Search PubMed⌕ Search

Biomedical subjects

C Montgomery

Publications and source records attributed to C Montgomery.

66 records · Page 4Linked to original sources
PubMedDate not supplied

Implementing cancer pain education for medical students.

PURPOSE: The purpose of this study was to develop and pilot a cancer pain education course for medical students, using a structured home hospice visit. DESCRIPTION OF STUDY: A 1-hour home hospice visit was presented to 57 senior medical students. The content and objective criteria for the structured home hospice visit were developed by a multidisciplinary group of experts. During a 1-hour interview, students completed a cancer pain history, performed a focused physical examination, and received feedback and teaching regarding the essentials of cancer pain management from the hospice nurse. All students and hospice patients completed a multi-item evaluation questionnaire with a 5-point Likert scale (1=strongly disagree; 5=strongly agree) regarding the structured home hospice visit. RESULTS: Most students agreed strongly that the home hospice visit was a positive experience (mean +/- SD 4.8 +/- 0.44) that helped them to understand the management of cancer pain (mean 4.7 +/- 0.46) and opioid-related side effects (mean 4.5 +/- 0.57). Most patients enjoyed visiting with the students (mean 4.90 +/- 0.30), agreed that the visit was not tiring (mean 4.81 +/- 0.51), and felt that they benefited from participating (mean 4.76 +/- 0.54). CLINICAL IMPLICATIONS: The authors concluded the following: 1) that medical students benefited from learning about cancer pain assessment and management through the use of a structured home hospice visit; 2) that a structured home hospice visit helped the students to learn the basics of cancer pain management; 3) that patients enjoyed their role as teacher for medical students; and 4) that senior hospice nurses provided excellent instruction for medical students in the management of cancer pain.

Curriculum↗
PubMedDate not supplied

Caring and nursing's metaparadigm: can they survive the era of managed care?

Considering the growing power of third-party payers to control the length and methods of treatment, the authors summarize alternative treatment models of providing care. These models are evaluated within the context of nursing's metaparadigm. Clinical examples are provided to illustrate how focusing on client strengths and alternative solutions differs from more traditional approaches to treatment.

Empathy↗
PubMedDate not supplied

Mutagenicity and clastogenicity of N-chloropiperidine.

Chinese hamster ovary (CHO) cells were exposed to varying concentrations of N-chloropiperidine (NCP) for 3 or more hrs and harvested at different recovery periods for cytological analysis. Dose- and time-response curves for the cytostatic effects of NCP demonstrated a drastic reduction in percent cells with mitotic activity as NCP concentration increased. Analysis of control and treated cells for mitotic aberrations revealed that NCP-treated cells were characterized by abnormal nuclear division and distribution. The principal anomalies in nuclear division consisted of multipolar anaphase and ana-/telophase bridge-fragment configurations and laggards. Errors in nuclear distribution were mostly bi- and poly-macronucleation. Results of the cytogenetic studies showed that NCP-treated cells had a significant increase in chromosomal structural anomalies over those occurring in the control population. Exchange configurations, fragments and chromatid breaks were evident. CHO cell population exposed to NCP were also characterized by centromeric exaggeration.

Animals↗