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  • Electronic Medical Record: How its Use Facilitated an Increase in the Number of Patients with Diabetes to Achieve the Target Measurement of Having at Least 2 HbA1c Tests Performed in a 12 Month Period.
    Tracy Colburn, RN, Author
    We are in the midst of an unprecedented era, the convergence of technology and medicine. Even stories of failures are not true failures because of all we stand to learn from the experience of others. Technology has enabled those in the field of medicine to move forward with their own improvement projects
  • College of DuPage Opens Hospital Simulation Lab for Nursing Program
    Brian Kleemann
    College of DuPage Nursing students are now learning how to respond to a wide variety of patient care experiences in the new Hospital Simulation Lab.
  • Stem Cell Research is Our Future of Cures
    Lisa Smith RN, BSN
    People have the power to change the world. The donation embryos are a step in the right direction for resources to continue research to help society in the future. It is not the intent to clone but to cure. Life is a gift that we should keep giving with this great opportunity.
  • The Reality of Diabetes in Rural Mexico: A Nursing Student Perspective
    Hillary E. Handler Suzanne M. Le Markita A. Balfour Maria de la Luz Bonilla Sebastiana del Rosario Gargantua Aguila Karen A. Monsen
    Students from six universities in Canada, Mexico, and the USA participated in a service learning exchange. In order to understand the needs of diabetes patients in rural Mexico three students from Canada and the USA trudged in the heat through the rough terrain to their homes. We used Omaha System signs/symptoms to collect interview data. The standardized language of the questionnaire allowed us to be aware of the interaction between traditional medical beliefs and the western medical model. Some of these challenges include maintaining the traditional family roles, controlling blood glucose levels without the appropriate medical equipment, and economic barriers. One patient was responsible for both caring for her eight young children and working in the fields to put food on the table. Additionally, she was in a constant hypoglycemic state causing her to faint in the fields. We also visited a visually impaired man that was distraught because he needed to rely on others for help in a machismo society. He said “While living in New York City, I was a victim of a robbery. I was so afraid because I thought I was going to die and as a result I got diabetes.” Though some may find this comment strange, it is a common theory among the rural population in Mexico. We will always remember the many Mexican speculate that eating bread absorbs the scare and thus prevents diabetes. This experience gave us a glimpse of the harsh reality that these people face everyday coping with diabetes.
  • Closing the Donut Hole: Who Will Pay?
    Kathy Hepner, RN, BSN
    The dark black hole in the Medicare Part-D prescription plan called the donut hole is finding the light, or is it? Health care reform has promised to close the donut hole for Medicare recipients completely by the year 2020 (Gionfriddo, 2010). The Consumer Report on Health (2012) confirms medication costs continue to rise with no end in sight. Who will pay the gap between what is currently covered and the predicted added coverage with Health Care Reform? According to the Center for Medicare and Medicaid Services (CMS, 2011) the Medicare trust fund is currently running in a deficit. Reducing the burden of our Medicare population, with associated out-of-pocket expenses for prescription drugs, cannot be achieved by a system already running in a deficit. As we start to unravel the mystery behind closing the donut hole, can we identify who will pay?
  • Withdrawal in the Pediatric Cardiac Population
    Joyce D. Vamja
    Oftentimes patients admitted to the Pediatric Cardiac Intensive Care Unit are placed on narcotic and/or benzodiazepine intravenous infusions after surgery, especially if prolonged intubation is expected. It is generally assumed that after a period of 5 days on continuous infusions or administration of around the clock opioid/benzodiazepine administration, the patient should be monitored for signs of withdrawal.
  • Promoting the Sexual Health of Older People
    Patricia MacGabbann
    This paper examines the issue of sexual health and older people. It identifies sexual health in this population group as a component of health that is often overlooked. As a practitioner of Gerontological Nursing, the author seeks to determine why this is and what can be done about promoting sexual health for this population group. Initially health promotion and sexuality are defined before outlining the rationale for the choice of this topic. Incorporated into the discussion is the acknowledgement that this is an area requiring significant development for all older people, regardless of sexual orientation, that in fact the need for health promotion for older gay and lesbian people may be a more pressing issue overall. Having outlined the need for health promotion, a number of strategies are introduced. Relatively little research into this specific issue has been conducted thus health promotion strategies in more broad terms are discussed.
  • Sally’s Eyes
    Jen Hoover
    She was only 36 years old but Sally was dying. She spent a lot of her life in the hospital which lead her to have a complicated medical and surgical history. This hospital admission had already been five months long when I came along.
  • A Needed Change in Nursing
    Teressa Smith
    National nursing licensure promotes more effective licensing than does state licensure by alleviating the ever-present nursing shortage and promoting mobility among the nursing workforce. Some of the many benefits of a national nursing licensure include improved patient access to quality nursing care, enhanced discipline and information sharing among the states, physical and electronic provision of care by competent nurses, and convenience of employers to more mobile and competent nurses.
  • Minimally Invasive Aortic Valve Replacement
    April Meyer, University of Saint Francis
    This paper will compare minimally invasive aortic valve replacement surgery and the traditional approach. This paper will discuss how the aortic valve works and different disorders of the aortic valve. The paper will also discuss the benefits of minimally invasive aortic valve replacement and complications of aortic valve replacement. Another topic covered in this paper is the anatomy of aortic valve and how the aortic valve replacement is performed.
  • A Mouthful of Death: Acetaminophen Overdose
    by Theodore J. Powell, RN, MSN, Ph.D.
    In the United States, attempted suicide accounts for more than two thirds of acetaminophen-related liver injuries, whereas accidental overdoses account for only one third of the cases.
  • American Association of Critical-Care Nurses Brings its National Nurse Leadership Skill-building Program to Texas
    American Association of Critical-Care Nurses
    The American Association of Critical-Care Nurses (AACN) expands its hospital-based nurse leadership and innovation training program to a fourth region with the addition of eight Austin-area hospitals. AACN Clinical Scene Investigator (CSI) Academy is designed to empower bedside nurses as clinician leaders and change agents whose initiatives measurably improve the quality of patient care with bottom-line impact to the hospital.
  • Predicting exercise adherence in cancer patients and survivors: a systematic review and meta-analysis of motivational and behavioural factors
    Anne M Lunde Husebø MSc, RN, PhD Candidate, Sindre M Dyrstad PhD Associate Professor, Jon A Søreide PhD, MD Attending Surgeon, Professor, Edvin Bru PhD Professor
    Cancer patients are advised to participate in daily exercise. Whether they comply with the recommendations for physical activity or not remains unclear. The review identified that both the TPB and the TTM frameworks include aspects that predicts exercise adherence in cancer patients, and thus contributes to the understanding of motivational factors of change in exercise behaviour in cancer populations. However, the strengths of predictions were relatively weak. More research is needed to identify predictors of greater importance.
  • Influenza: Expert Advice You Need Now
    Susan B. Yox, RN, EdD, Richard J. Whitley, MD
    Among other advice for managing an influx of patients with possible flu, Dr. Whitley describes his experiences with clinical decisions such as which patients should be hospitalized and who can be safely managed at home during the ongoing influenza season. He also addresses the important issue of antiviral treatment and why he believes it is an essential component in the fight against influenza.
  • The Management of Crohn's Disease in Adults and Young People
    J. F. Mayberry, A. Lobo, A. C. Ford, A. ThomasDisclosures Aliment Pharmacol Ther. 2013;37(2):195-203. Correspondence to Prof. J. F. Mayberry, Department of Digestive Diseases, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.
    The guideline offers best practice advice on the care of adults, children and young people with Crohn's disease. These are the first evidence-based clinical and cost-effectiveness guidelines for Crohn's disease in the United Kingdom.
  • Where are the Children? -pediatrics in an integrated format 
    Nina Haines, MSN, RN, CPNP-PC Lori Beard, MSN, RN Mary C. Day, MSN, RN, CEN, ACNS-BC Margo Mengel, MSN, RN Cheryl Moody, MSN, RN, CCRN
    Integrating pediatric content is a challenge to nurse educators. Limited information exists regarding the most effective method of teaching pediatrics. Nurse educators disagree on placement of pediatric content. Pediatric concepts are at risk of getting lost or deemed unimportant as other concepts are expanded. This article will examine the experience of educators in a nursing program that integrated pediatric content. The benefits and disadvantage of teaching pediatrics in an integrated format will be discussed.
  • A Lesson Learned 
    by Gina Pearse, BSN, RN-BC
    I wanted to say something brilliant. I wanted to make it better. I had nothing to say. Instead, I put my arms around this tiny woman and I held her close. Her head rested on my shoulder as she sobbed for her losses. In that moment in time, there were no call lights, no medications, and no other important matters. There was no longer any urgency as I held this woman.
  • A Man Apart 
    by Joan M. Fenske, R.N., M.S., D.N.Sc.
    The idea of individuals with developmental disabilities becoming sexually active was disconcerting. Imagine having a daughter with disabilities, with limited cognitive comprehension, how could you protect her from tragic sexual encounters? Past abuses were common as institutionalized women were sterilized without consideration of their basic human rights.
  • ACUTE RENAL FAILURE 
    Beth Stroud, RN, BSN, Graduate Student Murray State University
    Acute renal failure (ARF) has become increasingly common in patients with critical illnesses. Up to two-thirds of intensive care unit (ICU) patients develop ARF with the leading cause being sepsis. Treatment of ARF has been associated with higher costs and the following adverse outcomes: increased length of stay, excess mortality of 30-71%, need for chronic dialysis in the patients who survive, and the requirement of discharge to short-term or long-term care facilities.
  • Alzheimer's Disease 
    by Brenda Fountain, BSN, RN
    Alzheimer’s article in the RN Journal
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