Biomedical subjects
H M Plawecki
Publications and source records attributed to H M Plawecki.
Cultural aspects of caring for Navajo Indian clients.
Cultural factors significantly influence the Navajo's interactive processes as well as perceptions of health and illness. Unfortunately, very limited published information is available about the problems that may occur when health care practitioners ignore the influence of culture. The interactive processes are made even more complex when health care providers have cultural expectations that are different from those held by their patients. The article reviews some of the complex factors (i.e., family structure, health/illness beliefs, traditional remedies, and cultural practitioners) that influence the Navajo's decision to seek, accept, or reject the assistance of professional health care providers. In addition, some implications, strategies, and suggestions are included that may assist the nurse in improving the quality of care provided to the Navajo patient.
Write right! (matching the manuscript with a journal).
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Cultural considerations.
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Improving organ donation rates in the black community.
The risk of developing end-stage renal disease is four times higher in the Black than in the White population. The number of Blacks on dialysis or on the waiting list for transplantation continues to grow due to an insufficient number of suitable organ donors. Same-race transplants have been shown to be more successful when blood types and human leucocyte antigens are used as the matching criteria. The low levels of organ donation by Blacks has been attributed to a number of factors. This article reviews some of the more complex factors (e.g., social practices, religious beliefs, and cultural expectations) affecting the organ donation decision. In addition, some implications and strategies are suggested that may increase the rate of organ donation in the Black community.
A holistic approach to vaso-occlusive pain crisis in children with sickle cell disease.
A significant number of children with sickle cell disease suffer from episodes of acute recurrent vaso-occlusive pain crisis. Unfortunately, very limited published information is available about specific pain management practices used for these patients. There is even less information available on the use of an interdisciplinary approach for management of sickle cell crisis pain. The purpose of this article is to review the genetic cellular pathophysiology, the sickling process, vaso-occlusive crisis, and management of pain associated with sickle cell disease in children. The article further examines an interdisciplinary approach for the management of vaso-occlusive pain crisis.
Age and health perceptions among elderly blacks.
1. By the year 2000, minority group members will comprise 20% of the total elderly population. Three million blacks will be 65 years or older by that time. 2. Many health-care providers have limited knowledge, experience, or understanding of the minority perspective as it relates to those decisions that influence the health and illness behaviors of this underserved group. 3. A person's self-perception of his physical and mental abilities, as well as his own health status, will influence his willingness to seek and accept help. 4. Interacting with the black elderly about age and health perceptions can allow nurses to demonstrate personal interest, obtain pertinent health-related data, and gain insights into the coping strategies that these individuals have successfully used for long periods.
As young as you feel: age identification among the elderly.
1. Understanding and integrating an individual's perceptions about age and health status is fundamental to making accurate assessments and implementing interventions that are personally acceptable and clinically appropriate. 2. The concept of chronological age has limited validity for the explanation of behavior because it wrongly assumes homogeneity in individual lifestyles among age cohorts. 3. Older adults tend to perceive themselves as mentally and physically younger than their chronological age. 4. Nurses who interact with individuals in a manner based solely on their chronological age may exhibit disrespect and underestimate the potential for the client's involvement in self-care activities.
Increasing organ donation in the black community.
Nationally, black people represent almost 12% of the general population but comprise almost 30% of the ESRD population. A great discrepancy exists between the number of black patients on dialysis and the number who become organ donors. This article reviews some of the many complex factors affecting this situation, such as distrust of health providers, lack of transplant awareness, and religious beliefs, and presents some approaches to increase the black population's understanding of and their receptivity to the need for organ donation.
OKT3 for the treatment of patients with acute renal allograft rejection.
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A comparison of age and health perceptions between diabetics and non-diabetics.
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The elderly hemodialysis patient (continuing education credit).
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The mentally retarded patient: a nursing challenge.
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Factors that influence attraction and retention of qualified nurse educators.
In a study to determine factors that influence attraction and retention of nurse educators, 92 faculty members in Iowa institutions of higher learning reported that the work itself was most important in attracting them to and holding them at the institution. Recognition was least important in attracting them, and salary was least important in retention.