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Mobility affords conformity that results in less polyethylene stress and perhaps less load on the underlying bone. Wear has been documented to be less. There are excellent long-term data on large numbers of patients, and I would submit that if you try it, both you and your patients will love it.
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This discussion of data analysis in qualitative research addresses the question of how authors describe this aspect of their research. I suggest that the tradition of organization of research papers from quantitative research is not a good fit for writing qualitative research. I argue for less jargon and more detailed description, with the analytic process integrated into the findings and interpretation.
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There are internationally agreed optimal methods for developing clinical practice guidelines. The quality of published guidelines varies. A validated assessment instrument should be used to identify well developed guidelines that can be used with confidence. There are multiple ways of presenting guidelines, including computerised systems. Computerisation of guidelines can cover a range of formats, from brief prompts through to complex decision-support systems. Integrating guidelines into computerised reminder systems has been shown to be effective in improving patient care, but there is less evidence to support the effectiveness of guidelines integrated into computerised decision-support systems.
For children with cancer, being hospitalized represents a great source of stress. Hospitalized children are not only deprived of their familiar and comforting world, but they must also face various and often painful treatments. They must quickly adapt to new people and to an environment that is very different from that of their homes. They have greater safety needs. Thus, it is important to offer these children concrete ways to better adapt to the stresses of hospitalization. Animal-assisted therapy, considered within this project as a novel approach to care, constitutes an interesting solution. It involves using the privileged relation between children and animals to foster the process of adaptation to illness and the hospital environment. The experience described in this article is a one-year pilot project completed on a pediatric oncology unit. A priori, an already very heavy workload, the vulnerability of the patients, and many constraints added to the concerns related to the presence of animals on a tertiary care unit. A postiori, the rigorous design and implementation process of the pilot project, the strong involvement and engagement of volunteers and professionals, the quality of the participating "therapeutic" dogs, the originality of the entire process, and the satisfaction of the patients and nursing staff contributed to its success and to establishing the basis for a permanent implementation of this special care program for children hospitalized with cancer.
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