MEDSURG Nursing

Includes bibliographical references.

Ethical Decision-Making for Nurses Treating Acute Pain in Patients with Opioid Abuse History -- Development of an Interprofessional Program to Prevent Postoperative Pneumonia -- Associations among Balance Self-Efficacy, Physical Function, and Pain Interference among Community-Dwellig Older Adults -- Causation and Risk Factors for 30-Day Readmission of Patients Post-Liver Transplant: A Descriptive Study -- A Quality Improvement Project to Evaluate the Implementation of a Sepsis Education Program in a Medical-Surgical Department -- Carpal Tunnel Syndrome -- Risk for Self-Harm -- Overview of Colon Cancer for the Medical-Surgical Nurse -- Quality Indicators -- Myocardial Ischemic Induced Non-Sustained Ventricular Tachycardia in an Older Adult with Pneumonia.

[Article Title: Ethical Decision-Making for Nurses Treating Acute Pain in Patients with Opioid Abuse History/ Tyler Sturdivants, Christen Seguin and Azita Amiri, p. 9-12] Abstract: Clinical nurses have an ethical duty to treat pain in all patients. However, many nurses struggle with treating acute pain in patients with history of opiois abuse. Evidence-based ethical interventions for treatment of acute pain among persions with a history of opioid abuse are presented.;[Article Title: Development of an Interprofessional Program to Prevent Postoperative Pneumonia/ Susan Bohnenkamp, Januek Cragun, Stacey Cottle, Charlotte Maduram Morre, Haley McCuen, Melissa Davis, and Hanna Minehart, p. 13-17] Abstract: Postoperative pneumonia may cause decrease quality of life, prolonged length of stay, and increased medical costs. Nurses perform critical interventions to decrease this hospital acquired infection. Using pneumonia prevention interventions reduced the number of hospital-acquired pneumonia cases in patients with gynecological oncology and urology diagnoses.;[Article Title: Associations among Balance Self-Efficacy, Physical Function, and Pain Interference among Community-Dwellig Older Adults/ Mercy Ngosa Mumba, George Mugoyy, ABigail Jurczyk and MacKenzie Robb, p. 19-26] Abstract: With the aging of the American population, understanding the relationships among physical function, balance self-efficacy, and pain interference is important for nurses because these factors are associated with risk for falling. Any interventions such as physical exercise which improve physical function and balance self-efficacy should be promoted as a means to alleviate known effects of a sedentary lifestyle in this age group.;[Article Title: Causation and Risk Factors for 30-Day Readmission of Patients Post-Liver Transplant: A Descriptive Study/ Jean Dowling Dols, Anna Mendoza, Theresa Pomerleasu, Cynthia V. Purcell, Marcela Gonzales, Amy Gordon, Clare Schwarzbach and Katie A. Chargualaf, p. 27-33] Abstract: Approximately one-third of recipients of a liver transplant are readmitted to the hospital within 30 days of discharge. Reduction of 30-day readmissions requires clinicians to be attuned to the uniqueness if the recipients of liver transplant, their disease process, hospital experience, and discharge.;[Article Title: A Quality Improvement Project to Evaluate the Implementation of a Sepsis Education Program in a Medical-Surgical Department/ Nadia Luna, Barbara S. Turner, Judith Carrion, Angela Silvestri-Elmore and Richel Burog, p. 34-52] Abstract: Sepsis, severe sepsis, and septic shock represent progression of a single illness associated with high morbidity, mortality, and cost. This project emphasized the importance of providing medical-surgical nurses with education on early recognition of sepsis to improve goal directed therapy times.;[Article Title: Carpal Tunnel Syndrome/ Sonya Blevins, p. 53-55] Abstract: Carpal tunnel syndrome (CTS) results from overuse and the repetitive motions commonly seen in certain occupations form use of various technology devices. Nurses should understand how CTS develops to educate at-risk patients on prevention strategies.;[Article Title: Risk for Self-Harm/ Wendy Woodall, p. 56-57] Abstract: What is self-harm? Varied definitions and terms exist in the literature, through a consistent theme is prevalent: self-harm is any form of intentional self-poisoning or self-injury, regardless of motivation or the degree of intention to die (Fortune & Hawton, 2018).;[Article Title: Overview of Colon Cancer for the Medical-Surgical Nurse/ Linda Mae and Susan Bohnenkamp, p. 58-60] Abstract: Colon cancer is a common cancer encountered by medical-surgical nurses. Colonoscopy and biopsy usually are done first to identify polyps. Other imaging and laboratory test are done to diagnose and stage colon cancer. Treatments includes surgery, chemotherapy, targeted therapy, immunotherapy, radiation, and a combination of these therapies. Surveillance and survivorship planning are needed to allow care coordination throughout a patient's life.;[Article Title: Quality Indicators/ Lynne M. Connelly, p. 61-62] Abstract: Effective quality indicators are crucial to the work of nursing. Appropriate quality indicators are needed to guide data collection and analysis to improve the quality of care provided.;[Article Title: Myocardial Ischemic Induced Non-Sustained Ventricular Tachycardia in an Older Adult with Pneumonia/ Dillon J. Dzikowicz and Mary G. Carey, p. 63-66] Abstract: Medical-surgical nurses routinely care for patients with multiple comorbidities and active diagnoses that require frequent assessment and treatment. Cardiac telemetry using ECG is common on medical-surgical units, and medical-surgical nurses need additional knowledge and skills to use ECG appropriately to guide their nursing care.