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Biomedical subjects

T L Terpstra

Publications and source records attributed to T L Terpstra.

6 recordsLinked to original sources
PubMed2001

Nursing staff's attitudes toward seclusion & restraint.

1. Staff preferred to treat patients as they themselves wanted to be treated. 2. More than one third of respondents did not view seclusion and restraint use as a time for a therapeutic intervention. 3. If staff are practicing from their belief patterns, they will choose interventions to avoid use of seclusion and restraint. 4. The majority of respondents preferred using medication to treat out-of-control behavior because they considered it less restrictive.

Attitude of Health Personnel↗
PubMed2000

Syndrome of inappropriate antidiuretic hormone secretion: recognition and management.

Older persons are at greater risk for developing hyponatremia. Renal system changes which occur with aging cause alterations in the functional balance of fluid and electrolytes, and sodium regulation is not as effective. In one form of hyponatremia seen among the elderly, total body sodium content is normal, but water is retained because of increased antidiuretic hormone (ADH) secretion. This condition, called the syndrome of inappropriate antidiuretic hormone secretion (SIADH), has many causes including chronic illnesses and various medications. The physiology behind SIADH, its causes, diagnostics, and various treatment modalities are explored.

Age Factors↗
PubMed1989

As young as you feel: age identification among the elderly.

1. Understanding and integrating an individual's perceptions about age and health status is fundamental to making accurate assessments and implementing interventions that are personally acceptable and clinically appropriate. 2. The concept of chronological age has limited validity for the explanation of behavior because it wrongly assumes homogeneity in individual lifestyles among age cohorts. 3. Older adults tend to perceive themselves as mentally and physically younger than their chronological age. 4. Nurses who interact with individuals in a manner based solely on their chronological age may exhibit disrespect and underestimate the potential for the client's involvement in self-care activities.

Aged↗
PubMedDate not supplied

The elderly type II diabetic: a treatment challenge.

Type II or noninsulin dependent diabetes mellitus is the predominant type of diabetes in the elderly. Complexities of diabetes management with elderly patients are discussed, including differences in presenting signs and symptoms of the disease, treatment complications that occur with concomitant illnesses or age-related physiological changes, and drug interactions that can lead to either hypo- or hyperglycemia. The goals of treatment are discussed. Standard therapies, including diet, exercise, and medications, are reviewed with the special considerations of the geriatric patient in mind.

Aged↗
PubMedDate not supplied

Reducing restraints: where to start.

To begin a restraint reduction program at a large neuropsychiatric Veterans Affairs medical center, nursing educators examined perceptions of and knowledge about restraint use among 113 nursing staff members employed on one acute, two intermediate, and five long-term care units. Strumpf and Evans' (1988) Perceptions of Restraint Use Questionnaire, a knowledge test, and questions about personal characteristics were used. Top reasons for restraint use identified were to prevent pulling on an intravenous line, to prevent breaking open sutures, and to protect from a fall. Although knowledge scores were high, they did not correlate significantly with ability to suggest alternatives. Respondents viewed restraint use as a somewhat important intervention. Statistically significant differences were found between level of practice and number of alternatives listed, knowledge score, and personal perception score. Implications for nursing educators embarking on a restraint reduction program are discussed including myths and quality-of-life issues.

Adult↗