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Biomedical subjects

C P Hermann

Publications and source records attributed to C P Hermann.

7 recordsLinked to original sources

Drawing to learn and win.

Many games developed for use in nursing education have been very specific in nature and useful for only certain content and purposes. In contrast, Draw-Learn-Win can be reproduced easily with different groups, settings, content, and supplies. Any number of students may play the game. Clinical sites, as well as classrooms, provide environments conducive to playing the game. In addition to use with students, Draw-Learn-Win can be easily adapted for use in teaching clients of all ages. Using the game with different groups in a variety of settings challenges the creativity of all involved.

Education, Nursing, Baccalaureate↗

[Prevention of thromboembolism in hysterectomies with low molecular weight heparin Fragmin].

In comparison to standard heparins, the low-molecular types are said to have equal or better antithrombotic action and--since they affect coagulation less--to induce fewer hemorrhage complications. As they have a longer biologic half-life, a single subcutaneous injection per day is sufficient. In a prospective randomized study patients who had undergone vaginal and abdominal hysterectomy were given either the low-molecular heparin Fragmin (n = 95) or a combination of heparin-dihydergot (n = 98) as prophylaxis against thrombosis. Dosages of Fragmin were 2 X 2500 anti-Xa units on the day of surgery (Day 1) and 1 X 5000 anti-Xa units from Days 2 to 8; the dosage of heparin-dihydergot (HDHE) was 2 X 5000 IU heparin with 0.5 mg DHE from Days 1 to 8. There was no difference between the two groups with regard to the tendency to intraoperative bleeding, the incidence of severe wound hematomas and the postoperative hemoglobin course. Blood quantities in the drains were somewhat higher in the Fragmin group. Hemostasis studies showed that, also in patients on Fragmin, the activated partial thromboblastin time, thrombin time and reaction and clot formation time in the thromboelastogram are significantly prolonged three to four hours after injection. The heparin activity measured as the anti-Xa factor was higher by a factor of ten in patients on Fragmin than in those on HDHE. The thromboserate, recorded thermographically with the DeVeTherm unit, was the same in the two groups. Subjective acceptance of Fragmin prophylaxis was distinctly higher. Further studies to establish the required dose and show the effectiveness of low-molecule heparins seem necessary.

Blood Coagulation Tests↗

'Professional rehabilitation nursing': an elective course for nursing students.

An elective course, "Professional Rehabilitation Nursing," was developed at the University of Louisville School of Nursing to examine the scope of professional nursing practice in selected cardiac, neurologic, and pulmonary rehabilitation settings. In this elective, rehabilitation professionals presented content in their respective areas of expertise. Course methods focused on group discussions and client contact in rehabilitation settings. Students praised the course as informative and enjoyable.

Curriculum↗

Planning for study abroad.

There is more to planning for study abroad than buying airplane tickets. Providing a successful course away from the host institution requires a great deal of planning by the educator. This planning includes course development, budget, marketing, travel, housing, food, and entertainment. Careful preparation provides both the educator and student a unique and enriching experience that goes beyond the traditional course.

Education, Nursing↗

Development of a faculty work load formula. The teaching component.

In response to a university mandate and general faculty dissatisfaction with work assignments, faculty developed a faculty work load formula. The authors discuss the development of the teaching portion of the formula. Implementation of the formula and publication of teaching work loads has resulted in greater awareness of other's responsibilities, improved faculty morale, increased accountability, and a greater sense of control. Some problem areas are also discussed.

Attitude of Health Personnel↗

Spiritual needs of dying patients: a qualitative study.

PURPOSE/OBJECTIVES: To identify dying patients' definitions of spirituality and their spiritual needs. DESIGN: Descriptive, qualitative. SETTING: Participants' places of residence. SAMPLE: 19 hospice patients (10 females and 9 males), mean age 72, with a range of length of time as a hospice patient of 2 weeks to 12 months. METHODS: Semistructured interviews were conducted. Interview transcripts and field notes were analyzed to reduce data into codes and themes. Data were coded by extracting verbatim phrases used to describe spirituality and spiritual needs. Themes emerged from the data as commonalities among the codes developed. MAIN RESEARCH VARIABLES: Meaning of "spiritual" and perceived spiritual needs. FINDINGS: Participants initially defined spiritual as relating to God or religion; however, as interviews progressed, it was apparent that their spirituality was a part of their total existence. Twenty-nine unique spiritual needs were identified and grouped into six themes: need for religion, need for companionship, need for involvement and control, need to finish business, need to experience nature, and need for positive outlook. CONCLUSIONS: Participants perceived spirituality as a broad concept that may or may not involve religion. Spiritual needs were likewise broad in scope and were linked closely to purpose and meaning in life. IMPLICATIONS FOR NURSING PRACTICE: Spiritual care of dying patients is within the scope of nursing practice. Spiritual needs are quite varied and encompass more than religion. If nurses are to enhance the quality of life of dying patients, spiritual needs must be addressed.

Aged↗