Hypochondriasis.
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Biomedical subjects
Publications and source records attributed to H N Brown.
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The authors correlate pertinent literature with their experience in discussing hallux adductus as a postoperative complication. Presented is the accurate terminology of hallux adductus to describe the transverse plane abnormality. Hallux adductovarus is utilized if there is an additional frontal plane rotation. In presenting 10 cases of hallux adductus, the authors found that 9 were sequelae of a McBride modification. Their incidence of slightly over 1% agrees with past reports. Detailed measurements of cases taken from pre- and postoperative radiographs are presented to attempt to gain better understanding of the factors involved with the deformity. Also introduced is the hallux adductus angle. A review of the treatments is discussed.
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Asian-Americans are the fastest-growing minority in the United States, and they are a culturally diverse group. Knowledge about this growing minority population is important for the purposes of planning appropriate mental health care. Asian-Americans living in the United States rarely use mental health services. The reasons for this, along with suggestions for developing more culturally sensitive mental health services, are presented. A model for cultural competence can provide a framework for psychiatric nurses and other mental health professionals (MHPs) to become more aware of Asian-American values and beliefs and provide more culturally sensitive care. Awareness tools are included to guide MHPs in determining whether culturally competent care is available locally to meet the needs of this underserved population.
The Asian population in the United States is the fastest growing minority; consequently it behooves psychiatric nurses and other mental health professionals to be aware of symptom presentation of emotional problems that may differ from those of other population groups. Specific syndromes, psychiatric disorders, and symptoms that commonly present as physical disorders are discussed. Recommended adaptations of psychiatric interventions, including medications and other therapies, are offered to enable mental health professionals to provide culturally sensitive care. Mental health care that is culturally competent may improve access to care for Asians residing in the United States.
The Maoris of New Zealand have an interesting history and culture. In this selected review of literature supplemented with data from limited interviews with Maoris is described their history of settlement, oppression, and rebuilding of their cultures. The Maoris make up approximately 12% of New Zealand's population, which is predominantly white. The Maori family has moved from tribal form to extended family to nuclear family, and is currently moving back in the direction of extended family. There is a renewed effort by Maoris to assist their own people to rise from their predominantly lower socioeconomic class and to rebuild their culture. Maori women appear to be playing the major role in these rebuilding efforts.
The Dollar-A-Day program in Greensboro, North Carolina, was established in 1990 to prevent subsequent pregnancies in girls under 16 years of age who had already given birth to one child. Conceptualized by nursing professors and using principles from theories of adolescent development and social exchange, the program was planned and implemented in collaboration with nurses from the local health department. Weekly meetings featured food, an informal program focused on needs identified by members, setting of short-term goals, and an award of a dollar for each day they remained nonpregnant. After five years of operation with a series of small grants, only 15% of the 65 girls who had been enrolled in the program experienced subsequent pregnancies. The success of the program convinced health department officials to incorporate Dollar-A-Day into their budget as a permanent service to the population of adolescents they serve. It remains as a model program for others to emulate.
The clinical journal offers a valuable medium through which faculty can teach critical thinking. Both analysis and evaluation of the interactions and relationships between clinical practice, theory, and research can be greatly enhanced through careful structuring of clinical journal assignments. The authors discuss ideas about structuring clinical and journal assignments and strategies for giving feedback.
Class participation for students is such a common expectation of nurse educators that it is easy to overlook the need to tailor class participation activities to individual student needs. An understanding of the various temperaments of individuals, especially preferences related to extroversion and introversion, can help nurse educators to plan class participation experiences that foster skills in critical thinking and enhance personal growth.
This is a report of the process and evaluation of 12 years of mentoring new faculty in a university nursing faculty of 48 members. Each new faculty member is paired with an experienced faculty member who serves as a mentor for a year. Evaluations completed by both new faculty and mentors at the end of the year are positive.
Patients undergoing bone marrow transplantation were closely followed by a psychiatric service functioning as part of a multidisciplinary team. A somewhat predictable pattern of psychological reactions to the stress of various stages of the procedure appeared to emerge. Approaches to patient evaluation, typical patient responses, and suggestions for working with these patients and their families are described.
This article discusses an interdisciplinary research project in which faculty from nursing and english collaborated in the assessment of students' critical thinking skills as reflected in writing portfolios. Faculty reviewed students' writing portfolios and then corresponded on email from two different universities about evidence of critical thinking in the portfolios. Findings suggest that writing portfolios can provide important evidence of critical thinking outcomes. To do this, however, faculty need to design writing assignments to foster critical thinking skills, helping students to think not only about learning to write, but also about using writing to learn.
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Excessive time was being spent by the emergency department (ED) staff, head nurse, and unit secretary on a complex 6-week manual self-scheduling system. This issue, plus inevitable errors and staff dissatisfaction, resulted in a manager-lead initiative to automate elements of the scheduling process using Microsoft Excel. The implementation of this initiative included: common coding of all 8-hour and 12-hour shifts, with each 4-hour period represented by a cell; the creation of a 6-week master schedule using the "count-if" function of Excel based on current staffing guidelines; staff time-off requests then entered by the department secretary; the head nurse, with staff input, then fine-tuned the schedule to provide even unit coverage. Outcomes of these changes included an increase in staff satisfaction, time saved by the head nurse, and staff work time saved because there was less arguing about the schedule. Ultimately, the automated self-scheduling method was expanded to the entire 700-bed hospital.
Case management is a strategy for restructuring the health care delivery system. The system requires critical planning and implementation steps to achieve quality care at reduced cost.