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Biomedical subjects

L Moody

Publications and source records attributed to L Moody.

17 recordsLinked to original sources
PubMed1992

Nursing care requirements of patients with DNR orders in intensive care units.

The purpose of this study was to examine the differences in demographic characteristics and nursing care requirements of patients with and patients without DNR (do not resuscitate) orders in intensive care. The sample consisted of 62 patients with and 62 without DNR orders from the intensive care units of three community hospitals. Data were collected until patients recovered and were transferred from the unit or until death occurred. Data were analyzed by chi-square tests for homogeneity, t tests, and analysis of covariance. Patients with DNR orders were white (p = 0.015), older (p = 0.03), more likely to reside in nursing homes (p = 0.04), had longer intensive care stays (p = 0.0005), were more likely to be admitted from another nursing unit (p less than 0.001), and had higher mortality rates (p less than 0.001). In intensive care settings, patients with DNR orders received more nursing care than patients who did not have DNR orders.

Adult↗
PubMed1991

Preliminary development of two predictive models for DNR patients in intensive care.

The purpose of this study was to identify which variables are the best predictors of a do-not-resuscitate (DNR) classification and develop a model to predict the nursing care required by DNR patients in the ICU. Data collected on DNR and non-DNR patients included nursing care requirements, severity of illness, resource allocation and sociodemographic characteristics. One model identified the best predictors of a DNR classification in intensive care as the origin of admission and the severity of illness score on the day of admission to intensive care. The second model identified the best predictors of nursing care requirements for DNR patients in intensive care as the number of days spent in intensive care prior to the DNR order, the average daily resource allocation points after the DNR order, and the severity of illness score on the day the DNR order was designated.

Aged↗
PubMed1990

Disease and symptom severity, functional status, and quality of life in chronic bronchitis and emphysema (CBE).

A path analysis model examined interrelationships among variables significantly associated with chronic dyspnea in chronic bronchitis and emphysema (CBE) and the relative influence of these variables on each other and on functional status and quality of life. Results from the 45 adults (mean age, 61) with moderate CBE disease severity showed that dyspnea severity has a sizable effect on functional status and quality of life. Disease severity was more strongly related to functional status than to quality of life. Depression and mastery had the strongest total effects on quality of life. Dyspnea severity had strong but separate effects on functional status and quality of life. From these preliminary results, it is suggested that a direct focus on psychologic interventions to ameliorate depression and improve mastery is likely to improve quality of life with some resultant positive effect on functional status.

Adaptation, Psychological↗
PubMed1986

Screening occupational populations for asymptomatic or early peripheral neuropathy.

Traditional quantitative methods for evaluating neuropathy may be problematic or insufficiently sensitive as screening tools; standard electrophysiological techniques (nerve conduction velocities and electromyography) are often no more sensitive or reproducible, and in some cases are less sensitive, than the clinical neurological examination. Several promising methods for the evaluation of subclinical neurotoxic effects, including somatosensory and visual evoked potentials, quantitative sensory testing of temperature and vibration, and specialized nerve conduction testing, will be discussed. The crucial issues of sensitivity, standardized test procedures, reproducibility, and practical application in the field setting are currently being examined for these and other techniques. It should be recognized, however, that a brief, directed clinical examination may currently serve as the best screening battery for certain neurotoxins. The most appropriate screening tests can be devised when the neurotoxin is identified and its effects known.

Electromyography↗
PubMed1986

Neurobehavioral evaluation of soil and structural fumigators using methyl bromide and sulfuryl fluoride.

Neurobehavioral functions affected by methyl bromide exposure were evaluated in California structural and soil fumigators using methyl bromide and sulfuryl fluoride. Sampling data revealed that structural fumigators are exposed for up to 1.5 hrs/day to 0-2.2 ppm methyl bromide and/or 10-200 ppm sulfuryl fluoride, and soil fumigators can be exposed to 2.3 ppm methyl bromide over an 8-hr day. Subjects were grouped for statistical analysis on the basis of exposure history: Those exposed primarily (80% or more of the work period with exposure potential) to methyl bromide (N = 32), primarily to sulfuryl fluoride (24), or to a combination of methyl bromide and sulfuryl fluoride (40-60% of each) for a minimum of one year (18), and those not exposed to high concentrations of any chemicals (29 Referents). Fumigators using methyl bromide reported a significantly higher prevalence of 18 symptoms consistent with methyl bromide toxicity than did Referents. Methyl bromide fumigators did not perform as well as Referents on 23 of 27 behavioral tests (chosen to reflect methyl bromide effects), and were significantly lower on one test of finger sensitivity and one of cognitive performance. These consistent differences suggest that even the low levels of methyl bromide found in fumigation today may produce slight neurotoxic effects. found in fumigation today may produce slight neurotoxic effects. The greater number of symptoms and reduced performance on all cognitive tests in sulfuryl fluoride fumigators compared to the Reference Group plus the absence of published research on this compound suggest that the data base for sulfuryl fluoride is inadequate.

Adult↗
PubMed1980

Combined intra- and extrauterine pregnancy. A diagnostic challenge.

A case of combined intrauterine and tubal pregnancy is reported and illustrates the difficulties of correctly diagnosing combined pregnancy. The patient had no signs or symptoms suggestive of a tubal pregnancy at the time of termination of the intrauterine pregnancy. She underwent two repeat uterine evacuation procedures, an ultrasonic examination and a diagnostic laparoscopy before the unruptured tubal pregnancy was diagnosed. Both pregnancies probably occurred during the same menstrual cycle.

Adult↗
PubMedDate not supplied

Outpatient laparoscopy with local anesthesia.

Since March 1974, laparoscopic sterilizations have been performed on patients under local anesthesia at The Hope Clinic for Women, an outpatient facility that is not based in a hospital. No major surgical complications have resulted from these procedures, and less than 1% of the patients experienced minor complications. Neither general anesthesia nor hospitalization has been necessary for any of the women sterilized. The results of this study show that outpatient laparoscopy, when performed by a highly skilled surgical team, is a safe procedure that does not present additional risks to the patient.

Adult↗
PubMedDate not supplied

Severity of illness and resource allocation in DNR patients in ICU.

This study examined the differences in severity of illness and resource allocation between patients with do-not-resuscitate (DNR) orders and non-DNR patients in intensive care units. Severely ill intensive care patients with DNR orders continued receiving aggressive medical care following cardiac or respiratory arrest. The continued use of advanced therapies for DNR patients raises important questions about the use of costly intensive care resources.

Adult↗
PubMedDate not supplied

A meta-analysis of critical outcome variables in nonnutritive sucking in preterm infants.

The advantages and limitations of meta-analysis in clinical nursing research are explained and illustrated with five studies of nonnutritive sucking (NNS) in preterm infants. This article addresses steps of locating studies, systematic comparison of studies for like variables, and qualitative decisions needed before quantitative methods are applied to cumulate findings across studies. Several approaches of calculating effect size and confidence intervals were used to interpret the power of the treatment effect of NNS. On average, across the five NNS studies, NNS intervention reduced time to first bottle feeding by 2.9 days and days of hospitalization by 6.3 days.

Body Weight↗
PubMedDate not supplied

Hospital provider satisfaction with a new documentation system.

Nursing documentation is an important component of clinical nursing practice. It is estimated that 15%-20% of work time is spent documenting patient information and that documentation is the most common cause for overtime. An evaluation of hospital staff satisfaction with a recently implemented documentation system showed that 70% are satisfied with the new system; 75% agree that consistency of nursing documentation has improved; 72% agree that availability of records has improved; 78% agree the placement of the nursing documentation at the point of service facilitates location of data; and 65% agree there has been a decrease in the number of forms they have to review in order to locate nursing information.

Attitude of Health Personnel↗