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Biomedical subjects

L C Pugh

Publications and source records attributed to L C Pugh.

30 records · Page 2Linked to original sources

Dyspnea and fatigue.

Research regarding dyspnea and fatigue has focused on the factors contributing to the symptoms. Physiologic factors, such as muscle use; psychological factors, such as anxiety and depression; and situational factors, such as hot weather, contribute to the symptoms of dyspnea and fatigue. Increased symptoms lead to impaired functional ability. Strategies for relief of dyspnea and fatigue can be obtained from patient report, but further research is needed to test the effectiveness of nursing interventions.

Adult↗

Breastfeeding duration among low income women.

Breastfeeding has been identified as a possible deterrent to the development of osteoporosis and breast cancer in women. In addition, infants who are breastfed exclusively for at least 4 months reportedly have fewer incidence of SIDS, ear infection, diarrhea, and allergies. Further, low income women who breastfeed may be empowered by the experience. Increasing the frequency and duration of breastfeeding is recognized as a national priority, particularly for low income, minority women. Yet, recent national data indicate that in 1997, only 16.5% of low income mothers breastfed for at least 6 months. Short breastfeeding duration in low income women may be due to problems unique to them; thus, consistent and comprehensive breastfeeding support should be provided by midwives, nurses, lactation consultants, and peer counselors who are skilled in culturally sensitive management of lactation within the context of limited financial and social resources. This article focuses on the benefits of breastfeeding, and factors that may influence its duration. It also explores culturally relevant strategies as well as suggested interventions to increase breastfeeding duration among low-income women.

Attitude to Health↗

The breastfeeding support team for low-income, predominantly-minority women: a pilot intervention study.

This quasiexperimental pilot study explored whether a focused breastfeeding intervention had potential to improve outcomes in low-income breastfeeding women. Twenty breastfeeding women (10 in intervention and 10 in usual care) were matched on type of delivery, previous breastfeeding experience, and race. Women were low-income, young, 65% high school graduates, and 40% minority. For this intervention, the BST, a breastfeeding support team (community health nurse and peer counselor) provided hospital and home visits and telephone support. Outcomes were measured weekly for the first month, and monthly through month five. At all time periods, more women who received the intervention were breastfeeding. Further, they had less nipple discomfort in the first month; significantly less fatigue in month four and at three and five months reported less fatigue, depression, and anxiety.

Adult↗

Clinical approaches in the assessment of childbearing fatigue.

Modifications of the Fatigue Symptoms Checklist can be used clinically to assess fatigue during the childbearing year. Data from a series of studies provide beginning norms that can be used to interpret clinical scores and point to the potential importance of assessments to pregnancy complications and maternal performance. Consistent with North American Nursing Diagnosis Association (NANDA) definition of fatigue and the theory of unpleasant symptoms, fatigue and performance are important phenomena critical to the experience of pregnancy and assumption of the maternal role.

Fatigue↗

Longitudinal nursing case management for elderly heart failure patients: notes from the field.

Longitudinal case management is an intervention delivered by professional nurses that involves following patients from the inpatient to the outpatient arena. The hands-on process of day-to-day case management of elderly persons with heart failure is presented. The issues associated with delivering this intervention to this patient population are examined, and implications for refining the case management process are discussed.

Aged↗

Taking a bite out of CRISP. Strategies on using and conducting searches in the Computer Retrieval of Information on Scientific Projects database.

A vast array of information useful to the scientific community is readily available on the internet. Currently, the National Institutes of Health (NIH) offers user access to several large databases, some of which are pertinent to nurses interested in research, health policy formation, and identifying funded research projects. One such database, the Computer Retrieval of Information on Scientific Projects (CRISP), provides information on research grants funded by the NIH from 1972 to the present. Retrieval of scientific information for each project in CRISP is made available by project title, grant number, abstract, principal investigator, eight-digit CRISP Thesaurus terms, and key words. This article introduces the reader to CRISP and provides a set of succinct strategies for conducting comprehensive searches in the database.

CD-ROM↗