Search PubMed⌕ Search

Biomedical subjects

J C Hartshorn

Publications and source records attributed to J C Hartshorn.

At least 19 recordsLinked to original sources

An honors program: directing our future leaders.

Development of future leaders is a priority of nurse educators. In this article an honors program, which was initiated to prepare students who would contribute to nursing science and become effective leaders, is described. The process used to gain faculty and administrative support is highlighted. The discussion also includes specifics regarding recruitment and selection of students and sequencing of courses. Evaluation of the program suggests that graduates assume leadership positions within the profession. Honors programs such as this one help to prepare leaders and scholars for tomorrow.

Curriculum↗

Seizures and the elderly.

The care of elderly patients with seizure disorders in the critical care unit is an important nursing challenge. The potential that a seizure is an isolated event or one that will require lifelong treatment must be expected. The critical care nurse is in a unique position to help the patient and his or her family as they begin to grapple with the important changes the seizure may bring. The critical care nurse also can assist in the transition from the acute setting to the less acute setting in which the patient and the family will be assisted in developing plans for long-term management of this serious situation.

Age Factors↗

Importance of health and family variables related to quality of life in individuals with uncontrolled seizures.

Approximately 2.5 million Americans are epileptic, and nearly 150,000 new cases are diagnosed in the United States each year. While seizures are the most common physical symptom of epilepsy, treatment must include far more than medical intervention for seizure control. Virtually all aspects of life are affected by the disorder including personal relationships, employment, perception of self and overall quality of life. A literature review indicates that, while progress is being made in identifying variables which impact quality of life, little consensus exists regarding their nature. No two patients are necessarily alike, nor are their methods of dealing with the disorder necessarily the same. Arguments have been posed which state that age of onset is a factor, as is the degree to which seizures can be controlled. This is not to say, however, that effective interventions cannot be developed to assist patients in dealing not only with the physical manifestations of epilepsy but other common related factors as well. The purpose of this study was to identify those variables which impact quality of life for persons with epilepsy, and in light of the findings, to make recommendations for nursing interventions.

Adaptation, Psychological↗

Impact of epilepsy on quality of life.

Epilepsy is a chronic condition with a profound effect on the quality of life. Health, family life, social, community and civic activities, economics and personal development are the major variables associated with quality of life for the person with epilepsy. In this article, a model describing the relationship between these variables and quality of life is presented. This model organizes a comprehensive nursing approach to the patient with epilepsy. A case study analysis approach is used to help further illustrate interactions among the variables. Nursing interventions based upon analysis of the model are suggested.

Adult↗

Angiotensin converting enzyme inhibitors.

The angiotensin converting enzyme inhibitors are beneficial to hypertensive patients and those experiencing congestive heart failure. These agents appear to have fewer side effects than many other commonly used agents. Nursing interventions include monitoring for individual responses to the drugs and providing adequate education to ensure the patient's compliance with the drug regime.

Angiotensin-Converting Enzyme Inhibitors↗

Nursing interventions for anticonvulsant drug interactions.

The management of epilepsy or seizure disorder commonly includes drug therapy. Optimal treatment may involve single-drug regimens, but multiple agents are often required. Although any pharmacological agent can be involved in a drug interaction, anticonvulsants are often implicated. As more drugs are prescribed for the patient, the potential for drug interactions increases. This article reviews the background of anticonvulsant drug interactions, the most common interactions encountered, and nursing interventions useful in monitoring potential interactions. Suggestions for nursing research are given.

Anticonvulsants↗

Immunosuppressive treatment of multiple sclerosis.

This article has reviewed some of the principles of the immune basis of multiple sclerosis and one potential therapy: cyclophosphamide and corticotropin. Although some of the studies with this combination present encouraging findings, these must be carefully evaluated. This approach is still experimental and the long-term effects of therapy are still to be evaluated. The neuroscience nurse has an important place in this research. Not only should the nurse be a critical consumer of the research investigating these protocols, but she must also use unique nursing skills to assist the patient while undergoing the therapy.

Adrenocorticotropic Hormone↗