RN Journal http://www.rnjournal.com http://www.rnjournal.com/journal_of_nursing/the_power_of_preceptorship.htm The Power of Preceptorship The clinical experience is an essential component to nursing education. The identification of formal preceptors grows increasingly difficult as competition for clinical sites and nursing faculty shortages continue to place a strain on the system. http://www.rnjournal.com/journal_of_nursing/the_power_of_preceptorship.htm http://www.rnjournal.com/journal_of_nursing/sepsis_recognition.htm DETOUR OFF THE SEPSIS ROAD EARLY RECOGNITION IS KEY At present, the US reports approximately 750,000 cases of sepsis a year and estimates 1 million cases by 2020 With a mortality rate of 30%, an estimated 250,000 annual deaths, and hospital costs exceeding $16 billion, sepsis has become a burden. It is imperative to increase the awareness and early recognition of sepsis http://www.rnjournal.com/journal_of_nursing/sepsis_recognition.htm http://www.rnjournal.com/journal_of_nursing/a_man_apart.htm A Man Apart The idea of individuals with developmental disabilities becoming sexually active was disconcerting. Imagine having a daughter with disabilities, with limited cognitive comprehension, how could you protect her from tragic sexual encounters? Past abuses were common as institutionalized women were sterilized without consideration of their basic human rights. http://www.rnjournal.com/journal_of_nursing/a_man_apart.htm http://www.rnjournal.com/journal_of_nursing/symptoms_of_cardiomyopathy.htm The Signs and Symptoms’ of Cardiomyopathy: The Awareness and Actions of the Registered Nurse A careful history-taking by the registered nurse or practitioner along with a complete physical examination can reveal cardiomyopathies, but it is appropriate to confirm the diagnosis with a transthoracic echocardiography and selected laboratory studies. http://www.rnjournal.com/journal_of_nursing/symptoms_of_cardiomyopathy.htm http://www.rnjournal.com/journal_of_nursing/cardiac_assessments_physical_examination_electrocardiography_chest_radiography.htm Basic Cardiac Assessments: Physical Examination, Electrocardiography, and Chest Radiography The human heart is one of the major organs adversely affected by high blood pressure. Therefore, the registered nurse must provide a careful and thorough evaluation of the assessments needed via the cardiac structure and function (i.e., including visual signs, all non-and invasive cardiac medical devices), which is an obligatory part of the examination of the hypertensive patient. http://www.rnjournal.com/journal_of_nursing/cardiac_assessments_physical_examination_electrocardiography_chest_radiography.htm http://www.rnjournal.com/journal_of_nursing/acute_renal_failure.htm ACUTE RENAL FAILURE Acute renal failure (ARF) has become increasingly common in patients with critical illnesses. Up to two-thirds of intensive care unit (ICU) patients develop ARF with the leading cause being sepsis. Treatment of ARF has been associated with higher costs and the following adverse outcomes: increased length of stay, excess mortality of 30-71%, need for chronic dialysis in the patients who survive, and the requirement of discharge to short-term or long-term care facilities. http://www.rnjournal.com/journal_of_nursing/acute_renal_failure.htm http://www.rnjournal.com/journal_of_nursing/thryoid_storm_and_the_aacn_synergy_model.htm THRYOID STORM AND THE AACN SYNERGY MODEL Thyroid storm, or thyrotoxic crisis is a rare, but critical hypermetabolic state requiring emergent treatment. http://www.rnjournal.com/journal_of_nursing/thryoid_storm_and_the_aacn_synergy_model.htm http://www.rnjournal.com/journal_of_nursing/preventing_falls_in_the_elderly_long_term_care_facilities.htm Preventing Falls in the Elderly Long Term Care Facilities The elderly long-term care population is at increase risk for falls and fall related injuries. The implementation of a fall prevention program is important for ensuring resident safety. Systematically assessing residents’ risk for falls and implementing appropriate fall prevention interventions can reduce the number of falls in the elderly long-term care residents. http://www.rnjournal.com/journal_of_nursing/preventing_falls_in_the_elderly_long_term_care_facilities.htm http://www.rnjournal.com/journal_of_nursing/jobs_supply_and_demand_for_registered_nurses.htm Jobs: Supply and Demand for Registered Nurses A nursing shortage across America is generating a variety of preventable complications in the medical care system, which includes medication errors, overcrowding in emergency rooms, and even unexpected patient deaths. http://www.rnjournal.com/journal_of_nursing/jobs_supply_and_demand_for_registered_nurses.htm http://www.rnjournal.com/journal_of_nursing/my_nursing_career_a_whole_new_appreciation.htm My Nursing Career A Whole New Appreciation Not a day goes by, without reading in the newspaper and hearing over the radio or TV about the rising rate of unemployment in our country. It is this reality that has given me a whole new appreciation for being a nurse. http://www.rnjournal.com/journal_of_nursing/my_nursing_career_a_whole_new_appreciation.htm http://www.rnjournal.com/journal_of_nursing/i_quit_my_rn_job.htm I Quit My RN Job Yesterday Time and time again changes were thrust on us and made to sound as if they were the answers to all our problems, when, in reality, they created more problems and basically cured nothing. http://www.rnjournal.com/journal_of_nursing/i_quit_my_rn_job.htm http://www.rnjournal.com/journal_of_nursing/understanding_hypertension.htm The Importance of Understanding Hypertension: The Role of a Registered Nurse as an Investigator The primary care nurse owes it to themselves and their patients to be informed on the chronic diseases they manage in order to achieve maximum patient compliance and satisfaction. Well informed, confident practitioners will be able to deliver evidence-based structured advice, and in doing so reduce morbidity and mortality rates from cerebrovascular accidents and cardiovascular disease for patients regardless of age, gender, or ethnicity. http://www.rnjournal.com/journal_of_nursing/understanding_hypertension.htm http://www.rnjournal.com/journal_of_nursing/russian_nurses_after_the_crimean_war.htm Russian Nurses after the Crimean War As it is well known, the Crimean War (1854-1856) marked the turning point in the history of nursing. The outstandingly self-sacrificing work of Florence Nightingale and 38 British nurses, who worked day and night in Turkish hospitals, providing help and necessary care to the sick and wounded soldiers, was highly praised and acknowledged in Britain. Their hard labor and efficient management in improving sanitary conditions in the army hospitals brought about a new approach to women’s participation in hospital care. http://www.rnjournal.com/journal_of_nursing/russian_nurses_after_the_crimean_war.htm http://www.rnjournal.com/journal_of_nursing/nursing_care_for_the_developmentally_disabled_child.htm Providing Appropriate Nursing Care for the Developmentally Disabled Child Developmental disabilities are birth defects related to a problem with how body parts and/or body systems work. These defects may affect multiple body parts and/or systems. There are four types of disability discussed in this article including nervous system disability, sensory-related disability, metabolic disorders and degenerative disorders. http://www.rnjournal.com/journal_of_nursing/nursing_care_for_the_developmentally_disabled_child.htm http://www.rnjournal.com/journal_of_nursing/a_comet_in_siberia.htm A Comet in Siberia A brief glimpse of the causes and effects of the remarkable journey of the British Nurse Kate Marsden into Siberia in 1891. http://www.rnjournal.com/journal_of_nursing/a_comet_in_siberia.htm