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cronaca | Giornale dell'Umbria
Nursing Web 2.0, News, Journal Articles, Link NurseBlog & WebSite, Best Practice, Guidelines, Essays
giovedì 21 novembre 2013
lunedì 11 novembre 2013
Pain Nursing Magazine - Vol. 2, Numero 3
Volume 2 - Numero 3
► Editoriale
Potenziare il Nursing per una sanità sempre più efficiente
► Rassegna
Considerazioni infermieristiche sulla gestione del dolore episodico intenso o Breakthrough Pain
► Caso clinico
Pseudo-infarto e dolore toracico: mimesi del carcinoma squamocellulare
Dementia Caregivers' Lived Experience of Sleep
Dementia Caregivers' Lived Experience of Sleep
Clinical Nurse Specialist:
doi: 10.1097/NUR.0b013e3182a87287
Feature Article
Abstract
Purpose: Poor sleep quality leads to sleep deficiency, an unmet public health problem that is especially acute in caregivers. The purpose of this study was to investigate the dementia caregiver’s lived experience of sleep. The specific objectives were to (1) explore causes for poor sleep as identified by the caregiver, (2) gain knowledge about how the caregiver manages the sleep experience, and (3) gain an understanding of how caregivers perceive health promotion suggestions to improve sleep quality.
Methods: This was a qualitative study using a phenomenological framework. In 3 focus groups, data were collected from 15 informal/family member caregivers of a person with dementia (PWD).
Results: Three themes were identified in caregivers’ descriptions of disruptions to their sleep quality: sleep quality fluctuating with the status of the PWD, a need for vigilance to safeguard the PWD at night, and worry about current and future events, which caused rumination. Caregivers did not receive formal help from healthcare providers but did participate in activities that promote good sleep. Caregivers identified barriers to health promotion activities, including lack of time, decreased energy, and additional costs for providing care for the PWD.
Conclusion: This research provides exemplars of caregivers’ thoughts, preferences, values, and beliefs regarding their sleep experience in the context of caregiving. The caregiver’s perspective should be taken into consideration when clinical nurse specialists provide evidence-based care. Clinical implications are provided.
Management of patients with Parkinson disease
Management of patients with Parkinson disease
Nurse Practitioner:
doi: 10.1097/01.NPR.0000434090.96229.5c
Feature: DEGENERATIVE DISORDERS: CE Connection
Abstract
Patients with Parkinson disease have prolonged motor and nonmotor symptoms affecting their ability to perform activities of daily living. Providers are tasked not only to provide quality care to afflicted patients but also to offer assistance to their informal caregivers who play a critical supportive role along the illness trajectory.
sabato 9 novembre 2013
Best Practices for the Management of Foot Ulcers in People with Diabetes
Nel mese della prevenzione del diabete, in Italia come negli USA:
Best Practices for the Management of Foot Ulcers in People with Diabetes
PURPOSE: To enhance the learner's competence with information about best practices in management of foot ulcers in people with diabetes.
TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.
OBJECTIVES: After participating in this educational activity, the participant should be better able to:
1. Identify assessment parameters to discern causes and risk factors for foot ulcers.
2. Apply evidence-based practices to case scenarios for the prevention and management of diabetic foot ulcers.
ABSTRACT: Care of people with diabetic foot ulcers requires a systematic approach following the wound bed preparation paradigm and the existing best practice recommendations. The purpose of this article is to summarize key evidence and recommendations regarding prevention and management of diabetic foot ulcers that can be translated into practice.
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