Search PubMed⌕ Search

Biomedical subjects

C Ratliff

Publications and source records attributed to C Ratliff.

11 recordsLinked to original sources
PubMed2000

A brief history of advanced practice nursing and its implications for WOC advanced nursing practice.

Although the evolution of clinical nurse specialists and nurse practitioners during the previous several decades has led to a sense of novelty regarding advanced practice, it is important to remember that nurses have engaged in such roles for nearly 100 years. This article will review the history of advanced nursing practice, summarize current definitions of specialty and advanced practice, discuss the evolution of advanced practice and its impact on contemporary nursing, and provide a background for advanced practice considerations for the WOC nurse, which are discussed in detail in subsequent articles by Janice Beitz (pp 55-64) and Dorothy Doughty (pp 65-8) in this issue.

History, 20th Century↗
PubMed1997

The development and implementation of an integrated multidisciplinary clinical pathway.

Clinical pathways, linear time-related representations of patient care processes, are widely encouraged as a mechanism to outline efficient, cost-effective, multidisciplinary care. The translation of pathways from concept to reality is, however, predictably difficult. All caregivers are dedicated to a common goal, but organizational, personal, and professional perspectives are barriers to development of a common tool. Moreover, the building process requires the discovery, articulation, and communication of previously tacit patient care processes. Although no prescription can work for all pathway development, some strategies can help ensure the best possible chance of pathway success. Participants must recognize that between-patient variability can be expected to decrease with pathway implementation, and educational processes must support that aim. "Stakeholder groups" must be identified and their investment must be assessed, with careful attention paid to acquiring the unconditional support of institutional leadership. Planning of precise building, implementation, and piloting processes, with provision for facilitation of building and implementation processes, is critical. Those charged with pathway development must commit to the establishment and explication of clear goals (economic and quality outcomes) and to careful integration of the pathway with planned and existing continuous quality improvement processes. These strategies are illustrated with actual experiences in implementing cystectomy and pressure ulcer pathways in one academic medical center.

Communication↗
PubMed1997

Development and implementation of a clinical pathway for radical cystectomy and urinary system reconstruction.

A multidisciplinary pathway and patient guide for radical cystectomies is described. Various forms of urinary diversion may be employed after cystectomy for bladder cancer. A clinical pathway for the management of patients undergoing radical cystectomy and urinary diversion or neobladder construction has proved beneficial to patient care, to the nursing and medical staffs, and to the institution.

Critical Pathways↗
PubMed1995

The chronic wound care clinic: "one-stop shopping".

The principal goals of wound management are the provision of effective care and cost containment. An outpatient clinic dedicated to the management of chronic wounds offers several advantages over traditional, more fragmented approaches. The Chronic Wound Care Clinic at the University of Virginia Health Sciences Center, a multidisciplinary outpatient clinic, provides "one-stop shopping," allowing patients to benefit from coordinated care provided in a single setting. Overviews of the clinic's history, philosophy, and structure are presented. A case study illustrates the rapid wound healing and cost savings of one patient cared for at the clinic.

Adult↗
PubMed1993

Associations of HLA-DR and HLA-DQ types with anti-GBM nephritis by sequence-specific oligonucleotide probe hybridization.

Twenty-three patients from the United States with anti-glomerular basement membrane nephritis (Goodpasture's syndrome) were HLA class I and class II typed by serology and HLA-DR and HLA-DQB typed using sequence-specific oligonucleotide (SSO) probes. Protocols used were those of the 11th International HLA Workshop. We were able to confirm the strong association of DR2 with the disease and, using the molecular techniques, showed that all DR2 patients were restricted to DRB1-1501 and DQB1-0602 alleles. We also found highly significant associations between disease and the alleles of DRB1-0301 and DQB1-0201. DR4 alleles as a group were not significantly more frequent among patients, but the allele DRB1-0404 did appear to be associated with the disease. The use of SSO typing provides an expanded opportunity for refined analysis of HLA and disease associated alleles.

Base Sequence↗
PubMed1991

Detection of tricuspid regurgitation by Tc-99m DTPA renal scintigraphy.

Tc-99m DTPA renal scintigraphy is an established technique for evaluating renal perfusion and function. A patient is described with clinically unsuspected tricuspid regurgitation detected during the perfusion phase of renal scintigraphy and confirmed by Doppler echocardiography. A review of extrarenal anomalies detected during renal blood flow imaging is presented.

Aged↗
PubMed1989

Pulse oximeters.

Explore the source record for details and available documents.

Humans↗
PubMedDate not supplied

Impaired skin integrity related to radiation therapy.

Skin reactions associated with radiation therapy require frequent nursing assessment and intervention. Preventive interventions and early management can minimize the severity of the skin reaction. With the understanding of the pathogenesis of radiation skin reactions, the ET nurse can determine who is at risk and then implement preventive measures. Because radiation treatment is fractionated, skin reactions do not usually occur until midway through the course of therapy and will subside within a few weeks after completion of radiation. Many patients and their families still fear that radiation causes severe burns. Teaching and anticipatory guidance by the ET nurse is needed to assist patients and their families to overcome this fear, and to educate them on preventive skin care regimens.

Humans↗