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Biomedical subjects

D K Newman

Publications and source records attributed to D K Newman.

At least 19 recordsLinked to original sources
PubMed1995

Prevention of immune-mediated corneal graft destruction with the anti-lymphocyte monoclonal antibody, CAMPATH-1H.

We report a patient with peripheral rheumatoid corneal melting who developed a corneal perforation in one eye requiring tectonic keratoplasty. Nine consecutive corneal grafts were rapidly destroyed despite systemic immunosuppression with corticosteroid, cyclophosphamide, azathioprine and cyclosporin A. A rejection episode was observed in one graft before it melted and allograft rejection may have contributed to the destruction of other grafts. Corneal graft survival was ultimately achieved by systemic immunosuppression with the anti-lymphocyte monoclonal antibody, CAMPATH-1H. A single episode of rejection developed in the early post-operative period which was easily reversed by topical corticosteroid. Corneal melting has not recurred and the graft has now remained intact and clear for 24 months. Anti-lymphocyte monoclonal antibodies may therefore provide effective immunosuppression in the treatment of refractory ocular disorders.

Aged↗
PubMed1994

Significance and impact of urinary incontinence.

All nurses can play an important role in the detection of urinary incontinence (UI) in both community as well as institutional populations. With their advanced practice assessment and patient management skills, NPs are assuming a major role in the diagnosis and treatment of UI in primary and acute care settings, in home care, and in the management of chronic incontinence in long-term care. A strong commitment by the nursing community to emerge as a leading health care provider of incontinence assessment and management will be a major contribution to providing long awaited assistance for the 10 million incontinence sufferers in the United States. This article reviews the significance and impact of UI across all settings.

Adult↗
PubMed1994

Planning an independent nursing practice for continence services.

Nurses are assuming greater leadership in the field of continence care. Many of the services necessary to assess and manage incontinence can be provided through an independent nurse practice. With advanced practice NP skills and a desire to be an entrepreneur, this article provides a guideline for conceptualizing and organizing an independent practice for managing urinary incontinence.

Humans↗
PubMed1993

Establishing a continence service using AHCPR guidelines.

The Agency for Health Care Policy and Research (AHCPR) has recently released practice guidelines for the management of adult urinary incontinence. The guidelines are designed to enhance the quality, effectiveness and appropriateness of health care in the area of incontinence. The purpose of this article is to describe assessment and management strategies as used in a continence clinic that incorporate AHCPR guidelines. This continence clinic exists within an established gynecology practice, however, continence services can be provided in nursing homes and/or home care agencies.

Female↗
PubMed1992

Pelvic muscle reeducation as a nursing treatment for incontinence.

Pelvic muscle reeducation is a safe, effective, conservative therapy for patients with UI. The success of the method depends on the proper selection of patients and the active participation of a cooperative patient. However, it is of limited use in patients with cognitive impairment. Methods exist to assist the nurse in pelvic muscle reeducation.

Exercise Therapy↗
PubMed1991

A portable bladder scanner.

Nurse practitioners are the primary care providers in a variety of health care settings. Often the NP is the first health care provider to suspect a problem based on history, observations, diagnosis, and patient comfort. In making a diagnosis, the NP must be cognizant of all available diagnostic techniques and procedures. A simple and easy method for ultrasonic bladder scanning has developed over the past several years. NPs can utilize this technique in their clinical practices.

Humans↗
PubMed1989

Managing urinary incontinence in community-residing elderly persons.

This two-year project demonstrated a significant decrease over time in urinary accidents after instruction in Kegel exercises augmented by the use of biofeedback, habit training, and relaxation techniques in 54 cognitively intact volunteers aged 60 years and over who had stress, urge or complex types of incontinence. This decrease in urinary accidents per week was maintained from the end of focused treatment through 6-month and 1-year follow-up, despite the age of the participants, previous urinary-related surgeries, or duration of incontinence.

Aged↗
PubMed1989

Incontinence in elderly homebound patients.

The problem of urinary incontinence in the homebound elderly patient is frequently encountered and is frustrating to the community health nurse. Through a thorough nursing assessment and evaluation, the nurse can successfully employ many simple, effective nursing interventions. Nurses can make a tremendous impact on aiding the homebound incontinent patient by implementing various behavioral interventions.

Aged↗
PubMed1989

The treatment of urinary incontinence in adults.

The inability to control urination is a condition that causes a loss of dignity in persons of all ages. It is a distressing condition that affects a large number of young women and becomes a most distressing problem for the older adult. This article deals with the general treatment approaches for the urinary incontinent patient, including drug therapy, surgical intervention and mechanical devices. Special emphasis is placed on nursing measures, including behavioral intervention approaches for this disturbing problem. Many non-invasive treatments can benefit patients searching for relief from urinary incontinence.

Adult↗
PubMedDate not supplied

Urinary incontinence management in the USA: the role of the nurse.

Urinary incontinence (UI) is a prevalent medical problem in the USA. Approximately 12 million Americans are incontinent of urine. Hu et al (1994) estimate that the costs of managing the problem are $10 billion annually. In persons aged 65 years and older the incidence of UI is 30% or more it is estimated that more than 60% of people with UI never mention their problem to a doctor of nurse. This is a sad fact considering that UI is a highly treatable, if not curable, problem. In the USA, advanced practice nurses, nurse practitioners and clinical nurse specialists who have advanced educational and master's degrees and clinical practice requirements are making a significant impact on the management of UI. This article outlines the role of advanced practice nurses in the diagnosis and behavioural management of UI.

Female↗