New visions for professional development.
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Biomedical subjects
Publications and source records attributed to C G Grindel.
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Fatigue is a significant clinical problem for medical-surgical patients experiencing acute and chronic health problems. Fatigue can cause nutritional intake to suffer and compromises overall functional status. A thorough assessment of the factors associated with a patient's fatigue enables the nurse to develop a fatigue management plan and implement other strategies to minimize the negative consequences of fatigue.
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The impact of nursing care on client outcomes must be visible if nursing is to obtain its share of the health care dollar. The first step in substantiating nursing's input on health care is to describe the responsibilities for which nurses are accountable. The ANA Standards of Clinical Nursing Practice (1991a) identify those responsibilities, setting the stage for implementing practice guidelines.
Significant alterations in the nutritional patterns of the patient with cancer can inhibit the patient's ability to combat the disease and withstand the impact of cancer treatments. This study compared the food intake patterns of women with breast cancer receiving adjuvant chemotherapy with those of healthy women to determine if significant alterations in food intake occurred during the first six months of treatment. Results indicated that, although alterations in taste did occur, food aversions did not develop. Throughout the study, women with breast cancer were eating a significantly greater number of calories and food servings than women who did not have breast cancer. The women with breast cancer were likely to report taste changes for foods such as beef, pork, chicken, coffee, and cakes. However, these taste changes could not account for alterations in dietary intake.
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