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Biomedical subjects

Janice M Beitz

Publications and source records attributed to Janice M Beitz.

18 recordsLinked to original sources
PubMed2006

Fecal incontinence in acutely and critically ill patients: options in management.

Fecal incontinence presents a major challenge in the comprehensive nursing care of acutely and critically ill patients. When manifested as diarrhea, the effects of fecal incontinence can range from mild (superficial skin irritation) to profound (severe perineal dermatitis, dehydration, electrolyte imbalance, and sepsis). Fecal incontinence has many etiologies and risk factors. These include damage to the anal sphincter or pelvic floor, liquid stool consistency, abnormal colonic transport, and decreased intestinal capacity. To avoid or minimize complications, the cause of diarrhea should be addressed, fecal leakage prevented, stool contained, and skin integrity preserved. Management options addressing these goals include diet, pharmacological therapy, and the use of containment products. Management options and their respective advantages and disadvantages are presented with a special focus on safety issues. Diverse approaches are safe only if they are knowledgeably selected, carefully instituted, and constantly monitored for their effects on patient outcomes. Research to identify which options work best in selected clinical situations and which combinations of therapies are most effective is needed.

Acute Disease↗
PubMed2005

Wound debridement: therapeutic options and care considerations.

Wound debridement is a critical component of promoting optimal healing for a wound with necrotic tissue. Although much is known about the multiple barriers to healing that necrotic detritus presents, much is still unknown about the best ways, timing, and approaches to constructing a healthy wound bed. Falanga's "black box," a metaphor for the unknown components of wound healing and debridement, should remind all practitioners that future research needs to address the continuing questions and issues associated with promotion of quality chronic wound healing outcomes.

Contraindications↗
PubMed2005

Heparin-induced thrombocytopenia syndrome bullous lesions treated with trypsin-balsam of peru-castor oil ointment: a case study.

Heparin-induced thrombocytopenia syndrome is a serious, potentially life-threatening adverse reaction to the use of heparin anticoagulation therapy that can result in significant skin damage and organ morbidity. A case study design is used to describe the innovative use of a topical wound treatment (trypsin-balsam of Peru-castor oil ointment) on bullous lesions related to the effects of this syndrome. An elderly, morbidly obese woman was treated for 2 weeks with twice-daily applications of the product along with non-adherent oil emulsion dressings. Oozing decreased substantially within a few days and open blisters closed within 1 week. After 2 weeks of therapy, the bullous skin reaction was fully resolved with no recurrence. The results of this case study suggest that this topical product may have had a positive effect on the bullous lesions and should be considered for use in other similar significant integumentary reactions.

Administration, Cutaneous↗
PubMed2004

Continent diversions: the new gold standards of ileoanal reservoir and neobladder.

In recent decades, surgical treatment of familial adenomatous polyposis, chronic ulcerative colitis, and muscle-invasive bladder cancer has undergone a revolution. Specifically, ileoanal reservoir and neobladder have become the new "gold standard" of definitive surgical therapy for these disorders. This article discusses issues in surgical construction, indications, contraindications, perioperative care concepts, and nursing and health professional implications related to these two procedures. These interventions include screening candidates for ileoanal reservoir or neobladder to rule out Crohn's disease or metastatic cancer and educating candidates for continent diversions about the proposed procedure(s) and associated events, potential complications, postoperative exercise, sexual health and function issues, and the benefits of support group participation so they can gain a realistic understanding of ultimate functional outcomes. Questions for future research are addressed.

Adenomatous Polyposis Coli↗
PubMed2003

The lived experience of having a neobladder.

The purpose of this phenomenological qualitative study was to describe the lived experience of people who had a neobladder constructed. Men and women with direct and personal knowledge of the experience were interviewed. Analyses of transcribed verbatim narratives were conducted. Major and minor themes with clustered subthemes were identified. Selected themes included diagnosing cancer, detesting the idea of the bag, coping with stressful events, managing tubes and drains, responding to incontinence, keeping the neobladder healthy, and seeing cancer as a lifelong threat.

Adaptation, Psychological↗
PubMed2003

Calciphylaxis: a case study with differential diagnosis.

Calciphylaxis is a relatively rare, but horribly disfiguring, skin condition that is most often associated with end-stage renal disease and long-term dialysis. Unfortunately, calciphylaxis-related morbidity and mortality are significant. The case study presented demonstrates many of the findings associated with the typical calciphylaxis patient; end-stage renal disease and an extensive, painful ulcer. The complexity of the patient s history and medical/surgical interventions, especially medication therapy with coumadin and heparin, complicated initial diagnostic processes. Close scrutiny of multiple physical assessment findings, historical factors, and test results was required for correct diagnosis. Crucial components of differential diagnosis of calciphylaxis versus coumadin-induced skin necrosis or heparin-induced thrombocytopenia necrosis include: patient history and characteristics, clinical presentation, and diagnostic test results.

Amputation, Surgical↗
PubMedDate not supplied

Strengths and weaknesses of faculty teaching performance reported by undergraduate and graduate nursing students: a descriptive study.

The purpose of this study was to describe the patterns of strengths and weaknesses of faculty teaching performance as reported by undergraduate and graduate nursing students on a narrative section of a university faculty evaluation form. The study used a descriptive, retrospective, qualitative design. The summary forms represented a convenience sample of undergraduate and graduate nursing course sections (N = 317) taught by full-time and part-time nursing faculty from spring 1998 through fall 2002, including summer sessions. Course sections represented didactic and clinical education experiences. Content analysis was used to interpret the recorded comments representing strengths and weaknesses in faculty performance from students' perspectives. Patterns and associated themes were derived. Faculty performance strengths included patterns such as being a knowledgeable and strategic teacher, creating a positive learning environment, demonstrating professionalism, displaying scholarly traits, and being supportive. Weaknesses included patterns such as poor delivery of content, acting disorganized, being inaccessible, displaying weak teaching skills, being dishonorable, being unprofessional, and displaying negative traits. Implications for continuous quality improvement in teaching/learning processes are presented.

Education, Nursing, Baccalaureate↗
PubMedDate not supplied

Analyzing the teaching effectiveness of clinical nursing faculty of full- and part-time generic BSN, LPN-BSN, and RN-BSN nursing students.

Effective clinical teaching has been a focus for scrutiny across the health-care disciplines. Nursing researchers have investigated students' and faculty members' views of effective clinical teaching. Various students (diploma, ADN, BSN) and their respective faculty have been studied, and some investigators have researched opinions of part-time students. No study was available that analyzed effective clinical teaching from the perspectives of students representing various formats of nursing education (basic BSN, RN-BSN, LPN-BSN students) and whether they were full or part time. The purpose of the study was to examine full- and part-time basic BSN, LPN-BSN, and RN-BSN students' ratings of effective clinical teaching behaviors. A stratified sample (n = 198) of baccalaureate nursing students (basic, LPN-BSN, RN-BSN) who represented both full- and part-time attendees was obtained. Students were informed about the study's purpose and asked to complete a demographic questionnaire and two instruments, by Knox and Mogan [Knox, J. E., & Mogan, J. (1985). Important clinical teaching behaviors as perceived by university nursing faculty, students, and graduates. The Journal of Nursing Education , 10, 295-301] and Zimmerman and Westfall [Zimmerman, L., & Westfall, J. (1988). The development and validation of a scale measuring effective clinical teaching behaviors. The Journal of Nursing Education , 27, 274-277], measuring perceptions of effective clinical teaching. Responses to open-ended questions were recorded on one instrument. Data were analyzed using summary and inferential statistics utilizing SPSS version 12.0. Responses to open-ended questions were thematically analyzed. Findings from the study demonstrated that part-time students rated their clinical instructors statistically significantly higher in effective clinical teaching and associated subscales. Type of student (basic BSN, LPN-BSN, RN-BSN) did not affect students' ratings. Type of program format and type of student did not interact to affect ratings at a statistically significant level. Implications for nursing education, administration, and future research are delineated.

Adult↗
PubMedDate not supplied

Strategies for online teaching and learning: lessons learned.

Distance learning and Web-based learning are accepted components of the American higher educational system. Strategies for teaching and learning in this medium require a different perspective on the teacher-student relationship and the educational process. The authors describe an innovative online learning endeavor focusing on a specialty practice area in contemporary healthcare: wound, ostomy, and continence nursing. Special emphasis is placed on the teaching-learning approaches that were successfully incorporated into the program.

Computer-Assisted Instruction↗
PubMedDate not supplied

Diverticulosis and diverticulitis spectrum of a modern malady.

Diverticulosis and diverticulitis are common disorders in modern society and represent different places on the spectrum of diverticular disease. Often called a problem of western civilization, diverticular disease is rare in developing countries. This article provides an overview of the epidemiology of diverticular disease, risk factors, and clinical presentation in varying phases. Differential diagnostic testing and comprehensive management from the medical, surgical, and wound, ostomy, and continence nursing perspectives are also addressed. Nurses play a key role in supporting people with diverticular disease and referring them for appropriate assessment, treatment, and support.

Diverticulitis, Colonic↗
PubMedDate not supplied

Sexuality and the person with a stoma: implications for comprehensive WOC nursing practice.

Pelvic surgery for bladder, colon, prostate, and gynecologic cancers or disease amelioration can affect sexual health and functioning for the long-term or short-term. A person with a permanent diversion is likely to experience longer term adjustment challenges and may suffer from serious sexual dysfunction. Wound, ostomy, and continence nurses caring for the whole person must consider this in their overall care plan. Being prepared with specific information and practical interventions can assist in this endeavor. This article targets sexuality issues for a person with an ostomy and provides suggestions for comprehensive nursing interventions.

Enterostomy↗
PubMedDate not supplied

Nurse anesthesia education in the new millennium: outcomes of a federally funded advanced nursing education grant.

Graduate nursing education is evolving in response to multiple societal influences affecting higher education. Nurse anesthesia education has also been affected by these forces. This article describes the planning, implementation, and evaluation of a new graduate track in nurse anesthesia made possible by an academic partnership, and the positive impact that a federally funded grant had on the venture. The excellent academic outcomes, the changes in diversity of the student body, the innovative curriculum, and lessons learned from the project are described.

Anesthesiology↗