The impact of changes in fitness and lifestyle upon health care utilization.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M Cox.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
This paper describes a case study approach to evaluating practice. It compares two different methods of factor VIII infusion for a patient with haemophilia who underwent two orthopaedic operations.
With a prevalence of urinary incontinence in the community of approximately 30 percent for older adults, and mixed findings on the relationship between psychosocial effects and bladder patterns, it is important to understand the effective (functional) and ineffective (dysfunctional) coping mechanisms older adults use to confront incontinence. This study examined 117 participants who were mentally competent, able to communicate in English, not confined to bed, and residing in the community. Ages ranged from 58 to 93 years with a mean of 75.6. Participants were distributed into three groups: dysfunctional continence (28.2%), functional continence (32.5%) and urinary incontinence (39.2%). A self-reporting, 4-point, Likert-like scale was used to determine coping methods. The functional continence group varied significantly from the dysfunctional continence and actual incontinence groups. Chi-square analysis indicated significant differences between the two groups in four items regarding the use of fluid restriction, management of odor, attitude, and the influence of age. There were significant differences in coping scores and gender, with women scoring higher. Finally, 73 to 85 percent of the dysfunctional continence and actual incontinence groups never talked to any healthcare provider about their urinary concerns. These high percentages emphasize that nurses must actively seek ways to open communication and discuss sensitive topics with older clients.
Increasing public concern is focusing on healthcare providers as a primary source of medical waste. As nurses practice in expanded roles in a variety of settings, attention must be paid to teaching them how to be ecologically responsible by assessing the environmental impact of the services they provide and providing ways to reduce the volume of waste.