Medicine and Health Sciences Commons^™

Innovations In Diabetes Education, Sharon Strang, M. Bagnardi

Sharon L. Strang

No abstract provided.

Novice To Expert: Nursing Assessment Using Human Patient Simulators, Carolyn Insley, Janet Willhaus

Janet Willhaus

Aims: This presentation describes the use of simulators with beginning nursing students in a nursing health assessment lab. The method gives students an opportunity to assess abnormal lung, cardiac and bowel sounds.

Background: Simulation of clinical situations has become more sophisticated with the introduction of human patient simulators. Simulation is used in nursing education to provide students with a safe environment in which to practice and improve clinical skills, gain self confidence, and reduce fear in caring for real patients. Patricia E. Benner’s theory of novice to expert supports student skill acquisition with basic physical assessment. This course combines practice …

Pencil To Practice: Nursing Student Recognition Of An Emergent Patient Condition, Rebecca Sander, Janet Willhaus

Janet Willhaus

Aims: This assessment scenario measured senior nursing student ability to assess, evaluate and recognize the development of an emergent patient condition. Background: In a traditional paper/pencil test, nursing students had difficulty recognizing the signs and symptoms of a pulmonary embolism early in the spring semester 2009. The lead instructor wanted to evaluate whether students would act and independently administer appropriate care in the simulation lab setting when given the same signs and symptoms. Method: Using the Blackboard platform, a patient chart was prepared for students. This chart was made available to the student one hour prior to the simulation. The …

Infection Control: Don't Spread The Glow, Carolyn Insley, Chavonne Wyatt, Janet Willhaus

Janet Willhaus

Aims: The simulation’s aim was to help nursing students prioritize care in an infection control environment and to provide a review of specific skills learned in the prior semester.

Background: Using Patricia E. Benner’s “Novice to Expert” theory, nursing students progress through levels of expertise. In this scenario, nursing students were expected to prioritize care from tasks requiring various levels of infection control. This simulation was conducted prior to beginning hospital clinicals for the semester.

Method: A static manikin was prepared with a central line, a gastric tube, a foley catheter and a leg wound with a known Methicillin-resistant Staphylococcus …

Contributions Of Supportive Relationships To Heart Failure Self-Care, Margaret Sebern, Barbara Riegel

Margaret Sebern

Supportive relationships are known to improve outcomes for persons with heart failure (HF). Supporters may do so by improving self-care, but little is known about the influence of supportive relationships on HF self-care.

The purpose of this study was to explore background characteristics associated with supportive relationships, and the contribution of supportive relationships to HF self-care. The construct of shared care was used to operationalize supportive relationships. Shared care refers to a system of interpersonal processes (communication, decision making, and reciprocity) used in close relationships to exchange support. A cross sectional design was employed recruiting 75 HF dyads.

Older patients …

Creating An Innovative Faculty Practice Site: Conducting A Needs Assessment, Sharon Strang

Sharon L. Strang

No abstract provided.

Vitamin C, Tini Gruner, Rachel Arthur

Dr Tini M Gruner

Summary the first nutritional disease ever identified was scurvy, which was endemic in Europe in the 18th century. Vitamin C was subsequently recognised in 1928 as the ‘antiscorbutic factor’ in the citrus fruits that James Lind had fed his sailors. Since then, the research on this nutrient has ebbed and flowed, portraying it at different stages as both panacea and placebo. In light of the current evidence-based paradigm, it appears now that the true effect of vitamin C lies somewhere between the two. There is growing recognition by international authorities of the broader actions and applications of vitamin C, and …

Vitamin B12: An Undervalued Vitamin, Tini Gruner

Dr Tini M Gruner

No abstract provided.

Development Of A Method For The Separation Of Corrinoids In Ovine Tissues By Hplc, R Kelly, Tini Gruner, A Sykes

Dr Tini M Gruner

A method has been developed using a combination of high-performance liquid chromatography (HPLC) and a radioisotope dilution assay (RIDA) to routinely estimate the distribution of corrinoids (the cobalamins hydroxocobalamin, methylcobalamin and 5-deoxyadenosylcobalamin, and cobalamin analogues) in liver, plasma, milk, intestinal fluid and faeces. Corrinoids were extracted with a sodium acetate buffer, separated by HPLC and quantified by RIDA. Recoveries of corrinoids were 29% for hydroxocobalamin, 50% for 5-deoxyadenosylcobalamin and 64% for methylcobalamin. The method allows the routine analysis of many samples and maintains good standards of precision.

Analysis Of Corrinoids In Ovine Tissues, R Kelly, Tini Gruner, J Furlong, A Sykes

Dr Tini M Gruner

Corrinoids from various ovine tissue samples (liver, blood, small intestinal fluid and faeces) were analysed using a combination of high-performance liquid chromatography (HPLC) and a radioisotope dilution assay (RIDA) to estimate the distribution of corrinoids - the cobalamins hydroxocobalamin (OH-cbl), methylcobalamin (me-cbl) and 5-deoxyadenosylcobalamin (ado-cbl), and cobalamin analogues - in these tissues. Samples were taken from either cobalt-deficient or cobalt-replete ewes, and ruminant and pre-ruminant lambs. In liver, ado-cbl predominated, followed by analogues, OH-cbl and me-cbl. Supplementation with either cobalt (ruminant) or vitamin B12 injections (pre-ruminant) increased the amount of ado-cbl and decreased analogues. In blood, OH-cbl predominated, followed by …

Vitamin B12, Tini Gruner

Dr Tini M Gruner

The usefulness of vitamin B12 in clinical practice is commonly underrated, particularly in agerelated diseases. This article provides some background on the rationale for inclusion of this vitamin in the treatment of a number of health problems and offers a metabolic understanding of the indications, therapeutic uses and administration of this important vitamin. Hopefully, much suffering will be alleviated if micronutrient therapy such as that outlined here is included in mainstream treatment of chronic and age-related diseases.

Digestion And Enzymes, Tini Gruner, Rachel Arthur

Dr Tini M Gruner

The mainstream treatment of a small number of medical conditions has for some time included digestive-enzyme supplementation, however, there are numerous other disease states for which enzymes have been proposed. At present, the many hypotheses contrast with the limited number of clinical trials employing digestive enzymes as treatment agents. Recent scientific findings appear to support some of the underlying propositions behind their use, perhaps paving the way for future research. An estimated four billion people

The Effect Of A Skills Algorithm On Undergraduate Nursing Students' Response Rate, Confidence And Skills Accuracy Using A Simulation Lab (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Improving The Health Of Underserved Communities; Facilitators And Barriers In Community Based Research (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Cohort Comparison Of Two Fertility Awareness Methods Of Family Planning, Richard Fehring, Mary Schneider, Mary Barron, Kathleen Raviele

Richard J Fehring

OBJECTIVE: To determine if an electronic hormonal fertility monitor aided method (EHFM) of family planning is more effective than a cervical mucus only method (CMM) in helping couples to avoid pregnancy. STUDY DESIGN: Six hundred twenty-eight women were taught how to avoid pregnancy with either the EHFM (n=313) or the CMM (n = 315). Both methods involved standardized group teaching and individual follow-up. All pregnancies were reviewed and classified by health professionals. Correct use and total unintended pregnancy rates over 12 months of use were determined by survival analysis. Comparisons of unintended pregnancies between the 2 methods were made by …

Skills Lab Vs. Simulation Lab: A Comparison Of Two Approaches For Teacing Intravenous Push Medication Administration, Margaret Fink

Margaret Fink

Evaluation Of Simulation Learning: Measuring Success Using A Rubric (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Efficacy And Efficiency In Natural Family Planning Services, Richard Fehring

Richard J Fehring

Relatively few Catholic couples in the United States use modern methods of natural family planning (NFP). So too, few Catholic physicians and health professionals prescribe the use of NFP methods for their patients. Reasons for low use of NFP methods include their perceived low efficacy; the complexity of learning, using, and teaching these methods; and the prolonged (and often unnecessary) required abstinence. Newer and simplified methods of NFP have been developed by physicians and scientists that are less complex and use modern technologies of detecting fertility and communicating instructions. Catholic physicians and scientists need to continue to answer the call …

A Descriptive Analysis Of Health Care Coverage And Concerns In West C Entral Wisconsin, E Jamelske, Johs-Artisensi, Lois Taft, K German

Lois Taft

No abstract provided.

Pediatric Ccrn Review Course, Susan Wade

Susan Wade

o November 2014, Houston TX o July 2014, Tampa FL o June 2014, Phoenix AZ o March 2014, Atlantic City, NJ o February 2014, Fort Myers, FL o October 2013, Hollywood FL o July 2013, Philadelphia PA o June 2013, Morristown NJ o June 2013, Phoenix, AZ o March 2013 Atlantic City, NJ o March 2012, Philadelphia, PA o March 2012, Atlantic City, NJ o May 2012, Boise, ID o June 2012, Fairfax, VA o September 2012, Philadelphia, PA o October 2012, Orlando, FL o August 2011, Omaha, NE o July 2011, Memphis, TN o July 2011, Las Vegas, NV …

Carbidopa/Levodopa: A Winning Combination, Bridget Roberts

Bridget R. Roberts

David Robinson arrives at his healthcare provider’s office reporting gradual worsening of his Parkinson’s disease (PD) symptoms. Although his current medication has helped over the past 5 years, it has recently lost effectiveness despite dosage and frequency adjustments. The healthcare provider prescribes carbidopa/levodopa (Sinemet) to be used in combination with Mr. Robinson’s current treatment to decrease the signs and symptoms of his disease.

Spiritual Crisis: A Concept Analysis, L Agrimson, Lois Taft

Lois Taft

No abstract provided.

Suicide Risk Screening In An Emergency Department: Engaging Staff Nurses In Continued Testing Of A Brief Instrument, Victoria Folse, Rebecca Hahn

Victoria N. Folse

A study was conducted to detect suicide risk in adolescents and adults seeking treatment in an emergency department (ED) in the Midwest as well as to continue testing reliability and validity of the 4-item Risk of Suicide Questionnaire (RSQ) developed by Horowitz et al. This study included ED staff nurses in a Level II Trauma Center who administered the RSQ to adolescent, adult, and geriatric patients, regardless of chief complaint or psychiatric history. Participants consisted of a convenience sample of 202 patients composed of 59 adolescents and 143 adults, including 36 geriatric patients. Psychometric analysis demonstrated a lower-than-expected degree of …

C Onsequences Of Uninsurance In Wisconsin, Lois Taft, K German-Olson, C Woldt-Schmidt, J Johns-Artisensi, E Jamelske

Lois Taft

No abstract provided.

Dual Representation And The Linking Of Concrete And Symbolic Representations, D Uttal, K O'Doherty, R Newland, L Hand, J Deloache

Linda Liu Hand

No abstract provided.

Florence Nightingale, Linda Treiber

Linda A. Treiber

No abstract provided.

Self-Concept, Victoria Folse

Victoria N. Folse

This new edition addresses the increased focus on evidence-based practice and new guidelines for safe patient handling. Plus, a new, cutting-edge chapter on Surviving Cancer helps prepare you to address the unique health care needs of patients who have survived cancer, but still face the physical and emotional after-effects of the illness and its therapy.

Order information at http://www.us.elsevierhealth.com/specialty.jsp?lid=4&sid=415

Managing Quality And Risk, Victoria Folse

Victoria N. Folse

In press. Visit http://www.us.elsevierhealth.com/Nursing to check availability.

Caring, Curing And Healing: A Comparative Ethnographic Study On Biomedically And Complementary Oriented Health Care Regimes In Sweden And The Usa, Consultant/Content Expert, Pg, The Board Of Research For Health And Caring Sciences At Karolinska Institute, Stockholm, Sweden (Anette Forss, Ph.D., Rn, Principal Investigator), Julie Fairman

Julie A Fairman

No abstract provided.

Community Need For A Chronic Illness Strategies Clinic, Sharon Strang

Sharon L. Strang

No abstract provided.