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Journal of Nursing : Risk

  • Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis
    Madeleine Augier RN BSN
    The term sepsis is often misunderstood. The public and often healthcare workers are unaware of the severity and high mortality rates this infection process has upon the world. Sepsis has vague symptoms that make diagnosis difficult. Often, sepsis is diagnosed in the later stages, when more obvious yet severe symptoms occur. This case study discusses a female who presents to the emergency department with sepsis secondary to pneumonia. Over the course of three days, the patient’s health quickly deteriorates, demonstrating the rapid progression of sepsis. Clinical findings, such as vitals signs, lab abnormalities, and symptoms of sepsis are discussed. The term bundle of care is presented to educate the reader on the golden standard of care for treatment of sepsis. This case study intends to increase community awareness and education to health care providers as well as providing an evidenced-based treatment guideline. More education and raised awareness will help prevent a deadly yet treatable infectious process.
  • Making a Difference: Recognizing the Risk of Alcohol and Benzodiazepine Use by Older Women 
    by Connie Caneen, Student Nurse Carol Eliadi EdD, JD, APRN Assistant Dean and Associate Professor, School of Nursing Massachusetts College of Pharmacy and Health Sciences
    Substance abuse in the elderly, specifically abuse of alcohol and benzodiazepines, is much higher than most people may think. According to a recent article published by CNN, of the 25.6 million women over the age of 59, seven percent abuse alcohol and eleven percent abuse psychoactive drugs such as benzodiazepines (CNN, 1998).
  • Preventing Falls in the Elderly Long Term Care Facilities 
    Preventing Falls in the Elderly Long Term Care Facilities Rebecca McCarthy, MSN, RN-BC, CDONA Catherine W. Adedokun, MSN, RN Roseanne Moody Fairchild, PhD, RN
    The elderly long-term care population is at increase risk for falls and fall related injuries. The implementation of a fall prevention program is important for ensuring resident safety. Systematically assessing residents’ risk for falls and implementing appropriate fall prevention interventions can reduce the number of falls in the elderly long-term care residents.
  • Videos, Bells and Whistles; Fall Risk or Injury Prevention? 
    by Michelle Myers Glower RN MSN LNC
    The term “Never Event” is not friendly. Never events consist of 28 occurrences on a list of inexcusable outcomes in a healthcare setting. They are defined as "adverse events that are serious, largely preventable, and of concern to both the public and healthcare providers for the purpose of public accountability.
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