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Wednesday, February 23, 2011

Up-and-Coming Nurse Niches - Nursing Link

Megan Malugani | Monster Contributing Writer

A nurse is a nurse is a nurse, right? Wrong. Nursing jobs are extraordinarily varied and diverse. Here’s a snapshot of four specialized nursing niches that even healthcare professionals may know little about.

Correctional Nursing

Nurses who work behind bars with the nation’s 2 million inmates and juvenile offenders deal with a range of medical problems, from toothaches to trauma. “A lot of our clients don’t have access to healthcare easily,” says Gayle Burrow, MPH, BSN, director of corrections health for the Multnomah County Health Department in Portland, Oregon. “Correctional nurses like the fact that we get to take care of people who need a lot of services and education.”

Because correctional nurses work autonomously – assessing new inmates, helping manage the chronic diseases and mental illnesses of long-term prisoners and responding to acute illnesses and injuries – they must be confident, mature and well-rounded. In addition, they “must have the ability to look at a person not by what they do, but for who they are,” says Burrow, a certified corrections health professional who is on the board of the American Correctional Health Services Association.

via nursinglink.monster.com

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Simple tests can tell who can drive after stroke, study finds - USATODAY.com

"A quick and objective screening in the doctor's office can help them to make more accurate decisions," said review author Hannes Devos, a research assistant at Katholieke Universiteit Leuven in Belgium.
However, several U.S. stroke experts said they weren't ready to accept the new study's findings.
The American Heart Association estimates that 6.4 million stroke survivors are alive in the United States today. While some patients are able to recover with few permanent disabilities, strokes can cause some people to permanently lose memory and the ability to properly move their bodies.
In some cases, patients with serious motor-skill problems can still drive a car as long as they're able to get proper equipment, such as an automatic transmission, a left-sided accelerator pedal for patients who have trouble moving their right side, and steering knobs that allow one-handed driving, Devos said

via yourlife.usatoday.com

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Connected for Life Now Features Ask Mayo Clinic Nurse Line

Family Health Network is excited to announce that its Connected for Life^SM online program for caregivers of aging loved ones will now feature access to Ask Mayo Clinic nurse line. Seniors who are part of the program will now have 24/7 access to expert health advice from Ask Mayo Clinic registered nurses. This additional service further enriches the Connected for Life^SM online program which breaks down longstanding barriers to technology use by seniors and helps families stay in touch, monitor, and assist older family members who desire to live healthier and longer at home.
“Mayo Clinic is world renowned for being a leader in medical care, research and education,” said CEO of Family Health Network, Harry Bailes. “Now, in addition to connecting seniors with family members and caregivers, we can offer them access to Ask Mayo Clinic nurse line that represents one of an expanding list of additional resources available through membership in Connected for Life^SM

via prlog.org

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The Phlebitis Scale does mean something.. | Infusion Nurse Blog

Nurses know that phlebitis is the inflammation of the vein and is considered an adverse patient outcome. Vascular access sites should be routinely assessed for signs and symptoms of phlebitis , as well as the severity of phlebitis. According to the Infusion Nurses Society(INS) Standards of Practice, a standardized scale that is valid, reliable, and clinically feasible should be used. For the adult population, two phlebitis scale have demonstrated validity and reliability.

One of the two scales is the phlebitis scale from the Infusion Nurses Society that many infusion nurses have used for years.

Phlebitis Scale (from the Infusion Nursing Standards of Practice 2011 S47)
Grade 0 – No symptoms
Grade 1 – Erythema at access site with or without pain
Grade 2 – Pain at access site with erythema and/or edema
Grade 3 – Pain at access site with erythema and/or edema, streak formation, palpable venous cord.
Grade 4 – Pain at access site with erythema and/or edema, streak formation, palpable venous cord greater than 1 in in length; purulent drainage.

via infusionnurse.org

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Inflammatory Bowel Disease Raises Clot Risk

Inflammatory bowel disease may more than double the risk of a serious blood clot in the legs or lungs, according to a new study.

Inflammatory bowel disease (IBD) is an umbrella term that includes a variety of intestinal disorders, such as Crohn’s disease and ulcerative colitis.

Researchers found that children and adults with IBD were more than twice as likely to develop a dangerous type of blood clot that develops in the leg, known as deep vein thrombosis (DVT), or lung, called pulmonary embolism (PE).

These types of blood clots affect about two out of every 1,000 people in developed countries each year, and the risk generally increases with age.

But in this study, researchers found the results showed the relative risk of blood clots associated with IBD was particularly high among young people.

In people aged 20 and younger, the relative risk of a pulmonary embolism was six times higher among people with inflammatory bowel disease, compared to similarly aged people without IBD.

via webmd.com

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The Java Jitters: Should Your Child Drink Coffee? - St. Louis Children's Hospital

As you’re standing in line for a latte, your 10-year-old child pipes in, “Can I have one, too?” While you drink it for the caffeine boost, coffee—including the fancy, frothy coffee drinks—may not be good for kids.

The symptoms of caffeine consumption are the same in adults and children. Nervousness, headaches and trouble sleeping associated with caffeine intake can have an effect on kids.

“We don’t recommend that children drink coffee,” says Tara Todd, registered dietitian at St. Louis Children’s Hospital. “Many children already drink too many caffeinated beverages. By adding coffee and sugar-filled coffee drinks to that equation, they’re not drinking milk and water and may not get enough of the vitamins and health benefits those drinks provide.”

Set the Stage to Be Caffeine Free
Parents should set rules for children regarding appropriate beverages throughout the day. That means kids ages 9 and older should drink the recommended four servings of milk per day before having a caffeinated beverage.

“Discuss with your child what he or she drinks outside of the house,” says Todd. “Don’t cut out caffeinated beverages all at once, as he or she may experience adverse side effects. But be sure to monitor how many calories and how much caffeine your kids are drinking each day.”

Click here to learn more about caffeine content in drinks.

via stlouischildrens.org

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Patients find plenty of health information on line, but not all of it is reliable

The Internet has no equal as an information storehouse. The trick is to know how to get right to a source of useful information and not waste time on Web sites that are biased, trying to sell you something or just plain wrong.

Marvin M. Lipman, Consumers Union's chief medical adviser, recalls having a patient who made a Google search and somehow settled on an abdominal aortic aneurysm (a worrisome bulge in the body's main blood vessel) as the logical explanation for his midback pain. No reassuring on Lipman's part eased the patient's apprehension. It took a sonogram to convince him he wasn't at death's door.

Lipman had another patient who was referred to him after her primary-care physician told her she had Graves' disease (an overactive thyroid). She arrived for her appointment armed with computer printouts of useful, accurate information and fully prepared to discuss the pros and cons of treatment options for her problem.

via washingtonpost.com

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Practice Guidelines: Managing Chronic Heart Failure - Mosby' s Nursing Suite

With the U.S. population aging, chronic heart failure is on the rise. Now healthcare professionals must diagnose and manage this complex, life-threatening syndrome more effectively than ever. To help, the American College of Cardiology and American Heart Association provide complete practice guidelines for the four stages of heart failure.
The American Heart Association has identified these four stages of heart failure (HF), which complement the NYHA classifications:
Stage A: At high risk for HF but no structural heart disease or HF symptoms
Stage B: Structural heart disease but no HF signs or symptoms
Stage C: Structural heart disease and prior or current HF symptoms
Stage D: Refractory HF that requires specialized interventions
According to the guidelines, possibly the most effective and least followed general measures are close attention and follow-up. These require regular assessment, patient teaching, monitoring of adherence to the plan of care, and evaluation of the patient’s response. To help you and your colleagues align your practice with current guidelines, the following list summarizes teaching for patients with Stage C heart failure.

via confidenceconnected.com

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Drug maker cited for not reporting side effects - Health - Health care - msnbc.com

U.S. health regulators have warned Sanofi-Aventis SA's U.S. unit for failing to submit reports of possible serious side effects in a timely manner.

In a January 28 letter made public on Tuesday, the Food and Drug Administration said an early response from the drugmaker and its "promised corrective actions are inadequate to address the deficiencies."

"We remain concerned that your .... adverse drug experience reporting system has not been fully validated, and may have resulted in inaccurate assessment and untimely submission of 15-day alerts," FDA said.

via msnbc.msn.com

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China Too Connected to IV Meds - Nursing Link

Walk into any hospital or clinic in China, especially in winter, and the crowds connected to IV drips swiftly confirm the worries of experts here that China is overdosing on IV meds, often for minor ailments.

Per capita consumption of antibiotics, commonly given by IV rather than the cheaper method of pills or injections, is 10 times the world average, said Wu Zhen, vice director of the State Food and Drug Administration, in December, the state-run Xinhua News Agency reported.

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Wednesday, February 23, 2011

Up-and-Coming Nurse Niches - Nursing Link

Correctional Nursing

Simple tests can tell who can drive after stroke, study finds - USATODAY.com

Connected for Life Now Features Ask Mayo Clinic Nurse Line

The Phlebitis Scale does mean something.. | Infusion Nurse Blog

Inflammatory Bowel Disease Raises Clot Risk

The Java Jitters: Should Your Child Drink Coffee? - St. Louis Children's Hospital

Patients find plenty of health information on line, but not all of it is reliable

Practice Guidelines: Managing Chronic Heart Failure - Mosby' s Nursing Suite

Drug maker cited for not reporting side effects - Health - Health care - msnbc.com

China Too Connected to IV Meds - Nursing Link

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