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Biomedical subjects

J Hayter

Publications and source records attributed to J Hayter.

At least 19 recordsLinked to original sources

The constancy of basal metabolic rate in free-living male subjects.

The object of this work was to investigate the constancy of basal metabolic rate (BMR) over time. The BMR was measured in a group of healthy free-living adult men on three separate occasions over some 2 years. Analysis of variance showed that the coefficient of variation within subjects was 4 per cent and between subjects 8 per cent. The results are compared with those of earlier workers, from Zuntz onwards, who made serial measurements of BMR on the same subjects.

Adult

Territoriality as a universal need.

Three aspects of territoriality are important to consider when planning nursing care: a physical space of one's own, a personal space, and the territory of expertise or role. Territoriality serves four functions: it provides security, privacy, autonomy, and self-identity, all of which are important for well-being. Many factors, such as age, sex, culture, and health status, affect the way people relate spatially to one another. The nurse should assess territorial needs routinely by asking the patient questions and by observing him in his environment. If the patient is in his own home, she should avoid invading his territory without his permission and should help him maintain and protect his territory. If the patient must leave his own home to be hospitalized, she should help him establish a temporary territory elsewhere and help him adapt to the loss of his own physical space, personal space, and/or territory of expertise and role. Careful attention to territorial needs, particularly when the person is ill, at a vulnerable age, or is facing a move, can contribute a great deal to his health and well-being.

Hospitalization

Trace elements: implications for nursing.

Although most were unknown a few years ago, present evidence indicates that at least 25 trace elements have some pertinence to health. Unlike vitamins, they cannot be synthesized. Some trace elements are now considered important only because of their harmful effects but traces of them may be essential. Zinc is especially important during puberty, pregnancy and menopause and is related to protein metabolism. Both fluoride and cadmium accumulate in the body year after year. Cadmium is positively correlated with several chronic diseases, especially hypertension. It is obtained from smoking and drinking soft water. Silicon, generally associated with silicosis, may be necessary for healthy bone and connective tissue. Chromium, believed to be the glucose tolerance factor, is obtained from brewer's yeast, spices, and whole wheat products. Copper deficiency may be implicated in a wide range of cardiovascular and blood related disorders. Either marginal deficiencies or slight excesses of most trace elements are harmful. Nurses should instruct patients to avoid highly refined foods, fad diets, or synthetic and fabricated foods. A well balanced and varied diet is the best safeguard against trace element excesses or deficiencies.

Cadmium

Emergency nursing care of the burned patient.

The emergency nursing care of patients with major burns presents one of nursing's greatest challenges. Priority is given to lifesaving measures. After a quick overall assessment, a careful estimate of fluid and electrolyte loss is made. An issue in burn care is whether colloids should be given in the immediate postburn period. Large amounts of fluid are always given, and balanced salt solutions are being used increasingly without colloid. The patient's response to fluid therapy can be monitored by central venous pressure readings, vital signs, and hourly measurements of urinary output. Psychologic and physiologic stress intensify the problems and should be kept to a minimum. Only after other aspects of care have been attended is attention directed to care of the burn wound.

Burns