposeful education on health issues facing their community, and exposure to careers in various health professions. The activities provided meaningful learning experiences for the health professions students. CONCLUSION: The health education program model is an excellent way to teach health education, communication and critical thinking skills, and service learning to health professions students.
Subject(s)
Community Health Services/organization & administration , Health Fairs/organization & administration , Health Occupations/education , Medically Underserved Area , Program Development , Rural Health Services/organization & administration , Career Choice , Child , Communication , Education, Professional/organization & administration , Faculty , Humans , Interprofessional Relations , Leadership , Models, Educational , Nebraska , Problem-Based Learning , Professional Competence , Program Evaluation , Students, Health OccupationsSubject(s)
Dentists/ethics , Ethics, Dental , Interprofessional Relations/ethics , Dental Care/ethics , HumansABSTRACT
PURPOSE: Patient satisfaction, safety and efficacy outcomes, and cost savings with insulin pens versus conventional insulin delivery via vials and syringes in hospitalized patients with diabetes were compared. METHODS: Patients were recruited from two general medical-surgical units from July 2005 to May 2006. Patients completed a survey regarding satisfaction with the method in which insulin was administered before discharge. Patients completed a telephone survey approximately four weeks after discharge to determine home insulin use. Cost savings were determined using the average wholesale price of insulin vials and syringes, pens, and pen needles. RESULTS: A total of 94 patients were randomized to receive insulin administered via pen devices (n = 49) or using conventional vials and syringes (n = 45). Significantly more subjects in the pen group prepared or self-injected at least one dose of insulin during hospitalization, wanted to continue taking insulin at home using the method used during hospitalization, and would recommend their method of insulin administration used during hospitalization to other patients with diabetes compared with the vial and syringe group (p < 0.05). A cost saving of $36 per patient was projected if only insulin pens were dispensed during the entire hospital stay compared to insulin vials and syringes (p < 0.05). CONCLUSION: Increased patient satisfaction and continuation of the method of insulin administration used in the hospital at home were reported by patients who received insulin pens compared with patients who received conventional vials and syringes during hospitalization. A substantial cost saving was projected for patients in the insulin pen group if insulin pens had been dispensed during their entire hospital stay.
Subject(s)
Health Expenditures , Hospitalization , Hypoglycemic Agents/administration & dosage , Insulin Infusion Systems , Insulin/administration & dosage , Patient Satisfaction , Syringes , Aged , Female , Health Care Surveys , Humans , Hypoglycemic Agents/economics , Insulin/economics , Male , Middle Aged , Nebraska , Prospective StudiesABSTRACT
Selective cyclooxygenase-2 (COX-2) inhibitors are used for the treatment of inflammation and pain while having the reported advantage of fewer upper gastrointestinal adverse effects compared to traditional nonsteroidal anti-inflammatory drugs. Although fewer adverse effects occur, there is still a risk for developing upper gastrointestinal adverse effects. Clinical practitioners have increased concern regarding this risk. The belief that COX-2 inhibitors are safe for the gastrointestinal tract has been questioned. This has encouraged the proposal of several explanations on the mechanism of gastromucosal injury and healing relative to COX isoenzymes. These mechanisms are delineated in the following review, along with the gastrointestinal safety, risk factors, clinical and case studies, and cost effectiveness of the COX-2 inhibitors.
