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Biomedical subjects

D Sanders

Publications and source records attributed to D Sanders.

202 records · Page 12Linked to original sources
PubMedDate not supplied

Do anaemia co-ordinators have to be nurses?

The role of the anaemia co-ordinator has developed subsequent to the introduction of erythropoietin therapy for renal anaemia, and posts have been established at an increasing number of hospitals in the UK. While co-ordinators have previously tended to come from a nursing background, the post at our hospital has been held jointly by a pharmacist and a clinical nurse specialist since July 1997. This paper presents an informal evaluation of our experience of joint working, and has drawn on diary entries to outline the components of the service provided. The main focus is on the boundary negotiated between pharmacist and nurse responsibilities and expertise, involving as it does areas of potential conflict and complementarity. Through a critical examination of the assumptions and expectations associated with 'generic' pharmacist and nurse roles, we begin to clarify the respective contributions which the disciplines make to anaemia management.

Anemia↗
PubMedDate not supplied

Report of laparoscopic cholecystectomy in two patients with left-sided gallbladders.

Laparoscopic cholecystectomy has been widely performed since its introduction in 1987 by Mouret. However, conversion to open cholecystectomy is common when the surgeon encounters variant anatomy. We report 2 cases of cholecystitis and cholelithiasis in patients with left-sided gallbladders that were treated with laparoscopic cholecystectomy by the same surgeon at this institution. The patient in the first case had the condition of situs inversus totalis, and the gallbladder of the second patient was located to the left of the round ligament. In both instances, successful laparoscopic cholecystectomy was performed, and the patients recovered uneventfully.

Adult↗
PubMedDate not supplied

Integration of mental health and medical records: practices and opinions of behavioral scientists.

BACKGROUND AND OBJECTIVES: This study provides information from a national sample of behavioral scientists about their practices and opinions about placement of mental health notes in the general medical record. METHODS: Using a mailed survey, behavioral scientists in US family practice residencies responded to questions about the location of mental health notes, the rationale for placement of notes, and opinions about integration of mental health notes into general medical records. RESULTS: The majority (71.8%) of behavioral scientists record mental health notes in the main body of the patient's medical chart, integrated with physician notes. Most respondents favor an integrated record to increase collaboration with medical providers. A variety of methods are used to minimize the chance of violating patient confidentiality. CONCLUSIONS: Although a majority of behavioral scientists integrate mental health notes in the medical chart and favor the practice of doing so, there is no consensus about this practice as reflected by divergent views and record-keeping methods.

Attitude of Health Personnel↗