The not-so-missing link between nutrition support nurses and case managers.
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Case Management↗
Biomedical subjects
K Goff
Publications and source records attributed to K Goff.
Metabolic monitoring in nutrition support.
Metabolic monitoring of patients receiving parenteral or enteral nutrition support is an important component in providing safe, effective therapy using these modalities. The nurse is the first line observer of how the patient is responding and tolerating this therapy. This article provides the nurse with information about the most common and critical complications related to nutrition support. It also explains the nurse's role in monitoring and intervening when complications occur.
Carbohydrate Metabolism↗
Internet outlook: changing the way laboratories do business.
This article explores how dental laboratories are taking advantage of the Internet's potential. It offers options for web site construction--including in-house creation vs. using a professional designer--ways to attract new dentist-clients and ideas for using e-mail to facilitate communication with them, thus improving restorations and reducing remakes. Hardware and software necessary for an Internet connection is discussed as well as service providers.
Commerce↗
Computerizing the small dental laboratory. What's available and how to buy it.
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Computer Systems↗
Hodgkin-cell leukaemia of B-cell origin.
A case of lymphocyte-depleted nodular sclerosing Hodgkin's disease with a terminal leukaemic phase is described. Circulating Hodgkin cells were shown to be of B-cell origin by immunological phenotyping and the demonstration of clonal immunoglobulin gene rearrangement.
Aged↗
Self-administered bolus jejunostomy feeding and gastric fluid reinfusion in patients with gastric atony.
Twelve patients with profound gastric atony were taught to administer their own tube jejunostomy bolus feedings and, when necessary, to manage their gastric secretions by connecting their gastrostomy and jejunostomy tubes. These techniques allowed 11 of 12 patients to obtain reasonable nutrient intake and eight of the 12 to successfully reinfuse retained gastric secretions; alleviating the need for intravenous fluid replacement and expediting hospital discharge. Seven patients were able to resume some oral intake at home after resolution of their gastric atony. In the sufficiently motivated patient with gastric atony from multiple causes, these techniques provide alternatives to indefinite hospitalization with cumbersome and expensive intravenous hyperalimentation or constant infusion enteral alimentation.
Adult↗
Enteral and parenteral nutrition transitioning from hospital to home.
Enteral and parenteral nutrition therapies are routinely used in the acute care setting, rehabilitation facilities, and in home care for patients unable to ingest or absorb adequate nutrients orally. In many instances, a nutrition support service uses a team approach to administer and monitor this therapy in the hospital. The same nutrition support service may also arrange the transition from hospital to home for those patients who need to continue therapy long term. However, in settings where there is not a nutrition support service that coordinates the discharge, the case manager may be given this responsibility. Because of the complexity of reimbursement issues, particularly from Medicare, the monitoring needed after discharge, and the need for an experienced home care agency, the case manager will be better equipped to coordinate this discharge with knowledge about these issues. This article includes clinical and financial information as well as resources available to help the case manager to arrange a safe and smooth transition for the patient and caregivers.
Case Management↗