Professional Nursing Today - Volume 14, Issue 5, 2010
Volume 14, Issue 5, 2010
Author Vicki Pinkney-AtkinsonSource: Professional Nursing Today 14 (2010)More Less
The Hollywood version of Christmas is all about glitzily decorated trees with lots of expensive presents underneath in shiny paper. There is plenty of food and drink so that our stomachs are bloated. Families and friend are delighted to be together and all is harmonious and hours are spent playing games. Does this sound like your Christmas? No? Well join the club. Most of my childhood Christmases started off with joyful anticipation only to go up in the fire fuelled by too much alcohol: abusive arguments and well, you can guess the rest. I have never really enjoyed the jollity - probably pagan - that goes with the excesses of this time of year.
Source: Professional Nursing Today 14, pp 5 –10 (2010)More Less
Ward stock management entails a wide range of activities including interpretation of scripts, ordering and receiving stock and dealing with expired medicines. Most of these activities are done by the nursing staff in the ward. This reduces patient time. This article provides practical guidelines on dealing with pharmaceutical stock within a health care unit. Included is the ward stock management cycle, a check list for effective stock management, physical conditions of the medicine room, as well as physical conditions of pharmaceutical stock. If stock management guidelines are followed according to standard operating procedures (SOPs), an organised system may be in place for all the various aspects. This may create a system that functions both efficiently and effectively.
Author M. SchultzSource: Professional Nursing Today 14, pp 12 –14 (2010)More Less
Methicillin resistance is clinically important, because a single genetic element confers resistance to the β-lactam antibiotics, which include penicillins, cephalosporins and carbapenems. For the past 20 to 30 years, methicillin-resistant Staphylococcus aureus (MRSA) strains have been present in hospitals and have become a major cause of hospital-acquired infection. Comprehensive MRSA-control programmes, that include screening cultures to detect patients colonised with MRSA, use of contact precautions, appropriate hand hygiene and automatic alerts of readmission of colonised patients, have reported success in controlling or reducing transmission of MRSA and also reducing acquisition of MRSA in high-risk units in hospitals. Community-acquired MRSA (CA-MRSA) emerged worldwide in the late 1990s. Although such infections are rare at present, they usually affect young, previously healthy people and appear to be associated with increased risk of transmission, complications and hospitalisation.
Source: Professional Nursing Today 14, pp 15 –17 (2010)More Less
Osteoporosis is defined as a reduction in bone mass associated with disruption of bone micro-architecture, resulting in increased bone fragility and increased risk of fracture, particularly of the spine, hip, wrist, humerus and pelvis. It has been estimated that fractures caused by osteoporosis affect one in two women and one in five men over the age of 50. The risk of fractures also increases steeply with advancing age.
Author S. Strangways-DixonSource: Professional Nursing Today 14, pp 19 –21 (2010)More Less
The skin forms the largest organ of the body, accounting for about 16% of a person's weight. It performs many roles, such as controlling internal body temperature (core temperature), preventing harmful bacteria, viruses and chemicals from entering the body, and aiding the manufacture of vitamin D from sunlight. There is great importance attached to the appearance of skin, so medical conditions affecting the skin not only affect our state of well-being, but also the way we interact with each other which, in turn, leads to other far-reaching consequences, such as holding down jobs and maintaining relationships.
Source: Professional Nursing Today 14, pp 24 –25 (2010)More Less
Author N. ButlerSource: Professional Nursing Today 14, pp 26 –31 (2010)More Less
A working group of the South African Medical Association and Lipid and Atherosclerosis Society of Southern Africa published, in 2000, a clinical guideline for the diagnosis, management and prevention of the common dyslipidaemias in South Africa. This guideline incorporates advances in both the diagnostic approach to, and drug therapy of, dyslipidaemias since the previously published guideline in 1986.
The practice and science of wound healing : wound bed preparation and infection in chronic wounds : wound careAuthor L. NaudeSource: Professional Nursing Today 14, pp 32 –37 (2010)More Less
When discussing wound healing, it needs to be emphasised that wound care expertise consists of both evidence-based wound care knowledge and expert knowledge gained from clinical experience. The attitude and values that we as individuals bring to the practice are also invaluable. The main focus of wound care should always be on holistic wound management, incorporating products proven to facilitate wound healing. In this article, we will be aiming to shed some light on wound bed preparation and implications for the occurrence of infections in chronic wounds.
Source: Professional Nursing Today 14, pp 40 –43 (2010)More Less
Inflammatory and various non-inflammatory, but painful, disorders are frequently treated with anti-inflammatories. Although these medicines offer effective relief of pain and inflammation, the elderly patient is at particular risk of the adverse effects of these drugs, complicated by concomitant treatments and underlying medical conditions. While low-dose aspirin should be considered for all patients for the secondary prevention of a cardiovascular event, the use of other anti-inflammatory medicines, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) and the selective COX-2 inhibitors, requires that health professionals take a careful history, so that they have the information needed to weigh up the risks and benefits of anti-inflammatory therapy for individual patients.