The gamma knife: implications for nursing practice and patient education.
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Biomedical subjects
Publications and source records attributed to J S Neatherlin.
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Neurological assessment is one way of decreasing patient hospital costs. By conducting thorough, systematic neurologic assessments both on admission and continuing throughout the hospital stay, the neuroscience nurse may be able to discover complications early so that treatment is not delayed. Thus, long-term problems could be avoided which might lead to further costs to the patient.
The purpose of this study was to determine factors associated with length of stay for patients undergoing lumbar laminectomy. Significant differences were identified related to method of payment for hospitalization, number of doses of analgesic medications, and presence of muscle spasms. Other factors studied were sex, pre- or postoperative administration of steroids, presence of complications, age, length of surgical procedure and types of antispasmodic medications administered. The study was conducted in an urban north Texas hospital, using a retrospective review of 30 charts selected randomly. Further study of factors related to length of hospitalization is necessary in this, as well as other patient populations, especially since the advent of prospective payment.
This study was conducted to examine the difference in pre- and post-resuscitation Glasgow Coma Scale (GCS) scores in patients who suffered a cardiopulmonary arrest. Patients who arrested in an acute hospital setting were compared in terms of Glasgow Coma Scale scores with patients who arrested outside an acute hospital setting. The subjects for this study were 39 patients who arrested in the hospital and 16 patients who arrested outside the hospital setting. Data were collected over a period of one year using chart review. The data for this study included: GCS scores at one, two, four, twelve, and twenty-four hours post-arrest; age of the subjects; sex; site of arrest; and etiology of arrest. Results indicated that hospitalized arrest subjects had significantly higher GCS scores than out-of-hospital arrest subjects. Results further indicated that younger patients and those with myocardial infarctions had significantly higher GCS scores post-arrest. This study has implications for serial neurological assessment of the patient post-arrest.
While the incidence of Creutzfeldt-Jakob disease is very low worldwide, sufficient cases are appearing in neurological units to warrant increasing nursing information. In this article epidemiology, etiology, clinical manifestations, and diagnosis, specific nursing diagnoses and suggested areas of intervention with special reference to family involvement are addressed.
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