Juanita Acebedo Minimizing Breast Cancer-related Lymphoedema
Practice Nursing; February 2015
The advent of medical breakthroughs has made an impact on the treatment of breast
cancer, the second most common type of cancer affecting women. However, breast cancer-related
lymphoedema is a major complication affecting women at a high rate. This article reviews
previous studies on the care of breast cancer-related lymphoedema and searches for
gaps that nurses can fill. CINAHL, Medline, and nursing and health sciences databases
were used to search for studies published between 2008 and 2014. Editorial articles
and studies in which the full text was not available were excluded. Thirty-five articles
were reviewed and five were excluded. The level of evidence of these articles ranged
from I-VI. The key results of the studies included indicate the prevalence of BCRL
varies greatly owing to the different types of assessment and diagnosing techniques
that are used. Nurses usually have initial contact with these patients, and they can
make significant contributions to the care of patients with breast cancer-related
lymphoedema, in assessment, education and intervention.
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Minerva Aguilera Post-surgery Support and the Long-term Success of Bariatric Surgery
Practice Nursing; September 2014
Obesity was perceived as a symbol of wealth, power and health in times of food shortages,
but now, in a time of abundance, it is a serious public health concern and is responsible
for a number of diseases and deaths. As obesity becomes more prevalent, feasible solutions
for weight loss and weight loss maintenance are urgently needed. Surgical interventions
such as bariatric surgery have resulted in significant weight loss and the resolution
of various co-morbidities. Long-term weight loss maintenance can be challenging, and
the success of post-bariatric surgery requires significant lifestyle changes, which
can be difficult to make without educational and emotional support. The studies described
in this review look at the effect of different types of support, such as nutrition
support, cognitive behavioral therapy, motivational support, family support, dietary
education and support for depression; the studies show a significant correlation between
the support of family members and attendance of support groups, and greater weight
loss and improved weight loss maintenance.
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Melissa Neathery Silence Speaks Volumes
Journal of Christian Nursing; September 2014
When a nurse identifies a patient's need to be heard and validated, silence is appropriate.
When patients need time to experience emotions or consider an answer to a thought-provoking
question, silence is effective. Patients need the presence of another person to combat
feelings of fear, isolation, or hopelessness. However, silence is not always the most
appropriate response. A patient may benefit more from information, interactive problem-solving,
confrontation, or self-soothing behaviors.As with any nursing intervention, we get
better with practice. The more nurses engage in certain behaviors, the more likely
they feel confident in that behavior. Being silent and present with someone is no
different. Effective eye contact, facial expressions, and body language convey genuineness
and compassion. Behaviors such as fidgeting, looking away, yawning, daydreaming, or
appearing bored can make silence nontherapeutic./p>
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Melody Seitz A Randomized Controlled Trial to Improve Outcomes Utilizing Various Warming Techniques
during Cesarean Birth
JOGNN: Journal of OBstetric, Gynecologic & Neonatal Nursing; December 2014
ABSTRACT Objective To examine the effect of various warming methods during cesarean
birth (CB) on maternal core body temperature, maternal hypothermia, and other maternal
and neonatal outcomes. Design Three-arm randomized controlled trial. Setting Perinatal
unit in a large community hospital in the mid-Atlantic United States. Participants
Two hundred twenty-six (226) pregnant women undergoing planned CB. Methods Women were
randomly assigned to one of three groups (usual care, warmed fluids, or warmed underbody
pad). Warming treatments began preoperatively and continued for 2 hours postoperatively.
Study nurses measured outcomes at defined intervals. Results Both warming techniques
affected maternal temperatures and the incidence of hypothermia. The warmed fluids
group had significantly higher temperatures in the operating room, whereas the warmed
underbody pad group had significantly higher temperatures in the recovery room. Although
none of the other outcomes was statistically different among groups, the findings
have implications for practice. Apgar scores were proportionately lower in the usual
care group, and maternal request for additional warming was proportionately higher
in the usual care group. Conclusion This study adds information on ways to maintain
maternal normothermia during surgery. By understanding maternal hypothermia during
CB, nurses can use best practice to obtain optimal maternal and neonatal outcomes.
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Melody Seitz Addressing Adolescent Pregnancy With Legislation
Nursing for Women's Health; August 2014
When a nurse identifies a patient's need to be heard and validated, silence is appropriate.
When patients need time to experience emotions or consider an answer to a thought-provoking
question, silence is effective. Patients need the presence of another person to combat
feelings of fear, isolation, or hopelessness. However, silence is not always the most
appropriate response. A patient may benefit more from information, interactive problem-solving,
confrontation, or self-soothing behaviors.As with any nursing intervention, we get
better with practice. The more nurses engage in certain behaviors, the more likely
they feel confident in that behavior. Being silent and present with someone is no
different. Effective eye contact, facial expressions, and body language convey genuineness
and compassion. Behaviors such as fidgeting, looking away, yawning, daydreaming, or
appearing bored can make silence nontherapeutic.
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