ABSTRACT
ABSTRACT: Myxedema coma (MC) develops from a long-standing, unrecognized, or untreated hypothyroidism. This article discusses the pathophysiology, clinical manifestations, treatment, and nursing considerations for patients with MC.
Subject(s)
Hypothyroidism , Myxedema , Coma/drug therapy , Coma/etiology , Humans , Hypothyroidism/complications , Hypothyroidism/diagnosis , Hypothyroidism/drug therapy , Myxedema/drug therapy , Myxedema/therapyABSTRACT
BACKGROUND: An increase of ethnic minorities in the United States heightens concerns for health disparities. International service-learning provides an immersion in a community to identify issues related to culture and health. This study reports nursing students' experiences related to participation in an international service-learning project. METHOD: A qualitative phenomenological design was used. Twenty participants who immersed in the community for 9 days were interviewed. Two semistructured focus interviews were audio recorded, transcribed, and analyzed using thematic analysis. RESULTS: Four themes emerged: Value Communication, Appreciate Differences, Provide Education, and Accept Humanity. CONCLUSION: This experience highlights the needs of diverse communities and enhances participants' skills to deliver culturally competent care with better education, compassion, and communication. By exploring students' experiences, service-learning experiences may be better understood as a pedagogy for teaching cultural competency and improving health outcomes in diverse populations. [J Nurs Educ. 2020;59(9):485-492.].
Subject(s)
Cultural Competency , Students, Nursing , Communication , Cultural Competency/education , Humans , Learning , United StatesABSTRACT
Preeclampsia is a hypertensive disorder of pregnancy defined as new-onset hypertension that develops during pregnancy and resolves after delivery. Using a case history as an illustration, this article discusses hypertensive disorders of pregnancy with a focus on preeclampsia and its renal implications.
Subject(s)
Pre-Eclampsia/nursing , Pre-Eclampsia/physiopathology , Renal Insufficiency, Chronic/etiology , Adult , Female , Humans , Nursing Assessment , Pregnancy , Risk FactorsABSTRACT
Although minimal change disease (MCD) is a major cause of nephrotic syndrome in children, it's less common in adults. It develops from damage to the glomeruli with a loss of large amounts of protein in the urine. Early recognition and treatment is the key to a good outcome. This article describes the diagnosis, treatment, and nursing care of an adult with MCD.
Subject(s)
Nephrosis, Lipoid/diagnosis , Nephrosis, Lipoid/nursing , Humans , Kidney Glomerulus/anatomy & histology , Kidney Glomerulus/physiology , Male , Middle Aged , Nephrosis, Lipoid/epidemiology , Patient Education as Topic , PrevalenceABSTRACT
Esophageal perforation (EP) can be a complication of radiofrequency ablation, a standard treatment for certain patients with drug-refractory atrial fibrillation. This article discusses the etiology, clinical manifestations, and diagnosis of EP, as well as nursing care for patients with EP.
Subject(s)
Catheter Ablation/adverse effects , Esophageal Perforation/etiology , Esophageal Perforation/nursing , Aged, 80 and over , Atrial Fibrillation/surgery , Emergency Nursing , Esophageal Perforation/complications , Esophageal Perforation/diagnosis , Humans , Male , Nursing DiagnosisSubject(s)
Hypopituitarism/nursing , Humans , Hypopituitarism/physiopathology , Male , Middle Aged , Nursing DiagnosisABSTRACT
PURPOSE: The prevalence of diabetes is increasing in Hmong Americans, an understudied ethnic minority group. This research sought to identify barriers and facilitators related to the diabetes education experience of Hmong Americans with type 2 diabetes, living in central California. METHOD: This qualitative study employed a hybrid design to identify barriers and facilitators to diabetes education. Two focus group interviews were conducted among 16 participants. FINDINGS: The three barriers identified are language, self-management, and stress; the three facilitators are focused culturally specific education, use of media, and peer support group. A priori elements of the Study of Access framework were confirmed. DISCUSSION/CONCLUSION: There is a need for diabetes education in Hmong Americans. Health care access and education should incorporate culturally appropriate strategies that could improve health outcomes for the Hmong. IMPLICATION: To improve diabetes care in the Hmong population, health educators should consider the use of cultural competency, language assistance, and culturally appropriate education to achieve better clinical outcomes.
Subject(s)
Asian/education , Asian/psychology , Diabetes Mellitus, Type 2/therapy , Patient Education as Topic/standards , Adult , Aged , California , Cultural Competency/psychology , Diabetes Mellitus, Type 2/diagnosis , Diabetes Mellitus, Type 2/physiopathology , Female , Focus Groups/methods , Humans , Male , Middle Aged , Patient Education as Topic/methods , Qualitative ResearchABSTRACT
Successful management of diabetes depends on the individual's ability to manage and control symptoms. Self-management of diabetes is believed to play a significant role in achieving positive outcomes for patients. Adherence to self-management behaviors supports high-quality care, which reduces and delays disease complications, resulting in improved quality of life. Because self-management is so important to diabetes management and involves a lifelong commitment for all patients, health care providers should actively promote ways to maintain and sustain behavior change that support adherence to self-management. A social ecological model of behavior change (McLeroy, Bibeau, Steckler, & Glanz, 1988) helps practitioners provide evidence-based care and optimizes patients' clinical outcomes. This model supports self-management behaviors through multiple interacting interventions that can help sustain behavior change. Diabetes is a complex chronic disease; successful management must use multiple-level interventions.
