Comparing classification systems.
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Biomedical subjects
Publications and source records attributed to B S Jackson.
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A method of studying lymphatic drainage of the larynx was undertaken using radioactive colloids. Sites of injection were the true and false cords, aryepiglottic folds, anterior and posterior commissure, epiglottis and arytenoid. The patient was then scanned with the gamma camera 3 to 5 hours and again 24 hours post injection. Thirty-six patients were injected and results were recorded as to previous X-ray therapy, nodal activity post scanning, ipsilateral or contralateral and distant spread, and the type of radioactive particle--99mTc labeled sulfur colloid, 99mTc microalbumin (200-800 nm diameter), and 99mTc minimicroalbumin (less than 50 nm diameter). The three radiopharmaceuticals gave similar results. Previous X-ray therapy did not alter lymphatic drainage. Of 36 patients, 23 showed nodal activity on scintiscanning: none showed any axillary nor mediastinal activity.
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The first step in the nursing process is assessment. Facility with patient assessment skills precludes planning, implementing and evaluating patient care. Teaching patient assessment is time consuming and potentially anxiety-provoking. Classroom lectures and practice labs are not enough if students are to learn how to assess patients with pathophysiological responses. We found that clinical rounds on select patientw was a most important adjunct. Coordinating and conducting clinical rounds presents many problems but faculty and students are in complete agreement that the advantages far outweigh the disadvantages. We are hoping that others can "go to school" on some of our experiences as we will continue to do so.
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Six patients having colostomy surgery on an emergency or urgent basis were observed during the morning care period for the entire length of hospitalization. The primary purpose of this clinical study was to provide nurses with information on new colostomates' behaviors which have implications for nursing care during hospitalization and in planning for discharge. The evidence presented strongly suggests that colostomates' reactions and behaviors reflect their struggling with catastrophic events, the resolution of which is not reached by discharge. Colostomates are unique because of the nature of their surgery and the specific learning needs entailed, plus the skill, time, and money required to provide care. Yet their anxieties, fears, affects, the nature of their information-seeking and goal-setting, their efforts to deal with reality by controlling imput, and the ways in which they seek help and socialize, are all themes common among other groups of patients experiencing stress as the result of sudden illness or injury.
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