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Biomedical subjects

S H Gueldner

Publications and source records attributed to S H Gueldner.

10 recordsLinked to original sources
PubMed1991

Efficacy of sodium chloride versus dilute heparin for maintenance of peripheral intermittent intravenous devices.

The purpose of this quasi-experimental study was to determine if the patency of the peripheral intermittent intravenous device (PIID) would be maintained as effectively with a sodium chloride solution as with a dilute heparin solution and to determine if a sodium chloride solution could be used with fewer local complications (i.e., infiltration, phlebitis). The sample consisted of 77 hospitalized medical-surgical patients having a total of 114 PIIDs. The PIIDs of subjects in the experimental group were maintained using sodium chloride solution, and the PIIDs of the subjects in the control group were maintained according to the traditional procedure using dilute heparin. The findings revealed no incidence of site loss due to coagulation in either group; moreover no significant between-group difference in the incidence of site loss associated with phlebitis (p = .708) or infiltration (p = .910) was demonstrated. These findings suggest that sodium chloride may be an effective alternative to dilute heparin for maintenance of patency in PIIDs.

Adolescent↗
PubMed1991

The lived experience of survival and bereavement following the death of a lover from AIDS.

This phenomenologic study explored the lived experience of survival and bereavement following the death of a lover from AIDS. The sample (N = 8) included individuals who had lost a lover/partner to AIDS within the 18 month period prior to interview. Respondents were asked to reply to the following question: "Please describe your experience of losing a lover to AIDS. Describe events and feelings which you experienced both prior to and after the death of your lover." Themes were identified, analyzed, sorted into theme clusters and then categorized. Categories of Isolation/Disconnectedness, Emotional Confusion, and Acceptance/Denial were identified. A statement of the essential nature of the experience of surviving the death of a lover/partner from AIDS is presented.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Consumer-centric advocacy: its connection to nursing frameworks.

The concept of advocacy is redefined here as consumer-centric advocacy and its essential attributes are identified. Theoretical linkages between advocacy and selected nursing models are described. Specifically, the construct of advocacy is considered as it is operationalized within the theoretical frameworks of King, Newman, Orem, and Rogers. The health care system in the United States is in a state of unrest and undergoing nearly continuous change and reorganization. This reorganization has been hastened by tightened resources within the health care financing system, a growing number of elderly and indigent needing care, and the advent of care intensive disease processes such as AIDS and substance addicted newborns. In addition, the general public has become better informed concerning health and is seeking new approaches to the delivery of health care services. As changes in the health care system continue to occur, the role of nurses, the largest group of health care providers also is changing. In a system in which there is both a shortage of registered nurses and a growing demand for their services, nurses must develop strategies to maximize their impact on the health care system to meet the needs of consumers as well as protect their own professional integrity. The development of such strategies within nursing frameworks may be facilitated by closer scrutiny and clarification of the nurse's traditional role as advocate.

Consumer Advocacy↗
PubMed1989

Imagery instruction and the control of postsurgical pain.

This study examined the effectiveness of an innovative method of pain control, pleasant imagery, for the management of acute postsurgical pain in 32 individuals having elective surgery. In the experimental group, 16 preoperative subjects received procedural information and instruction regarding the use of pleasant imagery to control pain. In the control group, 16 subjects received procedural information only. Scores on a visual analogue scale and recorded doses of analgesics administered postoperatively provided measures of perceived pain and analgesic consumption, respectively. The t test for independent means showed that patients who used pleasant imagery perceived significantly less postsurgical pain and consumed significantly less pain medication than did the control group (p less than .05). These findings suggest that nurses can enhance the management of postoperative pain by teaching patients to use pleasant imagery.

Adaptation, Psychological↗
PubMed1989

Remember when...? Using mnemonics to boost memory in the elderly.

Memory loss associated with normal aging is frequently confused with dementia. Self-perceived memory loss can lead to social withdrawal, which can contribute to an ongoing pattern of memory impairment. Memory instruction utilizing mnemonic techniques can lead to improvement in both memory and self-esteem in the elderly. A simple, four-session mnemonics instruction program can provide an effective intervention to assist older persons in coping with memory problems.

Aged↗
PubMedDate not supplied

Impact of case management on hospital charges of PWAs in Georgia.

To determine the effects of case management in controlling hospital based costs for persons with AIDS (PWAs), a retrospective review of records of deceased PWAs was performed. The study compared diagnosis-to-death hospital charges for PWAs who received care under a care management model (n = 60) with PWAs receiving care within a non-case managed approach (n = 60). Hospital charges were adjusted for inflation. PWAs receiving care within the case managed model had significantly lower hospital-based changes than the non-case managed group. Additionally, PWAs in the case managed group lived significantly longer between HIV diagnosis and death, and lived longer between their first AIDS-related hospital admission and death.

Acquired Immunodeficiency Syndrome↗