ABSTRACT
With supporting the best neurodevelopmental outcomes possible, the doctor of nursing practice project was constructed. An educational program was created for nursing staff discussing the importance of kangaroo care and how to safely facilitate it in the intensive care setting. Following the education completion, kangaroo care was implemented. Data were collected exploring barriers to implementation, discharge on maternal breast milk, and parental feedback.
Subject(s)
Intensive Care Units, Neonatal , Kangaroo-Mother Care Method , Humans , Infant, Newborn , Child , Intensive Care Units, Pediatric , Parents/education , Critical CareABSTRACT
Communication is a central aspect of nursing care and is especially important when pertaining to progressive illnesses and end of life. This article reviews basic palliative care terminology and outlines a variety of communication frameworks from the "dos" to the "don'ts." These communication strategies are meant to be added to the nurse's "toolbox" so that nurses may use them in various scenarios. These communication tools are meant to help mitigate the stress and discomfort nurses often feel when using palliative communication or delivering bad news.
Subject(s)
Hospice and Palliative Care Nursing , Terminal Care , Child , Humans , Nurse's Role , Palliative Care/methods , Communication , Intensive Care Units, PediatricSubject(s)
Critical Care Nursing , Child , Humans , Forecasting , Critical Care , Pediatric Nursing , Intensive Care Units, PediatricABSTRACT
Introduction: Many barriers to physical activity (PA) exist for individuals with spinal cord injury (SCI). Social engagement may improve motivation to perform PA, which in turn may increase PA levels. This pilot study investigates how social engagement facilitated by mobile technology may reduce lack of motivation as a barrier to PA in individuals with SCI and demonstrates design implications for future technologies. Methods: A user-needs survey was conducted with participants in the community. We recruited 26 participants (16 individuals with SCI and 10 family members or peers). A participatory design process using semi-structured interviews was used to identify themes relating to PA barriers. Results: One theme related to PA barriers was lack of PA-focused forums to connect with peers. Participants with SCI considered connecting with other individuals with SCI more motivating than connecting with their family members. Another key finding was that participants with SCI did not perceive that personal fitness trackers were targeted towards wheelchair-based activities. Conclusions: Engagement and communication with peers who have similar functional mobility levels and life experiences can potentially improve motivation for PA; however, PA-motivational platforms are not tailored towards wheelchair-users. Our preliminary findings show that some individuals with SCI are not satisfied with current mobile-technologies for wheelchair-based PA.
ABSTRACT
Emergency departments across the United States struggle to balance the overutilization of emergency services. Nurse practitioners (NPs) practicing in emergency departments improve quality indicators leading to the increased efficiency, timeliness, and effectiveness of care. NPs providing emergency services improve multiple national metrics, such as door-to-provider time, patient satisfaction, diagnostic test ordering, and left without being seen rates. NPs should be aware of the positive impact they make on the quality of care. NPs should monitor and trend patient outcomes they directly effect. More research is needed to identify ways NPs can continue to improve the quality of emergency services provided.
Subject(s)
Emergency Service, Hospital/statistics & numerical data , Nurse Practitioners , Patient Outcome Assessment , Quality Indicators, Health Care/statistics & numerical data , Humans , United StatesABSTRACT
BACKGROUND: Recurrent ovarian torsion in a premenarchal adolescent girl is a rare event. Several methods of prevention using surgical plication have been proposed, which require varying degrees of technical expertise and can result in altered reproductive anatomy. CASE: A premenarchal adolescent girl presented with a history of salpingo-oophorectomy for torsion and recurrence treated by detorsion. She was evaluated for preventive strategies and underwent a laparoscopic oophoropexy, performed using transvaginal ultrasound guidance, to facilitate access should oocyte retrieval be indicated for future fertility. CONCLUSION: Recurrent ovarian torsion is an uncommon event, but given the possibility of permanent sterility, oophoropexy should be discussed. As assisted reproductive technology procedures become more common, oophoropexy designed to aid ovarian access should be considered before surgical intervention.
