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REVIEW
Amr Elkammash, Simpson Shiu Chung Tam, Geethana Yogarajah, Jianing You
The proportion of the elderly population continues to increase due to the global increase in longevity. Heart failure with preserved ejection fraction (HFpEF) is common in the elderly due to cellular aging, myocardial stiffness, and multiple comorbidities. This age group is often under-represented in clinical trials. In this narrative review, we looked into the latest evidence-based lines of management of HFpEF in this vulnerable cohort. In this narrative review, we brought the latest evidence on the treatment of HFpEf in the elderly...
February 2023: Curēus
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JOURNAL ARTICLE
Guillermo Pedreira-Robles, Paloma Garcimartín, Sonia Sevilla-Guerra, Anna Bach-Pascual, Marta García-Martínez, Victoria Morín-Fraile
OBJECTIVES: To explore the presence of specialist outpatient nursing activity in care for kidney transplant recipients in Spain and to determine the level of competence development of this activity according to the Advanced Practice Nurse model. DESIGN: Descriptive, cross-sectional study. PARTICIPANTS AND MEASUREMENTS: All outpatient nurses specialising in renal transplantation in the 39 transplant hospitals in Spain were included. To fulfil the study objectives, an ad hoc questionnaire and the 'Advanced Practice Nurse Role Definition Instrument (IDREPA)' were administered to assess the nurses' level of competence development...
March 12, 2023: Journal of Renal Care
#23
M Parellada-Vendrell, M Prat-Masana, S Pérez-Ortega
INTRODUCTION: Mitral valve-in-valve implantation is a new therapeutic tool in the field of structural interventional cardiology for patients with bioprosthetic dysfunction due to severe mitral valve regurgitation and high surgical risk. The objective was to develop an individualised nursing care plan for a patient undergoing this procedure; the first case in our centre. CASE DESCRIPTION: A 75-year-old woman, independent for activities of daily living, with a history of chronic renal failure and biological mitral valve replacement due to rheumatic valve disease...
2023: Enfermería intensiva
#24
JOURNAL ARTICLE
Orla Hobson, Jen Lumsdaine, Ahmed Sherif, Gabriel C Oniscu
Introduction: Lack of knowledge about living donor kidney transplant and difficulties in approaching potential donors constitute barriers for many patients and may contribute to inequality of access. Project Aims: Renal Education and Choices at Home (REACH) was a UK single-centre pilot of home education; an initiative aiming to overcome barriers by increasing knowledge among patients and support networks and by facilitating living donation discussion in the patient's home. Design: This was a pre-post comparison of knowledge, attitude, and ability to communicate about transplant...
December 23, 2022: Progress in Transplantation
#25
JOURNAL ARTICLE
Connie M S Lee, Kenneth N K Fong, Maggie M Y Mok, M K Lam, Y Kung, Paven P W Chan, Maggie K M Ma, S L Lui, Lorraine P Y Kwan, W L Chu, P C Hui, Christina S F Yau, Ivan W L Kwan, Kelsey Y M Chan, T M Chan
Cognitive impairment is not uncommon in patients with end-stage renal disease and can make it more difficult for these patients to carry out peritoneal dialysis (PD) on their own. Their attempts to do so may result in adverse consequences such as peritonitis. PD exchange is a complex procedure demanding knowledge and skill which requires close supervision and guidance by a renal nurse specialist. In this study, a non-immersive virtual reality (VR) training program using a Leap motion hand tracking device was developed to facilitate patients' understanding and learning of the PD exchange procedure before attempting real task practice...
December 3, 2022: Virtual Reality
#26
REVIEW
Vivian Hemmat, Christine Corbett
Both nephrologists and palliative care specialists are frequently consulted on patients admitted to the intensive care unit suffering from both acute kidney injury and end-stage kidney disease. Dialysis continues to be the predominant treatment recommendation for kidney failure despite the aging population and increased incidence of comorbid conditions. Research shows patients request prognostic information and dialysis survival rates before initiating treatment; however, many patients initiate dialysis naive of their increased morbidity and mortality...
December 2022: Critical Care Nursing Clinics of North America
#27
JOURNAL ARTICLE
Sara Scott, Eshleen K Grewal, Hamna Tariq, David J T Campbell
BACKGROUND: Diabetes management combined with housing instability intersects, forcing individuals to triage competing needs and critical stressors, such as safety and shelter, with fundamental diabetes self-management tasks like attending healthcare appointments to screen for the complications of diabetes, leaving individuals overwhelmed and overburdened. We aim to address this disjuncture found within our current healthcare delivery system by providing point-of-care screening opportunities in a more patient-centered approach...
September 16, 2022: Pilot and Feasibility Studies
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REVIEW
Norma J Gomez, Debra Castner, Debra J Hain, Carolyn Latham, Molly Cahill
The Nephrology Nursing Scope and Standards of Practice, 9th Edition, published by the American Nephrology Nurses Association, defines the scope of nephrology nursing and provides standards of practice, standards of professional performance, and competencies for registered nurses and graduate-level prepared registered nurses (e.g., advanced practice registered nurses, clinical nurse specialists) in an approach consistent with the American Nurses Association's Nursing Scope and Standards of Practice, published in 2021...
2022: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
#29
JOURNAL ARTICLE
George Brown, Anthony Mark Monaghan, Richard Fristedt, Emma Ramsey, Ma'en Al-Mrayat, Rushda Rajak, Thomas Armstrong, Arjun Takhar
Summary: Vasoactive intestinal peptide-secreting tumours (VIPomas) are an extremely rare form of functional pancreatic neuroendocrine tumour with an estimated annual incidence of 1 in 10 million. Associated tumour hypersecretion of other peptides, including pancreatic polypeptide (PPomas), may also be seen. These malignancies classically present with a defined triad of refractory diarrhoea, hypokalaemia and metabolic acidosis known as Verner-Morrison syndrome. Diagnosis is frequently delayed, and the majority of patients will have metastatic disease at presentation...
August 1, 2022: Endocrinology, Diabetes & Metabolism Case Reports
#30
JOURNAL ARTICLE
Zhen Lu, Yanyan Hong, Yali Tian, Li Zhang, Yan Li
BACKGROUND: To explore the application of specialist nursing teams in patients undergoing unplanned interruptions in continuous renal replacement therapy. METHODS: Sixty-six patients admitted to the intensive care unit of Jiangsu Province Hospital, China for continuous renal replacement therapy (CRRT) and experienced unplanned interruptions from Aug 2020 to Mar 2021 were enrolled as study subjects. Twenty four patients with conventional care were taken as the control group, and 42 patients in the specialized nursing team were taken as the experimental group...
March 2022: Iranian Journal of Public Health
#31
JOURNAL ARTICLE
Micnéias Lacerda Botelho, Marisa Dibbern Lopes Correia, Elaine Ribeiro, Raisa Camilo Ferreira, Erika Christiane Marocco Duran
OBJECTIVE: To analyze the content of the conceptual and operational definitions of the related factors, associated condition and defining characteristics of the nursing diagnosis "Excess fluid volume (00026)" in hemodialysis renal patients. METHODS: Methodological study, of the content analysis type, with 49 specialists who reached a score equal to or greater than 5, according to Fehring's criteria. Thirty elements were evaluated for relevance, clarity, and precision...
2022: Revista Brasileira de Enfermagem
#32
JOURNAL ARTICLE
Wendy P G Wolters, Koen M A Dreijerink, Rachel H Giles, Anouk N A van der Horst-Schrivers, Bernadette van Nesselrooij, Wouter T Zandee, Henri J L M Timmers, Tatjana Seute, Wouter W de Herder, Annemarie A Verrijn Stuart, Emine Kilic, Willem M Brinkman, Patricia J Zondervan, W Peter Vandertop, Anthony B Daniels, Tijmen Wolbers, Thera P Links, Rachel S van Leeuwaarde
BACKGROUND: Clinical pathways are care plans established to describe essential steps in the care of patients with a specific clinical problem. They translate (inter)national guidelines into local applicable protocols and clinical practice. The purpose of this article is to establish a multidisciplinary integrated care pathway for specialists and allied health care professionals in caring for individuals with von Hippel-Lindau (VHL) disease. METHODS: Using a modified Delphi consensus-making process, a multidisciplinary panel from 5 Dutch University Medical Centers produced an integrated care pathway relating to the provision of care for patients with VHL by medical specialists, specialized nurses, and associated health care professionals...
May 17, 2022: Cancer
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JOURNAL ARTICLE
Leonardo Salazar, Anderson Bermon, Raul Vasquez, Mario Castillo, Alejandra Mendoza-Monsalve, Maria F Landinez, Angelica L Ortiz-Cordoba, Karenth J Meneses, Wilfran J Ferrer, Juliana Ballesteros, Andres Espinosa, Maria P Pizarro, Jorge Pinilla-Ojeda, Cinthia P Mayorga-Suarez, Elkin J Pardo, Ivan H Merchán, Javier Alvarez, Rodrigo Diaz, Camilo E Pizarro
Veno-venous extracorporeal membrane oxygenation (ECMO) support surged during the COVID-19 pandemic. Our program changed the model of care pursuing to protect the multidisciplinary team from the risk of infection and to serve as many patients as possible. Patient-healthcare interactions were restricted, and the ECMO bed capacity was increased by reducing the ECMO specialist-patient ratio to 1:4 with non-ECMO trained nurses support. The outcomes worsened and we paused while we evaluated and modified our model of care...
October 1, 2022: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
#34
JOURNAL ARTICLE
Anika Madaan, Teele Kuusk, Musaab Hamdoon, Angela Elliott, Dianne Pearce, Sanjeev Madaan
Objectives: Objective of this study is to report the results of nurse led hematuria clinic service outcome of 2,714 patients. Subjects and methods: We conducted a retrospective, single center review of 2714 patients with visible and nonvisible hematuria managed by a well-trained nurse specialist in a rapid access clinic (RAC) between 2014 and 2020. All patients received a full review, flexible cystoscopy performed by a nurse, and ultrasound of urinary tracts. After investigations, patients were reassured and discharged or referred for rigid cystoscopy, TURBT, and CT urography...
November 2021: BJUI compass
#35
JOURNAL ARTICLE
Georgia B Black, Victoria J Wood, Angus I G Ramsay, Cecilia Vindrola-Padros, Catherine Perry, Caroline S Clarke, Claire Levermore, Kathy Pritchard-Jones, Axel Bex, Maxine G B Tran, David C Shackley, John Hines, Muntzer M Mughal, Naomi J Fulop
OBJECTIVE: Major system change can be stressful for staff involved and can result in 'subtractive change' - that is, when a part of the work environment is removed or ceases to exist. Little is known about the response to loss of activity resulting from such changes. Our aim was to understand perceptions of loss in response to centralization of cancer services in England, where 12 sites offering specialist surgery were reduced to four, and to understand the impact of leadership and management on enabling or hampering coping strategies associated with that loss...
April 26, 2022: Journal of Health Services Research & Policy
#36
REVIEW
Jenny King, Dinakshi Shah, Kath Hewitt, Anshu Punjabi, Kelly Marshall, Haval Balata, Chris Brockelsby, Nicola Sinnott, Judith Lyons, Julie Martin, Philip Crosbie, Richard Booton, Cassandra Ng, Laura Cove-Smith, Matthew Evison
INTRODUCTION: A proportion of patients with lung cancer will not be suitable for anti-cancer treatment and are managed with best supportive care (BSC). The aim of this retrospective case series analysis was to critically review the use of diagnostic and staging investigations in patients who were ultimately managed with BSC. METHODS: A retrospective review of all lung cancer patients with a multidisciplinary team outcome of BSC from 01 June 2018 to 01 June 2019 was performed...
May 2022: Clinical Medicine: Journal of the Royal College of Physicians of London
#37
JOURNAL ARTICLE
Takaya Abe, Hidenori Matsuo, Ryuzo Abe, Shinji Abe, Hiroaki Asada, Akira Ashida, Akiyasu Baba, Kei Eguchi, Yutaka Eguchi, Yoshihiro Endo, Yoshihiro Fujimori, Kengo Furuichi, Yutaka Furukawa, Mayumi Furuya, Tomoki Furuya, Norio Hanafusa, Wataru Hara, Mariko Harada-Shiba, Midori Hasegawa, Noriyuki Hattori, Motoshi Hattori, Sumi Hidaka, Toshihiko Hidaka, Chika Hirayama, Shigaku Ikeda, Hideaki Imamura, Kazuaki Inoue, Keita Ishizuka, Kiyonobu Ishizuka, Takafumi Ito, Hitomi Iwamoto, Syoko Izaki, Maki Kagitani, Shuzo Kaneko, Naoto Kaneko, Takuro Kanekura, Kiyoki Kitagawa, Makio Kusaoi, Youwei Lin, Takeshi Maeda, Hisashi Makino, Shigeki Makino, Kenichi Matsuda, Takao Matsugane, Yusuke Minematsu, Michio Mineshima, Kenichiro Miura, Katsuichi Miyamoto, Takeshi Moriguchi, Mayumi Murata, Makoto Naganuma, Hajime Nakae, Shinya Narukawa, Atsushi Nohara, Kyoichi Nomura, Hirofumi Ochi, Atsushi Ohkubo, Takayasu Ohtake, Kazuya Okada, Tomokazu Okado, Yoshiki Okuyama, Susumu Omokawa, Satoru Oji, Norihiko Sakai, Yuichiro Sakamoto, Shigeru Sasaki, Motoyoshi Sato, Mariko Seishima, Hidetoshi Shiga, Homare Shimohata, Noriko Sugawara, Kohei Sugimoto, Yasushi Suzuki, Masato Suzuki, Takashi Tajima, Yasuhiro Takikawa, Satoru Tanaka, Kenjiro Taniguchi, Satoko Tsuchida, Tatsuo Tsukamoto, Kenji Tsushima, Yasunori Ueda, Takashi Wada, Hiromichi Yamada, Hiroyuki Yamada, Toshihiko Yamaka, Ken'ichiro Yamamoto, Yoko Yokoyama, Norihito Yoshida, Toyokazu Yoshioka, Ken Yamaji
Most of the diseases for which apheresis therapy is indicated are intractable and rare, and each patient has a different background and treatment course prior to apheresis therapy initiation. Therefore, it is difficult to conduct large-scale randomized controlled trials to secure high-quality evidence. Under such circumstances, the American Society for Apheresis (ASFA) issued its guidelines in 2007, which were repeatedly revised until the latest edition in 2019. The ASFA guidelines are comprehensive. However, in the United States, a centrifugal separation method is mainly used for apheresis, whereas the mainstream procedure in Japan is the membrane separation method...
December 2021: Therapeutic Apheresis and Dialysis
#38
JOURNAL ARTICLE
Angel Chen Kuo, Bethany Geleris, Anne Arnhym
INTRODUCTION: Bladder bowel dysfunction (BBD), defined by the International Children's Continence Society (ICCS) as a spectrum of lower urinary tract and bowel symptoms, represents to up to 40% of pediatric urology consults. Management of BBD involves strict behavioral management with frequent follow ups by urology advanced practice providers (APPs). If left untreated, patients may develop secondary comorbidities that impact their renal and/or bladder function, bowel function, and psychosocial well-being...
December 2021: Journal of Pediatric Urology
#39
Piedras Albas Gómez-Beltrán, Estela Domínguez Carranza, Francisca Medero Rubio, Manuela Pérez Márquez
The SARS-CoV-2 pandemic, which affects the entire population in general, poses a special risk for patients with chronic kidney disease because of their immunosuppression status, advanced age and the coexistence of significant comorbidity.Renal patients undergoing hemodialysis run the risk not only of suffering but also of transmitting and spreading COVID-19 due to multiple factors, both procedural and logistical, associated with the process. These include the long duration of the technique, collective transfer to and from the centres, and the waiting time before performing the technique, aspects that make strict isolation difficult and therefore increase not only the risk of contagion between patients but also between specialist health professionals, which makes it more difficult to replace professionals...
February 2021: Enfermería Clínica
#40
JOURNAL ARTICLE
Helen Snell, Claire Budge, Molly Courtenay
AIMS AND OBJECTIVES: To compare diabetes-related prescribing practices, barriers and facilitators amongst nurse prescribers in New Zealand and the United Kingdom. BACKGROUND: Nurses have been prescribing in the United Kingdom for many years but nurse prescribing in New Zealand is relatively recent. It is unknown whether similar system factors act to facilitate or limit prescribing. DESIGN: A survey of 250 nurses prescribing in diabetes care in New Zealand (n = 111) and the United Kingdom (n = 139)...
September 20, 2021: Journal of Clinical Nursing
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