Biomedical subjects
E Wall
Publications and source records attributed to E Wall.
Road to recovery.
The role of the nurse in giving information to patients has grown considerably following the work of researchers such as Hayward (1975), Boore (1978) and Wilson-Barnett (1978). From admission to discharge the nurse has a valuable educational role to play in helping patients come to terms with their present position and preparing them for the future. The questions facing nursing now are not whether nurses should undertake this role, but how well do they provide information? Do patients act on advice? And how far should relatives be included in the process of patient education? These are the questions that prompted the present study, in which 43 people completed questionnaires 6 to 8 weeks following discharge from hospital after cardiac surgery. Eighty-two per cent were completely or 'on the whole' satisfied with the information given, though the perceived adequacy varied between topics; 70% reported some associated behaviour change and in each case their relatives had been involved in receiving pre-discharge advice.
Comparative evaluation of gastrointestinal intolerance produced by plain and tri-buffered aspirin tablets.
Two multi-investigator, double-blind, randomized, placebo-controlled, crossover trials were conducted to determine whether tri-buffered formulations of both regular strength aspirin and extra strength aspirin would be less likely than plain aspirin to provoke subjective gastrointestinal (GI) intolerance. Each trial was divided into two phases, a qualification phase and a test phase. During the qualification phase, subjects with a history of gastrointestinal intolerance to aspirin were randomized to a double-blind crossover treatment with aspirin and placebo (325 mg aspirin per tablet in study 1 and 500 mg aspirin per tablet in study 2), two tablets four times a day for 3 days or until the occurrence of stomach upset. Subjects who reported gastrointestinal symptoms with aspirin and not with placebo qualified to participate in the test phase of the study. They were rerandomized to participate in a three-way crossover study of plain aspirin, tri-buffered aspirin, and placebo in the test phase. Tri-buffered aspirin was associated with an appreciable reduction in the incidence of gastrointestinal upset relative to plain aspirin, 34 percentage points in study 1 (p less than 0.001) and 33 percentage points in study 2 (p less than 0.001). Similar results were obtained in the evaluation of the reduction of the severity of gastrointestinal symptoms.
Continuous positive airway pressure breathing (CPAP). Apparatus for use in neonates or adults.
CPAP is a technique of respiratory care which was originally described in the management of the respiratory distress syndrome of the newborn and later in the post operative management of the cardiac infant following surgery. It has potential value in the respiratory management of older children and adults. Apparatus is described suitable for the application of continuous airway pressure during spontaneous ventilation via endotracheal tube in either neonates or adults. The inspired oxygen content is adjustable and the fresh gas warmed and humidified. High and low pressure alarms are not considered necessary. A head-harness is described for the application of CPAP in neonates via twin nasal or nasopharyngeal tubes. This equipment may be obtained from Messrs. Lusterlite Products Limited, 56 Devon Road, Leeds 2.
Continuous positive airway pressure breathing in the postoperative management of the cardiac infant.
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A paediatric nasotracheal tube connection (for use in prolonged nasotracheal intubation and ventilation of neonates).
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Intensive care unit.
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