| Get the NRC Update Newsletter! |
 | |
New Topics
Bariatric SurgeryBronchial Spasm
Esophageal VaricesGastric Cancer
Infant Botulism
Meige SyndromeParkinson's Disease: Exercise TherapyParry-Romberg SyndromeZygomycosis
And much more!
|
|
|
Nursing Reference Center Peer Review
| Become a peer reviewer!
|
|
|
|
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 | Elder Abuse
During a visit with his healthcare clinician, the nurse notices unusual bruising and burns on Mr. S. He has bruises on his face and buttocks, in various stages of healing. Mr. S has no history of excessive bruising and several of the bruises have a faint outline of a handprint. The burns on Mr. S are equally disconcerting. Dotted along Mr. S's arms are round bruises about the diameter of a pencil eraser.
The nurse begins to suspect elder abuse. She consults the Nursing Reference Center, searching for Elder Abuse and locates the Quick Lesson on the topic. The nurse learns that elder abuse occurs in about 4% of older adults in the United States and may consist of neglect, physical, emotional, and sexual abuse as well as financial exploitation. She learns that she is a mandated reporter of elder abuse.
The nurse asks Mr. S about his living conditions and about his caretakers. Mr. S reports living in his son's house in a newly built addition. Mr. S tells of his loving son, Michael, who makes all of his arrangements and takes care of his finances. Mr. S says a helper, Erik, comes during the day to help feed and bathe him and to keep him company.
Mr. S states that he does not like Erik and when asked, Mr. S reports that Erik has been hitting him. Mr. S says that if he does not want to take his medications, Erik burns him with a lit cigarette. Mr. S says he had not told his son about the abuse because he did not want to become more of a burden. Mr. S denies being abused by anyone else.
With Mr. S's consent, the nurse immediately contacts Michael and initiates facility protocol for reporting elder abuse.
Note: The
above referenced Quick Lesson is freely accessible to all readers of the
Nursing Reference Center Update.
|
| Quick Overview | |
Water Birth
Pregnant women are becoming increasingly involved in prenatal care and plan their births with nurses and health care providers. An alternative to traditional birth is water birth, the process of giving birth in a pool of warm water. Some women may prefer laboring in a warm water bath and then delivering the baby outside of the tub.
Water birth may be preferred because uterine contractions are less painful and labor is more relaxing. The warm water helps the perineum stretch and it promotes more efficient uterine contractions and better blood circulation. Water birth is safe for the newborn since he/she continues to receive oxygen through the umbilical cord until the cord is cut or he/she is exposed to air.
Nurses help identify candidates for water birth. Water birth is not recommended for women with diabetes mellitus (preconceptional or gestational), preeclampsia, placenta previa or abruption placenta, or herpes. Furthermore, water birth is not recommended for multiples, when a fetus is in breech or lateral position, and in the case of shoulder dystocia.
Nurses play an important role during water birth as they closely monitor the mother and her fetus and provide emotional support to the mother and her partner. Should complications arise during water birth, the nurse is at the bedside, prepared to intervene.
Please login to your Nursing Reference Center subscription to read the Quick Lesson on "Water Birth."
|
Evidence-based Content Update | The Nursing Reference Center (NRC) is pleased to announce the kick-off of a new initiative to pair each Nursing Practice & Skill (NPS) lesson with a Skills Competency Checklist (SCC) and a Continuing Education Module (CEM). The NPS lessons educate the nurse with step-by-step details on how to complete a skill or procedure, and provide evidence-based facts and key concerns for the nurse to be aware of for each topic. After reading the NPS lesson and practicing the skill or procedure, the nurse is prepared to demonstrate the skill or procedure to a clinical instructor or educator. The SCCs, which are already being published on NRC, are designed to be completed while a nurse demonstrates a new skill or procedure to a clinical instructor or educator. The user-friendly design of the checklists helps nurses and instructors monitor progress and identify areas that need improvement. Once a nurse is proficient in a new skill or procedure, he/she is prepared to complete a free NRC online CEM that is fully accredited with the American Nurses Credentialing Center (ANCC).
Check Nursing Reference Center often as new NPS lessons are added in conjunction with SCCs and CEMs. This new, innovative project is just one more way that NRC demonstrates its commitment to evidence-based nursing skill development and education.
|
|
|
|
|
