PubMed HealthSearch

Biomedical subjects

E R Clore

Publications and source records attributed to E R Clore.

At least 19 recordsLinked to original sources

Prevention and primary care treatment of stings from imported fire ants.

Stings from imported fire ants constitute a problem encountered more and more frequently in practice settings across the Southern United States. Envenomation (impregnation of venom) in children is especially common. Current medical regimens for the treatment of other stinging insects are of little value in preventing local cutaneous reactions to fire-ant stings. The pathogenesis of reactions from imported-fire-ant stings is discussed, and suggestions for prevention, treatment and patient education are provided.

Aged

Pediculosis prevention and control strategies of community health and school nurses: a descriptive study.

Pediculus humanus capitis (pediculosis capitis) affects several million school children in the United States every year and is more prevalent among children than all other childhood communicable diseases combined. Traditional treatment of pediculosis involves the direct application of pesticides to the scalp of infested individuals. Yet, a single-treatment, 100% ovicidal pediculicide has not been developed. Head lice can be easily detected by an educated screener. The National Pediculosis Association (NPA) recommends regular screenings to control lice outbreaks in school settings. Screening is utilized as a prevention strategy to facilitate early detection and minimize exposure to potentially toxic chemicals. Nurses working with children in the country's schools are in key positions to develop, initiate, and incorporate prevention and control strategies into their child healthcare agenda. An NPA national survey identified specific lice management strategies used by community health nurses (CHNs) and school nurses working in school systems. The purpose of this article is to report the prevention and control strategies used by the nurses. Results of this national survey indicated significant variation in management strategies. A national standardized approach toward prevention and control is not being utilized.

Child

Management of the infant with respiratory syncytial virus.

This article examines updated clinical information concerning respiratory syncytial virus (RSV) infection including epidemiology, pathology, clinical manifestations, diagnosis, treatment, nosocomial infection, and prognosis. Also presented is current information on ribavirin therapy, its side effects, and precautions. Research related to the most effective isolation methodology is discussed, as well as nursing diagnoses based on Gordon's Functional Health Patterns and interventions for the infant hospitalized with RSV bronchiolitis and/or pneumonia.

Child, Preschool

Comprehensive pediculosis screening programs for elementary schools.

Pediculosis (head lice) is a major school and community health problem with an estimated 6-12 million cases annually resulting in $367 million a year in consumer costs, lost parental wages, and school system expenses. The greatest incidence is seen in children ages 5-12; however, the incidence in the 24-36 year old group is increasing due to their exposure to infested children. Developing comprehensive pediculosis screening programs in elementary schools provides an effective method for preventing epidemics from occurring by accomplishing early detection. These programs also promote primary health care and education among elementary schoolchildren, school officials, educators, and parents. An effective program includes screening the entire school three times a year: mid-September, December, and near spring vacation, and enforcing a "No Nit" policy. Establishing a successful approach to control pediculosis results in decreased incidence and transmission, reduced absenteeism, and financial savings for parents and school districts.

Child

Prevention and treatment of lightning injuries.

Lightning ranks first among natural disasters in terms of fatalities and property damage each year. If fortunate enough to survive, the victim of a lightning or electrical accident often presents with numerous complicated clinical manifestations. The astute nurse practitioner will be challenged to identify the immediate signs and symptoms of possible system disruption, and to institute the follow-up management necessary to prevent further complications. This article explores the nurse practitioner's role in the physical assessment of the client and the protocol for management and follow-up care. Case studies are presented to illustrate the various multisystem findings of clients struck either directly or indirectly by lightning. Environmental precautions to decrease the likelihood of lightning's harmful effects are also discussed. It is easier to prevent a lightning and/or electrical accident than to treat the victim.

Adult

Dispelling the common myths about pediculosis.

Pediculosis, the condition of being infested by head lice, is a major community health problem in the United States. Head lice, the most common species in humans, occupy considerable amounts of time and energy both within schools and the medical community. The condition creates school and family disturbances and personal embarrassment--consequences far exceeding its medical effects. Because parents are often embarrassed when they are informed about a head lice infestation, they often do not approach the subject with their health care providers. Pediatric nurse practitioners (PNPs) need to incorporate education relating the diagnosis and management of pediculosis in the well child visit. PNPs can dispel the common myths that have existed for so long to help open communication with parents and children to promote safe and proper treatment. Early detection is vital in preventing epidemics.

Child

Microwave heating of infant formula and breast milk.

Heating infant formula and breast milk in a microwave oven has become a common practice in many households. A review of the literature is presented to ascertain if there is evidence to support the safety of this practice, as well as to determine if microwaving affects the nutritional content of the heated milk. The results of a local community's survey are presented, which assesses parental use of microwave ovens in the heating of infant formula and parents' knowledge of the potential hazards of this practice.

Burns

Hair loss in children and adolescents.

No other body system is more exposed to the public eye than the skin and the hair. Pediatric nurse practitioners (PNPs) frequently encounter patients in their practice settings with the complaint of "hair loss." The most often diagnosed causes of hair loss include tinea capitis, alopecia areata, traction alopecia, and trichotillomania. This article defines these conditions, explores the causes for them, and describes the incidences. Emphasis is placed on the PNP's role on making a differential diagnosis based on the presenting clinical manifestations, patient history, and laboratory testing. Treatment for these conditions as well as nursing goals and PNP interventions for management and family education also are discussed.

Adolescent

Negotiating with clinical agencies for nurse practitioner student experiences.

Selecting appropriate agencies and preceptors for pediatric nurse practitioner (PNP) students is vital for an optimal clinical educational experience. Agencies that are committed to the role of the nurse practitioner are usually willing to teach students. This article explores the process of negotiating clinical placement for PNP students. Those PNPs who wish to serve as preceptors may also benefit from this information.

Clinical Competence

The genogram: a strategy for assessment.

One of the strongest components of the role of the pediatric nurse practitioner (PNP) is that of assessing pediatric clients and their families. Many tools have been developed to assist the PNP in assessing family relationships and dynamics to formulate plans of care that promote physical and mental health. This article explores the use of the genogram as a tool for successful family assessment. A case study is presented to guide the PNP to incorporate the technique into the practice setting.

Adult