Clinicopathological approach to human liver allograft dysfunction.
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Biomedical subjects
Publications and source records attributed to S Davies.
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Pediatric hospice has become an important service for children and their families in the past decade. In this article we present unique aspects of StarShine, the hospice of Children's Hospital Medical Center in Cincinnati, Ohio. Length-of-service data demonstrate the need to find innovative ways of encouraging earlier referral to hospice. Several specialized aspects of care, such as long-term bereavement, pet visitation and social services for the family are presented. The initiation of a novel in-home pain management program is described. StarShine has not followed an adult hospice model, and as such, we discuss those unique aspects of dying pediatric patients and suggest specific solutions and interventions designed for children.
Caring for a pressure sore requires a holistic approach. Incontinence complicates the management of wounds. Encouraging patient participation in pressure sore management promotes ownership of the sore. Consistency in documentation allows a consistent and objective evaluation of healing. Recognition of any deficits in knowledge, and education to meet these, enhances patient safety.
Care-related work within continuing care settings is often perceived as being of low status and requiring little skill. In reality, however, creating a positive long-term care environment requires imagination and creativity. Education and training are a key element in any effort to improve the quality of care in nursing homes and similar settings, yet recent evidence suggests that opportunities for continuing education and training for staff in such environments are limited. This article considers the context of continuing education for nurses and care assistants employed in nursing homes, and uses a pilot evaluation of an educational package aimed at reducing the incidence of pressure sores as a case example to raise important issues. The difficulties in providing sufficient opportunities for education are highlighted and the need to embed any educational programme within a well-developed staff support structure is stressed.
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Patients with kidney failure are at particular risk from malnutrition and they must be regularly monitored and assessed if it is to be avoided. This article examines a multidisciplinary approach in a dialysis unit and discusses methods of nutritional assessment and treatment that are available.
Nurses are well placed to perform a key role in detecting and managing dysphagia in acute stroke patients. This article describes the anatomy and physiology involved in swallowing and provides a guide to assessing and feeding patients who have difficulty swallowing.
AIM: The aim of this article is to provide an account of an attempt to set up a randomised control trial (RCT) to evaluate the effects of programmes of continuing professional education on nursing practice. METHOD: The logistical and methodological challenges of the RCT are described, and an alternative quasi-experimental approach is outlined. RESULTS: It was not possible to obtain a sample of potential students due to the many constraints put on managers, mainly in relation to maintaining staff morale and providing a service while staff are away on courses. CONCLUSION: Few studies into the effects of education on nursing practice adopt a randomised control trial (RCT) methodology. Most continue to be process rather than outcome oriented, focusing on such things as teaching and learning strategies. This might be related to the methodological challenges posed by the RCT when applied in social settings.
Practice profiles are reflective pieces written by nurses in practice, and based on continuing professional development articles. This week Sian Davies discusses diabetic foot ulcers.
Practice nurses are involved in activities related to the prevention of cardiovascular disease and stroke. But the degree to which they use evidence-based practice in this area varies considerably. A Department of Health-funded study of 1,187 practice nurses in 11 health authorities identified significant links between individual and organisational factors and the use of research to guide practice. The study's authors discuss issues surrounding educational preparation, accessibility of research findings, the use of protocols and organisational influences.
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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.
Explore the source record for details and available documents.