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Biomedical subjects

P Miederhoff

Publications and source records attributed to P Miederhoff.

4 recordsLinked to original sources

Postoperative nausea and vomiting after discharge from outpatient surgery centers.

We examined patients' experiences with nausea and vomiting after they were discharged from outpatient surgical centers. Data were collected on 211 surgical outpatients at 24-48 h after discharge via a telephone interview conducted by outpatient surgery nurses, and at 5 days after discharge via a patient-completed questionnaire. Telephone interviews were conducted with 193 patients. Questionnaires were completed by 154 patients. Over 35% of patients experienced postdischarge nausea and vomiting. Most had not experienced nausea and vomiting in the recovery room. The severity of nausea for these patients averaged 5 on a 10-point scale (10 indicating very severe nausea). During the 5 days after discharge, these patients reported experiencing nausea for an average of 1.7 days and vomiting for 0.7 days. Patients who experienced postdischarge nausea and vomiting were not able to resume their normal daily activities as quickly as those who did not. Patients managed postdischarge nausea and vomiting with little contact or intervention from health professionals and with minimal product purchases. The results indicate that postdischarge nausea and vomiting is common after outpatient surgery, and that it results in substantial distress and impairment for patients who experience it.

Adult↗

Birth order and communication skills of pharmacy students.

Pharmacy educators are training graduates in a concept of practice called pharmaceutical care. The movement towards patient care requires consideration of the personal and social qualities of trainees. All individuals attracted to pharmacy may not desire involvement in patient care. This preliminary study of pharmacy students of the relationships among birth order, empathy, and assertiveness behaviors using the Interpersonal Communication Inventory showed the incidence of firstborn students in this sample was not significantly higher than in the general population but the incidence of those born second was significantly lower. Regression analysis of individual items gave significant correlations between birth order and three items on the inventory. While few conclusions can be drawn, a clear direction for further research is indicated.

Adult↗

Description of a skills oriented health ethics program.

Continuing change requires that the primary goal of ethics education be the development of competencies to address changing ethical issues. To develop the skill of critical ethical thinking, a two component model was developed. The first component is a two semester hour course in ethical theory. This component is analogous to the theoretical component of a science curriculum and it emphasizes that ethical theory, like scientific theory, is held hypothetically, subject to revision and replacement as it develops in response to "data." The other component, a one semester hour course in health ethics, is designed as the "laboratory" in which theory interacts with ethical problems in health-care situations. Skill development takes place by requiring students to find and defend solutions to ethical dilemmas by applying and refining ethical theory. the ethical issues addressed include but are not limited to current issues in pharmacy. The ongoing evaluation of this model by external evaluators from the funding agency, local consulting faculty, and students has consistently emphasized the value of concrete involvement in cases concomitantly with the exposure to ethical theory.

Competency-Based Education↗