Subject(s)
Ethicists , Ethics Consultation , Ethics, Medical , Job Description , Professional Role , Data Collection , Ethics Committees , Ethics, Clinical , Hospital Bed Capacity, 300 to 499 , Hospitals, Community , Hospitals, Voluntary , Interprofessional Relations , Joint Commission on Accreditation of Healthcare Organizations , Role , United StatesABSTRACT
Educational seminars on tissue donation are costly in terms of time, effort, and resources, for both the planners and the participants. Although long-term outcomes from these projects cannot always be practically assessed, specific short-term conclusions can be drawn and degrees of success measured. An ideal evaluation technique needs to address issues such as identification of participant interests, levels of existing participant knowledge, and participant reaction to presented materials. Assessment in these areas allows for subsequent modifications intended to produce more effective and interesting seminars. Such an evaluation technique has been developed, and it is presented here in the context of its application to an educational seminar on the topic of organ and tissue procurement with special reference to skin banking.
Subject(s)
Health Education/statistics & numerical data , Program Evaluation/methods , Skin Transplantation , Tissue Banks , Tissue Donors , Analysis of Variance , Awareness , Cognition , Cost-Benefit Analysis , Georgia , Goals , Humans , Models, TheoreticalSubject(s)
Colorectal Neoplasms/prevention & control , Mass Screening , Adult , Cost-Benefit Analysis , Female , Georgia , Humans , Male , Mass Screening/economics , Mass Screening/statistics & numerical data , Middle Aged , Occupational Health Services/statistics & numerical data , Program Evaluation , Surveys and QuestionnairesABSTRACT
As a result of clinical observation of 444 patients hospitalized for treatment of acute burn injury at Humana Burn Center between July 1983 and October 1986, we have developed a seven-stage method of assessing and assisting the burn victim's psychological recovery. This method delineates the stages in the normal psychological healing process in burn victims and offers specific suggestions for staff interventions to assist the patient at each stage. This method can be utilized in an integrated fashion by all members of the multi-disciplinary burn team to expedite the patient's psychological recovery and to maximize his compliance with necessary treatment modalities.
Subject(s)
Adaptation, Psychological , Burns/psychology , Social Adjustment , Stress Disorders, Post-Traumatic/etiology , Adult , Aged , Anxiety , Burns/complications , Burns/rehabilitation , Humans , Middle Aged , Pain/etiology , Wound HealingABSTRACT
Patient ratings of pain associated with autograft skin donor sites covered by an adherent polyurethane film dressing (Op-Site, Smith & Nephew) were collected using a modified Visual Analogue Scale. Analyses were undertaken to examine differences between pain levels under conditions of rest and activity, and with variations in application technique. It was found that with proper application and with at-rest patients, Op-Site-covered donor sites could be maintained relatively pain free. However, both specific conditions of application and increases in patient ambulation could result in the patient experiencing donor-site pain of an intensity comparable to concurrent burn-wound pain. To utilize fully their potential for pain control, the polyurethane film dressings must be appropriately applied and maintained, and their use coupled with an adequate analgesic regimen.
Subject(s)
Bandages/adverse effects , Pain/etiology , Polyurethanes/adverse effects , Adhesives/adverse effects , Adolescent , Adult , Aged , Burns/complications , Child , Humans , Middle Aged , Pain/psychology , Skin TransplantationABSTRACT
The incidence of psychological morbidity associated with delirium was compared between burn patients isolated in a bed-size plenum laminar air flow ventilation unit (PLAFVU) and matched control burn patients treated in standard open cubicles. In patients with burn sizes of less than 60 per cent of body surface area, delirium developed in 40 per cent of the patients treated in the PLAFVU, but only in 7 per cent of the matched control patients (P = 0.04). Most of the patients with burn sizes of 60 per cent or greater exhibited delirium regardless of the method of treatment. The development of psychological morbidity was more strongly associated with treatment in the PLAFVU than with common causes such as hyponatraemia or septicaemia. The present study suggests that in the majority of burn patients, i.e. those with less than 60 per cent burns, the development of psychological morbidity may in fact be influenced by types of treatment which affect patient psychology, rather than being solely the result of physiological derangements.
