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Biomedical subjects
Publications and source records attributed to S B Fowler.
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PURPOSE: To describe the experience of impaired verbal communication during short-term oral intubation in surgical critical care patients. METHODS: Semi-structured interviews (N = 10) FINDINGS: Patients identified feelings related to discomfort, fear, and frustration. Patients desired to communicate messages regarding pain and discomfort, difficulty breathing, length of intubation, use of restraints, family, physical status, and suctioning. CONCLUSION: Findings can be used to educate patients and families and develop patient-driven communication tools.
Five patients with symptomatic flexible pes planus unresponsive to conservative therapy underwent nine open wedge anterior calcaneal osteotomies and advancement of the posterior tibial tendon. The average follow-up was 6 years, 8 months. Three patients exhibited medial and plantar talonavicular subluxation and naviculocuneiform sag. There were three excellent results, three very good, two good, and one poor. The patient with a poor rating was asymptomatic, had normal foot motion, and was satisfied with the procedure.
TOPIC: Family responses to neurotrauma PURPOSE: To highlight the role of trauma nurses in providing education and support to families of neurotrauma patients SOURCES: Published literature and clinical experience CONCLUSIONS: Family-centered care can provide many positive outcomes: e.g., reduced stress, decreased anxiety, decreased powerlessness, increased understanding and support. The success of the patient's rehabilitation often depends on the care and involvement of their families.