Download or read book A Descriptive Study of Patients with Peripherally Inserted Central Venous Catheters written by Judith Ann Abi-Nader and published by . This book was released on 1992 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Peripherally Inserted Central Venous Catheter an Alternative for Improving the Quality of Nursing Care written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Evidence suggests high rates of complications related to the peripheral venous catheter (PVC). Among causes is the administration of irritant/vesicant medicine, with pH u2264 5 or u2265 9 and osmolarity u2265 900 mOsm/L(1-2) . These risk factors are indications for using peripherally inserted central venous catheters (PICC)(3-4). Therefore, their use may be an alternative for improving the outcome of nursing care. However, safely using PICC requires the acquisition of knowledge based on scientific evidence, because care differs from that usually provided to patients with PVC(4). Objective: Analyze the cumulative incidence of complications in Portuguese patients with PICC or PVC after implementing an educational intervention on care with PICC. Method: A theoretical and practical educational intervention with nurses of a service of medicine of Portugal, on care for patients in the insertion, maintenance and monitoring of the PICC. A cohort pilot study was held during 40 consecutive days, in 2016. Patients included were adults: nine patients with PICC and 36 with PVC. Descriptive statistical analysis was performed. Results: Complication in patients with PICC: obstruction (22.2%); PVC: Phlebitis (22.2%), infiltration (38.8%), obstruction (27.7%), accidental removal of the PVC (47.2%), fluid leakage on insertion (36.1%) and pain at the site of insertion (5.5%). Discussion & Conclusion: Permanent education is essential to improve nurses' knowledge of PICC care, and is a strategy to achieve higher levels of qualification and the transformation of practices (5). PICC showed a lower incidence of complications when compared to the PVC, becoming a favorable alternative to improve the quality of nursing care to patients who have a medical indication for PICC. Ensuring the criteria of selection of a venous catheter is essential in order to reduce complications, improve the results of nursing care and promote the patients' well-being (3-4).
Download or read book Peripherally Inserted Central Venous Catheters written by Sergio Sandrucci and published by Springer. This book was released on 2014-07-05 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.
Download or read book Vessel Health and Preservation The Right Approach for Vascular Access written by Nancy L. Moureau and published by Springer. This book was released on 2019-06-10 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
Download or read book Access Device Standards of Practice for Oncology Nursing written by Dawn Camp-Sorrell and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The use of venous access devices (VADs) is central to the care that nurses provide to patients with cancer. Oncology nurses must base their practice on evidence-based research when available, but a lack of evidence has been a professional challenge for decades. With limited research to guide practice, ongoing controversies remain regarding optimal device management. Since 1989, the Oncology Nursing Society (ONS) has provided guidelines to establish a foundation for access device management. With this new text, ONS has identified practice standards, developed from a synthesis of evidence, critical review, and analysis of aspects of access device management for which nursing is accountable. Access Device Standards of Practice for Oncology Nursing reviews the controversies in access device care, explores the range of devices currently available, details the advantages and disadvantages of each device to ensure optimal selection based on patient needs, and discusses the key legal ramifications concerning access devices and their management. With access device technology becoming more complex, this text is an essential resource for nurses practicing in a wide range of settings to ensure safe, effective care of patients with VADs."--Publisher's description.
Download or read book Infections in Hematology written by Georg Maschmeyer and published by Springer. This book was released on 2014-12-13 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infections are among the most frequent complications in patients with hematological malignancies and in those undergoing high-dose chemotherapy and autologous hematopoietic stem cell transplantation. A profound knowledge on the epidemiology, diagnostic approaches, treatment modalities and prophylactic strategies is essential for the clinical management of these complications in patients who are often severely immunocompromised owing to their underlying diseases and in particular, the intensive myelosuppressive chemo and immunotherapy. This textbook provides a clinically oriented, compact and up-to-date overview on infections in hematology patients and their management. The typical pathogens to be considered in different subgroups of patients are identified and further aspects of the microbiological background are explored. Clinical, imaging, and laboratory-based diagnostic techniques are discussed and therapeutic strategies appropriate to different situations are then presented, with due attention to the pitfalls, toxicities and interactions that can arise during antimicrobial treatment. Strategies to prevent infection are also outlined, encompassing antimicrobial prophylaxis, isolation procedures, hospital hygiene, protective immunization and the use of hematopoietic growth factors.
Download or read book The Rand UCLA Appropriateness Method User s Manual written by Kathryn Fitch and published by Rand Corporation. This book was released on 2001 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.
Download or read book Core Topics in Paediatric Anaesthesia written by Ian James and published by Cambridge University Press. This book was released on 2013-07-04 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all of the important elements of paediatric anaesthesia in a concise and structured manner. From the premature infant to the teenager, readers are guided through the complexities they may encounter, with key points at the end of each chapter to summarise the most important information. The common surgical conditions encountered in daily practice are covered along with comprehensive discussion of consent and the law, safeguarding children, and the complexity of drug dosing in the paediatric population. Other topics covered include trauma, burns, resuscitation, principles of intensive care, and transporting a sick child. Each chapter is written by an acknowledged expert in their field, sharing a wealth of relevant, practical experience. Covering the whole curriculum necessary for advanced training, this is essential reading for trainees, general anaesthetists managing children in non-specialist hospitals and anyone aspiring to become a paediatric anaesthetist, as well as those established in the field.
Download or read book Benefits of the Implementation of the Peripherally Inserted Central Venous Catheter in the Nursing Practices of a Medical Service in Portugal written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: The incorporation of a new technology for healthcare in nursing practices, such as the peripherally inserted central venous catheter (PICC), requires the acquisition of new knowledge in order to be translated to benefits. These benefits may be for the sake of the patient and the nursing team itself (1-2). In view of implementing PICC in the nursing practices of a medical service in Portugal, research was conducted with the objective of understanding the benefits of implementing PICC in the nursing practice. Method: A qualitative approach using the focal group technique. Five nurses who cared for PICC patients in a medical service in Portugal participated. The interviews of the focus groups were recorded, and transcription and thematic analysis followed. Results: Benefits for the patients: reduction in the number of venous punctures to collect blood for analysis and for the insertion of the peripheral venous catheter (PVC), avoiding pain by replacing the routinely used venous puncture by PICC, less anxiety related to venous puncture and reduction of local complications such as phlebitis and infiltration. Benefits for the nursing team: a decrease in the number of venous puncture attempts to insert the PVC, eliminating patients without venous access on which to administer intravenous treatments thereby reducing stress, reducing time of nursing care in looking for a peripheral venous access and medication administration was performed safely and quickly. Discussion & Conclusion: The selection of the venous catheter in line with scientific evidence and patient characteristics(3) and the acquisition of specific skills through continuing education are factors that favor the implementation of the PICC in nursing practices(4), translating into qualitative benefits for the patients and the nursing team alike.
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Download or read book Peripherally Inserted Central Venous Catheter PICC written by and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Body Fluid Management written by Felice Agrò and published by Springer Science & Business Media. This book was released on 2012-10-12 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: The administration of intravenous fluids is one of the most common and important therapeutic practices in the treatment of surgical, medical and critically ill patients. The international literature accordingly contains a vast number of works on fluid management, yet there is still confusion as to the best options in the various situations encountered in clinical practice. The purpose of this volume is to help the decision-making process by comparing different solution properties describing their indications, mechanisms of action and side-effects according to physiologic body water distribution, electrolytic and acid-base balance, and to clarify which products available on the market represent the best choice in different circumstances. The book opens by discussing in detail the concepts central to a sound understanding of abnormalities in fluid and electrolyte homeostasis and the effect of intravenous fluid administration. In the second part of the monograph, these concepts are used to explain the advantages and disadvantages of solutions available on the market in different clinical settings. Body Fluid Management: From Physiology to Therapy will serve as an invaluable decision-making guide, including for those who are not experts in the subject.
Download or read book The GAVeCeLT manual of Picc and Midline written by Mauro Pittiruti and published by Edra. This book was released on 2017-05-30T00:00:00+02:00 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Venous access devices are necessary for any patient requiring repeated blood sampling, parenteral nutrition, chemotherapy, antibiotic therapy or other IV treatments to be delivered in the hospital setting or at home. In the last decade, ultrasound-guided PICCs and Midline catheters – inserted by adequately trained physicians or nurses - have suddenly and widely spread in the field of venous access devices all over the world. The introduction and diffusion of PICCs in Italy has been historically linked to the GAVeCeLT association (the Italian Group of Long Term Venous Access Devices) and particularly to the authors’ scientific and didactic activity. This volume examines the clinical indications for these devices and illustrates the details of their insertion and management in several clinical settings. Furthermore, all the specifications regarding the materials to use and all the aspects related to device removal and replacement, as well as the different strategies for complications prevention, are thoroughly discussed.
Download or read book Peripherally Inserted Central Catheters written by Janet Pettit and published by . This book was released on 2007 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Totally Implantable Venous Access Devices written by Isidoro Di Carlo and published by Springer Science & Business Media. This book was released on 2012-02-01 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since their first application in 1982, Totally Implantable Venous Access Devices (TIVADs) have become increasingly important in the clinical practice, as more intensive chemotherapy and parenteral treatments have come into use. At this time, there is objective evidence that TIVADs are a safe, effective strategy for long-term venous access; they play a significant role throughout the management of the oncology patient, as they are needed in the initial phases for active treatments as well as in the last stages for palliative measures, making possible repeated administration of chemotherapeutic vesicant agents, nutrients, antibiotics, analgesics, and blood products. According to a number of prospective studies, use of TIVADs is associated with a significant complication rate (10% to 25% of all patients). Evidence-based data support that most complications are directly related to inappropriate technique of placement and/or nursing care, sometimes leading to TIVAD loss, significant morbidity, increased duration of hospitalization, and additional medical cost. A group of world-renowned experts - both in the clinical and research fields – contributed to this volume, whose aim is to provide clinicians, nurses and medical students with a multidisciplinary, full update on these devices, as long term central venous access can no be longer considered a routine matter, and serious complications can be maintained at a very low level only if strict adherence to a well-defined protocol of surgical technique and of catheter care is maintained.
Download or read book ICU Protocols written by Rajesh Chawla and published by Springer Science & Business Media. This book was released on 2012-10-10 with total page 838 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book describes step-wise management of clinical emergencies seen every day in Intensive care units (ICUs. As a practical guide, clinicians can refer to it on a day-to-day basis during their work hours, or while in transit to update their knowledge. Targeted readers are intensivists, critical care specialists, and residents involved in the care of patients admitted in ICUs. This handbook covers an array of specialities such as cardiology, pulmonology, gastroenterology, neurology, nephrology, traumatology, and toxicology. This monograph provides point-of-care treatment guidance and will serve as a ready-reckoner for physicians to quickly learn the management steps in a methodical manner.
Download or read book Qualitative Research for Occupational and Physical Therapists written by Christine Carpenter and published by Wiley-Blackwell. This book was released on 2008-02-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Qualitative Research for Occupational and Physical Therapists is a practical guide for students and professionals in rehabilitation intended to encourage their active engagement with this major approach to research design and implementation. Carpenter and Suto address the specific needs of the therapy professions by examining the unique challenges of conducting qualitative research in community and institutional rehabilitation settings. Whilst grounded in contemporary literature, the book puts theory into action with examples of research and a demonstration of how such studies have directly influenced rehabilitation practice. The book covers the entire research process from the initial preparation through to implementing, interpreting, disseminating, and ensuring the quality of qualitative research.
