Professional Nursing Today - Volume 12, Issue 1, 2008
Volume 12, Issue 1, 2008
Author Vicki Pinkney-AtkinsonSource: Professional Nursing Today 12 (2008)More Less
This, the first edition for 2008, marks a new phase in the life of Professional Nursing Today (PNT). It is its twelfth edition and in terms of human development that would make it 12 years old. This approximates adolescence which is a rather turbulent time as many wonderful and perplexing changes take place. So it is for PNT.
Source: Professional Nursing Today 12, pp 6 –60 (2008)More Less
Hospital growth brings employment opportunities
Enhancing Baby's Immune Defenses
Vaccine to prevent life-threatening pneumonia
The Building Blocks of Human Milk©
In A New Study Rotarix Offers 96% Protection Against Severe Rotavirus Gastroenteritis And Prevents 100% Of Rotavirus-associated Hospitalisations
World Cancer Day, 4 February 2008
Source: Professional Nursing Today 12, pp 8 –9 (2008)More Less
Source: Professional Nursing Today 12 (2008)More Less
Author J. SlomeSource: Professional Nursing Today 12, pp 10 –11 (2008)More Less
The Forum for Professional Nurse Leaders (FPNL) monitors local and international media for their respective portrayals of nursing. While it is impossible for us to pick up on every story, we came across one that in our opinion was very damaging to the profession in perpetuating the "naughty nurse" image. We joined the international nurse community in lobbying against the offenders, contributing towards a favourable outcome and creating nurse awareness.
Improving the quality of care - learning through case studies : monitoring labour and foetal distress : midwiferyAuthor S. ArmstrongSource: Professional Nursing Today 12, pp 12 –14 (2008)More Less
In this series of case studies, serious adverse events that occurred in public hospitals are discussed with the aim of learning through other people's experiences. They are also meant as a sober reminder that any one of us could err and that we need to exercise due care at all times. Some details of cases and all the names have been altered to protect the identity of patients and staff members, but all are based on real cases.
Author R. RobinsonSource: Professional Nursing Today 12, pp 16 –18 (2008)More Less
The devastation caused by nuclear warfare in 1945 provoked an urgency to study the effects of irradiation on the human body. High doses or lethal irradiation causes bone marrow failure and without a functioning bone marrow, long-term survival is not possible. Experimentation on bone marrow transplantation was initially done on animals and slowly progressed to humans. The first attempts were unsuccessful and many believed that attempts to transplant bone marrow in human beings were not justified.
However, the pressing need for a viable treatment option for a variety of haematological disorders continued. As successful reports of transplants from HLA-identical siblings in children emerged, researchers were encouraged to continue their efforts. The gradual increase in knowledge, new technologies and improved results, has resulted in a rapid increase in bone marrow transplantation worldwide, suggesting that a curative option has become a reality.
Blood or marrow stem cell transplantation involves the transfer of stem cells to establish haematopoiesis (blood formation). Unlike the transfusion of blood products whose benefits are temporary, stem cells are intended to survive long-term. Haematopoietic stem cells can be obtained from the bone marrow, peripheral blood or from umbilical cord blood. The donor may be the patient (autograft), a matched sibling (allograft) or a matched, unrelated donor.
The nurse's experience of exposure to possible HIV infection after an exposure / injury on duty : infection controlAuthor L. ZiadySource: Professional Nursing Today 12, pp 21 –23 (2008)More Less
This article reports on the results of research to describe the experience of nurses who had been exposed to possible HIV infection during injury or exposure on duty.
Staff were included in the study after exposure to blood and human body fluid. The exposures varied between stabbing with a used scalpel, needle prick injuries, contact between blood and broken skin, as well as two cases of exposure during unprotected cardiopulmonary resuscitation, which took place in the hospital's public parking area.
A qualitative phenomenological descriptive study was used to describe the emotions and non-verbal reactions of participants during two subsequent interviews, three months apart. These interviews were conducted post-exposure, and after counselling and prophylactic treatment had taken place.
It was found that the exposed staff's experience presented with two main features.
Firstly, they were grieving due to the loss of the concept of being healthy, blessed with adequate nursing skills and definite goals in life. The bereavement process included phases of denial, anger, anxiety and fear, with recurring thoughts regarding the adverse events, as well as acceptance, which developed with time. This bereavement process and shock of the exposure had wider consequences for the family, as well as an impact on the working environment.
The second category of experience was the physical side effects which participants developed due to the prophylactic antiretroviral therapy. An important emotional measure of this part of the study was the anxiety and fear of the side effects of treatment demonstrated by all the participants before therapy commenced.
If healthcare services wish to retain nursing staff in future, more will need to be done to prevent all types of exposure-onduty; and, if they do occur, to anticipate, manage and shorten the subsequent period of the professional nurse or learner's bereavement.
Author D. RegensbergSource: Professional Nursing Today 12 (2008)More Less
At 8:40 on Saturday 13 October, 2007 the Society of Private Nurse Practitioners (SPNP) lost a dear friend, respected colleague and exemplary midwife with the death of Joy McPherson. In her life Joy had an amazing influence on the midwifery fraternity and the private nurse practitioners in the Cape. Joy died five months after being diagnosed with a malignant brain tumour.
Chronic venous ulcers : compression therapy treating the underlying cause - a case study : wound careAuthor L. NaudeSource: Professional Nursing Today 12, pp 25 –28 (2008)More Less
Chronic venous leg ulcers are often associated with an emotional battlefield, not only for the patient, but also for the healthcare practitioner. Various psychosocial issues affect concordance and we may see this manifest as signs of clinical depression, anxiety, social isolation, lay beliefs and also professional / patient conflict. Practitioners should therefore be sensitive to the needs of these patients, even though they themselves may feel impotent and anxious and that they are failing as professionals.
Source: Professional Nursing Today 12, pp 30 –34 (2008)More Less
Malaria is a serious infectious disease that can be fatal if not diagnosed and treated promptly. It is caused by a parasite belonging to the genus Plasmodium, of which four different species are known to affect humans, namely P ovale, P vivax and P malariae and P falciparum. The last one being the most dangerous and unfortunately the most common in Africa.
Author V. Pinkney-AtkinsonSource: Professional Nursing Today 12, pp 37 –41 (2008)More Less
This algorithm is based on the hypertension guideline. The treatment algorithm showing nine steps for the management of hypertension is reproduced with permission of the SA Hypertension Society. The nine steps are: 1) assessment; 2) measurement of blood pressure; 3) determination of risk; 4) lifestyle modification; 5) decision to begin drug treatment; 6) referral of severe hypertension; 7) assessment of presence of compelling indications for modifying routine drug treatment; 8) routine drug management; 9) targets for blood pressure lowering treatment.