Biomedical subjects
Publications and source records attributed to K Boughton.
There are 14 masters in nursing programs in Canada, according to the Canadian Nurses Association. It sounds like enough, but unfortunately, most programs are inaccessible to nurses living outside the metropolitan regions. And though part-time studies are offered at many sites, students must live near the universities.
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A young unrelated Indian couple produced a baby who had an unusual facies, marked abdominal distension and muscular hypotonia. At 8 weeks cytogenetic investigation revealed what appeared to be trisomy-21. Because this did not agree with the clinical signs the parents were tested and the mother was found to have a balanced translocation between chromosomes 12 and 14; her karyotype was 46,XX,rcp(12; 14)(p11; q11) and it was realized that her son had inherited her translocation chromosome involving the short arms of chromosomes 12 and 14. He thus had trisomy-12p. The present case and 10 others reported in the literature confirm that trisomy-12p produces a recognizable syndrome. Parents carrying a balanced translocation have a 50:50 risk of producing an abnormal infant at every pregnancy because both the trisomic and monosomic conditions may be viable. Amniocentesis for fetal karyotyping must be recommended to the couples concerned.
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PURPOSE: Pediatric nurses from varied practice and educational backgrounds learned about research by doing a ward-based study. The aim of the study was to determine if regular assessment of children's pain would improve their pain management and postoperative progress. METHOD: Children, ages 5 to 17 years (n = 36), measured their pain every 4 hours postoperatively using the Wong-Baker Faces Pain Rating Scale. Outcomes regarding amount of analgesic given, subjective pain reports, time and progress of ambulation, and length of hospital stay were compared with data from a retrospective chart-review of a control group (n = 50). FINDINGS: No statistically significant differences in these variables were found. An important clinical finding was that despite all children having prescribed PRN analgesic orders, one quarter of the children received no pain relief intervention. Also, one quarter of the children stated that their pain control was only partially effective. CONCLUSIONS: Study results reinforce findings reported in the literature regarding ineffective pain management in children, and highlight a need for improved nursing practice. Clinical significance was achieved in terms of staff learning of the research process, increased awareness of pediatric pain management practices, improved ward morale, and inter-agency sharing of resources.