RESUMEN
Home care for women experiencing high-risk complications of pregnancy is a growing phenomenon. Home-care protocols for basic antenatal visits and the common conditions managed at home, such as preterm labor, premature rupture of membranes, bleeding, pregnancy-induced hypertension, chronic hypertension, and diabetes during pregnancy, are presented. Knowledge of protocols guiding home care of the antepartum client enhances communication, collaboration, and coordination and ultimately fosters dialogue, which can improve the quality of care for women.
Asunto(s)
Enfermería en Salud Comunitaria/métodos , Servicios de Atención de Salud a Domicilio/organización & administración , Enfermería Maternoinfantil/métodos , Planificación de Atención al Paciente , Complicaciones del Embarazo/enfermería , Atención Prenatal/métodos , Protocolos Clínicos , Enfermería en Salud Comunitaria/educación , Femenino , Humanos , Enfermería Maternoinfantil/economía , EmbarazoRESUMEN
A clinical trial compared the efficacy of a mechanical device to deliver patient-controlled analgesia (PCA) (n = 25) with intramuscularly administered morphine (n = 17) for postcesarean pain management. Hypotheses were: (1) patient-controlled administration of narcotics will be superior (increased satisfaction, reduced pain, decreased sedation, increased ambulation, decreased length of stay), and (2) functional vital capacity will increase post-operatively with PCA. No differences in demographic variables were identified (P = less than or equal to .001). Differences in satisfaction (greater in PCA group, P = less than or equal to .05), ambulation (greater in PCA group, P = less than or equal to .001), amount of medication used (greater in PCA group, P = less than or equal to .001), and sedation level (less in PCA group, P = less than or equal to .05) were identified. No differences in vital capacity were identified. The hypothesis related to the superiority of PCA was accepted, while the association between PCA and increased vital capacity was not supported. The use of mechanical PCA devices provides an effective and safe means of managing postcesarean pain.
Asunto(s)
Analgésicos/administración & dosificación , Cesárea , Morfina/administración & dosificación , Dolor Postoperatorio/tratamiento farmacológico , Analgésicos/uso terapéutico , Protocolos Clínicos , Comportamiento del Consumidor , Femenino , Humanos , Inyecciones Intramusculares , Morfina/uso terapéutico , Dimensión del Dolor , Dolor Postoperatorio/etiología , Autoadministración/instrumentación , Capacidad VitalRESUMEN
All obstetric, gynecologic, and neonatal nurses need to protect themselves from exposure to the human immunodeficiency virus (HIV). The Centers for Disease Control's recommendations for the handling of blood and other body fluids of all patients are presented. Examples of body fluids are identified, and some suggestions for protection from HIV infection are listed. Some products and their suppliers are identified, and information about testing and resources is provided.