{"title":"Caring for the caretakers: the patient's family.","authors":"J Malett","doi":"10.1097/00152192-199303000-00015","DOIUrl":"https://doi.org/10.1097/00152192-199303000-00015","url":null,"abstract":"<p><p>The increasing complexity of health care, as well as life in general, in America places increasing burdens on families with ill members. The growing elderly, multigenerational, and multiresponsibility families, too much distance and too little time, too many demands, too few supports, and lack of resources strain family life when illness occurs. Yet illness is a family matter. The disease entities, body-altering operations, and prognoses of the patients managed by ET nurses are stressful for both patient and family. The ET nurse can play a central role in supporting the family in the quest for positive outcomes and quality for all. The case presentation demonstrates that appropriate assessment and intervention often go beyond dealing with the stoma. Family systems theory concepts are discussed as a theoretic framework for family intervention.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 2","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19490090","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":"Clinical benefit of a hydrocolloid dressing in closed surgical wounds.","authors":"M H Hermans","doi":"10.1097/00152192-199303000-00013","DOIUrl":"https://doi.org/10.1097/00152192-199303000-00013","url":null,"abstract":"<p><p>A prospective, multicenter trial evaluated the clinical benefits of a new hydrocolloid wound dressing material (DuoDERM Extrathin; ConvaTec International, Skillman, N.J.) in a postoperative setting. Criteria assessed were patient quality of life (adherence of the dressing, showering or bathing possibilities, aspects of dressing changes), safety (incidence of infection), effectiveness (healing time), and clinical utility (ease of application and removal, ease of inspecting the wound through the dressing). Ninety-five patients with 102 sutured wounds were enrolled in the study during a period of 18 months. Forty-three wounds were in anatomic areas considered difficult to dress with such conventional materials as gauze and tape. The overall incidence of infection was 2%; the dressing was found not to be a causal factor. In five wounds, treatment had to be stopped before scheduled. Comfort rating by the patients and the investigators were \"good\" and \"very good\" in 95% and 92% of cases, respectively. A mean of 1.56 dressings per wound was used until removal of the sutures. Because of the reduction in the necessary number of dressing changes, hydrocolloid dressing may help in reducing treatment costs.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 2","pages":"68-72"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19487929","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":"Current status of ileoanal reservoirs: 1992.","authors":"J J Tjandra, V W Fazio","doi":"10.1097/00152192-199303000-00011","DOIUrl":"https://doi.org/10.1097/00152192-199303000-00011","url":null,"abstract":"<p><p>Restorative proctocolectomy with ileoanal reservoir has been a significant development in the surgical treatment of mucosal ulcerative colitis and familial adenomatous polyposis. It enables excision of the diseased colorectal mucosa with preservation of continence and avoidance of a permanent stoma. The surgical techniques, criteria for patient selection, and understanding of the physiology and outcome of the procedure, however, continue to evolve.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 2","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19487932","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":"The aging immune system and common infections in elderly patients.","authors":"B Blaylock","doi":"10.1097/00152192-199303000-00012","DOIUrl":"https://doi.org/10.1097/00152192-199303000-00012","url":null,"abstract":"<p><p>The number of elderly persons in the United States has increased to 12.5% of the population, and diseases affecting this age group have also risen. Infections of the respiratory, urinary, and integumentary systems, commonly seen in elderly patients, are a leading cause of death. Changes in the immune system cannot be prevented; however, nursing interventions may reduce the incidence of infection. An understanding of the changes in the immune system and careful nursing assessments may help the nurse to detect infections in elderly patients earlier.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 2","pages":"63-7"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19487927","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":"Unit-based quality assurance: a necessary component of ET nursing practice.","authors":"C L Gawron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A unit-based quality assurance tool has been developed to facilitate the monitoring of nursing care given to patients with ostomies. The tool consists of 23 clinical indicators that measure structure, process, and outcome issues specific to the patient with a fecal or a urinary diversion. Clinical indicators were derived from the WOCN's Standards of Care for Patient with Colostomy, Ileostomy, and Urinary Diversion. In addition, the tool was reviewed for content validity by ET nurses not involved in the original tool development. The data are retrieved through patient observation, patient interview, record review, nurse interview, nurse observation, and check on equipment availability. Results are reflective of care given to patients by staff nurses and nursing assistants, as well as by ET nurses. Current limitations include the fact that the tool has not been tested for transportability for use in other institutions.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 2","pages":"42-50"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19490082","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":"An external urine-collection device for women: a clinical trial.","authors":"B Pieper, V Cleland","doi":"10.1097/00152192-199303000-00010","DOIUrl":"https://doi.org/10.1097/00152192-199303000-00010","url":null,"abstract":"<p><p>Urinary incontinence imposes physical, social, and economic hardships on those who face it. For many, pads and diapers are invaluable. Many types of condom catheters are available for men, but there are few similar devices for women. For the past 10 years, we have been developing an external urine-collection device for women. This device adheres between the labia to surround the urethra. The purposes of this first, descriptive clinical trial were (1) to examine the device for fit, urine containment, maintenance of vulvar skin integrity, and comfort; and (2) to describe microorganism changes to urine and periurethral and vaginal tissue in women wearing the device.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 2","pages":"51-5"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19490086","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":"Issues related to informed consent.","authors":"C G Varricchio, P Hooper, M Maurer, E Santas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With advances in technology has come the promise for improved patient care. However, new and aggressive treatments can carry unexpected and unpredictable risks. Informed consent--a relatively recent concept--ensures that the patient is provided with ample information to make decisions about treatment.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19435495","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":"Product versus process.","authors":"K Wright","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19436837","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}
J C Colling, D K Newman, K A McCormick, B D Pearson
{"title":"Behavioral management strategies for urinary incontinence.","authors":"J C Colling, D K Newman, K A McCormick, B D Pearson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Behavioral interventions are recommended by Agency for Health Care Policy and Research Clinical Guideline as the first line of treatment for most types of urinary incontinence. This article defines and briefly describes the six behavioral treatment techniques and discusses the research base for the efficacy of each type of intervention. Caveats and needed research are also presented.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 1","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19435504","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":"Development and implementation of a nursing skin care protocol.","authors":"R Kravitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>More hospitals are using skin ulcer protocols to standardize care for the purpose of enhancing skin ulcer healing and reducing costs. This article outlines the role of the ET nurse in facilitating the development of a nursing protocol specific to an institution's needs. It outlines development of a monitoring tool to assess compliance and discusses the impact such a process had on the nursing and medical staffs in one community teaching hospital.</p>","PeriodicalId":77205,"journal":{"name":"Journal of ET nursing : official publication, International Association for Enterostomal Therapy","volume":"20 1","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19435500","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}