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  Spring 2010 Volume 1, Issue 3

 

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In This Issue
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New Topics

  • Andersen-Tawil Syndrome
  • Ascites
  • Bruxism in Children
  • Flail Chest
  • Horner Syndrome
  • Labyrinthitis
  • Listeriosis
  • Posner-Schlossman Syndrome
  • Pronator Syndrome
  • And much more!

  • Quick Links

    CE Modules

    CINAHL Information Systems receives ANCC Accreditation

    Nursing Reference Center Peer Review
    We are seeking peer reviewers for all clinical areas
    Welcome!
    Welcome back to our free evidence-based Nursing Reference Center Update. You are receiving this newsletter because you are a subscriber of CINAHL and/or Nursing Reference Center. We will periodically send news on the latest evidence in nursing. Please share this with your colleagues, students, practitioners and others who would appreciate awareness of this information. 
    Nursing Reference Center in Daily Practice
    Hmong Patients, Depression, & PTSD

    Mrs. C, a Hmong immigrant, was diagnosed with renal failure. She denies her illness because there are no visible signs. Mrs. C relies on her husband for decisions and says spirits are responsible for her diagnosis.

    The nurse is unfamiliar with the Hmong and needs more information about the culture. She consults Nursing Reference Center, searching for PTSD and Hmong.

    Evidence-Based Care Sheet: Post-Traumatic Stress Disorder (PTSD), Anxiety, and Depression in Hmong Women: Providing Culturally Competent Care
    The nurse learns how, for the Hmong, disease results from soul loss caused by ancestral spirits and diseases that are not visible do not exist. She reads about the patriarchal family structure and how men are the decision makers.

    The nurse supports Mrs. C, emphasizing that even though there are no visible signs of renal failure, she needs treatment. When Mr. C visits, Mrs C. and the nurse discuss renal failure with him and the importance of treatment. Mr. C consents to treatment for Mrs. C. The nurse initiates treatment, as ordered.

    Note: The above referenced Evidence-based Care Sheet is freely accessible to all readers of the Nursing Reference Center Update.
    Quick Overview

    Rickets, Vitamin D Deficiency, and Breastfeeding


    A nutritional crisis is brewing among breastfed infants. The incidence of vitamin D deficiency among breastfed infants is growing, resulting in preventable impairments in bone growth and development and a rise in the incidence of rickets, a condition characterized by soft bones, bowed legs, and impaired growth.

    The growing incidence of vitamin D deficiency among breasted infants is attributed to maternal vitamin D deficiency and the use of unfortified infant formulas. Maternal vitamin D supplementation does not provide adequate vitamin D to breastfed infants.

    Nurses working with nursing dyads are in a unique position to educate mothers about vitamin D and to intervene upstream--before the infant develops vitamin D insufficiency--by educating mothers and promoting daily vitamin D supplementation for infants.

    After only one week of vitamin D supplementation, improvements in bone structure and development can be visualized on X-ray. The long-term prognosis is good when babies are appropriately supplemented.

    When appropriate, community agencies educate parents about childhood nutrition and help families pay for the vitamin D supplements.

    Please login to your Nursing Reference Center subscription to read the Quick Lesson on "Rickets, Vitamin D Deficiency, and Breastfeeding."
    Evidence-based Content Update

    Each week the Nursing Reference Center Editorial Team reviews and evaluates thousands of articles for inclusion within our evidence-based content to deliver the best available evidence at the point-of-care. Nearly 1,300 new and updated documents, including 130 continuing education (CE) modules, were added to the Nursing Reference Center during the first quarter of 2010. Before publication, the content of each of the CE Modules, Evidence-based Care Sheets, Quick Lessons, and Nursing Practice & Skills lessons undergo a rigorous review to ensure they reflect the latest evidence-based information.

    Nurses who are interested in combining their continuing education with evidence-based clinical practice can access the more than 600 CE modules that are now available in Nursing Reference Center on topics ranging from the recent influenza pandemic to the effect of breastfeeding on the infant. The CE modules include course material, an interactive review, a competency test, and upon successful completion, a certificate reflecting the contact hours earned. Some of the most popular modules include the following: Abdominal Aortic Aneurysm; Acute Myocardial Infarction in Women; and Stroke, Ischemic.