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Monitoring and mutual respect in a supportive climate are essential in today's health care environment.(President's Page)
February 1, 1996... As change continues to occur in the delivery of health care, the role of professional nurses becomes more challenging and demanding. It often appears that the degree of accountability and responsibility given to registered nurses is inversely...
Changing to a caring paradigm for teaching and learning.
February 1, 1996... Many nurse authors have written about shifting paradigms. Paradigms refer to perspectives or world views. In nursing our perspectives have shifted from an emphasis on medicine back to nursing, from knowledge to understanding, from hierarchical...
Family needs of chronic hemodialysis patients: a comparison of perceptions of nurses and families.
February 1, 1996... Where are 32.7 million persons in the United States limited by at least one chronic illness. According to the U.S. Department of Commerce, this represents 14% of the population. Of that 14%, 9.5% have major limitations due to chronic illness....
Losses, maintenance and recruitment of patients in a peritoneal dialysis home training program.
February 1, 1996... Coleen M. Weil, BSN, RN, C, CNN, is a charge, clinical nurse III, peritoneal dialysis home training at St. Peter Hospital Kidney Dialysis Center in Lacey, WA.
Diane Gorgen, RN, CNN, is a charge, clinical nurse III, peritoneal dialysis home...
Continuous venovenous hemofiltration with and without dialysis in pediatric patients.
February 1, 1996... Acute renal failure (ARF) is defined as a sudden and progressive deterioration in renal function leading to an inability to excrete the normal solute load and preserve fluid and electrolyte homeostasis (Watkins & Hickman, 1987). Critically ill...
Family circumstances that influence plans for home peritoneal dialysis.
February 1, 1996... Patient Profile
Sandra, a 5-year-old black female, was transferred from a community hospital to our pediatric tertiary care center with generalized edema, hypertension, anemia, and pulmonary edema. She was assessed by the nephrologist...
Heparizination schedule for PD catheter not in use. (peritoneal dialysis)
February 1, 1996... Q: What is the appropriate heparinization schedule to employ when a peritoneal dialysis (PD) catheter is not being used?
A: A PD catheter for continuous ambulatory peritoneal dialysis (CAPD) is inserted surgically or with a peritoneoscope...
Epoetin alfa - focus on optimal hematocrit.
February 1, 1996... The anemia of end-stage renal disease (ESRD) has been associated with a variety of morbidities, including weakness, depression, shortness of breath, dyspnea on exertion, and enlargement of the heart. Although Epoetin alfa has significantly...
Calcium acetate: a choice for phosphate management.
February 1, 1996... Phosphate binders in patients with renal insufficiency and renal failure help control the hypaerphosphatemia and secondary hyperparathyroidism that ensue as the glomerular filtration rate (GFR) falls to less than 25 ml/min (Wasan & Godley,...