Managing an implanted infusion device.
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Blood Specimen Collection↗
Biomedical subjects
M M Gullatte
Publications and source records attributed to M M Gullatte.
Advances in antineoplastic therapy.
Despite advances in early diagnosis and treatment of cancer, more than a million new cases of cancer will have been diagnosed in 1990, with an estimated 10% mortality within a year of diagnosis. Thus, the search continues for new or improved antineoplastic agents with a wide spectrum of activity and decreased toxicity. The major advances in single-agent antineoplastic drug therapy include the introduction of cisplatin almost 20 years ago and of etoposide (VP-16) in the mid-1980s. However, within the past two years, analogues of existing antineoplastic agents have been purified and marketed. These drugs offer an enhanced therapeutic index when used alone or in combination with other therapies as well as decreased toxicity and, thus, may enhance patient tolerance.
Alkylating Agents↗
Recruitment and retention of oncology nurses.
Healthcare delivery is undergoing a startling metamorphosis. The nursing shortage continues to have ripple effects on the healthcare system. Changes expected to occur during this shortage will set the stage for nursing practice for years to come. Resulting staffing concerns are a high priority. Providing holistic care for the patient and family experiencing cancer could be compromised by reduced professional staff and alternative care delivery systems. A creative focus on recruitment, orientation, and retention strategies is needed to achieve a positive balance between recruitment and retention.
Humans↗
Nursing management of external central venous catheters (CVCs).
One major nursing care management problem in patients requiring long term and/or multiple intravenous therapy is adequate and reliable venous access. Poor venous access can often be a source of agony for the patient as well as the nurse. A number of venous access catheters and ports have been developed to help alleviate this problem. Of these devices, the most widely used external central venous catheters include: the Davol (Hickman, Broviac, Leonard catheters, Arrow-Howes multi-lumen catheters, and the Groshong that requires no heparinization. The nurse needs to be knowledgeable and skilled in the care of these catheters, as well as the management and prevention of potential or actual complications. Equally important is the nurse's role in patient/family teaching and evaluation of expected outcomes.
Bacterial Infections↗
Cancer prevention and early detection in black Americans: colon and rectum.
Often referred to as "the cancer nobody talks about," the incidence of cancer of the colon and the rectum combine to form the second most common cancer in the United States today. In the past thirty years, the overall incidence rate for cancer in Blacks has increased by 27 percent; there are proportionately more Blacks than Whites dying from cancer. Blacks tend to have cancer diagnosed at a later stage, when chances for cures have diminished. This study examines some of the causes of colon and rectal cancer and discusses prevention strategies.
Black or African American↗