Nosebleeds: not just kids' stuff.
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Biomedical subjects
Publications and source records attributed to T Shellenbarger.
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Clients experiencing various stages of laryngeal cancer frequently are cared for at home with the help of home healthcare nursing and other agency personnel. This article provides the clinician with an organized way of assessing and intervening with these clients and their families. Strategies, practical tips, and hints are given to assist the nurse in providing high-quality care.
The immediate post-hospitalization outcomes for elderly individuals who received home health services after discharge were compared with those who did not receive home health services. The needs of individuals with cognitive impairment and the "old-old" were major foci of interest. Assessment instruments included the Mini-Mental State Exam, the Delirium Symptom Interview, and the Everyday Problem Solving Test. Data on the use of health services after hospital discharge were collected. Results showed that patients age 80 and older, who received skilled nursing services, were less likely to report health problems or complications than those who had not received skilled nursing services. Because the old-old elderly are more likely to have problems during the immediate post-hospitalization period, this group of patients should be targeted for needs assessment and discharge planning.
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Kidney stones usually develop when urine becomes concentrated and crystals form. These stones can lodge anywhere in the urinary system and cause severe pain. Most stones pass spontaneously, but 20% of all patients receive medical intervention. Noninvasive approaches and conventional surgery are used. Nurses assess and monitor patients through diagnosis and treatment, and teach patients how to avoid a recurrence.
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Nurse educators must maintain and have access to large amounts of information about student clinical performance. A computerized database is proposed as an efficient and effective clinical record-keeping system. This system will save the nurse educator time and energy with record-keeping and retrieval of student information. Implementation of the database also facilitates the clinical assignment and student evaluation process.
Sexism exists in many nursing classrooms without the teacher or students being aware of it. Speech patterns, written-communication, and pedagogical styles may contribute to sexism. Nurse educators need to take measures to identify and eliminate sexism from the classroom, because it subordinates and limits students. The classroom should promote gender-free situations that enhance and contribute to learning and advancement of all students.
Some nursing students who are struggling to succeed academically may be dyslexic and may need help from nurse educators. First, the author describes ways to identify the student with dyslexia in both the clinical and classroom setting. Secondly, diagnostic processes are reviewed. Finally, the author discusses simple strategies that modify the learning environment while helping to foster student success.
Nursing programs must face the challenge to recruit and retain qualified faculty who are committed to the institution and the profession. In these times of scarce financial resources, increased faculty retirements, and a declining faculty applicant pool, the search committee must make wise choices for searching and hiring replacement faculty. The authors discuss how the search committee can effectively conduct a search, review applications, interview, hire, and orient qualified faculty replacements.
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Faculty use numerous techniques to evaluate student nurses' clinical performance. The development of keen observational skills is crucial to evaluating students' performance, but this is only the first step. Fair student evaluations require the faculty member to recall incidents and draw sound conclusions about clinical performance events. There are various tools to assist the nurse educator in evaluating students' clinical performance. The authors describe one such tool, the anecdotal record, used by nursing faculty for clinical record keeping and evaluation. Guidelines for anecdotal record keeping and solutions to common management issues related to anecdotal record keeping are provided.
The authors provide a brief overview of the internet and home pages on the World Wide Web. Definitions of Web terminology are provided to help the reader understand home page creation. The authors also describe the steps in electronic publishing and how to create a home page. Supplemental tables provide internet addresses for nursing and non-nursing sites for reviewal of other home pages. The article continues with information about design, formatting, adding text and images, and dissemination suggestions for home pages. Examples of home pages and instruction commands (tags) are provided. The future of Web publishing is discussed, and issues and concerns are raised regarding electronic publishing.