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PubMed · 9295475

Humour as a nursing intervention.

Abstract

Extensive study of the brain has resulted in the development of interventions to augment and preserve function. However, there exists a phenomenon that affects the vital brain centres including speech and memory the control of vital functions, and the immune system. What has this power? Humour. Recognized as hazardous to illness, humour leads to laughing, smiling and good feelings. Humour has been described as a basic need, a coping mechanism, and a form of communication, all integral in the care of patients and families. The use of humour gives one the permission to laugh, and to relax. While the value of humour is unique to each person and culture, its deliberate use is an effective nursing intervention to decrease tension and anxiety. This paper will examine the use of humour as a nursing intervention in the care of neuroscience patients. It will look at using humour as an adjunct to pain control and an augment to the efficacy of treatment. Nurses will learn what constitutes therapeutic humour, and the pathways to humour. Participants will come away with a repertoire of strategies to incorporate humour in neurosciences nursing care infusing it with joy.

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BibTeXRIS

H M Bakerman. 1997. Humour as a nursing intervention.. https://pubmed.ncbi.nlm.nih.gov/9295475/

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Surgical treatment of cervical kyphosis in Larsen syndrome: report of 3 cases and review of the literature.

STUDY DESIGN: A retrospective case series. OBJECTIVE: To review the surgical results for midcervical kyphosis in 3 cases with Larsen syndrome, and to discuss the choice of surgical treatments. SUMMARY OF BACKGROUND DATA: Cervical kyphosis is the most hazardous and serious manifestation of Larsen syndrome due to the risk of life-threatening paralysis, and thus usually requires surgical treatment. However, little information has been reported concerning surgical treatments for this challenging condition. METHODS: Three patients with Larsen syndrome were surgically treated for midcervical kyphosis at our institution. RESULTS: An infant with mild cervical kyphosis was successfully treated with posterior arthrodesis using a halo immobilization, and anterior vertebral growth with a mature posterior fusion mass resulted in spontaneous correction of the kyphosis. In the remaining 2 infants with myelopathic symptoms due to severe and structural kyphosis, anterior decompression and fusion via a lateral approach followed by posterior fusion with segmental spinal instrumentation and halo immobilization resulted in improved neurologic symptoms and solid fusion. CONCLUSIONS: Posterior spinal fusion is only indicated for patients with mild and flexible cervical kyphosis, and anterior decompression and circumferential arthrodesis is required for patients with severe kyphotic deformity, who usually develop myelopathic symptoms. Anterior surgery for such a small patient with severe kyphosis involves much higher risk of spinal cord injury during decompression maneuvers and difficulty in stabilization of the reconstructed cervical spine. Therefore, all patients with Larsen syndrome should be screened with radiographs at the first visit to detect cervical kyphosis early so that posterior alone fusion is possible.

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