Assessment of Acute Pain

   Accurate assessment of acute pain is essential for the development of an effective pain management plan. Nurses play a pivotal role in the assessment of pain, owing to the nature of their relationship with patients. Pain assessment can be challenging because of the subjectivity and multidimensionality of the pain experience. The patient's self-report of pain includes the sensory, emotional, psychological, and cultural components of the pain experience, which cannot be captured on the unidimensional tools typically used in practice....

Feeling Your Patient's Pain

   For most of us, medical students and physicians alike, treating patients in pain can be, well, a pain. Aside from having to know which medicines to use and how to use them, there's the issue of not being able to objectively measure what we're treating, as well as the unfortunate reality that some patients abuse narcotics. Patients in pain can really put our bedside manners to the test.    The following are some pearls, from the perspective of a general internist who works with medical students and who was a medical student...

Menilai Nyeri pada Pasien tidak Sadar (Absence of Self-report Patient)

   Nyeri benar-benar subjektif, dan Gold standar penilaian nyeri adalah laporan dari pasien. Beberapa alat penilaian dapat memfasilitasi penentuan penilaian intensitas nyeri pasien, dan rumah sakit nasional telah menerapkan kebijakan dan  prosedur menguraikan penggunaan instrumen ini.    Alat yang paling umum digunakan pada pasien yang mampu mengukur rasa sakit mereka adalah skala nyeri Wong-Baker FACES  rating atau Skala Nyeri dari Ekspresi Wajah yang dinumerikkan dengan angka 1-10; banyak pasien yang bisa melaporkan...

Assessing Pain When the Patient Cannot Self-report

   Pain is completely subjective, and the gold standard of pain assessment is self-report by the patient. Several assessment tools can facilitate determining the patient's assessment of pain intensity, and hospitals nationwide have implemented policies and procedures outlining the use of these instruments.    The most commonly used self-report tools in patients who are able to quantify their pain are the 0-10 numerical pain rating scale and the 0-10 Wong-Baker FACES pain rating scale or the Faces Pain Scale-Revised; many...

Universal HIV Screening Recommended by USPSTF

   The US Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen all people aged 15 to 65 years for HIV infection, according to a draft recommendation statement posted online November 20. The statement also recommends HIV screening for all pregnant women, including those who present at the time of labor, and for younger adolescents and older adults who are at increased risk.    "The draft recommendation reflects new evidence that demonstrates the benefits of both screening for and earlier treatment...

Ethical Dilemma Case

The Case of Anne R. 1st Situation Your longtime patient, Anne R., is a relatively frail, 85-year-old woman who has lived more or less successfully at home since her retirement 20 years ago. Paul, her husband of 47 years, died 10 years ago. In many respects, she is still mourning his loss. Her life is generally solitary, inactive, and boring. Anne has 2 daughters who live with their families in Houston and Toronto, both 3-hour plane rides away. They try to visit for holidays, and each daughter attempts to arrange to have her visit at least once...

Dilema Etik

Dilema etika adalah situasi yang dihadapi seseorang dimana keputusan mengenai perilaku yang layak harus di buat. (Arens dan Loebbecke, 1991: 77). Untuk itu diperlukan pengambilan keputusan untuk menghadapi dilema etika tersebut. Enam pendekatan dapat dilakukan orang yang sedang menghadapi dilema tersebut, yaitu: 1. Mendapatkan fakta-fakta yang relevan 2. Menentukan isu-isu etika dari fakta-fakta 3. Menentukan siap dan bagaimana orang atau kelompok yang dipengaruhi dilemma 4. Menentukan alternatif yang tersedia dalam memecahkan dilema 5....

Lung Screening May Encourage Smoking Cessation CME

News Author: Damian McNamara CME Author: Charles P. Vega, MD, FAAFP Faculty and Disclosures CME Released: 11/08/2012; Valid for credit through 11/08/2013 CLINICAL CONTEXT There are more than 200,000 new cases of lung cancer diagnosed annually in the United States. However, effective screening strategies for lung cancer have remained elusive. Two major studies have recently evaluated the efficacy of lung cancer screening programs, and Barry and colleagues provide a review of this research. The Prostate, Lung, Colorectal and Ovarian Cancer...

Smoking and Risk on Women’s Mortality Rates

News Author: Lara C. Pullen, PhD CME Author: Charles P. Vega, MD, FAAFP Faculty and Disclosures CME/CE Released: 11/09/2012; Valid for credit through 11/09/2013 CLINICAL CONTEXT Smoking is widely recognized as the most important modifiable risk factor in preventing adult mortality in Western countries, but there has been little attention paid overall to sex-based differences in health outcomes of smokers. Huxley and Woodward addressed this issue in a systematic review comparing cardiovascular outcomes associated with smoking among women...

Manajemen Luka dengan Metode TIME

Pendahuluan    Konsep manajemen luka dibuat untuk mendapatkan hasil penyembuhan luka yang optimal baik dilihat dari kualitas integritas jaringan, waktu proses penyembuhan maupun efektifitas biaya perawatannya. Arti secara harfiah manajemen adalah Ilmu dan seni dalam merencanakan, mengorganisasikan, mengarahkan dan mengendalikan sesuatu untuk mencapai tujuan sedangkan luka merupakan suatu gangguan yang tidak terbatas hanya pada kerusakan kulit tetapi berupa gangguan pada aspek biologis, psikologis, sosial dan spritual yang ikut berubah....

Standar Terbaru Kesehatan Makanan dari WHO

    Jakarta - Pada awal bulan Juli, Badan Kesehatan Dunia (WHO) telah menetapkan standar-standar terbaru keamanan kesehatan makanan yang menguntungkan para konsumen. Regulasi baru itu memuat standar kadar melamin di susu formula cair untuk bayi, standar seafood, melon, makanan kering, dan label pada makanan.    Melamin pada susu formula bisa berakibat fatal bagi konsumennya terutama bila itu bayi atau anak kecil. Sekarang,...

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Hospital Emergency Response Teams: Triage For Optimal Disaster Response

Hospital Emergency Response Teams: Triage For Optimal Disaster Response Penulis: Glarum, Jan Impresum: AMSTERDAM: ELSEVIER; 2010 Kolasi: xii, 432 hlm. Keyword: Hospital Emergency ISBN: 978-1-85617-701-6 A hospital can continue to function during a disaster or terrorist attack if a Hospital Emergency Response Team (HERT) protects the facility by the establishing and staffing of an Emergency Treatment Area. For the first time, here is an entire...

Heart Failure: A Clinical Nursing Handbook

Heart Failure: A Clinical Nursing Handbook Penulis: Nicholson, Christopher Impresum: HOBOKEN: JOHN WILEY & SONS; 2007 Kolasi: xi, 258 hlm. Keyword: Congestive Heart Failure, Nursing ISBN: 978-0-470-05760-5 This book provides a complete, easy-to-use handbook for nurses who see patients with heart failure. In recent years heart failure has become a high priority in health care. With more nurses caring for patients with heart failure and...

Family Health Care Nursing_Theory, Practice, And Research

Family Health Care Nursing_Theory, Practice, And Research Penulis: Kaakinen, Joanna Rowe Impresum: PHILADELPHIA: FA DAVIS; 2010 Kolasi: xxviii, 559 hlm. Keyword: Family Nursing ISBN: 978-0-8036-2166-4 For the nursing student. The previous edition of this title focused heavily on theory and research; this edition will enhance that material with a greater emphasis on clinical practice using theory and research as the evidence that supports...

Expertise In Nursing Practice: Caring, Clinical Judgment and Ethics

Expertise In Nursing Practice: Caring, Clinical Judgment and Ethics Penulis: Benner, Patricia E. Impresum: NEW YORK: SPRINGER PUBLISHING COMPANY; 2009 Kolasi: xxvi, 497 hlm. Keyword: Nursing Practice ISBN: 978-0-8261-2544-6 Nursing practice is a complex and varied field that requires precision, dedication, care, and expertise. Clinicians must have both the skills and the tools to attend to changes in patients' responses, recognize trends,...

Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice

Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice Penulis: Melnyk, Bernadette Mazurek Impresum: NEW YORK: LIPPINCOTT WILLIAMS & WILKINS; 2011 Kolasi: xxii, 559 hlm. Keyword: Evidence-based Nursing ISBN: 978-1-60547-778-7 Thoroughly updated and now in full color, the Second Edition of this best-selling book is a user-friendly guide to implementing evidence-based practice in nursing and healthcare. "Real-life"...

Drug Benefits and Risks: International Textbook of Clinical Pharmacology

Drug Benefits and Risks: International Textbook of Clinical Pharmacology Penulis: Van Boxtel, Chris J. Impresum: AMSTERDAM: IOS PRESS; 2008 Kolasi: xxiv, 882 hlm. Keyword: Pharmacology ISBN: 978-1-58603-880-9 This is an inclusive reference exploring the scientific basis and practice of drug therapy. The key concept is to look at the balance between the benefits and risks of drugs but in this context also the social impact which drugs have...

Cultural Awareness In Nursing And Health Care: An Introductory

Cultural Awareness In Nursing And Health Care: An Introductory Penulis: Holland, Karen Impresum: LONDON: EDWARD ARNOLD; 2010 Kolasi: xiii, 248 hlm. Keyword: Healthcare, Nursing ISBN: 978-0-340-97290-8 The second edition of this popular introductory text explores the many sensitive issues of culture, race and ethnicity as they affect patient care, including: -health and illness beliefs, and their relationship to religious beliefs -mental...

Critical Care Nursing Of Older Adults: Best Practices

Critical Care Nursing Of Older Adults: Best Practices Penulis: Foreman, Marquis D. Impresum: NEW YORK: SPRINGER SCIENCE+BUSINESS MEDIA; 2010 Kolasi: xx, 611 hlm. Keyword: Geriatric Nursing ISBN: 978-0-8261-1096-1 This book is an evidence-based, best-practices guide that directs the bedside care of critically ill elders. The book serves as a reference on major clinical issues for nurses working at the forefront of care-from nurses in critical...