Biomedical subjects
Publications and source records attributed to P Cave.
The failure of hospitals to analyse the costs and benefits of equipment is costing the NHS millions. Hospitals should analyse the relative merits of buying and hiring special equipment, such as beds, for reducing pressure sores. The Department of Health should produce best buy guides for equipment.
Philosophical analysis is increasingly applied to nursing issues. Whereas pre-analytical discussions might be sloppy, analysis should bring rigour. This paper explores some mistakes and misconceptions concerning nurse-related reasonings. It uses, as a running theme, a recent paper in the Journal of Advanced Nursing by Rolfe. The mistakes and misleadings to be found in the paper are not uncommon; so the paper's correction quest aims more widely than single author critique. The mistakes and misconceptions could initially appear abstract and without practical outcome; in order to avoid the threatened appearance, a nursing case study is presented, displaying some undesirable consequences for a nurse who is misled by her reading. It is hoped that this paper shows how some accuracy may be well leading.
Serum antibodies reactive with rat cardiac and skeletal muscle were found by indirect immunofluorescence in 11 of 16 heart transplant patients receiving heterologous antithymocyte globulin and 1 of 5 patients receiving cyclosporin A. These antibodies appeared de novo following transplantation and were present for variable lengths of time. Antibodies reactive with rat liver, stomach and kidney were also found in several patients, 9 out of 16 patients receiving equine globulin had antibodies directed against components of the microvasculature, including endothelial, smooth muscle and vessel wall connective tissue. Analysis of antibody kinetics and acute cardiac rejection did not reveal any well-defined associations, though anti-heart antibodies were present in 4 of 6 patients who died from acute rejection.
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Using wound care as an example, the author reflects on the knowledge and skills practised by nurses in nursing and research. He emphasises reflecting on practice, and introduces the importance of non-existent states of affairs, the grasp of which is essential in analysing what it is to act in patients' best interests.