SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
A large proportion of a home care nurse's caseload is elderly persons with diabetes, presenting as either a primary or secondary diagnosis. This article provides specific guidelines for nutritional knowledge and assessment of these clients while giving practical guidelines for nutrition counseling and education.
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.
At the University of Missouri-Columbia, an Automated Form Generating System consisting of six computer programs was developed to generate the master menu, production forecast and usage forms, production worksheet, food order report, and selective menus for patients. In the initial testing of the programs, this computer-assisted system showed a 30 per cent reduction in time requirred by dietitians and clerks when compared with the manual system. Some expected benefits include ease in making menu changes, substantial reduction in errors, automatic updating of documents, and reduction in storage space for forms because documents will be generated just prior to a production week. The system will be implemented at a later date.
In order to develop an understanding of diabetes, the author decided to immerse herself in the world of the diabetic patient and adopt their lifestyle for two weeks. This article describes the results.
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.
Hospitalized diabetic patients with vascular disease, showing signs of infection and, perhaps, having had surgery, exhibit profound oscillations in their glucose levels. Better controls need to be followed to account for this variation between meals. To achieve this, the authors modified the meal schedules in a comparative study between two groups of patients that had been admitted to a cardiovascular surgical unit. The variable group consisted of 26 patients (group I) who were given a modified feeding schedule; the sample group that maintained the traditional schedule numbered 20 patients (Group II). All of these individuals have at least a 10 year history of diabetes and averaged 62 years of age. Glucose levels were measured every 6 hours for 20 consecutive days (normal glucose levels were considered 80-250 mg/dl). Results of the experiment were the following. Group I Breakfast 91%, Lunch 72%, Supper 77%, Snack 86%; Group II Breakfast 79%, Lunch 66%, Supper 69%, Bedtime 72%. As these findings indicate, a correct eating schedule for diabetics is a very important aspect in controlling proper blood glucose levels. Part of this work was presented at the VIII National Congress of Vascular Nursing, receiving first prize.
The experience of development of a protocol for the nutritional management of postoperative surgical patients is described. The protocol was developed with the involvement of all the professionals working in the ward (nurses, anesthetists, dieticians and surgeons). It contained indications on how and when re-start feeding for non complicated surgical patients. Specific indications for diabetic, hypertensive and nephropatic patients were devised. The protocol was readily adopted and successfully implemented, indicating that the strategy of sharing and discussing problems involving all the professionals leads to a better chance of success.