Urologic nursing
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The purpose of this article is to describe the role of the acute care gerontological clinical nurse specialist (GCNS) and provide an exemplar of using GCNS expertise in the implementation of gerontological nursing best practices in hospitalized patients with delirium.
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Unrecognized delirium may lead to negative outcomes, such as increased morbidity, longer hospital stays, and increased health care costs. A prospective cohort design study was used to determine the incidence and prevalence of delirium and percentage of patients with unrecognized delirium in a hospital inpatient unit. The sample consisted of 141 patients admitted to a urology/nephrology unit over a six-week period. ⋯ In the nursing assessment, 1 of 17 (6%) had no documentation of any signs/symptoms of delirium. This study provided baseline data for the development, implementation, and evaluation of a delirium recognition program using the CAM. The CAM may represent an easy-to-use, valid, and reliable instrument to detect delirium as part of a routine nursing assessment.
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High-dose rate brachytherapy (HDRB) is one of many treatments for prostate cancer. Despite a reported 80% to 90% success rate in terms of cure rates, nausea and vomiting have been noted as a significant problem. ⋯ Vincent's Private Hospital, an incidence of nausea and vomiting was estimated at 67% of patients undergoing HDRB. This study examines the possible causes and risk factors of post-operative nausea and vomiting with this treatment option.
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Biography Historical Article
It's not about the bike: a critique of themes identified in Lance Armstrong's narrative.
Lance Armstrong's book, It's Not About the Bike: My Journey Back to Life, tells the very personal story of his battle against testicular cancer. A critique of major themes identified in the narrative provides an opportunity to inform nursing practice.
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Simulation learning is routinely used in medical education and training, and it has been used in nursing education for quite a while. It is used to promote clinical competency and reflective-thinking skills. ⋯ The safety of patients depends on the accuracy of those providing care, and simulation as a learning method provides an opportunity to attain a level of experience with no human risk. This article provides an overview of simulation learning and its benefits.