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K M Casey

Publications and source records attributed to K M Casey.

7 recordsLinked to original sources
PubMed1993

Lethal nature of ischemic gastropathy.

Gastropathy on the basis of mesenteric arterial ischemia can be masked in presentation as the typically more benign entities of gastritis, gastric ulceration, or gastric atony. Gastritis and ulceration are commonly associated with stress, hyperacidity, Helicobacter pylori infection, or medication injury. Gastric atony is less commonly seen and usually attributable to diabetes mellitus, vagotomy, or mechanical gastric outlet obstruction. Gastric ischemia as a cause of gastropathy is an underappreciated phenomenon with a particularly poor prognosis in which early diagnosis is essential to potentially successful intervention. Seven patients with ischemic gastropathy are described; all are women, aged 41 to 71 years, smokers, with hypertension. Nausea, vomiting, weight loss, and gastrointestinal bleeding were the common presenting symptoms. All patients had endoscopic or autopsy-proven gastric ulcerations or necrosis, and two patients had proven gastroparesis. Four of five patients with ischemic gastritis died within 3 months of diagnosis despite vascular reconstruction. The two patients with gastroparesis underwent aorto-celiac bypass and are well 9 and 20 months, respectively, after operation. Treatment results were distressingly unsatisfactory, especially in those patients in whom gastritis rather than gastroparesis was the presenting problem. Although the high mortality of mesenteric ischemia is well described, little documentation of gastric ischemia exists in the literature. This entity is generally not considered in the differential diagnosis of gastritis, ulceration, or gastroparesis. Empirically, an early diagnosis and treatment may improve the survival in this select patient group.

Adult↗
PubMed1993

Fighting MDR-TB.

Explore the source record for details and available documents.

Antitubercular Agents↗
PubMedDate not supplied

Malnutrition associated with HIV/AIDS. Part Two: Assessment and interventions.

Nutritional deficits can be forestalled through early assessment and intervention. Appropriate treatment may alter the continuum of deterioration and improve a patient's quality of life. This article reviews the comprehensive nutritional assessment, the adoption of screening tools, and the multidisciplinary, multimodality treatment approach to malnutrition in HIV/AIDS patients. Examples of creative and practical nutrition programs in HIV/AIDS care are presented because nurses often are in the position to act as change agents and develop clinical programs. The recognition and appreciation of the biopsychosocial consequences of malnutrition is at the crux of the matter for health care professionals. It is the step that propels us to embrace and value nursing interventions to support our patients 'nutritional status. Informing, coaching, teaching, reinforcing behaviors, strengthening social support, and modeling all are key activities of the nursing role that involves other professionals. Nutritional care should be approached as a continuous intervention to be addressed across all care settings and stages of health/illness. It is an inherent piece of all disease state management and wellness programs.

Diarrhea↗
PubMedDate not supplied

Malnutrition associated with HIV/AIDS. Part One: Definition and scope, epidemiology, and pathophysiology.

A documented association exists between nutritional status and immunologic function, development, and outcome of infectious processes, and treatment-related toxicity and vital organ function. In persons with AIDS, nutritional deficits precipitate a cycle that results in a downward spiral of weight lost, malabsorption, diarrhea, anorexia, body image disturbance, and increased risk for morbidity and mortality. This article presents an overview of the malnutrition in HIV/AIDS patients. It critiques the current Centers for Disease Control's definitions of wasting syndrome, describes the incidence of weight loss, delineates the implications of untreated malnutrition, and traces the etiology of weight loss and contributing factors. This article serves as an introduction to HIV/AIDS related malnutrition. A subsequent article will review nursing implications and clinical management programs.

Acquired Immunodeficiency Syndrome↗