{"title":"Agonist narcotics.","authors":"L Resch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pain management has been shown to be an area that has been neglected in health care. Health care professionals need to become educated in the importance of addressing and managing pain. Narcotic pain relievers carry many negative connotations to both patients and health care staff. While there are many non-pharmacologic methods of pain management that should be incorporated into patient care, medication management is an area with which we must be comfortable.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"637-9"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060037","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":"Nephrology community initiatives to develop guidelines for end-of-life care.","authors":"C Price","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"573-8"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060793","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":"Ethical decision making in nephrology nursing for end-of-life care: a responsibility and opportunity.","authors":"M C Cooper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the ethical significance of working with ESRD patients with a focus on end-of-life decision making. The ethical aspects of patient advocacy are explored and suggestions are offered for helping patients make ethically sound and caring end-of-life decisions. A model for ethical decision making is outlined, along with guidance from the ANA Code of Ethics and suggestions from the ANA Position Statements on Care and Comfort in Dying Patients, Euthanasia, and Assisted Suicide.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"603-8, 614; quiz 609-10"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060029","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":"Collaborative end-of-life decision making in end stage renal disease.","authors":"L P Loftin, C Beumer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients newly diagnosed with end stage renal disease are faced with many treatment decisions. The decision-making process should follow some well-defined steps. These start with the decision to initiate dialysis and may end with a 'do not resuscitate' request or even a withdrawal from dialysis. The nephrology team can lead the patient and family through this process by providing timely, realistic information to help them make the best decisions. End-of-life decision making should be a part of the initial long-term care planning done with every patient and family.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"615-7, 597"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060031","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":"Parenteral iron supplementation in patients with end stage renal disease.","authors":"S C Vogel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At Winthrop-University Hospital, implementation of the National Kidney Foundation's Dialysis Outcome Quality Initiative (NKF-DOQI) is guided by the principles of reengineering. On the basis of this model, anemia management is entrusted to a process owner. This advanced practice nurse is empowered with the responsibility of managing anemia and evaluated on his/her success in attaining predetermined quality standards-including ongoing patient satisfaction. This article examines use of the process owner position to evaluate, implement, and proactively manage anemia-related outcomes.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"625-30"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060033","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":"Collaborative care with hospice to help Richard and Irene: a case study.","authors":"L C Dinwiddie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pain management has been shown to be an area that has been neglected in health care. Health care professionals need to become educated in the importance of addressing and managing pain. Narcotic pain relievers carry many negative connotations to both patients and health care staff. While there are many non-pharmacologic methods of pain management that should be incorporated into patient care, medication management is an area with which we must be comfortable.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"631, 639"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060034","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":"Whose life is it anyway?","authors":"M Rau-Foster","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"657"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060039","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":"Process owners: empowering nurses to manage anemia. Case study of the anemic patient.","authors":"D Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At Winthrop-University Hospital, implementation of the National Kidney Foundation's Dialysis Outcome Quality Initiative (NKF-DOQI) is guided by the principles of reengineering. On the basis of this model, anemia management is entrusted to a process owner. This advanced practice nurse is empowered with the responsibility of managing anemia and evaluated on his/her success in attaining predetermined quality standards--including ongoing patient satisfaction. This article examines use of the process owner position to evaluate, implement, and proactively manage anemia-related outcomes.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"632-5"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060035","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}