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Biomedical subjects

Janice A Neil

Publications and source records attributed to Janice A Neil.

4 recordsLinked to original sources

Environmental surveillance in the operating room.

Environmental cleaning in surgical settings minimizes patients' and health care workers' exposure to potentially infectious microorganisms. This article describes the implementation of an instrument designed to help nurses monitor OR environments, identify problem areas, and correct cleaning deficiencies before patient care is affected adversely. During a six-month pilot test in which the instrument was used daily to compare contamination events in rooms and on room surfaces, contamination events in the ORs decreased. These measurable outcomes helped health care workers develop strategies for proper cleaning and influenced multidisciplinary decision making about terminal cleaning issues.

Asepsis↗

Prevention of foot ulcers in patients with diabetes and end stage renal disease.

This quasi-experimental pilot study used a convenience sample of 23 adult men and women with either Type 1 or Type 2 diabetes who received hemodialysis three times a week. The experimental group received a four-part intervention that included individual and group foot care education, foot assessment, and special shoes. Pre- and posttesting of foot care knowledge was done using the Siriraj questionnaire. Out of a possible score of 20, those in the experimental group had a mean score of 15.3 versus 14.33 in the control group on the posttest. The nephrology nurse has the opportunity to play a role in early detection and intervention in clients with ESRD.

Adult↗

Lower extremity injuries sustained while farming.

Today's complex farm environment can pose many threats to the lower extremities of all people especially those with chronic diseases that affect the lower extremities. The purpose of this study was to investigate the incidence of injuries to the lower extremities among farmers and to rank the importance of these incidents in order to plan prevention programs. one hundred farmers were surveyed at a large farm show in the southeastern United States. An average of 4.86 injuries per farmer were reported. Blisters from work shoes or boots, followed by injuries from animals stepping on the feet were the most common injuries. Since those with chronic illnesses are especially prone to injury and disability, regular foot assessments, evaluation, and education about the hazards of farming are mainstays of prevention.

Journal Article↗

Assessing foot care knowledge in a rural population with diabetes.

In people with insensate extremities, such as those with diabetes mellitus, daily foot care and inspection can prevent the development of foot ulcers and the subsequent complications that may lead to amputation--one of the biggest threats to adults with diabetes. Preventive behaviors focus on not going barefoot, performing/receiving proper foot care, and wearing properly fitting shoes. This descriptive study of footcare practices involved a convenience sample of 61 adult men and women with type 1 or type 2 diabetes, 24 with existing foot ulcers and 37 without foot ulcers, who resided in a rural area of a southeastern state. The questionnaire was divided into four categories: foot inspection, foot cleaning, nail care, and use of footwear. Out of a possible score of 20, those with foot ulcers scored an average of 13.88 and those without ulcers averaged 13.57. These results reveal that those without foot ulcers have similar foot care practices to those with foot ulcers. This instrument is useful in assessing current foot care practices on a point-in-time basis. Preventive practices must be stressed and reinforced so those without foot ulcers do not develop ulcers.

Adolescent↗