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Biomedical subjects

T Chamorro

Publications and source records attributed to T Chamorro.

6 recordsLinked to original sources

Computer-based patient record systems.

OBJECTIVES: To provide oncology nurses with an overview of computer-based patient record (CPR) systems, a key infrastructure requirement in information management that is essential to maintaining a scientific basis for health care. DATA SOURCES: Published articles, research studies, and review articles pertaining to CPR systems. CONCLUSIONS: Progress in hardware development, software applications, and interfaces combine to bring us multimedia patient record systems. Many obstacles have been overcome as standards have emerged and technologies conform to those standards. However, there has been limited success in implementation of such systems. Early acceptance of structured data and problem-oriented documentation set the framework for charting in the electronic record. IMPLICATIONS FOR NURSING PRACTICE: Oncology clinicians and cancer patients alike will realize greater efficiencies and increased quality in health care when the CPR is fully implemented.

Attitude to Computers↗

Cancer of the vulva and vagina.

Vulvar and vaginal cancer are rare malignancies and require aggressive treatment for survival. The prospect for cure in early stage disease is excellent. The major treatment modalities for these diseases, surgery and radiation, will affect structural alteration of the genitalia, requiring physical and psychological rehabilitation over an extended period of time. Quality of life is an important focus in cancer nursing. Efforts to control symptoms or adverse effects and to enhance the psychological adjustment are important aspects of patient care. Vulvar and vaginal cancer leave obvious residual effects, and disfigurement and dysfunction will be a part of these women's lives. Husbands and partners are also affected, and adjustments of both the patient and her partner are expected to continue for years. An active position assumed by the nurse will aid the patients' adaptive responses to these devastating diseases.

Combined Modality Therapy↗

The role of a nurse-clinician in joint practice with gynecologic oncologists.

Increasing interest in nurse-physician collaborative practice resulted in a study proposing to profile a nurse-clinician in joint practice with gynecologic oncologists. The functions performed in the work setting and the undertaking of other activities in professional life are seen as the instrumental features of the nursing role. Nurses and physicians responded to a questionnaire related to nursing functions involving teaching, research, professional development and the independent and medically overlapping activities of patient care. Physicians indicated a perception of the nurse in a liaison role. Nurses perceived a strong obligation to perform functions relating to professional development. Psychosocially oriented care components ranked prominently in the perception of both groups. Data from the study suggests that the specialized nurse occupies an integrating role with physicians in meeting health care needs of patients. Implications from the findings are translated to the practical setting through a description of duties of the gynecologic oncology nurse.

Gynecology↗

Strategies for risk management in cancer nursing.

In the current social and legal climate, nurses are increasingly subject to litigation charging professional negligence. A higher professional standing for nursing and a larger role in the decision-making aspects of health care have helped to effect this revolution. There are inherent risks in providing health care that are intensified by the rapid growth in medical technology and complex treatment. Claims brought against nurses have been categorized in studies, and primary causes of patient injury in the healthcare facility are also identified. Using these and other data, areas within cancer nursing that predispose to the risk of increased liability can be anticipated. Issues that are unique to the acute care, ambulatory, or homecare setting in oncology are described. Risk management is a mechanism that addresses the prevention and control of financial loss resulting from claims of negligence. Using risk management concepts, strategies are developed to help the cancer nurse recognize intrinsic dangers and reduce the potential for liability.

Ambulatory Care↗