care

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Welcome to Episode 101

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News–

Providers Miss Test Results – Even with Electronic Monitoring

Surgical Masks Useless at Stopping Swine Flu

Is Nursing Still a Recession-Proof Field?

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Tip of The Week- Myocardial Infarction Care and Nursing Concerns

According to the American Heart Association, More than 1.5 million Americans suffer a myocardial infarction every year, and nearly half a million die, in addition, 63% of women and 48% of men who died suddenly of coronary artery disease had no previous symptoms.

About 50% of patients who suffer from MI wait at least two hours before seeking help. This delay may be crucial in the survival of the patient or the outcome if ever the patient survives. There are also instances where a silent MI occurs, or there is no pain or symptom felt by the patient, and this still damages the heart.

This is why it is vitally important that nurses educate patients to recognize the signs and symptoms of MI and seek medical care immediately. Patients who are at risk are advised to avoid major risk factors that contribute to the occurrence of an MI. For those who had a previous heart attack, they are encouraged to report changes in the quality or intensity of pain.

The use of sublingual nitroglycerin and cardiac rehabilitation for patients are also reinforced. After discharge, patients are informed about ways on how to avoid another episode of MI, which includes referral to a smoking cessation program; nutritional counseling to reduce dietary fat and sodium and achieve a desirable body weight; and recommendations to increase physical activity. Also included in patient education points are treatment of preexisting illnesses, and ways to manage stress and control anger.

Heart Attack: MedlinePlus Medical Encyclopedia

Myocardial Infarction: Encyclopedia of Nursing and Allied Health

Heart Attack: American Heart Association

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Other Podcasts from Jamie Davis:

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Song this week:

Matthew Ebel “Downtown”

Matthew Ebel on iTunes song called DownTown
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A recent article on drug company Wyeth and their use of ghost writers to produce favorable journal articles has me asking the question about where we find credible information.

Nursing Care Information

I have routinely turned to journal articles to research information for segments on the Nursing Show.  I try to use these articles to support information on best practices that I pass on to you on the podcast.  Many nursing students and educators recommend the Nursing Show podcast to their friends and colleagues.

If journal articles are being written as promotional pieces for a company’s products or research, where can medical professionals turn for unbiased information on medical care and best practices?

Nurses and Research

I received an outreach last week from a nursing researcher who wants to make sure that the Nursing Show features high quality nursing research and promotes information on patient care for the RNs, LPNs, student nurses and educators who listen to the podcast and read this blog.  I have accepted that support and reach out to the rest of you to include your links, resources for practice guidelines, and nursing research here at the Nursing Show.

Join the community here and contribute your input to make this a good resource for nursing care and the nursing profession.  Visit and comment on the articles here by clicking on the comments link at the bottom of each entry.  Email me with your input at comments@nursingshow.com.

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Fighting Hospital Based Infections

Hospital acquired infection prevention is a primary focus of good nursing care.  As nurses, we make decisions every day that impact the patient’s ability to avoid infections.  Maintaining universal precautions, reviewing and improving nursing care basics like dressing change procedures, and remaining current on ongoing practice based research.

Nurses around the world are working to improve patient care through their research into what simple changes nurses can make in their practices to improve patient outcomes.  The key word here is SIMPLE.

Simple Interventions – Oral Care

Nurses in Tel Aviv have been researching one deceptively simple intervention to prevent the development of pneumonia in patients on ventilators.  The nurses in the study found a direct correlation between the incidence of pneumonia and brushing patient’s teeth three times per day.

While more research needs to be done to find a definitive relationship between brushing patient’s teeth and pneumonia in these at-risk patients, the study seems to indicate that good oral hygeine and other simple interventions are all part of the overall care for ventilator patients that improves their outcomes.

What do you think?

I would love your input on this article about simple interventions and others like it.  What simple interventions have you used to improve patient care outcomes?  Click the comment link below and share your ideas with other readers of the Nursing Show blog or email me at comments@nursingshow.com.

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