{"title":"Ethical dilemmas in artificial nutrition and hydration: initiation vs. withholding.","authors":"K S White, J C Hall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"85-9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285498","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":"Rehabilitation considerations for the client with chronic, nonmalignant pain.","authors":"K B Ruhl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic, nonmalignant pain is a significant stressor for one in five Americans. It robs society of productive work days and families of the stability generated through positive personal interaction, a steady, adequate source of income, and confidence in the ability to handle the future. On a personal level, there is increased stress, which generates increased attention to physical symptoms, a loss of self-esteem, and feelings of helplessness, powerlessness, and hopelessness. These psychological issues can spiral out of control, wreaking havoc not only in the client, but also in family dynamics and roles. Case managers are in an ideal position to help blunt the toll of this pain by active listening and focusing on interventions that help the client take an active role in his or her care and maintain as much independence as possible.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"90-101"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285490","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":"Transplant immunopharmacology: you can fool with mother nature!","authors":"E M Vasquez, E D Westin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transplantation has been and continues to be an important and often life-saving treatment option for patients with end-stage organ disease. Advances in our understanding of the immunologic mechanisms of rejection have led to pharmacologic breakthroughs that are enabling unprecedented levels of success in transplantation. Today's immunosuppressive protocols are resulting in fewer acute rejection episodes. Moreover, several of the immunosuppressive agents recently introduced have proven effective in reversing rejection considered refractory to conventional antirejection therapies. Newer monoclonal antibodies offer more specific immunosuppression while minimizing the incidence and severity of adverse effects often associated with immunosuppressants, especially opportunistic infections. Fewer hospitalizations for rejection and other complications, and ideally a decreased need for retransplantation, should significantly reduce healthcare costs, but the true benefit will most certainly be measured in improved patient outcomes.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"37-48"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101901","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 dilemmas in artificial nutrition and hydration: food for thought.","authors":"K S White, J C Hall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"34-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101376","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":"Getting to the roots of sentinel events.","authors":"D B Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101371","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 practice of professional nurse case management.","authors":"M A Forbes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Professional Nurse Case Management began at Carondelet St. Mary's Hospital 13 years ago with a goal of delivering direct nursing services to high-risk chronically ill clients in the community. Nurse case management has evolved as the healthcare delivery environment has changed. This study revisits this well-described model and assesses the impact of managed care on the practice of professional nurse case management. Concept mapping was used to describe the current practice of nurse case management at Carondelet Health Network. Professional nurse case managers modeled their practice as a series of concentric spheres, each subsuming the spheres within it. Moving from the outside to the core, the spheres represent developmental framework; practicing the Carondelet mission; group practice; integration, education, and acculturation of clients within the health system; and client-focused therapeutic relationship. One final sphere of practice, bridging the gaps, represented actions that cross all spheres of nurse case management.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101377","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":"Suggestions for case managers who work with patients with severe traumatic brain injury.","authors":"K Hosack","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"14-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101372","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":"Comprehensive nursing case management. An advanced practice model.","authors":"P Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Under managed care and capitated reimbursement systems, case management is a core strategy for providing high-quality, cost-effective care by decreasing fragmentation, enhancing quality, ensuring efficient use of resources, and containing costs. Although case management is used in various areas of the healthcare arena, it suffers from a lack of consensus regarding its definition, essential components, and appropriate application. The purpose of this paper is to examine the components and limitations of existing case management models, outline the competencies of an effective case manager, and present a model of advanced practice nursing case management that focuses on a continuum of care that integrates medical and psychosocial resources to promote optimal clinical fiscal outcomes and enables patients to work as partners with the healthcare team in facilitating and maintaining their physical and emotional well-being.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"2-10; quiz 11-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101373","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":"What are guidelines and how do you work with them?","authors":"P Tyndall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"25-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101375","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":"Strategies for managing health problems among homeless women: three case studies.","authors":"D C Hatton, A Fisher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this article is to illustrate through case examples how homeless women experience coexisting health problems, and how they may conceal these stigmatizing health problems from others, including health professionals and shelter staff. The article will also address how nurse case managers can interact with these women so that together they can develop strategies about how to manage these complex health problems.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101374","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}