RESUMO
Lupus anticoagulant and anticardiolipin are antiphospholipid antibodies. The presence of either or both antiphospholipid antibodies may result in antiphospholipid antibody syndrome, which is typified by recurrent venous or arterial thrombosis, recurrent fetal loss, and thrombocytopenia. Many features of this syndrome are not well understood, including its prevalence, how and why antiphospholipid autoantibodies develop, and their definitive role in disease states. In clinical practice, nurses care for patients and families with antiphospholipid antibody syndrome who require treatment, education, and support.
Assuntos
Síndrome Antifosfolipídica/terapia , Aborto Habitual/etiologia , Idoso , Anticorpos Antifosfolipídeos/imunologia , Anticoagulantes/uso terapêutico , Síndrome Antifosfolipídica/diagnóstico , Síndrome Antifosfolipídica/imunologia , Aspirina/uso terapêutico , Feminino , Morte Fetal/etiologia , Heparina/uso terapêutico , Humanos , Masculino , Gravidez , Trombose Venosa/etiologiaRESUMO
Educational institutions are being asked to develop more meaningful ways to measure student learning. The critical care nursing faculty at this baccalaureate institution have delineated a process of outcomes-based education that they use as evidence of successful learning in their course. The faculty regard this as an ongoing project in which this evidence can only lead to continuing improvement.
Assuntos
Cuidados Críticos , Currículo , Bacharelado em Enfermagem/organização & administração , Avaliação de Resultados em Cuidados de Saúde/organização & administração , Competência Clínica , Medicina Baseada em Evidências , Humanos , Pesquisa em Educação em EnfermagemRESUMO
The case studies represent three different types of critical care nursing challenges. The objective of each case study is to identify a key nursing problem and focus on nursing research or nursing behavior that made or could have made the greatest difference to the patient outcome. The first case is of a man with Buerger's disease who had unmet needs regarding pain control. The second patient had an out-of-hospital ruptured abdominal aortic aneurysm and survived a rough, 7-week hospitalization. Major complications included coagulopathy and rhabdomyolysis. Critical care nursing expertise in early assessment and intervention was integral to survival for this patient. The third case is of an elderly woman with an extensive medical history who experienced repeated prosthetic aortic graft infections, skin breakdown, and poor wound healing. The highlighted research is on low air loss beds. The critical care nurse made a significant difference in increasing each of these patient's chances for a successful hospital outcome.
Assuntos
Aneurisma da Aorta Abdominal/enfermagem , Ruptura Aórtica/enfermagem , Prótese Vascular/efeitos adversos , Cuidados Críticos/métodos , Infecções Relacionadas à Prótese/enfermagem , Tromboangiite Obliterante/enfermagem , Adulto , Idoso , Feminino , Humanos , Masculino , Enfermeiros ClínicosRESUMO
A course was taught to registered nurse students using videotaped classes shown on a bus while students commuted to and from a distant clinical site. Course outcomes for this group were compared with course outcomes for a traditional classroom-taught group of registered nurse students. Outcomes were quite similar, thus making this method of technology use and time management an appropriate teaching outreach/recruitment technique for the college to use with the registered nurse student population.
Assuntos
Bacharelado em Enfermagem/métodos , Reeducação Profissional/métodos , Ensino/métodos , Gravação de Videoteipe , Adulto , Avaliação Educacional , HumanosRESUMO
Bulimia is an eating disorder characterized by behaviors which can lead to very serious health problems. Behaviors such as binging and purging and abuse of emetics, diuretics, or laxatives can cause serious complications, sometimes of a critical nature. Nurses must maintain a high index of suspicion for this disorder and use skillful assessment and intervention to prevent the critical multisystem complications of bulimia.
Assuntos
Bulimia/complicações , Insuficiência de Múltiplos Órgãos/fisiopatologia , Desequilíbrio Hidroeletrolítico/etiologia , Adulto , Bulimia/enfermagem , Bulimia/fisiopatologia , Cuidados Críticos , Feminino , Humanos , Insuficiência de Múltiplos Órgãos/prevenção & controle , Desequilíbrio Hidroeletrolítico/fisiopatologiaRESUMO
This article describes how to implement a baccalaureate level course in critical care leadership and management and emphasizes the value of this course in recruiting and developing critical care nurses with leadership abilities.
Assuntos
Cuidados Críticos , Bacharelado em Enfermagem , Liderança , Supervisão de Enfermagem/normas , Currículo , Humanos , Seleção de Pessoal/métodosRESUMO
Ulcerative colitis and Crohn's disease have been on the increase in terms of incidence, prevalence, and virulence. The young adult population is affected most frequently and most severely. The cause of inflammatory bowel disease is unknown, but many misconceptions exist about its etiology. Nurses need to be familiar with the similarities and differences between the two illnesses, the treatment, and the prognosis in order to be effective care givers. Good health care can make a significant contribution to the quality of life the patient subsequently has.
