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Alport SyndromeBrain Abscess
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Fraser SyndromeMelioidosisMetabolic Syndrome Overview
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Welcome!
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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.
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| Nursing Reference Center in Daily Practice | Crohn's Disease
Mr. F was recently diagnosed with Crohn's disease. For years, he had intermittent diarrhea and abdominal pain and cramping with no formal diagnosis. He is upset about the disease and is overwhelmed about a possible surgical bowel resection due to an abscess and partial bowel obstruction. His clinician will be discussing surgical bowel resection with him later in the day.
The nurse is unfamiliar with penetrating and structuring Crohn's disease. She consults the Nursing Reference Center, searching for Crohn's disease and locates the Quick Lesson on the topic.
Using the Quick Lesson, the nurse learns about the three types of disease activity in Crohn's disease: inflammatory, penetrating, and stricturing. She learns about the usual course of treatment which may include corticosteroids, biologic therapies, and antidiarrheal agents. She learns how bowel resection may become an option in severe cases.
The nurse educates Mr. F about Crohn's disease and discusses the benefits and drawbacks of surgical resection.
When the clinician discusses the surgery with Mr. F, the nurse joins in the conversation, supporting Mr. F as he voices his concerns. Mr. F feels comfortable about the surgery and decides to go ahead with the plans for the resection.
Note: The
above referenced Quick Lesson is freely accessible to all readers of the
Nursing Reference Center Update.
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| Quick Overview | |
Stings
With summer upon us millions of vacationers will spend time recreating in bodies of water. It is important to be aware that stingray and jellyfish stings commonly occur on the feet, ankles, lower legs, and hands while individuals are participating in water sports, such as wading, snorkeling, scuba or skin diving, wade fishing, and spear fishing. Jellyfish frequently sting individuals while they are walking barefoot on a beach.
Stingray stings may range in severity from a surface cut to a deep envenoming wound. Promptly remove the victim from the water, bathe the wound with seawater, and immerse the affected area in hot water to relieve pain.
At an urgent care or emergency facility, the patient should receive a tetanus shot and medications to alleviate pain. Patients with serious wounds should be given antibiotics to prevent bacterial infection and they may require wound exploration and removal of embedded debris.
Jellyfish stings, too, break through the skin and individual reactions may range from a mild allergic reaction to a systemic allergic response.
Close monitoring of individuals who have been stung by stingrays or jellyfish for acute reactions is essential.
Please login to your Nursing Reference Center subscription to read the Evidence-Based Care Sheet on "Stings: Marine Animals (Stingrays and Jellyfish)."
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Evidence-based Content Update | |
Less than one year after CINAHL Information Systems received accreditation from the American Nurses Credentialing Center, we are extremely pleased to note that thousands of nurses have chosen to enhance their practice through the extensive continuing education library available through Nursing Reference Center. Over 30,000 tests have been taken on 625 available topics. We applaud all of you who are committed to evidence-based nursing practice and encourage you to make a habit of regularly reviewing Nursing Reference Center for new and updated Evidence-Based Care Sheets, Quick Lessons, and Nursing Practice & Skill lessons.
The summer season is here! Along with the fun and sun, don't forget to remind your patients about the value of sunscreen, especially products that contain avobenzone, in preventing sunburn and reducing the risk of developing melanoma. Three papers that were recently added to Nursing Reference Center on this topic include the Quick Lesson "Sunburn in Children," and the Evidence-Based Care Sheets, "Sunburn and Sun Protection" and "Melanoma: Sunscreen Use." Also, those of you who venture onto the hiking trails may want to review the various Quick Lessons about lyme disease, Colorado tick fever, poison ivy dermatitis, and snake bites. Although we don't want to put a damper on your adventures, this content offers plenty of good tips for preventing injury, as well as assessing and treating problems if they arise.
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Nursing Reference Center Supports Magnet Certification
| The decision to endorse Nursing Reference Center as the information resource of choice for nursing and allied health professionals clearly reflects a commitment to clinical excellence and advocacy for patients and staff. Best practices in patient care and safety, as well as access to the primary literature from the world renowned CINAHL database - a virtual library - demonstrates this commitment.
The Commission on Magnet created 5 model components to communicate the importance of Magnet organizations in shaping future changes that are essential to the continued development of the nursing profession and to quality outcomes in patient care. Nursing Reference Center supports all 5 of the Magnet components:
- Transformational Leadership: Hospital leadership committed to nursing excellence while fostering new ideas and innovations.
- Structural Empowerment: Nursing staff is developed, directed and empowered to accomplish organizational goals and achieve desired outcomes.
- Exemplary Professional Practice: Establishment of strong professional nursing practice utilizing the latest available evidence based information.
- New Knowledge, Innovation, and Improvements: Includes new models of care, application of existing evidence, new evidence and visible contributions to the science of nursing.
- Empirical Quality Results: Compares nursing and workforce outcomes, patient and consumer outcomes and organizational outcomes to qualitative benchmarks.
If your organization is pursuing Magnet status, Nursing Reference Center is key.
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