Thursday, December 20, 2012

Postpartum Depression For Dummies, 2nd Edition

Penulis: Chow, CherylImpresum: HOBOKEN: WILEY PUBLISHING; 2007Kolasi: xii, 276 hlm.Keyword: Postpartum, DepressionISBN:    978-0-470-12170-2Tebal    362 halaman   It's a great blessing when a new mom with postpartum depression (PPD) is fortunate enough to be diagnosed early by a knowledgeable medical practitioner or therapist. But without guidance, it isn't always clear where the boundary between normal baby blues and PPD lies. As with any other illness, the...

Therapy And The Postpartum Woman: Notes On Healing Postpartum Depression For Clinicians And The Women Who Seek Their Help

Penulis:Kleiman, Karen RImpresum:NEW YORK: TAYLOR & FRANCIS GROUP; 2009Kolasi:xxi, 334 hlm.Keyword:PostpartumISBN:978-0-415-98996-1;1135856338Tebal    250 halaman   This book provides a comprehensive look at effective therapy for postpartum depression. Using a blend of professional objectivity, evidence-based research, and personal, straight-forward suggestions gathered from years of experience, this book brings the reader into the private world of therapy with the postpartum...

Monday, December 17, 2012

Nursing Care Plan for Retinal Detachment

Retinal detachment is the separation of the the retina from the choroid (the middle vascular coat of the eye between the retina and sclera). It occurs when the retina develops a hole or tear and the vitreous seeps between the retina and choroid. If left untreated, retinal detachment can lead vission loss.The possible causes of retinal detachment are Trauma, Hemorrhage, Myopia, Tumor, Aging, Diabetic neovascularization, Inflammatory process and Familial tendency.Assessment findings of retinal...

Wednesday, December 5, 2012

Nursing Care Plan for Chronic Obstructive Pulmonary Disease (COPD)

Chronic obstructive pulmonary disease, also knwon as chronic airflow limitation (CAL), chronic obstructive lung disease (COLD), chronic obstructive respiratory disease (CORD), chronic obstructive airway disease(COAD) is a group of conditions that obstruct pulmonary airflow, resulting in air being trapped in the alveoli and then make difficult to breathe.There are two main forms of COPD :Chronic obsturctive bronchitis, a productive cough that persisting for 3 months of the year for at least 2 consecutive...

Best Practices: Tube Thoracostomy Insertion

Sarah L. Melendez, MD; Mark A. Silverberg, MD Contributor Information  Tube thoracostomy is the insertion of a tube (chest tube) into the pleural cavity to drain air, blood, bile, pus, or other fluids. Whether the accumulation is the result of rapid traumatic filling or insidious malignant seepage, placement of a chest tube allows for continuous, large volume drainage until the underlying pathology can be more formally addressed. The list of specific treatable etiologies is extensive,...

Monday, November 26, 2012

Nursing Care Plan For Sickle Cell Anemia

Sickle cell anemia or sickle cell disease a genetic blood disorder, which passed down through families, characterized by red blood cells that assume an abnormal, rigid, sickle shape. Red blood cells contain an iron-rich protein called hemoglobin. This protein carries oxygen from the lungs to the rest of the body.In sickle cell anemia, hemoglobin, in the presence of low oxygen tension (caused by hypoxia, acidosis, dehydration or fever), it's crystallizes quickly, causing RBCs to bend in to crescent...

Saturday, November 24, 2012

Assessment of Acute Pain

Assessment of Acute Pain    Accurate assessment of acute pain is essential for the development of an effective pain management plan. Nurses play a pivotal role in the assessment of pain, owing to the nature of their relationship with patients. Pain assessment can be challenging because of the subjectivity and multidimensionality of the pain experience. The patient's self-report of pain includes the sensory, emotional, psychological, and cultural components of the pain experience, which cannot be captured on the unidimensional tools...

Feeling Your Patient's Pain

   For most of us, medical students and physicians alike, treating patients in pain can be, well, a pain. Aside from having to know which medicines to use and how to use them, there's the issue of not being able to objectively measure what we're treating, as well as the unfortunate reality that some patients abuse narcotics. Patients in pain can really put our bedside manners to the test.    The following are some pearls, from the perspective of a general internist who works with medical students and who was a medical student...

Friday, November 23, 2012

Assessing Pain When the Patient Cannot Self-report

   Pain is completely subjective, and the gold standard of pain assessment is self-report by the patient. Several assessment tools can facilitate determining the patient's assessment of pain intensity, and hospitals nationwide have implemented policies and procedures outlining the use of these instruments.    The most commonly used self-report tools in patients who are able to quantify their pain are the 0-10 numerical pain rating scale and the 0-10 Wong-Baker FACES pain rating scale or the Faces Pain Scale-Revised; many patients...

Universal HIV Screening Recommended by USPSTF

   The US Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen all people aged 15 to 65 years for HIV infection, according to a draft recommendation statement posted online November 20. The statement also recommends HIV screening for all pregnant women, including those who present at the time of labor, and for younger adolescents and older adults who are at increased risk.    "The draft recommendation reflects new evidence that demonstrates the benefits of both screening for and earlier treatment...

Thursday, November 22, 2012

Lung Screening May Encourage Smoking Cessation CME

News Author: Damian McNamara CME Author: Charles P. Vega, MD, FAAFP Faculty and Disclosures CME Released: 11/08/2012; Valid for credit through 11/08/2013 CLINICAL CONTEXT There are more than 200,000 new cases of lung cancer diagnosed annually in the United States. However, effective screening strategies for lung cancer have remained elusive. Two major studies have recently evaluated the efficacy of lung cancer screening programs, and Barry and colleagues provide a review of this research. The Prostate, Lung, Colorectal and Ovarian Cancer...

Smoking and Risk on Women’s Mortality Rates

CLINICAL CONTEXT Smoking is widely recognized as the most important modifiable risk factor in preventing adult mortality in Western countries, but there has been little attention paid overall to sex-based differences in health outcomes of smokers. Huxley and Woodward addressed this issue in a systematic review comparing cardiovascular outcomes associated with smoking among women and men. Their results, which were published in the October 8, 2011, issue of the Lancet, demonstrate that the risk for cardiovascular events associated with current smoking...

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