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Biomedical subjects

A Gawlinski

Publications and source records attributed to A Gawlinski.

15 recordsLinked to original sources

Animal-assisted therapy in the intensive care unit. A staff nurse's dream comes true.

This article presents an example of how one staff nurse was able to implement change in clinical practice on the basis of research. After reviewing the literature on AAT, I was able to implement this therapy for critically ill patients and families. Patient satisfaction surveys indicate that patients have benefited from this change. Patients report feelings of increased happiness, calmness, more feelings of love, and less loneliness. This example shows how staff nurses, a highly motivated and knowledgeable group, provide a fertile arena for bridging the research-practice gap.

Animals

Practice protocols: development and use.

This article discusses the use of practice protocols in the clinical setting and delineates the role of the clinical nurse specialist (CNS) as an advanced practice nurse in their development and use. Practice protocols are defined, compared, and contrasted with other documents that direct clinical practice. A case study is presented that demonstrates how the CNS works collaboratively with other disciplines to develop and to implement practice protocols.

Clinical Protocols

Evaluating cardiopulmonary instability with continuous monitoring of mixed venous oxygen saturation.

This article presents three cases that demonstrate the clinical application of mixed venous oxygen saturation monitoring. These case studies reflect how the critical care nurse integrates the physiology of oxygen delivery and consumption as well as critical thinking in making decisions regarding the care of patients with cardiopulmonary instability. This information gives the clinician immediate data from which therapeutic decisions are made to achieve positive patient outcomes.

Adolescent

Effect of positioning on mixed venous oxygen saturation.

Positioning critically ill patients is a frequently used intervention in nursing practice. However, positioning can have a beneficial or adverse effect depending on the effect on oxygen delivery and oxygen consumption. This article examines the physiologic effect of positioning on the balance between oxygen delivery and oxygen consumption. In addition, a critical analysis of the research on the effect of positioning on mixed venous oxygen saturation is presented. Recommendations for patient management are discussed as well as the implications for future research.

Clinical Nursing Research

Coronary artery fistulas: a review and case study.

Coronary artery fistula is a congenital abnormality that can present with a variety of cardiovascular complications. This article presents a patient with a coronary artery fistula outlining the pathophysiology and course of hospitalization, with particular emphasis on nursing management of a patient with coronary artery fistula.

Adult

Evaluating oxygen delivery and oxygen utilization with mixed venous oxygen saturation monitoring: a case study approach.

Three cases studies are presented to demonstrate clinical application of mixed venous oxygen saturation (SvO2) monitoring in critical care nursing practice. Examples of critically ill patients are used to demonstrate how SvO2 monitoring can be used in clinical practice to reflect an imbalance between oxygen delivery and oxygen utilization. In the first case, the patient had a problem with oxygen delivery. Continuous SvO2 data aided nurses in guiding, adjusting, and assessing therapy. The second case demonstrates how SvO2 monitoring can provide an early sign of a life-threatening complication. The final case is one in which the patient had a problem with oxygen utilization. In all the cases, continuous SvO2 data provided important information about the balance between oxygen delivery and oxygen utilization.

Adolescent

Nursing care after AMI: a comprehensive review.

Although inadequately controlled, results of studies of cardiac rehabilitation suggest a decrease in mortality and morbidity for patients who adhere to an exercise program. These findings, however, have not been substantiated by better controlled studies. The potential benefits of cardiac rehabilitation include hemodynamic, physiologic, and symptomatic improvement. Risk factor modification, however, must also be emphasized. The hemodynamic and physiologic improvements that have been attributed to peripheral adaptations and central changes in myocardial perfusion or ventricular function have not been consistently documented. A supervised cardiac rehabilitation program, however, places the patient at no increased risk, and the qualitative improvement experienced by many patients strongly support its use.

Coronary Care Units