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Biomedical subjects

P Moore

Publications and source records attributed to P Moore.

At least 289 records · Page 16Linked to original sources
PubMedDate not supplied

Psychologic adjustment after childhood burn injuries as predicted by personality traits.

The purpose of this study was to examine the nature of psychologic adjustment in persons who have survived childhood burn injuries. It was hypothesized that survivors who were well-adjusted psychologically would possess specific personality traits that would differentiate them from their poorly adjusted peers. Thirty-two subjects were given a standardized assessment of psychologic adjustment and a standardized personality inventory. The subjects were assigned to either a "poorly adjusted" group or a "well-adjusted" group, on the basis of each subject's score on a standardized measure of adjustment. There were no significant differences between the two groups in variables of gender, age, time since burn, or age at time of burn injury. The results indicate three personality traits that seem to be related to psychologic adjustment after a severe burn injury in pediatric patients.

Adaptation, Psychological↗
PubMedDate not supplied

Psychosocial sequelae of pediatric burns involving 80% or greater total body surface area.

Important questions for pediatric burn care specialists relate to the quality of life for those children who survive the most severe burn injuries. This study examines the psychological adjustment of 25 children who survived injuries > or = 80% total body surface area and the impact of such injury on the families. Data were analyzed from the most recent assessment, with the Child Behavior Checklist, Teacher Report Form, Piers-Harris Children's Self-Concept Scale, Parenting Stress Index, and a parental questionnaire designed by the authors. As a group, the children's behavioral problems as reported by both parents and teachers were within normal limits. Measures of parental stress, however, clearly differentiated the burn population. These parents attributed more stress to characteristics of their children. Children with > or = 80% TBSA burns develop positive feelings about themselves and appear no more troubled than a comparable group of nonburned children. The impact on the families is significant, however, and must be considered of consequence in the rehabilitation of the burned child.

Adaptation, Psychological↗
PubMedDate not supplied

Parental well-being and behavioral adjustment of pediatric survivors of burns.

Parents of pediatric patients with burns often perceive their children as troubled and having an increased number of problem behaviors. This study examines the relationship between these problem behaviors and the parent's own emotional well-being. Mothers of 38 burned children completed three standardized questionnaires: Child Behavior Checklist, Parental Stress Index, and the Eight State Questionnaire. The population was further divided into troubled and untroubled by a Child Behavior Checklist total problem T score of 60. Parents were not significantly different from reference populations on most of the scales. However, the Parental Stress Index results revealed that parents who report their children as troubled are themselves stressed, not only by their children's behaviors but in areas unrelated to their children. In addition, these mothers report often feeling depressed and guilty on the Eight State Questionnaire. This study emphasizes the need for psychological assessment of both parents and children.

Adaptation, Psychological↗
PubMedDate not supplied

Efficacy of school reentry programs.

Evaluation of school reentry programs are rarely reported, and statements of the value of reentry programs are usually based on anecdotal information. No known reports of empiric data support claims of positive benefit for burned children. This article reports a multifaceted effort to evaluate the effectiveness of one reentry program involving three approaches: (1) questionnaire answered by the school contact person after reentry program, (2) interviews with a random sample of patients (n = 58) and parents (n = 44) 1 to 5 years after burn, and (3) assessment of patients' behavior problems by teachers on a standardized behavior checklist comparing 10 patients who had a school reentry program involving videos to introduce them to their classmates with 10 patients who were matched for age, sex, and total body surface area burned and had no reentry program beyond phone contact. Results indicate that school reentry programs are popular with teachers and parents. This pilot effort involving empiric data failed to demonstrate a positive effect on the adjustment of the child.

Adaptation, Psychological↗
PubMedDate not supplied

Inconsistencies in psychosocial assessment of children after severe burns.

Health care providers usually except children with severe burns to have psychosocial problems due to the severity of the injuries and resulting deformities. To test the validity of that expectation, 72 children (43 boys, 29 girls) who had suffered severe burns were assessed at least 1 year after burn injury for behavior problems and competence, by use of the 1991 Achenbach questionnaires: Child Behavior Checklist (CBCL), Youth Self-Report, and Teacher Report Form. The scores on each questionnaire then were compared by use of paired t tests. Also, the scores of the patient population were compared with those of the nonreferred reference populations provided by Achenbach. Compared with the Teacher Report Form and Youth Self-Report, the CBCL revealed a statistically significant (p < 0.05) greater number of behavior problems and lower level of competence for all age groups and both sexes. Item analysis revealed in most instances excess endorsement of specific items on all scales for the patient population compared with their respective reference populations, but more items were endorsed on the CBCL. These results could be explained by increased parental sensitivity to problem behavior or decreased competence of their children after severe burns. Further studies are needed to understand the discrepancies between the CBCL and the other scales.

Adaptation, Psychological↗
PubMedDate not supplied

Competence and physical impairment of pediatric survivors of burns of more than 80% total body surface area.

Children who survive massive burn injuries are challenged by the physical sequelae of their injuries as they return to normal daily routines. The purpose of this study was to assess the impact of physical impairment on the competence of such children as they pursued their lives. It was hypothesized that children who survive burn injuries of more than 80% total body surface area would be less competent than their unburned peers, and that competence would decrease with increased physical impairment. Competence for the 19 patients was assessed by parental report using the Child Behavior Checklist and by the patient's self-report on the Youth Self-Report. Physical impairment scores were calculated from range of motion measurements of upper and lower extremities according to AMA guidelines. Competence scores for the sample were within normal ranges. Physical impairment was significantly related to competence only in the area of activity on both the Child Behavior Checklist and the Youth Self-Report.

Activities of Daily Living↗
PubMedDate not supplied

Employer evaluation of graduates: use of the focus group.

Traditionally, employer evaluation of new graduates has involved survey techniques. The authors describe a different approach--the use of focus groups to have employers evaluate baccalaureate nursing graduates 1 year following employment.

Education, Nursing, Baccalaureate↗
PubMedDate not supplied

A proposal for the conformation of loop E in Escherichia coli 5S rRNA.

A proposal is advanced for the conformation of the loop E region of prokaryotic 5S rRNAs based on spectroscopic data obtained from pAD3 RNA, a construct that includes helix IV, helix V, and loops D and E from Escherichia coli 5S rRNA. Even though loop E juxtaposes bases that cannot form Watson-Crick base pairs, it resembles an A-form double helix; its nucleotides relate to each other spectroscopically in a helix-like way and are in the anti conformation. The ends of loop E, which is palindromic, have the same conformation. Working in from either end towards the center of the loop, a closing GC is followed by a side-by-side GA and then by a reversed Hoogsteen AU, a pattern resembling that found at one end of eukaryotic loop E. The center of the loop consists of three nucleotide pairs, which appear to be an asymmetric GG pair, a Watson-Crick-like AG, and a GU stabilized by a single hydrogen bond.

Base Sequence↗
PubMedDate not supplied

Acute surgical wound care 1: An overview of treatment.

The first article in this series of articles on acute surgical wound care traces the history of surgical wound care, from primitive dressings and techniques of closure used in the past to the present-day approach. The history of surgical wounds is discussed together with a classification of the different types of surgical wound closure. Nowadays, it is recognized that the management of surgical wounds has to be planned carefully to achieve adequate exposure to the area of surgery. At the same time the surgeon has to be conscious of how the wound will heal to ensure optimal postoperative function and cosmetic results. To do this an understanding of the principles underpinning surgical incisions, and of alternative techniques for their closure, drainage and wound dressing, is needed. The role of the nurse in preparing patients preoperatively and supporting and caring for them postoperatively is paramount.

Bandages↗
PubMedDate not supplied

Acute surgical wound care. 2: The wound healing process.

The first article in this series on acute surgical wound care traced the history of surgical wound care from primitive dressings and techniques of closure used in the past to the present-day approaches. It also outlined the classification of acute surgical wounds (Vol 7(18): 1101-6). This second article describes the four stages of wound healing in acute surgical wounds, using clinical slides to illustrate the wound healing process. General factors, such as age, nutrition and medication, and local factors, including a moist environment, blood supply and wound infection, will be discussed to demonstrate their importance in promoting optimum wound healing.

Humans↗
PubMedDate not supplied

Acute surgical wound care. 3: Fitting the dressing to the wound.

The third article in this series on surgical wound care discusses the types of dressings currently available, and selection of the correct dressing for a particular wound type. There is an abundance of information on the types of dressings available. Wound management for the individual patient must be decided using best evidence and taking into account patients' increased involvement in their care, new technology and the push to mobilize early, leading to early discharge from hospital. The nurse needs to have a good knowledge of the types of dressings available, the properties of individual dressings and a sound understanding of wound healing, in order to make an informed decision on wound management. General factors such as safety, comfort, pain management and convenience must be borne in mind when deciding which dressing is the best for individual patients, given that dressings now have to be cost-effective as well as clinically effective.

Bandages↗
PubMedDate not supplied

Acute surgical wound care. 4: The importance of documentation.

This article, the last in a series of four, discusses the importance of documenting wound care. Studies have shown that nurses do not document wound care as often, or as accurately, as they should in order to comply with the UKCC's (1998) Guidelines for Records and Record Keeping. Although some wound assessment charts have been published and are in use, there is still concern about the validity or reliability of some of these charts. Studies show that further research is necessary in order to validate the charts that are currently in use. An increase in litigation has placed more emphasis on accurate record keeping which shows, in detail, the wound care that is given to each patient. Patients also want to be more informed about their treatment, and this can be done through the use of clinical pathways or multidisciplinary documents. This article also discusses the factors that have to be considered when putting a wound care chart together and gives some examples of existing charts.

Acute Disease↗
PubMedDate not supplied

The use of a hydrofibre dressing in fulminating necrotizing fasciitis.

This article describes a case of necrotizing fasciitis in a 52-year-old man with previously undiagnosed diabetes. Treatment involved massive debridement and subsequent dressing of the open surgical wound. A modern hydrofibre dressing (Aquacel) was inserted intraoperatively and subsequently continued postoperatively. Wound healing occurred over 3 months and the patient was discharged with no disability. The dressing managed the exudate level and kept the wound moist. It also was well tolerated by the patient, was comfortable and easy for the nurses to remove and apply.

Carboxymethylcellulose Sodium↗
PubMedDate not supplied

Collaborative model for continuing education for home health nurses.

Nursing is at the heart of home care; therefore, the profession of nursing must ensure the availability of qualified nurses to provide and manage care in the growing and increasingly complex home care market. In response to this need, the College of Nursing, Arizona State University, developed a CE program for nurse clinicians and managers in home care. This article describes the development, implementation, and outcomes of a project that linked service agencies with education in this collaborative endeavor.

Aged↗