Menu Expand
Pathophysiology and Care Protocols for Nursing Management, An Issue of Nursing Clinics, E-Book

Pathophysiology and Care Protocols for Nursing Management, An Issue of Nursing Clinics, E-Book

Lynn C. Parsons

(2016)

Additional Information

Book Details

Abstract

Nursing is an evolving profession that requires continued knowledge updates in formulating a foundation for practice. In order to promote patient safety and satisfaction, it is imperative that nurses monitor publications and increase their knowledge base. Each patient is different; each care management situation requires an individualized plan of care. These require the nurse to develop a personal framework for practice that continually develops from this information. This mandates an evolving knowledge base which this edition will supply for nurses who work to deliver care that is research based and protocol driven. This issue of Nursing Clinics will be both timely and relevant as it will combine two clearly important topics for nurses in care management, pathophysiological updates as well as research based protocols that are important to continuity of validated evidence based care delivery. This will give nurses across organizations the opportunity to see care from a perspective of patient wholeness and not truncate care in order to address total components. With care reimbursement dependent on outcomes, it is important for the nurse to see care as a continuum and not finite. This issue will give nurses this perspective.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Pathophysiology and Care Protocols for Nursing Management\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents v
Foreword: Patient-Centered Care and Lifelong Learning\r v
Preface: Clinical Updates in Pathophysiology and Care Protocols for Nursing Management\r v
Transitioning Care Across Various Health Care Organizations\r v
Orthopedic Injuries: Protocols to Prevent and Manage Patient Falls\r v
Technological Advances in Nursing Care Delivery\r v
Validation of the National Institutes of Health Patient-Reported Outcomes\rMeasurement Information System Survey as a Quality-of-Life Instrument for\rPatients with Malignant Brain Tumors and Their Caregivers\x0B vi
Deep Brain Stimulation for Movement Disorders\r vi
Diabetes Mellitus Standards of Care\r vi
Innovations in Cardiovascular Patient Care: Transcatheter Aortic Valve Replacement\r vi
Addressing Tobacco Dependence Through a Nurse-driven Tobacco Intervention Protocol\r vii
Bedside Reporting: Protocols for Improving Patient Care\r vii
Management of Travel-Related Illness Acquired in Haiti\r vii
Pharmacology Update on Chronic Obstructive Pulmonary Disease, Rheumatoid Arthritis, and Major Depression\r vii
Implementing a Program for Ultrasound-Guided Peripheral Venous Access:\rTraining, Policy and Procedure Development, Protocol Use, Competency, and\rSkill Tracking\r vii
Heart Failure: Pathophysiology, Diagnosis, Medical Treatment Guidelines, and Nursing Management787 viii
NURSING CLINICS OF\rNORTH AMERICA\r ix
FORTHCOMING ISSUES ix
RECENT ISSUES ix
Foreword: Patient-Centered Care and Lifelong Learning \r xi
REFERENCES xiii
Preface: Clinical Updates in Pathophysiology and Care Protocols for Nursing Management \r xv
Transitioning Care Across Various Health Care Organizations 631
Key points 631
INTRODUCTION 631
HEALTH CARE YESTERDAY 632
HEALTH CARE TODAY 632
TRANSITIONAL CARE 633
THE PLAN 633
THE HEALTH CARE PROVIDER 634
PATIENTS 634
BARRIERS TO TRANSITIONING CARE 637
INFORMATION TECHNOLOGY AND THE ELECTRONIC HEALTH RECORD 638
HEALTH CARE REFORM 640
INITIATING TRANSITIONAL CARE 640
SUMMARY 641
REFERENCES 641
Orthopedic Injuries 645
Key points 645
PEDIATRIC CONSIDERATIONS 646
PEDIATRIC FALL PREVENTION 646
PEDIATRIC FALL PRECAUTIONS 646
MAINTAINING SAFE ENVIRONMENTS IN HOSPITAL SETTINGS 649
CARE OF THE ADULT AND OLDER ADULT 650
EVIDENCE-BASED FALL PREVENTION PROTOCOLS 651
TEACH-BACK METHOD 651
SUMMARY 656
REFERENCES 656
APPENDIX 1 EVIDENCE-BASED FALL PREVENTION AND PATIENT SAFETY POLICY 657
Technological Advances in Nursing Care Delivery 663
Key points 663
MEANINGFUL USE 664
ELECTRONIC HEALTH RECORDS 664
CLINICAL DECISION SYSTEMS 665
COMPUTERIZED PROVIDER ORDER ENTRY 666
BAR CODE MEDICATION ADMINISTRATION 666
PERSONAL HEALTH RECORD OR PATIENT PORTALS 667
MOBILE TECHNOLOGY 667
Mobile Wireless Voice-Over-Internet Protocol Phones 668
Radio Frequency Identification 668
Electronic Patient Tracking Boards 669
Smart Pumps 670
Simulation 671
TELEHEALTH AND MOBILE HEALTH 671
Telehealth 671
Remote Monitoring 672
Mobile Health 672
Electronic Intensive Care Unit 672
SUMMARY 673
REFERENCES 674
Validation of the National Institutes of Health Patient-Reported Outcomes Measurement Information System Survey as a Qualit ... 679
Key points 680
INTRODUCTION 680
PURPOSE OF THE STUDY 680
RESEARCH QUESTIONS 681
METHODS 681
Study Sample and Procedures 681
Participant Recruitment 682
Data Collection 682
MEASURES 682
Demographic Information 682
Quality-of-Life Measures 682
Exit Survey 684
DATA ANALYSIS 684
RESULTS 684
Sample Characteristics 684
Quality-of-Life Scores 684
Correlations 685
Exit Survey Results 687
DISCUSSION 689
Strengths and Limitations 689
SUMMARY 689
ACKNOWLEDGMENTS 690
REFERENCES 690
Deep Brain Stimulation for Movement Disorders 691
Key points 691
INTRODUCTION 691
PARKINSON DISEASE 692
Presentation and Diagnosis 692
Clinical Management 692
ESSENTIAL TREMOR 693
Presentation and Diagnosis 693
Clinical Management 693
DEEP BRAIN STIMULATION 693
Indications and Use 695
NURSING MANAGEMENT OF PATIENTS WITH DEEP BRAIN STIMULATION 695
Patient Education 696
Intraoperative Care 697
Hemorrhaging 697
Postoperative Care 698
SUMMARY 699
REFERENCES 699
Diabetes Mellitus Standards of Care 703
Key points 703
INTRODUCTION 703
IMPACT OF DIABETES MELLITUS 704
DIAGNOSTIC CRITERIA 704
INITIAL EVALUATION 704
TREATMENT GOALS 705
PHARMACOLOGIC MANAGEMENT 705
CARE OF THE HOSPITALIZED DIABETIC PATIENT 705
MANAGEMENT OF HYPOGLYCEMIA 706
DIABETIC KETOACIDOSIS AND HYPEROSMOLAR HYPERGLYCEMIC STATE 706
PSYCHOSOCIAL ASPECTS 706
NUTRITIONAL GUIDELINES 707
PHYSICAL ACTIVITY GUIDELINES 708
DIABETES SELF-MANAGEMENT EDUCATION 708
SICK DAY MANAGEMENT 709
IMMUNIZATIONS 709
PREDIABETES MANAGEMENT 710
SUMMARY 710
REFERENCES 710
Innovations in Cardiovascular Patient Care 713
Key points 713
INTRODUCTION 713
ANATOMIC REVIEW 714
AORTIC VALVE DISEASE 714
AORTIC STENOSIS 714
BICUSPID AORTIC VALVE DISEASE 716
CLINICAL FEATURES 716
MANAGEMENT OPTIONS FOR AORTIC VALVE DISEASE 716
WHAT IS A TRANSCATHETER AORTIC VALVE REPLACEMENT? 717
RISKS ASSOCIATED WITH TRANSCATHETER AORTIC VALVE REPLACEMENT 719
POST–TRANSCATHETER AORTIC VALVE REPLACEMENT/INTERVENTION CARE 722
SUMMARY 722
REFERENCES 722
Addressing Tobacco Dependence Through a Nurse-driven Tobacco Intervention Protocol 725
Key points 725
INTRODUCTION 725
PROBLEMS 727
Smoking and Respiratory Disease 727
Smoking and Cardiovascular Disease 727
Smoking and Cancer 728
Other Physiologic Smoking Effects 728
STRATEGIES 729
Development and Implementation of Smoking Cessation Protocols 729
Smoking Cessation Strategies 729
SUMMARY/DISCUSSION 732
REFERENCES 733
Bedside Reporting 735
Key points 735
BACKGROUND 736
THE JOINT COMMISSION MANDATES 736
BEDSIDE REPORTING DEFINED 736
CURRENT RESEARCH FINDINGS 736
BENEFITS OF BEDSIDE REPORTING 737
CHALLENGES ASSOCIATED WITH IMPLEMENTING BEDSIDE REPORTING 740
ESTABLISHING A PROTOCOL FOR HAND-OFF BEDSIDE REPORTING 741
SUMMARY 746
REFERENCES 746
Management of Travel-Related Illness Acquired in Haiti 749
Key points 749
DENGUE 749
How to do a Tourniquet Test 750
CHIKUNGUNYA 751
MALARIA 753
TRAVELERS’ DIARRHEA 758
SUMMARY 758
REFERENCES 758
Pharmacology Update on Chronic Obstructive Pulmonary Disease, Rheumatoid Arthritis, and Major Depression 761
Key points 761
INTRODUCTION 761
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 762
MAJOR DEPRESSIVE DISORDER 764
RHEUMATOID ARTHRITIS 766
SUMMARY 767
REFERENCES 767
Implementing a Program for Ultrasound-Guided Peripheral Venous Access 771
Key points 771
INTRODUCTION 771
Significance 772
Background 772
REVIEW OF LITERATURE 772
Definitions 773
Patient Characteristics 773
Educational Characteristics 773
Operator Characteristics 773
Ultrasound Techniques 774
Success Rates 774
METHODOLOGY 776
Policy and Procedure 776
Protocol 776
Training 776
Competency 781
DISCUSSION 781
Limitations 781
Implications and Recommendations 782
SUMMARY 783
REFERENCES 783
Heart Failure 787
Key points 787
INTRODUCTION 787
INCIDENCE AND PREVALENCE 788
IMPACT 789
RISK FACTORS 790
PATHOPHYSIOLOGY OF HEART FAILURE AND COMPENSATORY MECHANISMS 791
COMPENSATORY MECHANISMS 791
CLASSIFICATION 792
DIAGNOSIS 793
MEDICAL TREATMENT GUIDELINES 794
NURSING INTERVENTIONS 797
SUMMARY 798
REFERENCES 798
Index 801