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Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians最新文献

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Calciphylaxis: one hospital's experience. 钙抑制:一家医院的经验。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
A Barton, R Brownrigg
{"title":"Calciphylaxis: one hospital's experience.","authors":"A Barton,&nbsp;R Brownrigg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lives of the ESRD population have been enhanced and prolonged by improved conservative management, efficient dialysis and successful transplantation. However, practitioners are noting some significant morbidity in these long-term surviving nephrology patients. Clinical signs of renal osteodystrophy can be very subtle and insidious. Bone pain, muscle weakness, and pruritus can be vague symptoms. Calciphylaxis, which is classified as a skin disorder is an extremely rare, painful, and progressive complication. Typically, the patient presents with vascular calcifications, cutaneous ulcerations and tissue necrosis. The treatment regimen for bone disease in the ESRD population will be reviewed. The symptoms of calciphylaxis, diagnostic tests and prognosis will be discussed. Four case studies describe our recent experience. Emphasis will be on the intense multidisciplinary care required for this devastating and often fatal syndrome.</p>","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 4","pages":"29-33, 35-9; quiz 34, 40-1"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067779","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}
引用次数: 0
Nephrology and the Internet. 肾脏病学和互联网。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
R Huizinga
{"title":"Nephrology and the Internet.","authors":"R Huizinga","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 4","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21068517","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}
引用次数: 0
The art of survival: unleashing the talents of end stage renal disease patients to increase their wellness. 生存的艺术:释放终末期肾病患者的才能，增加他们的健康。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
B A McKenzie
{"title":"The art of survival: unleashing the talents of end stage renal disease patients to increase their wellness.","authors":"B A McKenzie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with end stage renal disease (ESRD) often suffer compromised self-esteem and lowered self-confidence, isolation from the larger community and increased dependence on the health care system. Despite improved technology and medical care, such concepts as \"quality of life\" and \"feeling well\" still elude these patients. There is a growing realization in the health care field that other interventions and approaches are needed. This article will describe how the creative arts can activate, motivate and promote wellness for ESRD patients. The focus is on the use of professional artists, dancers and writers to help restore a sense of wholeness, health, and happiness to patients' lives. This preliminary work which explores the belief that art and artistic experiences have healing properties, will hopefully result in a more comprehensive research project in the near future.</p>","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 3","pages":"33-5"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20718498","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}
引用次数: 0
Primary amyloidosis. 原发性淀粉样变。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
C A Smith
{"title":"Primary amyloidosis.","authors":"C A Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 3","pages":"39-41, 43-5; quiz 42, 46-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20718500","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}
引用次数: 0
Urokinase efficacy in the restoration of hemodialysis catheter function. 尿激酶在血液透析导管功能恢复中的作用。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
C Meers, E B Toffelmire
{"title":"Urokinase efficacy in the restoration of hemodialysis catheter function.","authors":"C Meers,&nbsp;E B Toffelmire","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thrombus formation is a common cause of hemodialysis catheter malfunction. When thrombus or fibrin sheath restrict the flow of blood through one or both lumens, the catheter may need to be replaced. A less invasive, potentially lower cost option may be the instillation of low dose urokinase to degrade fibrin and restore catheter function. This study examines the efficacy of urokinase in improving blood flow and maintaining catheter patency. In a one-year period, urokinase was utilized in 25 dual lumen hemodialysis catheters (20 temporary, five permanent) in 22 patients. Blood flow and arterial and venous pressures were monitored before and after instillation. Urokinase administration successfully restored function in 20 catheters (80%). Paired t-tests demonstrated a significant improvement in blood flow and arterial pressure (p < 0.01) following urokinase. Catheter patency was extended for a mean of 18.0 days (range 0-90 days). The cost effectiveness of urokinase was evaluated in terms of direct costs, such as the cost of urokinase or materials to replace catheters, and indirect costs such as nursing and physician time and delays in dialysis scheduling. The results of this study suggest that judicious use of urokinase is a cost-effective, non-invasive method of restoring blood flow and extending patency in hemodialysis catheters.</p>","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 2","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20718502","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}
引用次数: 0
Kidney Foundation focus. 肾脏基金会的重点。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
J Gee
{"title":"Kidney Foundation focus.","authors":"J Gee","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 1","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20503939","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}
引用次数: 0
Nocturnal hemodialysis (NHD) adapted to the in-centre setting--a pilot study. 夜间血液透析(NHD)适应中心设置-一项试点研究。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1998-01-01
B Mudge, M Helferty, L Wallace, M Ouwendyk
{"title":"Nocturnal hemodialysis (NHD) adapted to the in-centre setting--a pilot study.","authors":"B Mudge,&nbsp;M Helferty,&nbsp;L Wallace,&nbsp;M Ouwendyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nocturnal hemodialysis has proven to be an effective and safe modality with many benefits. Using NHD parameters, two in-centre conventional hemodialysis (CHD) patients participated in a three-week in-hospital trial to test the viability of an in-hospital nocturnal hemodialysis (NHD) program. One RN was responsible for the initiation and monitoring of all treatments. In order to objectively measure results, we maintained a daily log detailing alarm situations, response time for both technical and medical support, and required interventions. Patient and staff comments were recorded daily. Miscellaneous problems were also documented. Both patients were given quality of life questionnaires and patient satisfaction surveys pre- and post-trial. Occasionally, difficulties with machine and vascular access problems were encountered. Results revealed that subjectively, both patients felt much better on NHD when compared to CHD, however they found that their personal lives were adversely affected by their absence from home. Upon completion of the trial, the accumulated data was analyzed and recommendations were made. It was decided that a staff/patient ratio of 1:3 would be safe providing that the physical environment allowed the RN to oversee all functions. Due to patient dissatisfaction with treatments six nights per week, it was suggested that flexibility with patient scheduling was essential. However, it was agreed that six nights per week would be advantageous within a chronic care facility offering hemodialysis therapy. To ensure complete medical coverage, renal fellow integration within the nocturnal project was recommended. In conclusion, we feel that the adaptation of NHD to the in-centre setting is viable with the appropriate patient population and physical environment.</p>","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"8 1","pages":"30-1"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20503942","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}
引用次数: 0
Nurse abuse in the Southwestern Ontario Regional Self-Care Dialysis Centre. 安大略省西南地区自我护理透析中心的护士虐待。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1997-01-01
K Peters, T Mullen
{"title":"Nurse abuse in the Southwestern Ontario Regional Self-Care Dialysis Centre.","authors":"K Peters,&nbsp;T Mullen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"7 2","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20224320","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}
引用次数: 0
Embedded nursing practice: a case study. 嵌入式护理实践:案例研究。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1997-01-01
M Bott
{"title":"Embedded nursing practice: a case study.","authors":"M Bott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurses' utilization of case study analysis often focuses on medically-based knowledge which is intertwined within our daily practice. Reflection on nurse-patient interactions with nursing theory as the analytic tool is infrequently undertaken. The case study analysis presented within this paper analyzes an exemplar utilizing the theoretical works of Patricia Benner.</p>","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"7 4","pages":"25-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20386264","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}
引用次数: 0
Nursing management of renal inpatients with antibiotic-resistant bacteria--VRE. 肾住院患者耐药菌的护理管理。
Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians Pub Date : 1997-01-01
D Appleton
{"title":"Nursing management of renal inpatients with antibiotic-resistant bacteria--VRE.","authors":"D Appleton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77241,"journal":{"name":"Le Journal CANNT = CANNT journal : the journal of the Canadian Association of Nephrology Nurses and Technicians","volume":"7 4","pages":"31-3; quiz 34-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20386266","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}
引用次数: 0
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