scholarly journals The role of specialist nurses in delivering effective care in a tertiary sarcoma referral service

2021 ◽  
pp. 101501
Author(s):  
Raja Bhaskara Rajasekaran ◽  
Harman Khatkar ◽  
Sanjeev Kotecha
Keyword(s):  
Referral Service ◽  
Effective Care ◽  
Specialist Nurses

Response to Dr Stone

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 850-851
Author(s):  
Howard A. Pearson
Keyword(s):  
Nurse Practitioners ◽  
Cost Effective ◽  
The United States ◽  
Health Maintenance Organizations ◽  
Quality Health Care ◽  
Quality Cost ◽  
Health Maintenance ◽  
Effective Care ◽  
Quality Health

Dr Elsa Stone, in her usual organized and lucid fashion, has presented the case for inclusion of pediatric nurse practitioners (PNPs) in private pediatric practices. She bases her conclusions on her nearly 10 years of positive experience with a PNP in her own practice in Connecticut. Dr Stone describes the PNP population and demography, describes the training curriculum of PNPs, and discusses the scope of work of these individuals. She concludes that "there is substantial evidence that PNPs provide quality health care and that collaborative teams of pediatricians and PNPs can provide high-quality, cost-effective care to a broader spectrum of children than can be served by either profession alone." The American Academy of Pediatrics (AAP) has insisted for several years that there is a shortage of pediatricians to meet the expanding needs of the children of the United States. Furthermore, pediatricians—because of system changes—will be expected increasingly to provide a variety of time-intensive services. Dr Stone believes that many of these services can be well provided by PNPs. Within the AAP, there have been some concerns about the role of PNPs. Of particular worry seems to be the possibility that PNPs might decide to practice independently, leading to a lower quality of care for their patients. Less often stated, but clearly an issue, is that PNPs are viewed by some pediatricians as potential competitors. Dr Stone's demographic analysis of what PNPs are currently doing is relevant to these concerns. One third of PNPs work in private pediatric practices or health maintenance organizations.

Sepsis in the older person

2021 ◽  
Vol 23 (8) ◽  
pp. 1-7
Author(s):  
Tony Conner ◽  
Juliana Thompson ◽  
Sue Tiplady
Keyword(s):  
Care Home ◽  
Signs And Symptoms ◽  
Common Condition ◽  
Older Person ◽  
Valuable Contribution ◽  
Older Population ◽  
Care Home Staff ◽  
Treatment And Prevention ◽  
Effective Care

Background: Sepsis is a common condition, with an estimated 30 million cases worldwide each year, resulting in 6 million sepsis-related deaths. Some 60% of all sepsis events and 80% of sepsis-associated deaths occur in the older population. This is because the ageing process, and the presence of multiple comorbidities, make many older people vulnerable to developing, and dying from, sepsis. However, serious illness and death from sepsis can be avoided if the signs and symptoms are identified quickly, and interventions started early. Methods: This article explains current research and guidelines with regard to the causes, recognition, treatment and prevention of sepsis in the older population, and considers the role of care home staff in supporting effective care of residents as risk of developing sepsis. Conclusions: Care home staff are well-positioned to recognise sepsis and contribute to treatment, as their in-depth knowledge of residents makes it easier for them to identify changes in residents' behaviours and health status, which may indicate sepsis. By taking steps to ensure the risk of developing infections is reduced, care home staff can make a valuable contribution to the prevention of sepsis.

scholarly journals The Vulnerability of Vessels Involved in the Role of Embolism and Hypoperfusion in the Mechanisms of Ischemic Cerebrovascular Diseases

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Yong Peng Yu ◽  
Lan Tan
Keyword(s):  
Cerebral Infarction ◽  
Dominant Role ◽  
Cerebrovascular Diseases ◽  
Effective Care ◽  
Cerebrovascular Events ◽  
Accurate Definition ◽  
Ischemic Cerebrovascular Diseases ◽  
Vascular Stenosis

Accurate definition and better understanding of the mechanisms of stroke are crucial as this will guide the effective care and therapy. In this paper, we review the previous basic and clinical researches on the causes or mechanisms of ischemic cerebrovascular diseases (ICVD) and interpret the correlation between embolism and hypoperfusion based on vascular stenosis and arterial intimal lesions. It was suggested that if there is no embolus (dynamic or in situ emboli), there might be no cerebral infarction. Three kinds of different clinical outcomes of TIA were theoretically interpreted based on its mechanisms. We suppose that there is a correlation between embolism and hypoperfusion, and which mechanisms (hypoperfusion or hypoperfusion induced microemboli) playing the dominant role in each type of ICVD depends on the unique background of arterial intimal lesions (the vulnerability of vessels). That is to say, the vulnerability of vessels is involved in the role of embolism and hypoperfusion in the mechanisms of ischemic cerebrovascular diseases. This inference might enrich and provide better understandings for the underlying etiologies of ischemic cerebrovascular events.

scholarly journals The role of specialist nurses for organ donation: A solution for maximising organ donation rates?

2019 ◽  
Vol 28 (9-10) ◽  
pp. 2020-2027
Author(s):  
Jennifer Tocher ◽  
Barbara Neades ◽  
Graeme D. Smith ◽  
Daniel Kelly
Keyword(s):  
Organ Donation ◽  
Specialist Nurses

scholarly journals 65Improving access to arrhythmia services: the role of the cardiac rhythm management specialist nurses

EP Europace ◽  
2017 ◽  
Vol 19 (suppl_1) ◽  
pp. i29-i29
Author(s):  
P X Wheeler ◽  
R Johnson ◽  
A Horwood ◽  
J Lee ◽  
N Kelland
Keyword(s):  
Cardiac Rhythm ◽  
Specialist Nurses

The consent process in interventional radiology: the role of specialist nurses

2004 ◽  
Vol 59 (3) ◽  
pp. 246-252 ◽  
Author(s):  
L Davies ◽  
H.-U Laasch ◽  
L Wilbraham ◽  
A Marriott ◽  
R.E England ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Consent Process ◽  
Specialist Nurses

scholarly journals Rapid Serological Testing for Managing the COVID-19 Pandemic: A Review

2021 ◽  
Vol 11 (1) ◽  
pp. 99-107
Author(s):  
Sultan M. Faheem ◽  
Jancie D’Mello ◽  
Sultan M. Kaleem ◽  
Burra V. L. S. Prasad ◽  
Khalid Siddiqui
Keyword(s):  
Protective Immunity ◽  
Effective Vaccine ◽  
The Novel ◽  
Serological Testing ◽  
Prophylactic Measure ◽  
Public Health Policies ◽  
Effective Care ◽  
Novel Coronavirus ◽  
And Control

With the onset of the novel coronavirus disease pandemic (COVID-19) that emerged from Wuhan in China, the need of the hour can be summarized into two groups. The first one is a potent vaccine as a prophylactic measure to prevent the virus from infecting people, and the second is a rapid diagnosis of the disease to help healthcare professionals and government authorities to plan and control the spread and provide effective care and treatment. This review delves into the latter, describing the COVID-19 and its treatment, including the race for an effective vaccine, and highlighting the role of serological testing in managing the pandemic since a well-designed study to understand mechanisms and serological correlations of protective immunity is crucial for rational clinical and public health policies. In conclusion, swift vaccination and response tactics, such as social distancing, hand hygiene, wearing of masks, and, if required, lockdown practices continue to be important in managing the pandemic while carefully monitoring any possible outbreak due to the variants.

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