Professional Nursing Today - Volume 20, Issue 1, 2016
Volume 20, Issue 1, 2016
Author Annelie MeiringSource: Professional Nursing Today 20 (2016)More Less
"Caring is the heart and soul of the nursing profession." This is a statement widely used by nurses and members of the general public. Do nurses realise that their actions are always evaluated against the caring experienced? Skills and competence are only some of the building blocks in the patient's overall experience.
3rd SA Nurses' Conference : a resounding success : legal and ethical column : scope of nurses' practiceSource: Professional Nursing Today 20, pp 3 –5 (2016)More Less
Source: Professional Nursing Today 20, pp 6 –16 (2016)More Less
This consensus document of the Wound Healing Association of southern Africa addresses ulcers of the lower limb, focussing on arterial, venous and mixed ulcers. The diabetic foot ulcer and malignant ulcers have been addressed in other documents and readers are referred to these documents.
Part 1 : Integrating infection prevention practice with chronic wound and burn management : infection controlSource: Professional Nursing Today 20, pp 6 –9 (2016)More Less
The prophylactic and unnecessary use of topical antiseptics, antimicrobial dressings and antibiotics on uncomplicated, colonised, normally progressing wounds is a cause for concern, evidenced by an increasing number of community-associated strains of methicillin-resistant Staphylococcus aureus which are also resistant to mupirocin, and multidrug-resistant Gram-negative isolates. This is the first in a two-part series. The role of the medical microbiologist in superficial wound sampling will be highlighted in this article, and key principles in the appropriate selection and use of topical antimicrobial agents summarised.
Venous leg ulcers - effectiveness of new compression therapy/moist wound healing combination confirmed : wound careSource: Professional Nursing Today 20, pp 10 –11 (2016)More Less
Despite its success, the combined use of moist wound healing and compression therapy in treating venous leg ulcers is rare. Dr Katrin Will of BSN Medical describes how using such a comprehensive therapy concept in daily practice results in excellent healing results and high patient satisfaction.
The professional nurse's scope of practice : a historical, South African perspective : general nursingAuthor J. EsterhuizenSource: Professional Nursing Today 20, pp 12 –14 (2016)More Less
Nurses often reminisce about the "good old days" of nursing by sharing old photos and anecdotes. Historical artifacts illustrate changes in society and nursing. This article explores the history of nursing, and identifies some of the changes evident in the South African professional nurse's scope of practice. The 19th century basic hygienists evolved into 21st century, independent, scientifically minded, professional practitioners who have the potential to contribute significantly to the multidisciplinary healthcare team.
Author K. OuthoffSource: Professional Nursing Today 20, pp 15 –17 (2016)More Less
Since their introduction in 1987, statins have become the largest-selling prescription drugs worldwide, and have kept both the scientific and lay press captivated. This year alone has seen reports that statins may prevent hysterectomies in women with fibroids, are linked to better health outcomes after brain haemorrhage, may protect against the microvascular complications of diabetes, as well as against cerebral reperfusion injuries, may lower the risk of Barrett's oesophagus, alter the inflammatory response to the common cold, slow the progression of advanced multiple sclerosis, and offer added benefit to men with erectile dysfunction. Amid this hype and against a backdrop of more the a billion people potentially taking statins, the obvious question is whether or not current evidence on the safety and efficacy of statins still overwhelmingly favours these agents for their licensed indication of lowering cholesterol and preventing cardiovascular disease morbidity and mortality.
Author H.L. LoudonSource: Professional Nursing Today 20, pp 18 –26 (2016)More Less
The modern era of cytotoxic chemotherapy started during World War II when a cargo ship carrying mustard gas exploded. Many who survived the blast died in the following weeks because their bone marrow had been destroyed by the gas. Mustine, the first cytotoxic chemotherapy drug produced after the war, was a variant of mustard gas, and was found to be dramatically effective in the treatment of Hodgkin's disease, which was previously untreatable.
Part 1 : Medico-legal documentation South African Police Services forms, Department of Justice forms and patient information : legal and ethical columnSource: Professional Nursing Today 20, pp 44 –50 (2016)More Less
Medical practitioners share the responsibility of action against crime by supporting the justice system. The best way for a medical practitioner to achieve this is by proper examination of victims and/or perpetrators, and completing the legal documents meticulously. This can be a frightening experience without proper formal training.
Paper 1 addresses the role and responsibility of the medical practitioner and issues around consent, general information on the completion of the J88, as well as the perceived gold standard of medical information relayed to the courts.
Medico-legal documentation is more than the compilation of a medico-legal report. The clinical notes are part and parcel of the documentation to protect practitioners against negligence and malpractice investigations. Valid medico-legal consent differs from medical consent.
Knowledge of legislation pertaining to child pornography and the practical and ethical aspects of photography is also necessary.
Inappropriate completion of medico-legal documentation may necessitate the practitioner having to explain the documentation to make it understandable to the court.
Author N. GeyerSource: Professional Nursing Today 20, pp 51 –52 (2016)More Less
Source: Professional Nursing Today 20, pp 53 –54 (2016)More Less
So often, midwives in South Africa have been accused of not making their voices heard, and of allowing their profession to be dictated by other medical disciplines. Are there perhaps good historical and intuitive reasons for this passivity, and can understanding them help rescue midwifery and birth?