pressure ulcer/vomiting

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Supplementing the Braden scale for pressure ulcer risk among medical inpatients: the contribution of self-reported symptoms and standard laboratory tests.

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OBJECTIVE To evaluate medical inpatients' symptom experience and selected laboratory blood results as indicators of their pressure ulcer risk as measured by the Braden scale. BACKGROUND Pressure ulcers reduce quality of life and increase treatment costs. The prevalence of pressure ulcers is 6-23% in

Rectus abdominis flap closure of ischiosacral pressure sore.

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An inferiorly based rectus abdominis musculocutaneous flap was used to close a large ischiosacral pressure sore refractory to the usual methods of closure in a paraplegic patient. The functions of the rectus abdominis muscle to initiate vertebral flexion from a supine position and aid in

Arginine supplementation is well tolerated but does not enhance mitogen-induced lymphocyte proliferation in elderly nursing home residents with pressure ulcers.

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BACKGROUND Immune function declines with age, increasing risk for infection and delaying wound healing. Arginine enhances immune function and healing of standardized wounds in healthy elderly persons. The purpose of this study was to determine what level of arginine supplementation was orally and

[Lateralization as alternative to static prone decubitus in patients with ARDS].

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According to Phillips, Continuous Lateral Rotation (CLR) or Kinetic Therapy (KT) together with the technological advances obtain some important benefits in mechanically ventilated patients. OBJECTIVE Compare Static Prone Decubitus (PD) with DP in CRL. METHODS We analyzed 2 groups with a total of 41

Implementing evidence in an onco-haematology nursing unit: a process of change using participatory action research.

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OBJECTIVE To implement evidence in a nursing unit and to gain a better understanding of the experience of change within a participatory action research. METHODS Study design of a participatory action research type was use from the constructivist paradigm. The analytical-methodological decisions were

Surgical complications in neuromuscular scoliosis operated with posterior- only approach using pedicle screw fixation.

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BACKGROUND There are no reports describing complications with posterior spinal fusion (PSF) with segmental spinal instrumentation (SSI) using pedicle screw fixation in patients with neuromuscular scoliosis. METHODS Fifty neuromuscular patients (18 cerebral palsy, 18 Duchenne muscular dystrophy, 8

Assistance at mealtimes in hospital settings and rehabilitation units for older adults from the perspective of patients, families and healthcare professionals: a mixed methods systematic review protocol.

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UNASSIGNED The review question is: assistance at mealtimes for older adults in hospital settings and rehabilitation units: what goes on, what works and what do patients, families and healthcare professionals think about it?The specific objectives are:This mixed methods review seeks to develop an

A cross-sectional analysis of the prevalence of undertreatment of nonpain symptoms and factors associated with undertreatment in older nursing home hospice/palliative care patients.

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BACKGROUND Approximately 25% of all US deaths occur in the long-term care setting, and this figure is projected to rise to 40% by the year 2040. Currently, there is limited information on nonpain symptoms and their appropriate treatment in this setting at the end of life. OBJECTIVE This study

Acute haemorrhagic stroke.

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OBJECTIVE To review the management and some of the recent advances in acute haemorrhagic stroke. METHODS Articles and published reviews on acute haemorrhagic stroke. RESULTS Hypertensive intracerebral haemorrhage or subarachnoid haemorrhage (SAH) from a ruptured intracranial saccular aneurysm are

[Descriptive study of nursing-sensitive outcomes in oncohematological patients and nursing interventions].

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OBJECTIVE To assess the main nursing-sensitive outcomes in oncohematological patients admitted to hospital and to evaluate nursing interventions. METHODS We performed a prospective, observational study in the oncohematological units of the Morales Meseguer Hospital. The sample included patients

The distress of dying.

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A simple method of recording the distress of dying patients is described. Significant differences occurred between deaths at home and in hospital for three factors. Patients dying at home were (a) more likely to be fully alert shortly before death (P < 0.05); (b) less likely to be suffering from

Postoperative Complications Leading to Death after Coagulum Pyelolithotomy in a Tetraplegic Patient: Can We Prevent Prolonged Ileus, Recurrent Intestinal Obstruction due to Adhesions Requiring Laparotomies, Chest Infection Warranting Tracheostomy, and Mechanical Ventilation?

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A 22-year-old male sustained C-6 tetraplegia in 1992. In 1993, intravenous pyelography revealed normal kidneys. Suprapubic cystostomy was performed. He underwent open cystolithotomy in 2004 and 2008. In 2009, computed tomography revealed bilateral renal calculi. Coagulum pyelolithotomy of left

Evaluation of the cost of home care for terminally ill cancer patients.

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The aim of this work was to carry out a cost evaluation of the home care programme for terminally ill cancer patients run by the Istituto Oncologico Romagnolo (I.O.R.) in the areas of Forlì, Cesena, Ravenna and Rimini (Romagna, Italy). To determine effective home care direct costs, we first selected

Audit of percutaneous endoscopic gastrostomy in long-term enteral feeding in a nursing home.

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OBJECTIVE Percutaneous endoscopic gastrostomy (PEG) is now easily used in the event of long-term enteral nutrition. Tolerance of long-term enteral feeding has been documented in different populations but the documentation is incomplete in the case of older and frail people. Our aim was to describe

Assisted suicide: some ethical considerations.

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When we die, it is only very rarely that we do so without days, weeks, or months of illness in which the suffering may be very great, sometimes from pain, often from breathlessness, impairment of consciousness, depression, anxiety, vomiting, bedsores, and incontinence. If we were able to choose our

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