Biomedical subjects

Jane Willock

Publications and source records attributed to Jane Willock.

5 recordsLinked to original sources

PubMed2005

Evaluation of a service development to increase detection of urinary tract infections in children.

RATIONALE, AIMS AND OBJECTIVES: It is suspected that childhood urinary tract infection (UTI) remains under-diagnosed in primary care, and is consequently the cause of subsequent morbidity from renal scarring, hypertension and eventual renal failure. Practice-based education and service developments were undertaken to try to improve the detection of childhood UTI. METHODS: A controlled before-and-after intervention study was conducted. The educational and service developments promoted awareness of and greater testing for UTI among children less than two years of age presenting with febrile illness or other potentially relevant symptoms or signs. Appropriate diagnostic equipment was provided. RESULTS AND CONCLUSIONS: More urine samples were sent by the intervention practices but without a concomitant increase in detection of UTIs. This may indicate that current practice is approaching near maximal detection of UTI in young children.

Education, Medical, Continuing↗

PubMed2005

Multicentre research: lessons from the field.

Multicentre research can be used to explore and generate significant data in aspects of care that affect small numbers of children. This article describes the problems and benefits encountered by a group of nurses from 11 hospitals undertaking a multicentre study of pressure ulcers in children and young people in England and Wales. Multicentre research can generate a large amount of useful data contributing to high quality evidence-based care and can provide nurses with a valuable learning and networking experience.

Adolescent↗

PubMedDate not supplied

Pressure ulcers in infants and children.

Although there is no agreement about the size of the problem, there is evidence that critically ill children are more at risk of pressure ulcers than the general paediatric population. In addition to tissue damage associated with immobility, equipment and objects pressing or rubbing on the child's skin have also been implicated in the development of pressure ulcers. To prevent disfiguring and potentially life-threatening pressure ulcers, it is important that risk factors are identified and minimised.

Adolescent↗

PubMedDate not supplied

Peripheral venepuncture in infants and children.

Venepuncture can be a painful and frightening experience for children. Nurses play an active role in helping them to cope with this experience and in reducing the adverse effects of venepuncture. This article explains how infants, children and their families can be supported and cared for before, during and after venepuncture.

Adaptation, Psychological↗

PubMedDate not supplied

Identifying the characteristics of children with pressure ulcers.

AIM: To identify the characteristics of children with pressure ulceration so that those at risk may be identified in future. METHOD: A multicentre survey was undertaken in 11 hospitals to ascertain the incidence, severity and position of pressure ulcers in paediatric inpatients. RESULTS: The most frequently reported ulcer grade involved blistering of the skin or a superficial skin break. The most frequent site was the sacrum or buttocks, heel, thigh, ear, occipital scalp, malleolus and spine. In 50 per cent (n=27) of children, pressure ulcers could be associated with equipment pressing or rubbing on the skin. CONCLUSION: Risk assessment tools designed specifically for children are needed, and more research should be undertaken to confirm the characteristics that increase children's risk of pressure ulceration and to establish the significance of individual characteristics.

Adolescent↗