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Biomedical subjects

M E Winfrey

Publications and source records attributed to M E Winfrey.

5 recordsLinked to original sources

The suspiciousness factor: critical care nursing and forensics.

This conceptual article provides a guide for understanding the place of forensic nursing within the discipline of nursing. Ways of knowing in nursing and expert nursing practice are described to identify the role of intuition in nursing practice. The relationship between suspicion and intuition is explored. Strategies for developing forensic nursing expertise and increasing suspicion are described. Suspicion (intuition) is presented as a rapid, acquired, patient oriented perception that leads to decisive action.

Clinical Competence↗

Using forensic autopsies to teach advanced pathophysiology.

Forensic autopsies can be used to help teach advanced pathophysiology. Currently, most faculty use commercially available slides and overheads, but these are poor substitutes for actual tissue, organs, and systems. Student participation in cadaver dissections or observation of hospital autopsies may be preferable, but these options are not always available in many schools of nursing. The forensic autopsy, however, allows students to directly observe a variety of pathologies and their sequelae, while exploring the multiplicity of factors that contribute to a person's death. In addition, students enhance their physical assessment skills and learn forensic content that can be applied to nursing practice. Bringing such real-world experiences to lectures and student assignments encourages these adult learners to actively participate in the integration of pathophysiology theory with autopsy observations.

Adult↗

A new technology in burn therapy: INTEGRA artificial skin.

Nurses caring for severely burned patients need to know not only a burn injury's multisystem consequences, but also the effects and expected outcomes of burn treatment. Excision and grafting remain the primary interventions to promote wound healing, but severely burned patients may have little or no skin available for autograft harvesting. INTEGRA artificial skin, a commercial dermal regeneration template, is a new option for complete physiologic wound closure in a variety of clinical situations. This article reviews the physiologic effects, complications, and expected outcomes of INTEGRA artificial skin and compares it with other methods of closing burn wounds.

Adult↗

Teaching pathophysiology from a multicultural perspective.

Pathophysiology is the study of deviation from normal physiology and the 70-kilogram white male that remains the standard by which all else is compared. As United States demographics shift, a new perspective is necessary to meet the needs of multicultural patients. This article describes how a multicultural perspective provides a new framework for teaching that both transforms course content and stimulates new teaching methodologies.

Cultural Diversity↗