Biomedical subjects

J D Bucholtz

Publications and source records attributed to J D Bucholtz.

11 recordsLinked to original sources

PubMed1999

Metastatic epidural spinal cord compression.

OBJECTIVES: To provide an overview on the presentation, diagnosis, and treatment of metastatic epidural spinal cord compression (MESCC). DATA SOURCES: Published articles, book chapters, and research reports. CONCLUSIONS: MESCC is a common oncologic emergency that requires prompt recognition and emergency treatment to relieve pain and preserve neurologic function. The signs and symptoms of MESCC are easily detected and can be integral assessment components of the nursing care of any patient with a solid tumor. IMPLICATIONS FOR NURSING PRACTICE: Nurses can have a dramatic impact on preventing neurologic complications caused by this oncologic metastatic problem. When neurologic compromise is not prevented or reversed, nurses also can provide expert care to patients and families in the rehabilitation phase of MESCC.

Aged↗

PubMed1998

Central nervous system metastases.

OBJECTIVES: To provide an overview and up-to-date information on the presentation and treatment of central nervous system (CNS) metastases, including brain metastases, spinal cord compression, and leptomeningeal metastases. DATA SOURCES: Published articles, research reports, and book chapters pertaining to CNS metastases. CONCLUSIONS: Most patients with CNS metastases have a limited life expectancy. Therapies are palliative, except in select patients who have improved chances for long-term control or occasional cures. In general, early detection and treatment of CNS metastases prevents devastating neurological disabilities. IMPLICATIONS FOR NURSING PRACTICE: Nurses across all health care settings can play an important role in early recognition of signs and symptoms of CNS metastases, and assist patients and families in preventing devastating neurological disabilities. Nurses are also frontline care providers for patients requiring various treatments and rehabilitation for metastatic CNS disease.

Brain Neoplasms↗

PubMed1994

Behavioral training of motion control in young children undergoing radiation treatment without sedation.

Preschool-age children undergoing radiation treatment for malignancies often require daily sedation or general anesthesia to assure adequate motion control. A few older children with severe anxiety reactions, a history of behavior problems, or developmental handicaps have similar problems with radiotherapy. The use of sedation or anesthesia adds risk and expense to a procedure that does not require their administration for pain management. This report describes an alternative approach using behavior analysis to teach cooperation and motion control to preschoolers and older children with special needs. Outcome data are presented for 10 children between the ages of 3 and 7. Eight of the 10 appeared to benefit from the behavioral program. These eight cooperated with radiation treatments without the need for repeated sedation or anesthesia. The benefits and limitations of this approach are discussed along with the need for additional research.

Anxiety↗

PubMed1994

Comforting children during radiotherapy.

By keeping comfort as a central theme to guide interventions and practice, the radiation oncology nurse truly can address one of the high-incidence problem areas experienced by children receiving radiotherapy and by their families. More oncology nursing research is needed to identify the exact nurse behaviors and interventions that are deemed most comforting to children and their parents during a cancer diagnosis work-up, cancer therapies (including symptom management), and short- and long-term follow-up care. The global concept of comfort is alive in oncology nursing, but it must be continued, it must be cherished, it should be validated as part of a nurse's job performance, and it should be fostered in the oncology nursing and medical literature.

Behavior Therapy↗

PubMed1992

Issues concerning the sedation of children for radiation therapy.

Radiation therapy is a commonly used modality to treat certain pediatric malignancies. To optimally treat a child's tumor while sparing normal, developing tissues from both short- and long-term side effects, the child must be in a fixed and reproducible position on the treatment table. Many children, especially those under age three, very anxious children, and those who are developmentally disabled, may require daily sedation for a course of radiotherapy. Issues concerning the use of sedation, types of drugs used, and the nurse's role in the sedation process are presented in this article.

Casts, Surgical↗

PubMed1987