A descriptive study examining postdischarge patient needs after laser ablation and transuretheral resection of the prostate.

This descriptive study identifies and describes the postdischarge experiences in two groups of patients with benign prostate hyperplasia. The two patient groups included 12 patients who underwent laser ablation and 12 patients who underwent traditional transuretheral prostatectomy. A questionnaire was developed and used to examine the postoperative experiences of the two groups after discharge. The questionnaire obtained demographic information from medical records and examined the types of assistance required at home, the need to contact health professionals, difficulties encountered after catheter removal and the amount of time until resolution of symptoms and a return to normal activities. The laser ablation group were discharged home with an indwelling catheter, and thus were required to complete additional questions regarding their experiences of going home with a catheter and leg bag. The results indicate the laser ablation group went home with an indwelling catheter and reported a higher frequency of symptom distress and technical problems in caring for the leg bag. The laser ablation group also sought more assistance from health professionals. These problems were not demonstrated in the traditional transuretheral prostatectomy group, who remained in hospital until the catheter was removed. This study demonstrates the need for further nursing research examining patient issues that occur during the postdischarge recovery phase.

A comparative descriptive study of patients admitted to a high dependency unit after major and non-major surgery.

Monash Medical Centre, a large major hospital in Melbourne Australia, recently opened a high dependency unit (HDU) at its Moorabbin campus. The present study was designed to examine two patient groups admitted to the unit after major and non-major surgical procedures. Another aim in the study was to describe the services required by these patients and to compare the two groups with regard to length of stay in the HDU, severity of illness, and pain control. The results of this study indicate that the HDU provided a valuable and needed service to a population of patients who have been identified as at risk of postoperative complications. The findings appear to agree with other research which suggests that nurses consistently rate patients' pain as less severe than patients' own ratings of pain indicate. Thus nurses appear to overestimate patients' perception of pain control. This study again indicates that even though it is generally recognised by nurses that patients are in pain the management of it is such that pain continues to be inadequately controlled.

RSI revisited: evidence for psychological and physiological differences from an age, sex and occupation matched control group.

The present study sought to examine psychological characteristics and function of primary afferent nociceptive mechanisms, as indexed by capsaicin-induced flare responses, in subjects suffering from RSI (n = 72) and in pain free control volunteers (n = 69). After completing a battery of psychological tests including the McGill Pain Questionnaire, Visual Analogue Scale and Word Descriptor Scale for pain, the Profile of Mood States, Illness Behaviour Questionnaire and Multidimensional Health Locus of Control, the neurogenic flare response was assessed on the right and left forearms and across the trapezius at the shoulder. When compared to controls RSI subjects displayed higher levels of mood disturbance and some abnormal patterns of illness behaviour. A reduction in flare size was observed in the pain affected limb of RSI subjects, but an increased response occurred in sites reported as unaffected by clinical pain. Multiple regression analysis revealed that the severity of clinical pain was strongly associated with the magnitude of reduction in flare size. Collectively, these findings provide objective evidence of altered nociceptor mechanisms in RSI subjects, and are consistent with the view that this chronic pain syndrome involves somatic pathophysiology. However, a strong conviction regarding the somatic basis of their symptoms, and a denial of psychological factors may have contributed to the more severe affective disturbance and greater subjective emphasis on the presence of pain.

A double-blind clinical trial to compare the efficacy of an active based cream F14001 against a placebo non-active based cream for the treatment of pressure ulcers in a population of elderly subjects.

A double-blind clinical trial was conducted to compare the efficacy of an active based cream against a placebo non-active based cream in the healing of superficial pressure ulcers in a population of geriatric hospital patients and residents in community nursing homes. The active group showed a small significant beneficial effect at week four. The overall results of the trial also demonstrated a significant improvement in ulcer size over the duration of the trial period in both active and placebo groups.