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Biomedical subjects

D R Thompson

Publications and source records attributed to D R Thompson.

At least 109 records · Page 6Linked to original sources
PubMed1986

Sleep in hospital.

Although sleep has been identified as an activity generally considered necessary for normal functioning, the nursing literature on the subject is relatively scanty. This paper is an attempt to review sleep and its relationship to nursing practice. A discussion of nursing interventions that are likely to ensure that adequate sleep is maintained is included.

Age Factors↗
PubMed1986

The influence of a positive environment on the attitudes of student nurses towards the nursing process.

The attitudes of 67 student nurses towards the nursing process were studied by means of a questionnaire. Attitudes became more favourable over the 8-week study period. The results indicate that a positive environment is influential in changing the attitudes of student nurses towards the nursing process. These findings lend further support to our original work.

Attitude of Health Personnel↗
PubMed1986

Pneumothorax from nasoenteric feeding tube insertion. A report of five cases.

This report describes five patients who developed pneumothorax following misplacement of a nasoenteric feeding tube. Three of the patients required tube thoracostomy. Of these, one was subsequently discharged; one required two chest tubes, yet died 2 days later; the third patient developed a chronic empyema that ultimately required chest wall reconstruction for resolution. The development of pneumothorax from nasoenteric feeding tube misplacement was influenced by the type of tube and the general characteristics of the patients. The use of a cuffed endotracheal tube did not afford protection against misplacement. The significant morbidity and mortality associated with pneumothorax following nasoenteric feeding tube insertion argue for careful evaluation of the clinical setting when considering enteral nutritional support with a nasoenteric feeding tube.

Aged↗
PubMed1985

Nursing decision making in a coronary care unit.

This study was designed as an approximate replication of a recent Canadian study on a sample of 20 nurses from the coronary care unit of a large teaching hospital in the U.K. Results from this study indicate that knowledge and experience are the two most important factors influencing rapid decision making, and nurses make many rapid decisions in emergency situations prior to seeking medical help. These results are in agreement with those of the original study.

Adult↗
PubMed1985

Time of onset of chest pain in acute myocardial infarction.

We studied the time of onset of chest pain in 1099 patients admitted to a coronary care unit with myocardial infarction using a statistical model. Statistical analysis demonstrated an excess of infarcts with time of onset of chest pain at 0700 hours (14%) and at midnight (11%), with the remaining infarct population (75%) forming a background distribution over the 24 hr.

Circadian Rhythm↗
PubMed1985

A study of institutionalized mentally retarded patients in Manitoba: over-representation by Canadian Indian children.

During analysis of data on 406 severely and profoundly mentally retarded children and their families in Manitoba a marked excess of Canadian Indian children was observed. There was no evidence to suggest that the over-representation by native children was due to an increased propensity of Indian families to institutionalize their children nor were these patients more profoundly retarded or more physically handicapped than the non-Indian children studied. Further analysis showed that Indian children were primarily over-represented in the groups with acquired retardation, autosomal recessive genetic disorders, idiopathic retardation with seizures and idiopathic retardation with malformations or dysmorphic signs. Review of other demographic findings indicated that other factors potentially predisposing to retardation, including low socioeconomic status, illegitimacy, high birth order, poor maternal reproductive history and increased consanguinity, were more common in the histories of native children. Severe and profound mental retardation has been said to occur equally in all strata of society. This evidently was not so in this Canadian population and the Indian child may be at special risk. Health care workers should be aware of possible predisposing factors for retardation in this group if reduction of the incidence of this major problem is to be achieved.

Adolescent↗
PubMed1984

Johne's disease in sheep.

Johne's disease was identified in sheep flocks on 6 farms in one area of the central tablelands of New South Wales. The sources of infection were not determined and no common source of all infections was identified. The disease was not diagnosed in cattle that were run on 4 of the farms.

Age Factors↗
PubMed1984

The effect of high-frequency jet ventilation on intracranial pressure in patients with closed head injuries.

Positive pressure ventilation (PPV) can increase intracranial pressure (ICP) in patients with closed head injuries. This adverse effect may be secondary to elevated peak airway pressures. High-frequency jet ventilation (HFJV) has been shown to produce lower peak airway pressures and decrease ICP in experimental animals. This report describes a patient with a head injury who was ventilated with a high-frequency jet ventilator.

Brain Injuries↗
PubMed1983

Dietary advice and heart disease: a nursing dilemma?

This paper reviews the debate concerning the relationship between dietary fats and heart disease. The paper also addresses the questions "should nurses persuade patients with heart disease to follow a low-fat, low-cholesterol diet?", "If so, will patients be less liable to a heart attack?" and "are such recommendations based on valid scientific evidence?". The author examines the recent evidence which is critical of such dietary regimens, and claims that much of the dietary advice given by nurses to these patients is biased, misleading and scientifically unfounded.

Adult↗
PubMed1983

A trial of povidone-iodine ointment for the prevention of cannula thrombophlebitis.

The efficacy of povidone-iodine ointment in the prevention of cannula thrombophlebitis was assessed in a prospective controlled study of 100 consecutive patients. Thrombophlebitis was evaluated clinically, and in addition all cannulae were cultured, semi-quantitatively and by the conventional broth technique, to detect any bacterial colonization. The incidence of thrombophlebitis was slightly higher in the test than in the control group. It is concluded that the use of povidone-iodine ointment for prophylaxis does not reduce the incidence of cannula thrombophlebitis. There was no significant association between the incidence of thrombophlebitis and cannula colonization as measured by either the semi-quantitative technique or the conventional broth technique.

Adult↗
PubMed1983

Nurses' attitudes towards the nursing process.

The attitudes of qualified nursing staff towards the nursing process were studied. Three distinct nursing units received varying degrees of planning and education regarding the principles and practice of the nursing process. The attitudes of the nursing staff of these units were assessed by means of a 20-item questionnaire. Statistically significant differences (P less than 0.001) between the mean attitude scores for the three units were found, but comparison of the overall mean attitude scores for the three grades of nurses within each unit did not result in statistical significance (P greater than 0.35). Further analysis indicated that a structured educational programme was beneficial in creating a positive attitude towards the nursing process whereas a less structured approach had the opposite effect.

Attitude of Health Personnel↗
PubMed1983

Endotoxic shock and its effects on hepatobiliary scanning in dogs.

Hepatobiliary scans were obtained with Tc-99m-disofenin in 15 dogs. Of these, 5 served as controls, 5 were infused with E. coli endotoxin for 4 hours (endotoxic shock group), and 5 were bled to a mean pressure similar to that of the endotoxic shock group (hemorrhagic shock group). Scans of the controls and hemorrhagic shock group were identical. Scans of the endotoxic shock group were markedly abnormal, with a prolonged hepatic phase and little excretion of isotope into the biliary tract, a pattern characteristic of mechanical obstruction of the common bile duct. These results should alert the clinician to the potential danger of abnormal hepatobiliary scans in the septic patient.

Animals↗