Search PubMed⌕ Search

Biomedical subjects

B Horn

Publications and source records attributed to B Horn.

At least 55 records · Page 3Linked to original sources
PubMed1991

Home intravenous therapy: Part I--Issues.

Concerns related to providing home intravenous therapy were among the top ten clinical problems identified by Northwest Medicare-certified home care agencies in a 1986 survey. This paper addresses issues related to home intravenous therapy and provides lists of resources for the development of home intravenous therapy programs. Part I of the paper covers concerns related to intravenous therapy as expressed by home care agencies in the Northwest and synthesized the literature about home intravenous therapies. Survey results are presented, followed by a discussion of client and caregiver concerns. These include: discharge planning, client admission criteria and client and caregiver education. Standards, staffing, and staff education issues are discussed followed by sections on economics, marketing regulations and legal and ethical concerns. Finally, there is a discussion of issues related to specific types of intravenous therapies: parenteral nutrition, antibiotic therapy; chemotherapy; blood and blood component therapy and other less frequently used types of intravenous therapies. Each therapy is discussed with regard to complications, client and caregiver instruction and financial considerations. Part II of the paper is a resource guide which lists resources that agencies may use to develop a home intravenous therapy program. In the first section, national organizations and journals and books concerned with intravenous therapy are listed as well as journal articles, guidelines and guidebooks and client and provider educational materials. National and regional product and service representatives of intravenous therapy related companies are also listed. In the second section, addresses for the State Boards of Nursing are given for Alaska, Idaho, Montana, Oregon and Washington. Each state section includes a list of those agencies who indicated in the 1988 survey that they would be willing to share materials. In addition, product and service vendors of intravenous therapy supplies and equipment are listed for the State of Washington.

Aged↗
PubMed1991

Home intravenous therapy: Part II--Resource guide.

Part II of the paper is a resource guide which lists resources that agencies may use to develop a home intravenous therapy program. In the first section, national organizations and journals and books concerned with intravenous therapy are listed as well as journal articles, guidelines and guidebooks and client and provider educational materials. National and regional product and service representatives of intravenous therapy related companies are also listed. In the second section, addresses for the State Boards of Nursing are given for Alaska, Idaho, Montana, Oregon and Washington. Each state section includes a list of those agencies who indicated in the 1988 survey that they would be willing to share materials. In addition, product and service vendors of intravenous therapy supplies and equipment are listed for the State of Washington.

Alaska↗
PubMed1990

[To your health, a toast to you, colleague...].

Using a medical district association meeting as an example, the problem of 'alcohol and doctors' is considered. According to numerous authors, doctors belong to a special alcohol risk population, although hardly anyone else is better acquainted with the risk of alcohol. With some courage and improved knowledge of the problem, one should be able to prevent a friend or a colleague from excessive alcohol abuse. The prognosis is by no means bad.

Alcohol Drinking↗
PubMed1987

Home health services in a climate of cost containment.

A survey of medicare certified agencies in the Northwest Region conducted to identify clinical problems of patients and families resulting from early discharge from hospitals revealed many concerns related to health care delivery. Major areas of concern were: Home Care and Community Services; Reimbursement and Funding; Rules and Regulations; Continuity of Care; Quality of Care; and Legal and Ethical Issues. Specific problems in each of the categories are discussed and strategies that home health agencies may utilize in addressing these areas are presented.

Aged↗
PubMed1987

[Music improvisation with schizophrenic patients--a controlled study in the assessment of therapeutic effects].

The effects of a course of music therapy with free improvisation, consisting of 27 sessions over a period of 6 months, were examined in a controlled study of matched therapy and waiting group, each comprising 7 patients with a diagnosis of schizophrenia or schizoaffective psychosis. The psychopathologic picture having essentially remained unaltered on the measuring instrument used (Lorr scales), significant positive changes were found in the self-assessment questionnaires completed by the participants. Improvements in recreational and social behaviours could not be shown. The disease and reintegration processes took similarly positive courses in both groups, supported by the extensive range of psychiatric/psychotherapeutic services available in the Munich area. The improvising orientation of the music therapy course had mostly been approved of by the patients, it however also gave rise to a desire for more structuring and a more goal-directed therapeutic approach. A tendency towards the initial values, i.e. a deterioration, was stated in the therapy group at follow-up six months post-therapy.

Adult↗
PubMed1983

Cultural beliefs and teenage pregnancy.

The influence of cultural variables on teenage pregnancy is not clearly understood. In-depth interviews with 20 Native American Indian, 17 black and 18 white teenage women indicated intercultural differences in beliefs about: (1) prevention of pregnancy, (2) significance of becoming a mother at an early age and (3) kinds of support systems available to them within their social network. The implications of these differences for nursing care include recognition and acceptance of intercultural differences and support of a decision-making model of pregnancy prevention for teenagers that incorporates diverse belief systems.

Adolescent↗
PubMed1982

A walk-in and telephone inquiry service: a function of a hospital social work department.

This article describes a study undertaken to evaluate the Walk-In and Telephone Inquiry Service provided by a social work department in a general hospital division of a large, voluntary, metropolitan teaching hospital. The major social work function provided in such a service is information and referral; to provide this service, a psychosocial evaluation and counseling are essential. This service is valuable to and utilized by many individuals, professionals and community agencies. It can become the point where individuals enter the health care system. Issues related to policy making, institutional costs and cost benefits are discussed.

Ambulatory Care↗
PubMed1978

[In-patient treatment of peptic ulcer with cimetidine. I. Effect on duodenal ulcer healing (author's transl)].

The effect of 300 mg cimetidine q.i.d. on ulcer healing was studied in a controlled double-blind clinical trial of 71 in-patients with duodenal ulcer. Healing occurred in 48.5% of patients in the cimetidine group after two weeks, and in 20.6% in the placebo group (P less than 0.05). The healing rate was 88% in the cimetidine group at four weeks, 79.4% in the placebo group. Only during the first day was ulcer pain significantly reduced in the cimetidine-treated patients. Neither basal nor pentagastrin-stimulated acid and pepsin secretions were affected by 17-day administration of cimetidine. The drug had to be withdrawn in two patients because of elevated serum-creatinine levels. There was no other untoward effect.

Adult↗
PubMed1978

[In-patient treatment of peptic ulcer with cimetidine. II. Controlled double-blind trial on gastric ulcer patients (author's transl)].

In a controlled double-blind clinical trial of 39 in-patients with gastric ulcer the effect of cimetidine on ulcer healing, ulcer pain and pentagastrin-stimulated acid and pepsin secretion was measured. A faster healing rate in the cimetidine group was statistically not significant. Cimetidine had no effect on ulcer pain and pentagastrin-stimulated acid and pepsin secretion. There were no serious untoward reactions.

Adult↗