PubMed · 9301012
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P Manning. 1997-08-30. CPD record-keeping.. https://pubmed.ncbi.nlm.nih.gov/9301012/
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A questionnaire regarding current routines for thromboprophylaxis was distributed to all 63 medical departments in Norwegian hospitals; 58 (92%) responded. All departments declared that they practiced prophylaxis against venous thromboembolism, and in most departments the decision (as to whether to practice prophylaxis) was left to the physicians. Written guidelines were used in only 12 departments, 21% of those who responded. The indications listed were those associated with a particular risk of thrombosis. Previous thrombosis and malignancy were listed less frequently than expected. There is a need for specific evidence regarding the efficacy and safety of thromboprophylaxis in medical patients. In our opinion this requires that further placebo-controlled studies be carried out.
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The Paihola Hospital is an institutional psychiatric care unit of the North Karelia Hospital District. The hospital has under several years developed nursing documentation by education and peer review. Documentation has improved especially in the following areas: 1) the patient and his family participate in planning, implementing and evaluating the care more than before, 2) data collecting has become more extensive and the patient's total situation is taken into consideration so that his resources, strengths, hopes and dreams will be taken into account in the nursing care plan, 3) the nursing diagnosis has helped us to detach from the medicine and problem centricity, 4) tangible goals and means are always agreed upon together with the patient (= care contract) if it is possible, 5) daily documentation has become evaluative; progress evaluations and final evaluation are a natural part of nursing documentation.