B Ingle | PubMed Health

PubMed1995

Leukemia during pregnancy.

PURPOSE/OBJECTIVE: To review the literature on pregnancy and leukemia and present a case report that describes the effects of cancer treatment on a developing fetus. DATA SOURCES: Published articles, book chapters, personal observation. DATA SYNTHESIS: A diagnosis of acute myelogenous leukemia requires urgent initiation of intensive treatment. During pregnancy, chemotherapy treatment is determined by gestational development and the woman's general health status. CONCLUSIONS: Babies born to leukemic mothers treated after the first trimester rarely are affected by the disease. Meticulous medical and nursing management is critical to ensure that treatment and side effects do not adversely affect the baby or the patient. IMPLICATIONS FOR NURSING PRACTICE: Goals of care are to prevent bleeding, infection, injury, and premature delivery; to assist the patient and family in coping with a new diagnosis, alteration in role performance, and body image changes; and to maintain adequate nutritional status.

Adult↗

PubMedDate not supplied

From R.T. to entry-level manager: how to climb the clinical ladder.

Modern healthcare institutions are faced with an environment that is rapidly changing. Many imposed changes have repercussions that affect lower-level radiology managers. According to one expert, radiology administrators face two dilemmas in preparing for the future: upgrading skills of those currently employed and ensuring that future employees are prepared to succeed. This paper examines the knowledge, skills and abilities needed for entry-level managers in radiology to succeed in healthcare. In order to gain current information on processes used in promoting staff technologists to management positions, the authors developed and mailed a questionnaire to 35 radiology administrators across the country. In addition to promoting employees, organizations should take a role in the maintenance and growth of an employee's career by creating realistic career paths for advancement, including programs in mentoring, assessment centers or formal training in the art of interviewing candidates. In order for entry-level radiology managers to succeed in a complex healthcare environment, mere technical expertise is not sufficient. The responsibility for identifying and providing appropriate education and training lies with employers, educational programs, professional groups and the employee.

Career Mobility↗