Using a consultant to enhance unit-based quality programs.
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Consultants↗
Biomedical subjects
J R Walczak
Publications and source records attributed to J R Walczak.
Ovarian cancer.
Prevention, early detection, morbidity, and survival issues continue to challenge health professionals involved in the care of women with ovarian cancer. While advances in diagnosis, staging, and treatment have been made, survival rates remain grim. Continuing research in the areas of screening, diagnosis, and treatment is the key to improved survival. The hope of new drug therapy, such as cisplatin-taxol regimens, intraperitoneal therapy, immunotherapy, and bone marrow transplantation, needs further investigation to become reality. As new and potentially more toxic regimens are developed, the nurse must be knowledgeable about the therapies and adverse effects, and maintain a high level of clinical expertise in order to teach the patient, reinforce information, clarify misconceptions, and provide the patient with supportive physical and emotional care.
Carcinoma↗
Stillbirth: maternal and fetal evaluation.
Stillbirth occurs in approximately 1% of all pregnancies and, therefore, unfortunately, is an experience that most physicians caring for pregnant women will face in their professional careers. Because stillbirth is such an unpleasant and traumatic experience, a detailed evaluation is often deferred. The most common cause of stillbirth is believed to be chronic fetal hypoxia or asphyxia. However, this may not always be obvious initially. Therefore, the physician must be prepared to provide a complete evaluation. A protocol is provided to aid in that task. Obviously, not all the tests and studies described need to be performed in every case; a tailored evaluation, if possible, is always preferable.
Female↗