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Biomedical subjects

S L Hofland

Publications and source records attributed to S L Hofland.

8 recordsLinked to original sources
PubMed1992

Elder beliefs: blocks to pain management.

Elderly patients have beliefs that, if not incorporated into the pain assessment, can block pain management by interfering with the patient's willingness to acknowledge pain and provide complete and accurate information about the pain experience. Patient beliefs that can block pain management include beliefs about self-concept and the aging process; the patient role; health professionals; pain; and consequences of treatment, including addiction, xerostomia, falls, constipation, and sexual and personality problems. Optimal pain management in the elderly is based on a complete assessment of pain, which may take several patient-nurse visits. Patients tend to reveal more information about health problems with succeeding visits, even if the patient is seen by a different person each time.

Aged↗
PubMed1992

Bulimia nervosa. Associated physical problems.

1. Bulimia involves more serious problems than previously thought. Bulimia nervosa is a psychiatric disorder characterized by binge eating followed by some form of combination of purging, including laxative or diuretic use, strenuous exercise, and self-induced vomiting to eliminate unwanted calories. 2. Physical problems of bulimia include oral and neck problems, metabolic acid-base imbalances, volume depletion, hypochloremia, hypokalemia, hyponatremia, hypomagnesia, hypocalcemia, hyperuricemia, gastrointestinal problems, and edema. 3. The physical problems of bulimia are less well known than those of anorexia. Nurses must be alert for clues, act on suspicions, use a nonjudgmental approach, and be knowledgeable of all assessment factors, including psychological parameters.

Bulimia↗
PubMedDate not supplied

Anorexia nervosa. Fluid-electrolyte and acid-base manifestations.

Psychiatric nurses need to know about the biologic, psychologic, and social implications of anorexia nervosa; however, the current nursing literature presents little information regarding the physiologic aspects of the syndrome. The pathophysiologic basis for the clinical manifestations of acid-base and fluid-electrolyte disturbances associated with anorexia nervosa are examined, and, when appropriate, the implications for nursing assessment are discussed.

Acidosis, Lactic↗
PubMedDate not supplied

Assisting nursing staff to learn and conduct research. An interinstitutional approach.

This article describes a resource sharing and collaborative interinstitutional project designed to assist the nursing staff of three hospitals to gain expertise in research and to promote collaborative research endeavors. Information is provided that will help staff development educators complete a similar project with a group of staff nurses.

Diffusion of Innovation↗