scholarly journals Nursing care for a patient with metabolic syndrome including ICNP® reference terminology

2018 ◽  
Vol 17 (4) ◽  
pp. 57-60
Author(s):  
Paweł Szwarnowski ◽  
Paulina Przesławska ◽  
Hanna Grabowska
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Nursing Care ◽  
Regulatory System ◽  
Self Control ◽  
Care Plan ◽  
Impaired Ability ◽  
Medication Side ◽  
Altered Blood ◽  
Impaired Sleep

Abstract Introduction. Metabolic syndrome is a cluster of conditions (increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) that occur together, increasing your risk of cardiovascular disorders. Aim. The aim of the study was to formulate a nursing care plan for a patient with GN using the ICNP®? terminology. Material and methods. The research employed the case study method and the technique of the interview, observation, analysis of medical records and measurements. The research was conducted at the Clinic of Arterial Hypertension and Diabetology at the University Clinical Centre in Gdańsk and involved 2 patients with MS. Results and conclusions. Based on the data obtained, the following nursing diagnoses were formulated: Impaired Regulatory System Function/Hyperglycaemia, Altered Blood Pressure, Acute Pain (head), Overweight, Impaired Sleep and Anxiety, potential diagnoses: Risk For Impaired Peripheral Neurovascular Function, Risk For Diabetic Foot and Risk For Medication Side Effect, and as well as self-control and self-care: Impaired Ability To Manage Regime and Impaired Ability To Monitor Disease.

scholarly journals The care of a patient with cardiovascular disorders - a case study based on ICNP®

2016 ◽  
Vol 15 (3) ◽  
pp. 39-42
Author(s):  
Hanna Grabowska ◽  
Magdalena Katanowska
Keyword(s):  
Cardiovascular Diseases ◽  
Nursing Care ◽  
Nursing Practice ◽  
Individual Case ◽  
International Classification ◽  
Self Control ◽  
Care Plan ◽  
Care Plans ◽  
Threatening Condition

Abstract Introduction. Cardiovascular diseases still remain the chief life-threatening condition in Poland. They are one of the main causes of sickness absences at work, as well as reasons for hospitalization and disabilities. The professionals responsible for providing nursing services to people suffering from cardiovascular diseases should take into account the activities addressing all spheres of patient’s life. Most attention should be paid to preventing complications, as well as interventions enabling both the patients to perform selfmonitoring and self-care and their relatives to provide unprofessional care.Aim. The aim of this work was to formulate a nursing care plan for a patient suffering from cardiovascular diseases, using the International Classification for Nursing Practice.Material and methods. For the purpose of this article, an individual case study method and literature analysis were used. The research was conducted in November 2015 at the Clinic of Hypertension and Diabetes of the University Clinical Centre at the Medical University of Gdańsk. Written consents were obtained from every patient.Results. In the process of providing nursing care to the patients, phrases describing “ready” diagnoses and nursing interventions included in the International Classification for Nursing Practice (ICNP®) were used. The care plans included the following nursing diagnoses: impaired cardiovascular system, altered blood pressure, pain, functional dyspnea, peripheral edema, impaired sleep, risk of infection, obesity, lack of knowledge about the disease/ poor self-control.Conclusions. The plan of nursing care for patients with cardiovascular diseases was based on the ICNP® reference terminology that fully reflects the key problems of the patient and the scope of interventions made by nurses.

Accurate, Easy-to-Use Sphygmomanometer – “Arm-in Memo” Blood-Pressure Meter Developed Based on “Compliance with Measurement”

2008 ◽  
Vol 20 (6) ◽  
pp. 824-827
Author(s):  
Yousuke Asou ◽  
Keyword(s):  
Internal Medicine ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Diagnostic Criteria ◽  
Japanese Society ◽  
Lifestyle Change ◽  
Self Control ◽  
Measurement Concept ◽  
Pressure Meter

The Japanese Society of Internal Medicine and its seven related organizations, in announcing its diagnostic criteria for metabolic syndrome on April 8, 2005, demonstrated the importance of lifestyle change in minimizing the syndrome's effects. Needless to say, the control required to change lifestyles is difficult to cultivate and to continue. We looked at how self-control is supported using a home-use sphygmomanometer, or blood-pressure meter, detailing an actual development case centering on the “compliance with measurement” concept.

scholarly journals Nursing care of a patient with sarcoidosis. Case study using ICNP®

2019 ◽  
Vol 18 (4) ◽  
pp. 236-241
Author(s):  
Jakub Brzeźnicki ◽  
Hanna Grabowska
Keyword(s):  
Nursing Care ◽  
Therapeutic Process ◽  
Care Plan ◽  
Unknown Etiology ◽  
Data Set ◽  
Health Indices ◽  
Active Range Of Motion ◽  
Tobacco Abuse ◽  
Medication Side

AbstractIntroduction. Sarcoidosis is a rare, multi-organ disease of unknown etiology, characterized by the formation of granulomas mainly in the respiratory system.Aim. The aim of the study is to present a plan of care for patients with sarcoidosis, including International Classification for Nursing Practice – ICNP® terminology.Material and methods. The study was conducted in April 2019 at the Internal Disease Unit of the 7th Polish Navy Hospital in Gdansk, and included a 54-year-old patient hospitalized for sarcoidosis. The research employed the case study method and the technique of the interview, observation, analysis of medical records and measurements. The C-HOBIC data set was used to assess the patient’s condition.Results and conclusions. The reasons for the patient’s admission to the hospital were a continued raised temperature, erythema, as well as joint pain. The assessment and analysis of a patient’s status allowed us to formulate seven nursing diagnoses characteristic for sarcoidosis, which included: arthritis pain, functional dyspnoea, fever, impaired active range of motion, fatigue, risk for medication side effect and lack of knowledge of disease and 2 diagnoses resulting from the lifestyle of the patient: tobacco abuse and overweight. The process of nursing care planning included interventions fundamental for the above-mentioned diagnoses. They concerned the monitoring of symptoms and health indices, the patient’s knowledge, as well as the role of the nurse in the therapeutic process. The ICNP dictionary includes a sufficient range of terms, which allows the creation of a satisfactory nursing care plan for a patient with sarcoidosis.

METABOLIC SYNDROME IN DIALYSIS PATIENTS

2016 ◽  
pp. 7-11
Author(s):  
Vinh Phu Hoang ◽  
Tam Vo ◽  
Van Tien Le ◽  
Thi Hoai Huong Vo
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Artificial Kidney ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Average Value ◽  
The Metabolic Syndrome ◽  
End Stage

Objective: To review disorders elements of the metabolic syndrome in patients with end-stage chronic renal failure on dialysis cycle. Materials and methods: A cross sectional descriptive study of 85 patients including end-stage chronic renal failure in dialysis cycle from 5/2015 - 9/2016 at the Department of Artificial Kidney, Hue Central Hospital. Results: The prevalence of metabolic syndrome in dialysis patients was 37.65%. The prevalence of abdominal obesity was 30.6%; The prevalence of hypertension was 72.9%, the average value systolic blood pressure and diastolic blood pressure were 142.24 ± 27.53, 80.35 ± 12.48 mmHg; The prevalence of hyperglycemia was 28%, the average value blood glucose was 4.9 ± 1.19 mmol/l; The prevalence of triglyceride increase was 34.1%, the average value triglyceride was 1.59 ± 0.84 mmol/l. The prevalence of HDL-C increase was 47.1%, the average value HDL-C was 1.24 ± 0.33 mmol/l. Conclusion: The prevalence of metabolic syndrome in dialysis patients is very high, in which hypertension and HDL disturbances are the highest. Key words: chronic renal failure, dialysis, metabolic syndrome

Comparative Effect of Telmisartan vs Lisinopril on Blood Pressure in Patients of Metabolic Syndrome

2015 ◽  
Vol 15 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Pradip N. Gore ◽  
Vandana A. Badar ◽  
Mrunalini M. Hardas ◽  
Varsha J. Bansode
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Comparative Effect

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

scholarly journals Association between polymorphism at IGF-1 rs35767 gene locus and long-term decline in renal function: a Japanese retrospective longitudinal cohort study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kosuke Honda ◽  
Satoru Kuriyama ◽  
Kimiyoshi Ichida ◽  
Tomoko Nakano ◽  
Naoki Sugano ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Renal Function ◽  
Uric Acid ◽  
Cohort Study ◽  
Serum Uric Acid Level ◽  
Human Growth ◽  
Longitudinal Cohort Study ◽  
Longitudinal Cohort

Abstract Background Insulin-like growth factor-1 (IGF-1) acts on glucose and protein metabolism and human growth and also influences blood pressure and renal function. This study investigated whether the single-nucleotide polymorphism of IGF-1, rs35767, plays a role in metabolic syndrome indicators, including blood pressure, glucose metabolism, uric acid levels, and renal function. Methods In this retrospective longitudinal cohort study, blood samples from 1506 Japanese individuals were collected and used for genotyping for variant rs35767: T > C in the IGF-1 upstream promoter. Data were analyzed to identify associations between IGF-1 genotypes and patient biochemical parameters, including the components of metabolic syndrome and the long-term change in renal function. Results The cohort rs35767 genotypes included 650 CC carriers (43.2%), 687 TC carriers (45.6%), and 169 TT carriers (11.2%). Multiple regression analysis revealed no association between IGF-1 genotype and blood pressure, glycated hemoglobin level, and serum uric acid level. However, in females, blood pressure was negatively correlated with the TT genotype. Longitudinal observation revealed that the decline in eGFR over 10 years was greater in TT (− 18.51 ± 1.04 mL/min/1.73m2) than in CC carriers (− 16.38 ± 0.52 mL/min/1.73m2; P < 0.05). Conclusion The present study suggests that renal function declines faster in individuals with the TT genotype at the IGF-1 rs35767 locus than in those with the CC genotype, suggesting that the TT genotype is associated with the long-term chronological decline in renal function.

scholarly journals Metabolic Syndrome Features and Excess Weight Were Inversely Associated with Nut Consumption after 1-Year Follow-Up in the PREDIMED-Plus Study

2020 ◽  
Vol 150 (12) ◽  
pp. 3161-3170
Author(s):  
Alicia Julibert ◽  
Maria del Mar Bibiloni ◽  
Laura Gallardo-Alfaro ◽  
Manuela Abbate ◽  
Miguel Á Martínez-González ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Energy Intake ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Virgin Olive Oil ◽  
Hdl Cholesterol ◽  
Excess Weight ◽  
Study Cohort

ABSTRACT Background High nut consumption has been previously associated with decreased prevalence of metabolic syndrome (MetS) regardless of race and dietary patterns. Objectives The aim of this study was to assess whether changes in nut consumption over a 1-y follow-up are associated with changes in features of MetS in a middle-aged and older Spanish population at high cardiovascular disease risk. Methods This prospective 1-y follow-up cohort study, conducted in the framework of the PREvención con DIeta MEDiterránea (PREDIMED)-Plus randomized trial, included 5800 men and women (55–75 y old) with overweight/obesity [BMI (in kg/m2) ≥27 and &lt;40] and MetS. Nut consumption (almonds, pistachios, walnuts, and other nuts) was assessed using data from a validated FFQ. The primary outcome was the change from baseline to 1 y in features of MetS [waist circumference (WC), glycemia, HDL cholesterol, triglyceride (TG), and systolic and diastolic blood pressure] and excess weight (body weight and BMI) according to tertiles of change in nut consumption. Secondary outcomes included changes in dietary and lifestyle characteristics. A generalized linear model was used to compare 1-y changes in features of MetS, weight, dietary intakes, and lifestyle characteristics across tertiles of change in nut consumption. Results As nut consumption increased, between each tertile there was a significant decrease in WC, TG, systolic blood pressure, weight, and BMI (P &lt; 0.05), and a significant increase in HDL cholesterol (only in women, P = 0.044). The interaction effect between time and group was significant for total energy intake (P &lt; 0.001), adherence to the Mediterranean diet (MedDiet) (P &lt; 0.001), and nut consumption (P &lt; 0.001). Across tertiles of increasing nut consumption there was a significant increase in extra virgin olive oil intake and adherence to the MedDiet; change in energy intake, on the other hand, was inversely related to consumption of nuts. Conclusions Features of MetS and excess weight were inversely associated with nut consumption after a 1-y follow-up in the PREDIMED-Plus study cohort. This trial was registered at isrctn.com as ISRCTN89898870.

Sign in / Sign up

Export Citation Format

Share Document