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Integrating palliative oncology care into doctor of nursing practice programs
(2018-06-25)
Objective: To integrate oncology palliative care content into DNP program curricula.
ELNEC Core Module 1: Palliative Nursing Care
(2018-07-03)
Describe the role of the nurse in providing quality palliative care for patients across the lifespan. Identify the need for collaborating with interdisciplinary team members while implementing the nursing role in palliative ...
ELNEC Pediatric 2018: Module 1
(2018-07-03)
Principles of Hospice & Palliative Care for Children
Child and family as unit of care with attention to caregiver support
Adolescents and young adults have distinctive needs
Attention to physical, psychological, social, ...
Communicating Expectations: Development of an Abstract Reviewer Rubric
(2018)
The concept of peer review has been around form more than 300 years (Weller, 2001) and professional organizations have used peer reviewers to further their practices since the 18th century (Adler & Abraham, 2009; Kronick, ...
Promoting palliative care internationally: Building leaders to promote education, practice, and advocacy
(Elsevier, 2018-02)
In February 2000, nine nursing educators, practitioners, and researchers met in Nashville, Tennessee, to develop a palliative care curriculum specifically for nurses. The following month, 22 advisors from nursing organizations ...
The Influence of Preceptor Training on Nurse Satisfaction and Role confidence
(2018-04-02)
By 2020, half a million nurses will retire, resulting in a significant loss in nursing expertise (Cazier & Spaulding, 2014). Retention of existing nursing staff is critical to the financial and operational sustainability ...
Aligning an online educational activity with QSEN competencies to bridge the leadership practice gap
(2018-05-11)
Sigma Theta Tau International (Sigma) developed an online Nurse Manager Certificate Program (NMCP) that aligned the QSEN competencies and The American Organization of Nurse Executives (AONE) Nurse Manager Competencies. ...
“Life in paradox”: Experiences of young adult stroke survivors
(2/8/2018)
This study, rooted on phenomenological approach, explored the experiences of post-stoke young adults. Seven (7) participants were gathered as co-researchers and were selected thoroughly based on the following criteria: 1) They are Filipino who had stroke at the age of 15-35 and 2) They are able and willing to articulate, participate, and share their life experiences.
Further, the experiences of the participants were gathered and enhanced through the following methods: 1) Interview, and 2) Storytelling. Subsequently, three levels of analysis were done ensuing the process developed by Martinez (2013), grounded on interpretative phenomenology. Through the process of reflective analysis, three themes have emerged and are as follows:
(a) “Sometimes, what is forbidden is pleasurable”: Dilemma of Needs and Wants
(b) “I accepted it... my family is still accepting it”: Centrality and Ambiguity of the Family
(c) “I become feeble but stronger”: Resilience in Vulnerability
The themes represent a recurring pattern among the lives of the co-researchers from having the desire to change their old ways and habits but acting otherwise. Further, these patterns are reflected in the positionality of their family as both a burden that reminds them that they have a disease yet serves as the main reason they continue to fight. This also mirrors how they view stroke as something that defeated them but in the process taught them resilience in life. The insight of a “life in paradox”, then serves as the central essence of the study.
Insights from the study suggest that the experience of the co-researchers is more than an individual experience of conflict resolution but a phenomenon of family’s contextualization. Studies that explore compliance among post stroke young adult as well as family involvement in rehabilitation is then suggested....
Integration of Teepa Snow’s Positive Approach® to Care into multidisciplinary health professions courses
(5/31/2018)
In 2015 over 46 million people worldwide were living with dementia; a number expected to affect 131.5 million people by 2050 (Alzheimer’s Association, 2015). Up to 90% of people living with dementia in ...
Mouth matters
(2018-01-05)
Introduction: Juvenile idiopathic arthritis (JIA) and periodontal disease (PD) are both diseases of inflammation identified by redness and swelling. Most periodontitis cases among children and adolescents occur as a manifestation of certain systemic disease with an impaired immune system that compromises their response to microbial plaque (Alrayyes S, 2011). In 2016, Lange et al. reported children with CCP positive JIA having higher antibody titers to Porphyromonas gingivalis (Pg) and more symptoms of poor oral health. Pg is one of an estimated 500-700 species of bacteria that exist in the oral cavity with fewer than 5% of them being causative for periodontal disease (Bik, 2010) (Dewhirst FE).
Purpose: The purpose of this study was to determine the presence of the bacteria porphyromonas gingivalis (Pg) in children with JIA who are positive for either rheumatoid factor (RF) or CCP.
Results of this study will guide further research in the role of oral microbiota and JIA. Ultimately such knowledge may lead to early intervention and prevention of inflammatory conditions.
Methods: A convenience sample of 12 children ages 10-21 with a diagnosis of JIA and either RF positive or CCP positive was selected from a hospital based rheumatology clinic. JIA disease activity is calculated as low, medium or high (Buekelman, 2011). PD is determined by oral exam. A saliva sample was collected to identify the presence of common pathogens associated with PD and increased risk of systemic disease. The bacteria were tested by PCR amplification followed by fluorescent endpoint detection of sample bacterial concentrations. Bacteria were reported as low, moderate or high risk for association with periodontal disease.
Results: Half of the children had medium disease activity for JIA (50%); one with high disease activity and the remaining 5 (41%) with low activity. Upon physical examination 7 of 12 children (58%) examined showed signs of localized inflammation of gingiva to one or more teeth, none of the 12 had generalized gingiva inflammation. The patient with the highest level of pathogens had low level of JIA disease activity. All 12 children were positive for a moderate risk pathogen Fusobacterium nucleatum (Fn). Fn is a common bacteria and when compared with a gender age matched control group this result was not significant. The control group consisted of patients undergoing evaluation and treatment for PD. Only 2 of 12 children (17%) had presence of Pg: neither had bleeding with brushing or flossing and one exhibited localized gingiva redness.
Discussion: Pg was not found to be prevalent in children with JIA who were positive RF or CCP. Presence of moderate and high risk bacteria existed in the children with JIA but was not significantly different than the control group children with PD. The study is limited by the small sample size and control group with PD. Future studies would include a control group from the general population or other children with JIA. The presence of bacteria associated with an inflammatory process such as PD emphasizes the importance of inclusion of oral health exam....