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Biomedical subjects

B Price

Publications and source records attributed to B Price.

At least 37 records · Page 2Linked to original sources
PubMed1996

Dementia and personhood: a focus for care?

The philosophy of nursing emphasizes the importance of holistic care delivered to an individual and their significant others through a shared understanding of the person. Dementia, however, strikes at the very nature of personhood, and carers are challenged to re-evaluate how care can be adjusted to help preserve dignity and independence during a very variable span of deteriorating mental function. This paper explores the impact of dementia on patients and carers through the meanings of self and body image which give individuality to each of us. It concludes by highlighting how recognition of this may assist carers to accommodate the necessary changes associated with the illness.

Activities of Daily Living↗
PubMed1996

Breathing, sleep state, and rectal temperature oscillations.

Overheating may cause terminal apnoea and cot death. Rectal temperature and breathing patterns were examined in normal infants at home during the first 6 months of life. Twenty one infants had continuous overnight rectal temperature and breathing recordings for 429 nights (mean 20.4 nights, range 7-30) spaced over the first six months of life. Periods when breathing was 'regular' were directly marked on single night records. Sleep state was determined from respiratory variables. 'Regular' breathing was a reliable marker of 'quiet' sleep (specificity 93%). The duration of 'quiet' sleep increased from 6 to 22 minutes from two weeks to three months of age and then remained static, as did the proportion of sleep spent in the quiet phase (9% to 34%). Rectal temperature fell during 66% of quiet sleep and usually rose during rapid eye movement (REM) sleep. The drop in rectal temperature was maximal at the start of quiet sleep, whereas the maximum rise during REM sleep was reached after 10 to 15 minutes. Oscillations in rectal temperature are associated with changes in sleep and breathing state. The maturation of rectal temperature patterns during the first six months of life are closely related to a maturation of sleep state and breathing patterns.

Aging↗
PubMed1996

Career change: moving into the community.

An informed move into community nursing involves an understanding of the organizational, professional and skill-based changes associated with this field of practice. There is a wide choice of educational courses relevant to community nursing practice. Selection should be based on a long-term career plan. Career choices should always include flexible options for future career change.

Career Mobility↗
PubMed1996

Critical thinking.

Critical thinking is a process applied to midwifery theory, research and experience. It is a positive activity, responsive to context, drawing on negative and positive triggers and emotions to suggest ways of acting in future. Practice-based and reflective midwifery assignments should reflect the midwifery goals of critical thinking. This may require adjustments in assessment criteria and a questioning of standard academic conventions.

Clinical Competence↗
PubMed1996

Critical reading.

Evidence based practice is funded upon a systematic review of research and related literature. This extends to many reports and papers, spanning several different types of evidence. Critical reading involves asking different sorts of questions of each type of evidence. The process of evaluating such literature may be lengthy, and demand collaborative efforts amongst midwives, who draw upon local expertise in research, or one of the relevant databases. Changes in practice is mandated where midwives can point to sufficient systematically evaluated evidence in support of adjusted ways of delivering midwifery care.

Humans↗
PubMed1995

Assessing altered body image.

Like pain, altered body image remains highly personal, abstract and difficult to describe. It has taken nearly a century to define the concept of body image, and to construe a reasonable working definition of altered body image (ABI). During this time, the assessment of body image has focused upon the researcher and his/her needs, rather than the professional nurse, who must arrive at a practical means to understanding patients' distress, and identify possible solutions. In this paper the author suggests parameters for the assessment of ABI in the practical arena, based both upon ongoing asthma care research and the experience of practitioners developing body image counsellor roles. It is suggested that altered body image should be assessed as part of an integrated approach, and that the complicated risk or cathexis scales developed for psychological research have limited use within the clinical setting.

Body Image↗
PubMed1995

Education for nurses working abroad.

Studying abroad poses unique challenges. These relate to the course content, materials, study activities and support, as well as assessment and evaluation. Making a careful assessment of needs, study stamina and support can help students make the right choice. As education is often culturally biased, familiarity with the nursing culture from which the course comes may be the most important prerequisite for success.

Education, Nursing, Continuing↗
PubMed1995

The right questions to assess materials. Selecting distance learning material.

1. Distance learning provides real educational opportunities, equal to and complementary with, traditional taught programme approaches. 2. Important questions to ask about distance learning include relevance to practice, accessibility, quality assurance, assessment and value for money. 3. Distance learning need not be lonely and isolating, and can provide education that travels with students--important in today's professional context.

Distance Perception↗
PubMed1995

How do women choose to breastfeed?

Midwives generally rely on client education to get the message across that 'breast is best'. Research tends to ask why women bottlefeed rather than trying to find out how the decision to breastfeed is reached. The psychological theory of personal constructs might help to shed light on this difficult and frustrating area of midwifery.

Attitude to Health↗
PubMed1994

The role of suprahyoid block dissection in carcinoma of the floor of the mouth.

The efficacy of suprahyoid block dissection combined with radiotherapy, in the management of neck nodal disease was evaluated in 15 patients with carcinoma of the floor of mouth (abutting on the mandible) between 1983 and 1989. Ten males and 5 females had a mean age of 60.3 years. Suprahyoid block dissection was performed in 10 patients as initial treatment. Nine of these presented with a submandibular mass and one patient with a T4NO lesion had a prophylactic block performed. Suprahyoid block dissection was performed in five patients who developed a submandibular mass after completion of surgery and radiotherapy. Wound sepsis occurred in three patients, but resolved with conservative treatment. Clinical assessment of the suprahyoid mass was accurate in 65% of patients. Nodal recurrence occurred in one patient. Seven patients are alive and disease free after a mean of 64.5 months. Two other patients are alive, one with lung metastases, and one with a supraclavicular mass. Six patients have died, two of whom developed local recurrence, one who developed a supraclavicular mass, one after nodal recurrence, one with lung metastases, and one of an unrelated cause. Suprahyoid block dissection combined with radiotherapy is effective treatment for nodal control of patients with carcinoma of the floor of mouth. This procedure is associated with a low morbidity.

Adult↗
PubMed1994

The asthma experience: altered body image and non-compliance.

Asthma remains a frustrating and underestimated threat to health. Non-compliance with medication is a frequent problem, especially when asthma attacks are difficult to predict, and amongst children and young adults. Non-compliance has been attributed to shortfalls in patient education. There may, however, be an attitudinal-altered image dimension to the problem.

Adult↗
PubMed1993

Dignity that must be respected. Body image and the surgical patient.

Body appearance is socially valued but at significant risk through surgery and nursing actions. The use of drips, drains and catheters all disrupt body boundaries. It is important to question whether we need to invade such boundaries, and how quickly tubes or lines can be removed to promote dignity. Skin preparation is important for surgical access, infection control and body image. Shaving may not be the soundest approach to depilation.

Body Image↗
PubMed1992

Cholinesterases in the amyloid angiopathy of Alzheimer's disease.

Vessels affected by amyloid angiopathy in patients with Alzheimer's disease also displayed intense acetylcholinesterase and butyrylcholinesterase activity when examined by light and electron microscopy. The enzymatic properties of the vessel-bound cholinesterases were identical to those of the cholinesterases associated with senile plaques and neurofibrillary tangles. This cholinesterase activity is of unknown origin but represents one of the very few features common to all the major pathological markers of Alzheimer's disease.

Aged↗