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K Goldblum

Publications and source records attributed to K Goldblum.

5 recordsLinked to original sources
PubMed2000

Forms facilitating primary care documentation.

Documentation is a time-consuming but vital component of patient care. As health care providers function under increasing time constraints, well-designed forms can help simplify and improve the documentation process. Patient record forms can help clinicians identify essential points of the history and physical examination and can provide anticipatory guidance. One classification system frequently used by primary care providers is the evaluation and management (E/M) code system. E/M codes are a subset of the Current Procedural Terminology codes developed by the American Medical Association to standardize the terminology used to describe medical and surgical services. This article presents one documentation system that primary care providers may find effective in their documentation efforts.

Abstracting and Indexing↗
PubMed1992

Knowledge deficit in the ophthalmic surgical patient.

This case history illustrates some important aspects of the informational needs of ophthalmic surgery patients. As is true with many ophthalmic patients, this patient had a relatively high level of anxiety regarding his potential loss of vision postoperatively. This concern is magnified in a monocular patient. The nurse must help these patients put this concern in the proper perspective by providing accurate information. The nurse who performs such extensive preoperative teaching takes on a role that entails a great deal of responsibility. A planned program of information with written objectives and an outline of the important information to include will help the nurse provide a high level of care in meeting the knowledge needs of the patient. It is not necessary, or even desirable, to develop a plan for each individual patient. A written outline of important and necessary information for each type of ophthalmic surgical procedure provides a means of assuring that the teaching plan is complete and accurate. The information in the teaching plan should be validated by other physician and nurse colleagues. A written plan can save time once it is developed, because the nurse can follow the standard plan, modifying the presentation to meet each patient's specific needs as necessary. The patient indicated feeling somewhat overwhelmed with information when faced with his ophthalmic surgery. It is very important to ensure that the patient and appropriate significant others get both verbal and written information in these situations. The written information gives the patient and his or her family a reference to use when they return home and begin to assimilate more of the information given to them by the nurse. The patient in this case history and his wife both referred to the written instructions several times before and after the operation to verify certain information. The written materials presented information at an appropriate reading level and had large well-spaced print. Repetition (whether verbal or in written format) is important because it reinforces important aspects of the necessary information. The nurse at the surgical facility repeated the postoperative requirements to the patient and his wife before they left the center and made sure that they had the written instructions as well. The nurse demonstrated the necessary motor skills and gave the patient and his wife the opportunity to return the demonstration.

Aged↗
PubMed1981

Inactivation of the ribonucleic acid-processing enzyme ribonuclease E blocks cell division.

The Escherichia coli endoribonuclease ribonuclease E, the enzyme responsible for the processing of precursor 5S ribosomal ribonucleic acid (RNA) from the nascent ribosomal RNA transcript, is thermolabile in rne-3071 mutants. When cells of such a strain were shifted to a nonpermissive temperature, the function of ribonuclease E was almost instantaneously inactivated. However, a threefold linear increase in absorbance took place over a 3-h period, and similar linear increases occurred in all the macromolecules we measured, including deoxyribonucleic acid, RNA, protein, and lipopolysaccharides. Interestingly, during this period, the cells elongated but failed to divide. Thus, these experiments suggest that an early effect of inactivation of the RNA processing enzyme ribonuclease E is a block in cell division.

Endonucleases↗