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  • Cortical Dynamics as a Therapeutic Mechanism for Touch Healing
    Morteza Alibakhshi Kenari
    Touch Healing (TH) therapies, defined here as treatments whose primary route of administration is tactile contact and/or active guiding of somatic attention, are ubiquitous across cultures. Despite increasing integration of TH into mainstream medicine through therapies such as Reiki, Therapeutic Touch,™ and somatically focused meditation practices such as Mindfulness-Based Stress Reduction, relatively little is known about potential underlying mechanisms. Here, we present a neuroscientific explanation for the prevalence and effectiveness of TH therapies for relieving chronic pain. We begin with a cross-cultural review of several different types of TH treatments and identify common characteristics, including: light tactile contact and/or a somatosensory attention directed toward the body, a behaviorally relevant context, a relaxed context and repeated treatment sessions. These cardinal features are also key elements of established mechanisms of neural plasticity in somatosensory cortical maps, suggesting that sensory reorganization is a mechanism for the healing observed. Consideration of the potential health benefits of meditation practice specifically suggests that these practices provide training in the regulation of neural and perceptual dynamics that provide ongoing resistance to the development of maladaptive somatic representations. This model provides several direct predictions for investigating ways that TH may induce cortical plasticity and dynamics in pain remediation.
  • Effect of Evidence-Based Method Clinical Education on Patients Care Quality and Their Satisfaction
    morteza alibakhshi kenari
    Nowadays, evidence-based education with a serious purpose, explicit and rational than the best current evidence to decision-making in nursing education has been addressed. This study aimed to assess the effect of clinical evidence based on the quality of patient care was performed Usual care based on traditional evidence-based care training has been under almost identical. Student feedback questionnaire data, patient satisfaction and quality of care were collected and then were analyzed with descriptive and inferential statistics. This study suggests that the use of evidence-based education in nursing care is not only effective as traditional education. But also knowledge and skills and promote high quality of care and the patient's hospital stay and costs were reduced.
  • Alternative Treatments: Doubting Thomas to Believer
    Christine Beechel, RN
    My experience with reiki therapy and how it forever changed my practice.
  • Nurses And IELTS Exam
    Alon Calinao Dy
    IELTS has been a fast growing organization over the years. I think It's expensive and it shouldn't be a requirement for nurses who want to work abroad. After all, most nurses know how to write, read, speak, and understand English.
  • Cardiac Amyloidosis
    Deborah Miller, RN
    I don't know how else to contact you, but I submitted this story yesterday, please change the last paragraph in the text to the current one I am sending. Thanks
  • The Summer I Disappeared
    Robin Wilson EdD, MSN, RNC
    Commentary on Disabilities
  • Cardiac Amyloid
    Deborah Miller, RN
    Story is about my personal experience with cardiac amyloidosis in my spouse, misdiagnosed for over 6yrs. and died after receiving heart transplant. Goal is to alert other nurses to the often misdiagnosed and fatal disease before it's too late for help.
  • RN, RRT
    Joann Ciszczon BS, RN, RRT
    This is an article I wrote for a Ethics of Health Policy class in the nurse practitioner program I am presently a part of offered by Indiana Wesleyan University.
  • Terminal Illness
    Amber Moore
    Patient with a Terminal Illness Doctors and nurses are faced everyday with the ethical dilemma of telling their patients that they have a terminal illness that they will soon die from. How do we as healthcare professionals address this situation? Patients and their loved ones are also faced with this ethical dilemma. Will that individual’s family tell them about the diagnosis if the patient doesn’t want to know? What if the patient knows about their diagnosis and does not want to share that information with their loved ones? Say the patient is happily confused and has a few weeks to live; should you tell them? Do they have the right to know and who should tell them? Some people feel if they tell their loved one the extent of their illness they will not live life to the fullest with the small amount of time they have left. On the other hand, the individual may not want to tell their loved ones they are ill because they do not want them to worry or consume their lives around their illness. If they choose not to tell their families what is truly going on, then will their family have closure after the individual dies? To have closure and to die without regret that individual needs to make a decision that they feel is right. As healthcare professionals we need to support whatever decision our patient makes even if we do not agree. We also need to be prepared for the conflict that may be caused if information is withheld.
  • Asymptomatic Bacteriuria: The Question for Treatment
    Gulenia Rikabi, FNP, DNP Family Nurse Practitioner Biloxi, MS [email protected] & Jennie Gunn, PhD, FNP, CTN-A Associate Professor University of South Alabama Mobile, AL [email protected]
    To improve the quality of care in patients with asymptomatic bacteriuria to promote safety.
  • Euthanasia, Assisted Suicide, and Nursing
    Brooke Butler RN, BSN
    Ethical dilemma of euthanasia and assisted suicide and effect on nursing.
  • The Importance of Understanding Hypertension: The Role of a Registered Nurse as an Investigator 
    The Importance of Understanding Hypertension: The Role of a Registered Nurse as an Investigator by Gary D. Goldberg, PhD Clinical Professor of Medical Education Angeles College of Nursing, Los Angeles, Ca.
    The primary care nurse owes it to themselves and their patients to be informed on the chronic diseases they manage in order to achieve maximum patient compliance and satisfaction. Well informed, confident practitioners will be able to deliver evidence-based structured advice, and in doing so reduce morbidity and mortality rates from cerebrovascular accidents and cardiovascular disease for patients regardless of age, gender, or ethnicity.
  • Poor sleep, hazardous breathing: An overview of obstructive sleep apnea
    Melissa Carlucci MS, ACNP Maureen Smith MS, ANP, GNP Susan J. Corbridge PhD, ACNP, FAANP
    Obstructive sleep apnea is a chronic disorder resulting from upper airway collapse during sleep. It is linked to a variety of health and safety risks but can often be effectively treated. This article provides an overview of the disorder, including an evidence-based approach to diagnosis and management.
  • Be the Nurse you REALLY Want to Be
    Lorene Zammuto, BSN, RN
    Be the Nurse you REALLY Want to Be
  • FNP Student Assessment of Acute Abdominal Pain
    Rebecca Linden
    This article serves to assist the novice family nurse practitioner student in the examination of abdomen in a patient presenting with acute abdominal pain.
  • Healthy Cooking for the Soul
    Ruth L. Brosig and Jessica Cossette
    The purpose of this pilot study was to use motivation and coaching strategies to encourage Detroit African-American adults who are at high risk for hypertension and diabetes to change their dietary patterns. Oakland University Accelerated BSN (ABSN) student nurses designed and implemented the project to bring health coaching to the urban Indian Village community. Interventions included nutrition presentations and healthy soul-food cooking demonstrations. Information about program effectiveness was obtained through surveys. Survey scores increased for ninety percent of the participants from pre to posttest, indicating a corresponding increase in nutrition awareness. Future research is needed to determine the long-term effectiveness of the intervention strategies. The Healthy Cooking pilot project has the potential to facilitate research that will educate nursing students as well as citizens of Detroit's Indian Village.
  • Spinal Block Versus Epidural Block
    Stacey Kast RN,BSN
    Spinal anesthesia, also called spinal analgesia, sub-arachnoid block (SAB) or intrathecal, is a form of regional anesthesia involving an injection of a local anesthetic into the cerebral spinal fluid with a fine needle. The term epidural is often short for epidural anesthesia, a form of regional anesthesia involving injection of drugs through a catheter placed into the epidural space. The injection can cause both a loss of sensation (anesthesia) and a loss of pain (analgesia), by blocking the transmission of signals through nerves in or near the spinal cord.
  • Health and Law
    Cindy Huffer, MSN, RNP
    This legal case study involves a young woman who presented ambulatory to the emergency room with a gunshot wound to the head
    Tags: health, law
  • National Nursing Licensure
    Antonia Frazier
    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.
  • Elective Induction of Labor and Early Term Delivery
    Elizabeth Johnson
    The rate of elective induction of labor without medical indication is on the rise. Elective inductions carry long-term consequences for the maternal and infant dyad. Maternal risk of induction includes hemorrhage, uterine dystocia, uterine rupture, and cesarean section related to failed induction of labor. Neonatal risks include respiratory distress, feeding difficulty, and long-term psychological and behavioral tendencies such as attention deficit and hyperactivity disorder (ADHD). In reviewing a variety of studies, researchers have seen a decrease in morbidities and health care costs for both mother and infant when spontaneous labor occurs. However, the risks of liability and malpractice suits tempt physicians to schedule elective inductions. By creating and implementing policies on elective induction of labor, nurses have the ability to educate patients on the importance of letting labor occur naturally.
    Tags: health, labor
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