Search PubMed⌕ Search

Biomedical subjects

S R Michael

Publications and source records attributed to S R Michael.

14 recordsLinked to original sources
PubMed1996

The influence of personal message with music on anxiety and side effects associated with chemotherapy.

The purpose of this pilot study was to evaluate the benefits of a message from a patient's physician audiotaped over music on reducing anxiety and side effects of patients receiving chemotherapy. A convenience sample of 97 adult patients receiving chemotherapy for the first time was assigned to either an experimental or control group. Before beginning the first chemotherapy treatment, all subjects completed a demographic questionnaire and the Spielberger State Anxiety Inventory (SSAI). Participants in the experimental group (n = 47) received taped music and a message from their physicians during the next four chemotherapy treatments. Participants in the control group (n = 50) received no intervention from the researchers and underwent their next four chemotherapy treatments as prescribed. After the fourth chemotherapy treatment, the SSAI and a side-effects self-assessment evaluation were completed by all subjects. A paired one-tailed t test found a significant difference between pre- and postintervention scores on the state anxiety scale (p < 0.001). In addition, anxiety remained the same over time in the control group. There was no significant difference in the severity of side effects experienced between control and experimental groups. These preliminary findings indicate that a simple and cost-effective intervention can decrease a patient's anxiety when receiving chemotherapy.

Adult↗
PubMed1996

Integrating chronic illness into one's life: a phenomenological inquiry.

Chronic illness is currently the number one health problem facing the United States. Little is known about the experience of making chronic illness a part of one's life, particularly from the perspective of the chronically ill person. The purpose of this phenomenological inquiry was to explore how chronically ill adults integrate chronic illness into their lives. Seventeen chronically ill adults were interviewed by the researcher. Using a modification of Colaizzi's (1978) method of data analysis, 4 major themes emerged. These themes were: confronting loss, fluctuating emotions, making changes, and gaining control of an altered life direction. Some of the major recommendations and implications for nursing practice centered around perceiving the entire experience of chronic illness with an emphasis on the need to recognize and assess loss as an ongoing and unending experience, and how this loss influences a participant's willingness and ability to implement changes required by the medical treatment plan.

Adaptation, Psychological↗
PubMed1990

Nursing management of the diabetic patient receiving nutritional support.

The diabetic patient receiving nutritional support presents a particular challenge to critical care nurses and other members of the health care team. Typical protocols concerning TPN administration must be reevaluated given the special considerations associated with the pathology of diabetes mellitus. These patients are particularly susceptible to the development of acute complications including those associated with glucose metabolism abnormalities and electrolyte imbalances. In addition, diabetic patients receiving TPN have the added stress of an acute illness complicating a chronic illness. An understanding of the interrelationships between the pathophysiology of diabetes mellitus and the stress response will provide the nurse with the background information necessary to meet the challenges imposed by TPN administration. The critical care nurse will be able to recognize early signs and symptoms of complications and implement appropriate nursing interventions. An overview of primary nursing diagnoses, goals, and interventions has been presented and will apply to most patients receiving nutritional support. Individualized care plans can now be formulated as an extension of the basic plan, thus ensuring optimum nursing care to the diabetic patient receiving nutritional support.

Diabetes Mellitus↗
PubMed1989

Management of the diabetic patient receiving nutritional support.

The diabetic patient receiving TPN presents a challenge to health care personnel. Usual protocols concerning TPN administration must be reevaluated given the special considerations associated with the pathology of diabetes mellitus. These patients are susceptible to the development of complications including those associated with glucose metabolism abnormalities and electrolyte imbalances. In addition, diabetic patients receiving TPN have the added stress of an acute illness complicating a chronic illness. An understanding of the interrelationships between the pathophysiology of diabetes mellitus and the stress response will provide the nutritional support team with the background information necessary to meet the challenges imposed by TPN administration. The health care team will be able to recognize early signs and symptoms of complications and implement appropriate interventions. Individualized care plans can be formulated as an extension of the basic plan that has been presented, thus providing optimum care to the diabetic patient receiving nutritional support.

Diabetes Mellitus↗
PubMed1982

Organizational change techniques: their present, their future.

To help carry out their responsibility of managing rapid and often unexpected change, managers have an available set of techniques: organizational behavior modification, management by objectives, management development, organization development, management auditing, and a control cycle of planning, implementation, and control. Each of these has a format that species the procedures to be followed to bring about organizational change. Michael emphasizes that such formats are preferable to a haphazard, trial-and-error approach that may produce unanticipated results. In part because some techniques are newer than others, data from a research project of planning and control that Michael conducted show different rates of usage by a sample of Fortune 500 companies. The control cycle is the most widely used; organizational behavior modification the least widely used. The use of these techniques of organizational change is likely to vary in some ways and experience may bring about changes in the techniques. Michael concludes that the newer breed of managers who are versed in the social sciences, mathematics, and the computer are likely to spread new techniques in the organizational world.

Behavior Therapy↗
PubMedDate not supplied

Treating hypoglycemia.

Explore the source record for details and available documents.

Diabetes Mellitus↗
PubMedDate not supplied

Drug therapy for the hypertensive diabetic patient: implications for the diabetes educator.

A variety of side effects associated with the use of antihypertensive medications may occur in any patient with diabetes mellitus. Also, some antihypertensive agents produce symptoms that would be insignificant to the nondiabetic patient but may be life-threatening to the patient with diabetes mellitus. Therefore, it is imperative to instruct patients to be aware of any changes they may notice after starting an antihypertensive medication or changing their antihypertensive drug regimen. With this increased awareness and an increase in glucose monitoring (when necessary), the patient is prepared to recognize subtle changes in blood glucose levels or other conditions related to diabetes mellitus--changes that might otherwise go unnoticed. As diabetes educators, being knowledgeable about the pharmacodynamics of various antihypertensive medications, their influence on diabetes, and any risks the drugs may impose on the diabetic patient gives us a sound base to intervene with patients and prevent potentially life-threatening complications.

Antihypertensive Agents↗
PubMedDate not supplied

Photography as a tool in assessment and rapport development in clients with diabetes: research brief.

Certainly no major conclusions or generalizations can be made from a pilot study of this size. However, as is the nature of pilot studies, needed modifications in methodology have been discovered. Also, it is obvious that rapport development may be evaluated with the MISS, and the use of a camera has proven to be a worthwhile assessment and intervention tool. The results of this pilot study would certainly warrant continuation with a larger study. Rapport development has not been studied in diabetes. Perhaps rapport may be at risk because of the lengthy provider-patient relationship and the need for repeated physician reinforcement of required medical regimens and some associated life-style changes. In this study, rapport appeared to increase slightly in the experimental (camera) group and decrease in the control (non-camera) group. From the patients' perspective, use of photography communicates that the health care provider cares about them as individuals, is interested in their life-styles, and is seeking methods to best integrate the treatment regimen into their individual life patterns. However, rapport development may deteriorate over time with individuals who have a chronic illness (as indicated by some decrease in pretest/posttest mean differences in both groups), thus emphasizing the responsibility of health care providers to actively work to preserve rapport. The camera may be one method to accomplish this goal. When treating an individual with a chronic illness, health care providers tend to view the patient and problem as one entity rather than as two separate components. The camera may help to enhance this separation and promote understanding of the individual by means of rapport development.

Adult↗
PubMedDate not supplied

The challenge of conducting clinical research in diabetes care and education.

The current healthcare environment requires diabetes educators to design their care and education programs around findings in scientific- and research-based literature. They must be confident that what they do makes a difference in terms of patient outcomes. Although diabetes educators recognize the importance of research as a basis for their practice, they often do not see themselves as responsible for participating in the process. Clinicians such as diabetes educators are in an ideal position to incorporate research into their practice because they are the most knowledgeable about the clinical problems that need to be solved. The challenges of conducting clinical research will be explored in this article along with ways to promote greater participation of diabetes educators in conducting research in their practices.

Clinical Nursing Research↗