Use of nursing homes in Baccalaureate nursing education.

Although the use of nursing homes in nursing education has been described in the published research, no current report exists outlining guidelines for faculty if they desire to use nursing homes for their undergraduate nursing courses. Thus, the purpose of this paper is to identify courses that are best taught in nursing homes and the approaches faculty can implement when using nursing homes for student experience. The use of nursing homes for the courses in fundamentals, leadership and management, research and community health is discussed. A step-by-step approach for faculty to initiate the use of nursing homes for undergraduate teaching is also provided. The nature of the faculty, the characteristics of nursing home settings and the characteristics within the community will affect students' learning experiences and effectiveness. Thus, it is important to consider nursing homes as appropriate for certain types of learning needs.

Use of home and community-based services by elderly black and white females.

The study purpose was to determine the impact of demographic, social, environmental, and health indicators on utilization of community-based services among black and white female elders. Existing data from a regional Area Agency on Aging was used and the sample (N = 1816) included low income and rural females. Races differed in use and services most frequently used were case management, outreach, congregate meal, and home delivered meals. Multiple linear and logistic regression indicated that age, payment source, income adequacy, residence, health conditions, sensory impairment, and function were associated with the number and types of services used, but these differed by race. Study findings have implications for health care providers, educators, policy makers, and planners.

Differences in functional status, health status, and community-based service use between black and white diabetic elders.

This study examined differences between 280 black and 269 white diabetic elders (n = 549) in functional and health status and use of community-based services. Cox's Interaction Model of Client Health Behavior provided the theoretical framework. Nonparametric analysis of variance, independent groups t-tests, and chi-square statistics were used. There were no significant differences between the groups in health status or ADL difficulty as a measure of functional status. White diabetic elders had significantly more IADL difficulty. Community-based service use was significantly lower among black diabetic elders, but both groups underutilized services. Findings have implications for health care delivery systems, health policy, case management, health outcomes evaluation, and advanced practice.

Integrating electronic conferencing to enhance problem solving in nursing.

The authors describe how a computer-mediated conference was integrated into a baccalaureate nursing program clinical course. They discuss methods used in implementing the conference, including a technical review of the software and hardware, and methods of implementing and monitoring the conference with students. Examples of discussion items, student and faculty responses to posted items, and responses to use of the computer-mediated conference are included. Results and recommendations from this experience will be useful to other schools integrating computer-mediated conference technology into the nursing school curriculum.

[Complications of tonsillectomy]. / Powiklania operacyjnego leczenia migdalków.

The surgical treatment of the tonsils may cause different complications including even death. The author gives the examples of such complications and also pays attention to the importance of being cautious during this intervention.

[100 years of modern tonsillectomy]. / Stulecie wspólczesnej tonsylektomii.

The author has described a historic progress of tonsillectomy. He has also noticed that in present decade passes 100 years from the first execution of tonsillectomy (in today meaning of that intervention). Observing the development of the technics of tonsillectomy the author came to the conclusion that nowadays palate tonsils are removed in classical way ("dissection Method") or by "guillotine Method".

[Tonsillectomy. Analysis of the data for the 25-year period]. / Operacje migdalków. Analiza materialu z 25 lat.

The author analysed the 38734 out of 39653 tonsillectomies performed in region of Gdansk during the years 1961-85. Age, sex and kind of intervention were evaluated (adenoidectomy, tonsillectomy, adenotonsillectomy and others). The frequency of above mentioned surgery was reduced during these 23 years by 32% (from 14.5 to 9.8 for 10,000). The great majority of this surgery was performed in children aged 3 to 7 years. The rarest age was below 3 and over 40. Under the age of 11 years prevailed boys, over 11 girls. Adenoidectomy represented 65% of cases, adenotonsillectomy only 6.6%. The tonsillotomy was also present. The author discussed the reason of decreasing number of tonsillectomy.