Biomedical subjects
G Kaempf
Publications and source records attributed to G Kaempf.
Cardiomyoplasty: treatment of the failing heart using the skeletal muscle wrap.
Surgical methods of augmenting cardiac function are gaining credibility among researchers as animal and human clinical trials continue around the world. The procedures themselves may vary slightly depending upon protocol and surgeon preference, but generally involve the use of skeletal muscle such as the latissimus dorsi. The muscle may be wrapped around the heart or the aorta, or fashioned into a separate pumping chamber. The muscle is then stimulated with specialized burst pacing, the resultant contractions providing circulatory support. This article describes preoperative, intraoperative, postoperative, and follow-up patient and family care for those undergoing skeletal muscle wrap procedures. If trials continue to produce positive results, these interventions may become an important bridge to transplant. Moreover, with the scarcity of donor hearts, the implications for skeletal muscle wrapping as a long-term alternative to transplant are promising.
The effect of music on anxiety. A research study.
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The BRENDA model: a psychosocial addiction model to identify and treat alcohol disorders in elders.
Studies have shown that up to 10% of the elderly drink daily and as much as 4% have alcoholism. Although many elders visit a primary care provider, the problem frequently is overlooked or misdiagnosed. We have found that primary care-based nursing is an effective treatment for older adults with alcoholism. In this article, we introduce the BRENDA model and show its effectiveness in retaining older adults in treatment. BRENDA involves biopsychosocial assessment, reporting the assessment to the patient, an empathetic approach, identified and stated patient needs, direct advice to stop or decrease alcohol consumption, and assessment of the compliance with or outcome of the direct advice. We also describe the utility of the BRENDA model for the pharmacotherapeutic treatment of addiction in late life.
Blueprint for a successful orientation.
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