Three responses to "a phenomenology of nursing".
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Nursing↗
Biomedical subjects
E Finch
Publications and source records attributed to E Finch.
Use of circumferential tangential cryostat sections of the intestine in the diagnosis of Hirschsprung's disease.
Technical and staining methods are described for making tangential sections using a specially prepared chuck surface in a cryostat. The method gives a rapid definitive diagnosis of Hirschsprung's disease in children.
Child, Preschool↗
Drug switching patterns among patients taking non-steroidal anti-inflammatory drugs: a retrospective cohort study of a general practitioners database in the United Kingdom.
OBJECTIVE: To examine the frequency and determinants of switching between different non-steroidal anti-inflammatory drugs (NSAIDs) and the relationship with co-prescription of gastro-protective drugs (GPDs). DESIGN: This was an analysis of 30,654 patients receiving a total of 209,140 NSAID prescriptions in the UK from 1 January 1997 to 31 December 1998 identified through the MediPlus database. Analyses examined switching, repeat, termination and GPD co-prescription rates in new and continuing takers according to age and sex. RESULTS: Each patient received an average of 6.8 prescriptions in the year of study. Of the prescriptions 72.2% were for one of three NSAIDs, ibuprofen, diclofenac, or naproxen, and 7.2% of prescriptions were for fixed combination products of an NSAID plus a gastroprotective drug. At least 16.0% of continuing takers, and 28.5% of new takers switched to another NSAID in the review period. On average, new patients switched more frequently than continuing patients (0.39 switches/patient/year versus 0.23 switches/patient/year, p < 0.001). Switching between NSAIDs decreased with age and was less common in women (p < 0.05). Switching was associated with a 24% and 33% increased probability of GPD prescription in new and continuing takers, respectively. DISCUSSION: The frequency of switching, and of GPD co-prescription at switching, suggest that dissatisfaction with NSAIDs is frequent, and that gastrointestinal intolerance is a common feature of this dissatisfaction.
Adult↗
Goal-setting in physical therapy practice.
Goal-setting is traditionally used by physical therapists; however, factors identified in the literature as increasing goal achievement are often not considered. The purpose of this paper is to describe the potential use of goal-setting in improving and measuring effectiveness in physical therapy practice. Factors identified in the literature for effective goal-setting include setting specific and measurable goals, degree of goal difficulty, goal acceptance, and feedback. Active participation by the client in the goal-setting process is of primary importance. In order to maximize the use of goal-setting in physical therapy practice, reliable, valid, and sensitive clinical measures need to be identified and developed. There appears to be a potential for further use of goal-setting in physical therapy practice both as a means of improving treatment effectiveness and as a method for measuring effectiveness of treatment programs.
Canada↗
Professional credibility for the psychiatric nurse: a question of survival.
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Canada↗
Addiction.
Addiction to tobacco, alcohol and drugs is a major problem. Dependence and problem drug use are now defined syndromes and their psychological, genetic and brain mechanisms are being elucidated. Social policy can influence the consumption of drugs and treatment strategies are becoming more effective.
Adult↗