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What? Not Another Fall!: Reducing Falls in the Neuroscience Patient Population
Get PDFThe purpose of this evidence-based practice project is to reduce the fall rate from 5.52 to less than 4.80 on a Neuroscience/Spine Unit through increasing staff and patient awareness of fall risk and application of evidence-based fall prevention practices of communication, patient involvement and bedside report.https://digitalcommons.centracare.com/nursing_posters/1141/thumbnail.jp
Long-term Intracavernosal Injection Therapy: Treatment Efficacy and Patient Satisfaction
No full textIntracavernosal injection therapy (ICI) was the first pharmacologic treatment in the management of erectile dysfunction. ICI allows for customization of medication composition and concentrations, making it a highly effective treatment with an acceptable side effect profile. The objective was to investigate the long-term results of ICI using validated and non-validated instruments. This is a retrospective, single-institution study of 105 patients (mean age 61.6 ± 11.1) patients using ICI. Mean duration of ICI was 8.4 ± 6.25 years. Pre- and post-treatment patient-reported penile rigidity were 41.1% ± 29.3 and 89.6% ± 13.6, respectively (p \u3c 0.05). Statistical changes were also found in the pre and post International Index of Erectile Function (IIEF) scores (33.0 ± 14.4 and 60.0 ± 12.7, p \u3c 0.05), erectile function (11.5 ± 1.3 and 27.3 ± 0.9, p \u3c 0.05) and satisfaction domains (5.3 ± 1.5 and 8.1 ± 1.1, p \u3c 0.05) of the IIEF. There were no statistical differences in questionnaire outcomes between difficult to treat patients (diabetes or radical prostatectomy) and the remainder of queried patients. Complications were rare and included priapism (7.1%), penile curvature (10%; \u3c30°), bruising (7.6%), and mild penile pain (12.4%). Overall, ICI therapy is safe and effective, and compliance may be augmented by patient education, dosing customization, and cost reduction
Applying the Flipped Classroom Model to Psychomotor Skill Acquisition in Nursing
No full textThis descriptive study aimed to examine baccalaureate student psychomotor skill performance when given different methods of pre-skill lab preparation materials in a flipped classroom environment. Students utilized either a narrated video demonstration of the skill or a skill instruction sheet with photographic images as lab preparation materials. Psychomotor skill performance of insulin pen administration was evaluated. Results suggest the type of preparation methods used with the flipped classroom pedagogy does not significantly affect student performance on psychomotor skill acquisition
Assessing the Use of Pre-Treatment Medications in the Management of Infusion-Related Reactions in an Outpatient Infusion Center
Get PDFIntroduction Infusion-related reactions (IRRs) are well-known adverse drug reactions of many biological agents and antineoplastic medications While typically mild-to-moderate in intensity, IRRs can be severe, with potentially life-threatening consequences requiring urgent interventions Appropriate use of pre-treatment medications, such as corticosteroids, antihistamines, intravenous fluids, and antiemetics reduces the incidence and severity of IRRs
Purpose Evaluate the use of pre-treatment medications in patients with experienced IRRs at an outpatient infusion center Identify opportunities to improve treatment plans and reduce the occurrence of IRRshttps://digitalcommons.centracare.com/pharmacy_posters/1009/thumbnail.jp
If You Can Dream It, You Can Do It: Building an Escape Room to Meet Learning Needs
Get PDFUse an Escape Room as an effective learning strategy to fill a gap in knowledge and practice in a fun, interactive, and competitive learning atmosphere.https://digitalcommons.centracare.com/nursing_posters/1149/thumbnail.jp
How to Address Tobacco Use in Minnesota\u27s Mental Health and Substance Use Disorder Services: Tips from the Field
Get PDFThe American Lung Association, Upper Midwest Region, developed and facilitates the Leadership Academy Collaborative, bringing together various health care stakeholders in Minnesota to collaborate on a shared vision to reduce commercial tobacco use among people living with mental illness and/or substance use disorders. The following areas were identified as strategies that would benefit from further collective action: social norms, delivery, polic
A Comparison Between the Involuntary and Voluntary Treatment of Patients With Alcohol Use Disorder in a Residential Rehabilitation Treatment Program
No full textObjective: The purpose of the study was to determine if there was a significant difference between veterans who received treatment voluntarily versus involuntarily in regard to length of sobriety.
Method: A sample of 120 veterans being treated for alcohol use disorder in a residential rehabilitation treatment program was used for this study. Veterans who were admitted under recommendation by court order (n = 60) were matched with veterans who were admitted without recommendation of court order (n = 60). Success of the program was determined by the number of days of sobriety postdischarge.
Results: The study revealed that there was no significant difference between types of motivation for residential treatment (i.e., voluntary vs. involuntary treatment) and length of sobriety for veterans with alcohol use disorder posttreatment.
Conclusions: Findings revealed that there was no significant relationship when comparing types of motivation for treatment in a residential treatment program for veterans in regard to length of sobriety posttreatment. Therefore, a veteran\u27s motivation for treatment may not necessarily be an accurate indicator of treatment outcomes (i.e., length of sobriety posttreatment) for residential treatment settings
Nurse Practitioner and Pharmacist Collaboration in Rural Congregate Housing Facility
Get PDFA Certified Nurse Practitioner (CNP) expanded her clinical services to include a project called Senior Transitions (ST). The CNP visited assisted living facilities in the area and conducted rounds on each of the facility’s patients participating in the ST program. The CNP had collaborated with pharmacists in her prior practice setting and wanted to continue doing so in her new practice setting. A pharmacy resident was assigned to participate in co-visits with the CNP at a local assisted-living facility and consulted on any medication-related questions regarding long-term care facility patients which were followed by the practitioner. While conducting co-visits and assessing each patient’s medication list, the resident identified and tracked drug therapy problems. Data collected from September 26, 2018 to April 15, 2019 was reviewed the number of drug therapy problems resolved for patients seen in the previous 30 days, with the aim to resolve 90% of identified drug therapy problems. With the goal of the study of evaluating the impact of pharmacist intervention on medication lists and resolved drug therapy problems, a total of 36 patients were assessed with 89% of drug therapy problems (N=127) being qualified as resolved by April 15, 2019
Distal Corporoplasty Using an Autologous Tunica in the Management of Penile Prosthesis Pseudo Aneurysm
Get PDFInflatable penile prosthesis placement is an effective and safe treatment option for erectile dysfunction. The 5-year revision rate is low (7%) and revisions are most likely due to infection or mechanical problems with the device. Penile prosthesis aneurysm is a rare complication that is managed surgically. The choice of graft used during tunical reinforcement is critical to avoid subsequent complications. The use of autologous grafts from distant tissue often leads to deformations of penile tissue in addition to the increase in operative time, morbidity, and cost of the operation. The use of synthetics increases the susceptibility to infection and decreases long-term pliability of the penile tissue. More recently, a publication in plastics reconstructive literature suggests the use of an acellular porcine graft. We believe using the patient\u27s own tunica as an autologous graft should be more closely investigated
Magnetizing: Post Operative Nausea and Vomiting
Get PDFPurpose:
To guide nursing care in the early recognition and treatment of PONV.
Prevalence:
Postoperative nausea and vomiting (PONV) is the most prevalent postoperative complication occuring within 24 hours of surgery.
Risk Factors:
Adults at a higher risk of PONV include: Female History of PONV, motion sickness and/or gastroparesis Postoperative opioid recipient Volatile anesthetic and/or nitrous oxide administration intraoperatively Pregnancy Use of birth control pills
Implications:
PONV can create a plethora of adverse events for the patient: anxiety and a sense of dread, increased risk for bleeding, dehydration and electrolyte imbalance, risk for aspiration and airway obstruction, vasovagal response, wound dehiscence, increased intracranial pressure, and increased cost with use of antiemetics and potential for prolonged length of stay.https://digitalcommons.centracare.com/nursing_posters/1150/thumbnail.jp