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Biomedical subjects

L C Aliberti

Publications and source records attributed to L C Aliberti.

7 recordsLinked to original sources
PubMed1993

Managing esophageal achalasia: medical and nursing implications.

Achalasia is a motility disorder of the esophagus characterized by total loss of esophageal peristalsis and by defective lower esophageal sphincter function. The etiology of achalasia is poorly understood. Achalasia occurs across the lifespan, but is uncommon in children. Most patients have progressive dysphagia for both liquids and solids. This article describes the symptoms of achalasia, its diagnosis, and treatment. The emphasis is on primary achalasia. Case studies illustrate common findings in patients with achalasia. The importance of patient education for effective management of this chronic illness is discussed.

Adult↗
PubMed1991

Managing patient education: a perspective for the 1990s.

Changes in the delivery and complexity of health care make it imperative that the patient and family are provided with the information needed to make intelligent decisions and choices about health care alternatives. The intent of this paper is to outline the nurse manager's responsibilities for patient education and to provide a practical framework by which to structure patient teaching programs. Although the philosophies of self-care and self-determination are outlined and provide the primary orientation to the concept of patient education, the description of the nurse manager's clinical and aggregate skills provide both the training and practice guidelines.

Assertiveness↗
PubMed1991

Managing change: a practical perspective for the gastroenterology laboratory.

Insuring the quality of practice in our work environments is a concern shared by nurse managers and staff members alike. As in other areas of practice, improving quality involves changing practice to overcome problems of effectiveness and efficiency. In the following review article, change is defined, its salient characteristics are discussed, and its various models are described.

Gastroenterology↗
PubMedDate not supplied

The flexible sigmoidoscope as a potential vector of infectious disease, including suggestions for decontamination of the flexible sigmoidoscope.

The flexible fiberoptic sigmoidoscope has gained widespread acceptance as a diagnostic tool in the detection and diagnosis of colorectal disease. Since its introduction nearly a decade ago, studies have thus far indicated that in the hands of experienced physicians, flexible sigmoidoscopy is a safe procedure affording greater patient comfort, greater depth of insertion, and a higher yield of neoplastic lesions than rigid sigmoidoscopy, with surprisingly few associated risks. Although reported infrequently, infection is an acknowledged risk of flexible sigmoidoscopy and other endoscopic procedures. The most efficient means of preventing endoscopy-associated infection is uncompromising aseptic practice. Clinical and experimental data obtained from studies designed to investigate endoscopic transmission of infectious organisms and from our own and others' experiences are reviewed. Guidelines for achieving high-level disinfection of the flexible fiberoptic sigmoidoscope are included.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Enterococcal nosocomial infection: epidemiology and practice.

Caring for patients susceptible to enterococcal infections is a part of practice for nurses working in today's hospital units. While enterococci are not particularly virulent organisms, they are well suited to causing infection in hospitalized patients, especially in the very old, the seriously ill, and the immunosuppressed. Despite increased understanding of the clinical threat posed by multiresistant strains of enterococci, the incidence of nosocomial enterococcal infection is growing. In this article the author examines the epidemiology and risk factors for colonization and infection with enterococcal bacteria and provides a brief review of antibiotic sensitivities for the organisms. A case study illustrates the course and consequence of infection with multiresistant enterococcus for the seriously ill patient. The importance of education of health professionals in prevention and control of enterococcal infection and superinfection is discussed.

Cross Infection↗