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Biomedical subjects

B Pieper

Publications and source records attributed to B Pieper.

At least 19 recordsLinked to original sources
PubMed1990

Impact of cardiac transplantation on the spouse's life.

The purpose of this research was to explore the effect of waiting for heart transplantation and the effect of the transplantation on the life, relationship, and reported stress of the patient's spouse. A cross-sectional descriptive design was used. The impact of both the pretransplant (waiting) and posttransplant periods was measured by using the Perception of Heart Transplantation Questionnaire (PHTQ) and the Subjective Stress Scale (SSS). Thirty spouses of patients who had undergone cardiac transplantation completed the mailed questionnaires. Results indicated that spouses perceived the pretransplant period to have a greater overall influence on their lives and relationships (p less than 0.001) than did the posttransplant period. Their impression of the posttransplant period was significantly more positive than of the pretransplant period (p less than 0.001). However, no significant differences between pretransplant and posttransplant stress scores were found. These results demonstrate the great impact of the waiting period on the spouse's quality of life. Additional research is needed.

Adult↗
PubMed1990

Nurses' documentation about pressure ulcers.

Documentation in a patient's medical record is a nurse's legal and professional responsibility. Descriptive charting about pressure ulcers is critical since it may affect treatment modalities. The purpose of this research was to examine what nurses chart about pressure ulcers. The IAET Standards of Care Dermal Wounds: Pressure Ulcers (1987) was used as a guide. Nursing notes from 167 medical records were examined. None of the nurses' notations contained 100 percent of the items examined in this study. The most frequently occurring descriptor was location (74.2%). This research documents deficiencies in nurses' charting about pressure ulcers.

Aged↗
PubMed1989

[The value of knee joint orthoses in performance sports].

Commercial limited-motion braces are now being propagated both for prophylaxis and treatment of traumatic knee instabilities. This article presents a general classification of braces used in sports medicine and discusses their effectiveness and indication criteria.

Athletic Injuries↗
PubMed1989

Perioperative blood glucose levels. A study to determine the effect of surgery.

Blood glucose monitoring may be a crucial, additional role for the circulating nurse. Blood glucose levels can be determined quickly and easily by using a puncture device and reagent pads. Blood glucose meters vary from $130 to $480 and have been reported to be reliable. These monitors decrease the need for additional people in the operative environment to take specimens, thus decreasing the microorganisms in the room from additional personnel and movement. The blood glucose value may determine when additional insulin is needed, thus enhancing the diabetic physiologic state during the surgical experience. Blood glucose monitoring in the operative environment may help the surgical team maintain safe blood glucose levels for the patient with diabetes and prevent postoperative fluid and electrolyte abnormalities. Intraoperative blood glucose monitoring by the circulating nurse has the potential to enhance the physiologic environment, health, and possible early discharge of the person with diabetes.

Adult↗
PubMed1989

Inventing urine incontinence devices for women.

Nurses have long been aware of the devastating effects of urinary incontinence on women. Although women may find diapers, pads and protective clothing valuable protection, there are few options for a continuous wear, external urine incontinence device (EUID). Inventors have attempted to develop an EUID since ancient times; the first United States patent for an EUID was awarded in 1949. The purpose of this paper is to review technological considerations for development of an external urinary incontinence device for women. Patents and products illustrate the considerations.

Equipment Design↗
PubMed1986

Identifying discharge concerns. A study.

This study demonstrated that patients who underwent a cholecystectomy or herniorrhaphy were able to identify concerns about discharge before going home. Knowing patients' discharge concerns may help the nurse plan their discharge education which in turn might help them cope with postoperative problems at home. Because a nonprobability small sample was used, the application of this study is limited; nevertheless, there is a great need to explore patients' discharge concerns. With the increased incidence of ambulatory surgery, there is limited time for discharge planning, making it even more critical to research patients' perceptions of discharge.

Adult↗
PubMedDate not supplied

A study of persons undergoing outpatient gastrointestinal radiography.

A large proportion of the illnesses for which adults seek health care are disorders of the gastrointestinal tract. X-ray studies of the upper gastrointestinal tract and the barium enema are commonly ordered gastrointestinal diagnostic procedures. The purpose of this research was to examine the effects of upper gastrointestinal tract and barium enema x-ray studies on a person's sleep pattern, fatigue, anxiety, blood pressure, pulse, and perceived energy expenditure. Outpatients were assigned to established groups by their ordered x-ray procedure (i.e. barium enema [n = 36], upper gastrointestinal tract x-ray procedure [n = 31], or nonpreparation procedure [n = 36]). Persons who were undergoing a barium enema rated sleep significantly poorer, awakened a greater number of times during the night, and perceived greater energy expenditure during the procedure. This study has implications for the teaching and safety of patients who are undergoing gastrointestinal radiography. The study needs to be expanded to include hospitalized patients, persons with stomas, and persons who are undergoing other gastrointestinal diagnostic procedures such as endoscopic examinations.

Adult↗
PubMedDate not supplied

Persons who have stomas: violent injury versus disease.

Victims of violence may have injuries that necessitate the construction of stomas. The purposes of this retrospective study were to (1) describe demographic and perioperative variables for persons who had fecal stomas as a result of violent injury and (2) to compare these variables with those for persons who had stoma construction because of disease. Medical records of 44 persons who had stoma construction performed at a level I trauma center were reviewed. Victims of violence (n = 26) were generally young, black men with minimal income and no health insurance. Stomas were primarily colostomies of varied construction. Incisions were left open to heal by second intention. Violent behavior is an important cause of injury-related disability in the United States. ET nurses have important roles in teaching, in providing emotional support, and in participating in discharge planning for a patient who has a stoma that is a result of violent injury.

Adult↗
PubMedDate not supplied

Sharing resources for clinical research.

The unstructured, verbal contact of the Sharing Resources Model between persons of different institutions allowed each to accomplish goals. In a time of limited health care funding, this model helped all involved to conduct nursing research. The director and ET nurse explored long-term questions about research. For example, during this time of nursing shortage, how does a nurse researcher include the staff nurse in clinical research? How can clinical agencies implement research findings and monitor their impact? Can research interest of the nursing staff be stimulated by reading research? In addition these individuals were able to document a need for continued research development and research consultation. Sharing of resources allowed the nurse faculty member to be a team member in the agencies in which she was conducting research. Providing consulting allowed her to repay to the agencies the time commitment they made to her research and an opportunity to share with clinical experts. Clinical agencies and schools of nursing need to examine ways to increase research collaboration. Since ET nurses are exposed to numerous researchable questions, they should explore within their agencies the structuring of nursing research. If nursing research assistance is not available, the Sharing Resources Model may initially help ET nurses with their research and document a need to the agency for research assistance. Whatever model the ET nurse uses for research assistance, all involved should benefit.

Clinical Nursing Research↗
PubMedDate not supplied

ET nurses: shared goals, different backgrounds.

The doctorally prepared ET nurse may assume many roles. The goals of these roles are to enhance nursing knowledge, advance patient care, and promote enterostomal therapy in the nursing profession. These are no different than the goal of the ET nurse who is not doctorally prepared. Only the tools one uses to accomplish these goals and, therefore, the route taken may differ. While the doctorally prepared ET nurse has a common background with all ET nurses, he/she has unique skills to share in regards to curriculum and research. By understanding the role, and educational background of an ET nurse, the opportunities to work together to enhance ET nursing are endless.

Consultants↗