N J Holland, P Wiesel-Levison, G Miller, B S Giesser
{"title":"Radioisotope studies of neurogenic bladder in multiple sclerosis.","authors":"N J Holland, P Wiesel-Levison, G Miller, B S Giesser","doi":"10.1097/01376517-198408000-00003","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00003","url":null,"abstract":"<p><p>Urinary dysfunction is a frequent and often serious manifestation of multiple sclerosis. If ignored, urinary tract pathology can cause disabling symptoms and life-threatening complications. Symptomatic relief and preventative measures are available once the underlying neurogenic pathology has been identified. The conceptualization of the categories \"Failure to Store,\" \"Failure to Empty,\" or \"Combined\" provide practical diagnostic and treatment catagories. One important diagnostic test to help define treatment parameters is the radioisotope renal/residual urine study.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"188-92"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of a nurse managed clinic in multiple sclerosis.","authors":"G I Wahlquist","doi":"10.1097/01376517-198408000-00004","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00004","url":null,"abstract":"<p><p>This article indicates the importance of evaluation in the practice of professional nursing. In the chronically ill neurological population both process (what the nurse actually does) and outcome measures need to be considered when formulating the objectives and scope of service to be provided by the clinical nurse specialist. For this population, morbidity was a natural evaluative measure for the nurse to employ as an index of intervention effectiveness. This does not mean to imply that nurses are the sole persons who can manage this type of outpatient clinic, but rather that nursing can play a pivotal part in the promotion of health for this particular group of neurologically disabled individuals. For this population, a consistent caregiver is important in implementing a rehabilitative approach to manage the interdisciplinary effort needed to help these individuals and their families maintain or improve health.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"193-6"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dysphasia, dyspraxia, and dysarthria: distinguishing features, Part II.","authors":"B J Boss","doi":"10.1097/01376517-198408000-00008","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00008","url":null,"abstract":"","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"211-6"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Head injuries.","authors":"J Yanko","doi":"10.1097/01376517-198408000-00001","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00001","url":null,"abstract":"<p><p>In summary, the broad term \"head injury\" represents a large variety of more specific injuries. In order to anticipate and plan appropriate patient care, nurses need information regarding the cause of injury, the impact site, and the patient's clinical course in addition to current assessment findings. The nurse must also anticipate sequelae from secondary brain injury due to hypoxia, edema, increased intracranial pressure, changes in regional blood flows, or hypovolemic shock due to internal bleeding in another body system or cavity. The head-injured patient is a complex patient requiring intensive nursing care, observation, and assessment. By incorporating knowledge of the mechanisms of injury into nursing observations and assessments, nurses can provide more effective nursing interventions.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"173-80"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prognostic value of brainstem auditory evoked potentials in head trauma.","authors":"A B Hummelgard, E M Martin, J R Singer","doi":"10.1097/01376517-198408000-00002","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00002","url":null,"abstract":"","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"181-7"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intra-operative ultrasound.","authors":"I Johnson","doi":"10.1097/01376517-198408000-00007","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00007","url":null,"abstract":"<p><p>Real time intraoperative ultrasound can provide instant evaluation of the operative field. One can expect high quality images of intracranial anatomy. With such information, the neurosurgeon can make determinations of direction and position as well as depth of the lesion. The procedure is safe and easy to perform. There are no radiation hazards present. It may be advantageous to keep the ultrasound available as one operates to visualize the progress of tumor removal; it can also be utilized after closure of the dura for bleeding or other complications. Biopsy procedures and localization of lesions in the brain can be extremely problematic. The neurosurgeon does not have the luxury of exploring a brain during a craniotomy as a general surgeon does in exploring an abdomen during laparotomy. Despite the fact that modern day technology with angiography and CT scanning may provide excellent preoperative localization information, the neurosurgeon must translate the information into his own perspective when operating and lesions may be missed by a millimeter. Once the transducer visualizes the brain substance, the neurosurgeon can actually observe the progress of the craniotomy.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"208-10"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurological involvement with Whipple's disease.","authors":"E MacDonald","doi":"10.1097/01376517-198408000-00005","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00005","url":null,"abstract":"<p><p>Whipple's disease is an inflammatory illness primarily afflicting middle-aged men. Although originally seen as a disease of intestinal malabsorption, it may affect any body system causing numerous signs and symptoms. These are due to infiltration of macrophages containing sickleform particles which stain PAS-positive. Definitive diagnosis is made by biopsy, and treatment is with broad-spectrum antibiotics. There seems to be an infectious component to the disease although defective immunologic responses may be implicated. Exact etiology is unknown. Although a rare illness, there has recently been increased recognition of this disease. Neurological involvement occurs with dissemination of lesions to the nervous system. Symptoms are quite varied but most often include dementia. As is apparent from the patient history, early diagnosis and treatment is imperative. Even without symptoms, there should probably be treatment for central nervous system involvement since neurological manifestations are often fatal. The case study presented illustrates a multisystem illness. The neurological presentation includes peripheral neuropathy, cranial nerve involvement, brainstem dysfunction, endocrine disturbance, thalamic or pituitary symptoms, and changes in cerebral function. Nursing measures reinforce the importance of the role of primary nursing for patient care and the necessity of comprehensive nursing care plans. Management problems were alleviated by providing consistency and continuous orientation, by involving the patient and his family in the plan of care, and by establishing a safe and consistent environment. Nursing process can improve and enhance patient responses, family coping ability, and the quality of care given. A \"difficult\" patient can help to expand nursing knowledge as well as promote personal growth and satisfaction.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"197-201"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17270026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A survey of neuroscience nurses.","authors":"E L Noroian, J M Yasko","doi":"10.1097/01376517-198408000-00010","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00010","url":null,"abstract":"<p><p>This survey identified and described the characteristics and perceptions of neuroscience nurses as well as the basic and master's level curriculum relating to neuroscience theory and clinical components. The major sources of stress as perceived by neuroscience nurses were identified, categorized and prioritized in accordance with their present roles. The information in this survey can be used to guide future studies on neuroscience nurses. More must be learned about the neuroscience nurse so that nurse educators and administrators can provide the necessary resources to facilitate learning and coping. This is essential to insure the provision of high standards of patient care.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"221-7"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychological care of the patient with neurological dysfunction.","authors":"S Hendrickson","doi":"10.1097/01376517-198408000-00006","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00006","url":null,"abstract":"","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"202-7"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17441956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A grass roots approach to developing inpatient nursing unit work groups.","authors":"D Holland","doi":"10.1097/01376517-198408000-00009","DOIUrl":"https://doi.org/10.1097/01376517-198408000-00009","url":null,"abstract":"<p><p>The change has taken three years. Many obstacles (attitudes, scheduling, philosophical differences, etc.) had to be overcome. The unit needed to develop its own autonomy and culture. The head nurse found it necessary to relinquish some control and the clinical nurses, in turn, had to determine manageable versus unmanageable problems. Risks were involved on every level from clinical nurses to the Director of Neuroscience Nursing, but all responded with trust and commitment to nursing and to the organizational goals. The unit was fortunate in a number of ways during the implementation of the work groups. It was advantageous to have a consultant who continually made the head nurse and group leaders look at the unit as a part of a total organization. The many \"buts\" that were interjected when comparing/contrasting nursing with other professions were refuted. It became apparent that the majority of nurses were fully aware that the profession involves working 24 hours a day, seven days a week including holidays. For the most part, the new graduate understands that hands on care includes such tasks as changing incontinent patients, making beds, and lifting and turning patients. Nursing also means intangible rewards in serving patients who need care. For nurses on our unit, what needed to be changed was the idea that a nurse has little or no control over the work life on a unit. If indeed nurses are committed to nursing, it is up to them, with appropriate support, to identify and alter the aspects of the job which are unsatisfactory.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"16 4","pages":"217-20"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198408000-00009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17623074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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