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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 991 records · Page 55Linked to original sources
PubMed1995

Emergent management of the patient in preterm labor.

Clinicians who treat PTL should realize that side effects rarely occur when tocolytic medications are properly used. The beneficial effects of tocolytic therapy vastly outweigh the risks associated with their use for the prolongation of gestation. Even a short extension of in utero life for a few days or weeks can significantly and positively affect neonatal survival and long-term outcome. Although the opponents of tocolytic therapy argue that no reduction in the PTB rate has occurred since their introduction, this argument does not consider that the large majority of PTBs are not eligible for tocolytic intervention. If patients with clear indications for tocolysis could be compared with those that were not treated (which most studies have not done), a substantial beneficial effect of tocolytic administration probably would be demonstrated. Based on available data, we consider MgSO4 and terbutaline to be first-line tocolytics. Magnesium is used more often because of its lower side-effect profile. Indomethacin and nifedipine should be reserved for difficult or refractory preterm labor, and should only be used for intervals of < or = 48 hours. We have attempted to present a method of decision analysis which should be followed for every patient who is admitted to the obstetric care unit for a presumptive diagnosis of premature labor. We realize that many of the issues included here are controversial, however, we hope that by developing a decision tree (see Fig. 1), a more complete management scheme will be created and lead to improved care of the patient undergoing premature labor.

Adrenergic beta-Agonists↗
PubMed1994

Joint Commission for Accreditation of Hospital Organization education standards: perioperative applications.

The Joint Commission for Accreditation of Hospital Organization, as a major accrediting body for health care organizations, has identified patient and family education as a critical element in the delivery of quality health care services as a means to improve overall outcomes for consumers. This belief is evidenced in the fact that they have created a new chapter in the accreditation manual that targets this aspect of the care delivery process. Health care organizations are now being challenged as a requirement for accreditation to show that they have operationalized education in their care delivery processes. Education of surgical patients, although not a new concept, has taken on a new dimension given the increased shift to ambulatory and short stay surgery. This article explores the standards related to patient and family education as applied to the surgical experience and provides information for the perioperative nurse on how these standards can be incorporated into existing processes in caring for surgical patients.

Joint Commission on Accreditation of Healthcare Or↗
PubMedDate not supplied

Cataract in adults: management of functional impairment--a patient's guide. US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research.

1. A regular eye exam is all that is needed to find a cataract. 2. A cataract does not have to be removed right away. 3. Talk with your doctor about how your cataract affects your vision and your life. 4. After talking with your doctor, decide whether surgery is right for you.

Activities of Daily Living↗
PubMed1996

Pressure ulcer research: etiology, assessment, and early intervention.

Pressure ulcers are a significant health care problem in the United States. Cost-effective provision of health care requires that basic and applied research serve as the basis for clinical care. Only then can the benefits and risks of therapeutic interventions be documented, understood, and used to improve health care delivery. This document describes the research priorities regarding the etiology, assessment, and early prevention of pressure ulcers that the National Pressure Ulcer Advisory Panel deems important.

Beds↗
PubMedDate not supplied

Computerization of standards and patient education material.

In this article, the authors describe the evolution, design, implementation, and evaluation of a computer system for presentation of Nursing Standards and Patient Education Materials at The Presbyterian Hospital in the City of New York.

Computer-Assisted Instruction↗
PubMedDate not supplied

Infusion therapy with milrinone in the home care setting for patients who have advanced heart failure.

Advanced heart failure (AHF) is a serious cause of mortality and morbidity in the United States. The treatment of AHF exacts a great financial and manpower toll on the healthcare infrastructure. The quality of life of patients with AHF also is reduced severely. When it is infused at home, Milrinone, which is an intravenous inodilator agent, reduces the number of hospitalizations. Milrinone decreases the overall treatment costs of AHF. Highly skilled home nursing care is required in the treatment of patients. The home care nurse plays a major role in the outcome of a patient with AHF.

Aged↗