Portrait of a Virginia Henderson fellow: Rozella M. Schlotfeldt.
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The number of patients initiating treatment for end-stage renal disease (ESRD) has increased dramatically in Canada and other countries. To assist healthcare planners, the prevalence of ESRD in Canada has been projected to the year 2000 using a Markov modelling technique. Significant increases in ESRD are expected in Canada during the next decade, particularly among the elderly and diabetic populations: estimated increases in prevalence rates of ESRD between 1992 and the year 2000 were 78% and 154% for non diabetic and diabetic populations respectively. These expected increases did not differ significantly between the treatment groups, except among patients with diabetes, in whom projected increases in the prevalence of functioning transplant was smaller than for hemodialysis or peritoneal dialysis. Because the current Canadian prevalence rates are lower than those of some other countries, such as the United States and Japan, these expected trends in prevalence appear reasonable, and illustrate the growing healthcare needs of the ESRD population in Canada during the next decade.
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Two treatments for heel pressure ulcers--a dressing foot wrap and a laminated foam boot (Lunax, BIO-SONICS)--were compared for effectiveness in a sample of 25 Intensive Care Unit patients at a community teaching hospital. At the first sign of heel redness, 11 patients were assigned to receive a dressing foot wrap, and 14 were assigned to wear a laminated foam boot on their heels. Subjects heel breakdowns were monitored every three days until one of the following conditions occurred: break of a blister, discharge from hospital, or death. None of the subjects receiving the dressing foot wrap showed improvement, whereas all but one of the subjects using the boot showed improvement.
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