PubMed HealthSearch

Biomedical subjects

S McNair

Publications and source records attributed to S McNair.

4 recordsLinked to original sources

Shared roles ensure complete care for sexual assault survivors.

Collaboration between nurse and medical practitioners is required to achieve the quality of care needed by persons experiencing sexual assault. The environment necessary to support this endeavor emerges from the larger organizational values, the program values, and from mature, confident team members. Medical and nurse practitioners understand their unique knowledge and skills as complementary and enhancing, rather than divisive; they must identify the knowledge and skill sets common to both as well as those unique to each discipline. The complex needs of the client demand a collaborative, multidisciplinary approach. This approach benefits both the client and the care provider. The atmosphere provided by this style allows individual professionals to grow and cultivates interest to learn from each other. Modeling of this behavior to clients gives unwritten and unspoken permission to rely on others in a healthy and open fashion.

Cooperative Behavior

Identifying patients with hypercholesterolemia. More than one blood sample is needed.

OBJECTIVE: To compare the use of one and two blood samples for diagnosing hypercholesterolemia DESIGN: A test-retest substudy conducted as part of a randomized control trial designed to compare the effectiveness of different counseling strategies for lowering serum cholesterol, dietary fat, and dietary cholesterol in patients with moderate hypercholesterolemia. SETTING: Thirty urban family practices. PARTICIPANTS: One hundred forty-two patients provided two blood samples for total cholesterol (TC) level determination at two different times (test results were being used as an eligibility criterion for enrollment in the main trial). MAIN OUTCOME MEASURES: Number of subjects correctly classified to cholesterol risk category (normal < 6.2 mmol/L; moderate 6.2 to 6.9 mmol/L; high > 6.9 mmol/L) on the basis of one TC value and on the average of two TC values. RESULTS: Overall misclassification rate on initial TC level was 22.5%. Overall false-positive rate was 19.0%, but false-positive rate for those initially assigned to the high category was 50%. Overall false-negative rate was 3.5%. Misclassification rates did not differ statistically on the basis of age, sex, blood pressure, smoking status, family history of coronary heart disease, presence of diabetes, obesity, the laboratory used, or whether the patient had fasted before giving blood. CONCLUSIONS: Single TC levels are too unreliable for diagnostic purposes, even if the subjects fast before testing. Family physicians should base their treatment decisions on the average of two cholesterol readings taken at different times 1 to 8 weeks apart.

Adult

Mistakes.

Explore the source record for details and available documents.

Dental Assistants