scholarly journals Care Plans for Native and Prosthetic Joint Septic Arthritis, and Acute Hematogenous and Chronic Osteomyelitis

2000 ◽  
Vol 11 (suppl d) ◽  
pp. 34D-40D
Author(s):  
Stephen D Shafran ◽  
Keyword(s):  
Septic Arthritis ◽  
Nursing Care ◽  
Chronic Osteomyelitis ◽  
Current Paper ◽  
Care Plan ◽  
Specific Therapy ◽  
Gram Negative ◽  
Care Plans ◽  
Prosthetic Joints ◽  
Prosthetic Joint

The current paper presents care plans for the treatment of septic arthritis of native and prosthetic joints, as well as for acute hematogenous and chronic osteomyelitis. A nursing care plan for septic arthritis and osteomyelitis is included, along with pathogen-specific therapy for common pathogens, including Gram-positive and Gram-negative cocci.

scholarly journals The care of a patient with cardiovascular disorders - a case study based on ICNP®

2016 ◽  
Vol 15 (3) ◽  
pp. 39-42
Author(s):  
Hanna Grabowska ◽  
Magdalena Katanowska
Keyword(s):  
Cardiovascular Diseases ◽  
Nursing Care ◽  
Nursing Practice ◽  
Individual Case ◽  
International Classification ◽  
Self Control ◽  
Care Plan ◽  
Care Plans ◽  
Threatening Condition

Abstract Introduction. Cardiovascular diseases still remain the chief life-threatening condition in Poland. They are one of the main causes of sickness absences at work, as well as reasons for hospitalization and disabilities. The professionals responsible for providing nursing services to people suffering from cardiovascular diseases should take into account the activities addressing all spheres of patient’s life. Most attention should be paid to preventing complications, as well as interventions enabling both the patients to perform selfmonitoring and self-care and their relatives to provide unprofessional care.Aim. The aim of this work was to formulate a nursing care plan for a patient suffering from cardiovascular diseases, using the International Classification for Nursing Practice.Material and methods. For the purpose of this article, an individual case study method and literature analysis were used. The research was conducted in November 2015 at the Clinic of Hypertension and Diabetes of the University Clinical Centre at the Medical University of Gdańsk. Written consents were obtained from every patient.Results. In the process of providing nursing care to the patients, phrases describing “ready” diagnoses and nursing interventions included in the International Classification for Nursing Practice (ICNP®) were used. The care plans included the following nursing diagnoses: impaired cardiovascular system, altered blood pressure, pain, functional dyspnea, peripheral edema, impaired sleep, risk of infection, obesity, lack of knowledge about the disease/ poor self-control.Conclusions. The plan of nursing care for patients with cardiovascular diseases was based on the ICNP® reference terminology that fully reflects the key problems of the patient and the scope of interventions made by nurses.

scholarly journals AB0940 BIOMARKERS IN THE DIAGNOSIS OF ACUTE HOT JOINTS: AN EVALUATION OF RESEARCH INTEREST 1960-2018

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1769.2-1769
Author(s):  
M. Dey ◽  
M. Al-Attar ◽  
L. Peruffo ◽  
I. Wilson ◽  
S. S. Zhao ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
United Kingdom ◽  
Synovial Fluid ◽  
Septic Arthritis ◽  
Joint Infection ◽  
Research Interest ◽  
Diagnostic Biomarkers ◽  
Prosthetic Joints ◽  
Prosthetic Joint ◽  
Crystal Arthritis

Background:The acute hot joint presentation is a common clinical emergency, often the result of crystal arthritis or trauma. However, all diagnoses can mimic septic arthritis, which should be excluded promptly due to the potential for rapid joint destruction and significant morbidity. The gold-standard test for septic arthritis is synovial fluid culture, which can take several days to perform. Meanwhile, patients are often admitted and given antimicrobials. Other specialties have made use of rapid biomarkers to exclude infection, for example, exclusion of empyema using pleural fluid pH and glucose [1]. Such biomarkers could reduce the need for lengthy hospital admissions and inappropriate antibiotic use in the acute hot joint presentation.Objectives:1.Evaluate research interest over time, on the use of diagnostic biomarkers in the acute hot joint presentation.2.Compare research interest in the use of diagnostic biomarkers in acute hot native versus acute hot prosthetic joints.Methods:We performed a review of the number of publications reporting the use and diagnostic accuracy of biomarkers to exclude infection in the acute hot joint presentations. The database,Scopus, was searched for English-language studies (1946-2018) using search terms relating to septic arthritis, crystal arthritis, and diagnostic markers derived from synovial fluid/aspirate. The number of papers published per year on prosthetic joints only was also calculated. Therefore, the following were recorded for each year 1946-2018: total number of studies; prosthetic joints only; native joints only. Values were plotted, with polynomial trend-lines and R2calculated.Results:Our search yielded 2279 relevant studies in total (561 on prosthetic joints), published 1946-2018. Only 1 study was identified for the year 1946; the next recorded publication was in 1960. Therefore, this single study was excluded as an outlier. Results are presented in Figure 1. The number of studies on diagnostic biomarkers for acute hot joints continued to increase after 1960. From 2016, the number of studies conducted in prosthetic joints outnumbered those done in native joints. Polynomial trend-lines applied to the results showed studies on native acute hot joints are predicted to decline, while those in prosthetic joints will continue to increase.Conclusion:Reasons for an increasing number of studies on prosthetic compared to native acute hot joints include a narrower differential diagnosis in prosthetic joints, i.e. septic vs aseptic. In contrast, native acute hot joints may be the result of various causes including crystal arthritis, inflammatory arthritis, and trauma. Having a narrower differential diagnosis may facilitate diagnostic research in prosthetic joint presentations. Furthermore, incidence of prosthetic joint infection is also greater than that of native joint infection [2]. Nonetheless, the incidence of native joint infection is increasing [3]. This, and the lack of methods by which to rapidly distinguish native joint septic arthritis from non-infective causes, indicates that more research is required in this area.References:[1]Heffner JE et al. Pleural fluid chemical analysis in parapneumonic effusions. A meta-analysis. Am J Respir Crit Care Med. 1995 Jun;151(6):1700–8.[2]Roerdink RL et al. The difference between native septic arthritis and prosthetic joint infections: A review of literature. J Orthop Surg (Hong Kong).[3]Rutherford AI et al. A population study of the reported incidence of native joint septic arthritis in the United Kingdom between 1998 and 2013. Rheumatol (United Kingdom). 2016;55(12):2176–80.Disclosure of Interests:None declared

scholarly journals Meaningful Text: Total Hip Replacement Patients’ Lived Experience of a Nursing Care Plan Written in Lay Language

2020 ◽  
Vol 14 (1) ◽  
pp. 325-333
Author(s):  
Kristin Thorarinsdottir ◽  
Kristjan Kristjansson
Keyword(s):  
Lived Experience ◽  
Total Hip Replacement ◽  
Nursing Care ◽  
Hip Replacement ◽  
Direct Access ◽  
Care Plan ◽  
Care Planning ◽  
Open Communication ◽  
Total Hip ◽  
Care Plans

Background: Person-centred care involves respecting patients’ experiences, preferences, and needs, as well as sharing information with them and involving them in care planning. Scant research has been conducted on how it influences patients to have direct access to their care planning when it has been established through the use of standardised care plans or pathways. In the orthopaedic ward in which this study was conducted, a standardised nursing care plan for total hip replacement patients (THR), which was originally written in professional language, was rewritten in lay language and used as peri-operative teaching material for this patient group. Study Aim: To explore the meaning THR patients ascribe to the lived experience of reading and retaining their standardised nursing care plan in lay language during their hospital stay. Methods: The data collection and analysis followed a method adapted by the Vancouver School of Doing Phenomenology. Data were collected through 12 in-depth interviews with six THR patients. Results: The main finding was that the participants acquired knowledge from the text of the care plan that was understandable and meaningful, as evidenced by the empowering impact it had on them. This impact included improved psychological wellbeing, more open communication, and the provision of a tool to keep track of care. Some revisions of the care plan were recommended. Conclusion: The study suggests that a patient version of standardised care plans can act as an important educational tool for THR patients that can empower them to manage their health situations.

scholarly journals Yersinia enterocolitica Prosthetic Joint Septic Arthritis Successfully Treated with Ceftriaxone

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Hafez M. Abdullah ◽  
Mansi Oberoi ◽  
Abdelmohaymin Abdalla ◽  
Smitha Narayana Gowda ◽  
Moataz Ellithi
Keyword(s):  
Septic Arthritis ◽  
Yersinia Enterocolitica ◽  
Reactive Arthritis ◽  
Left Knee ◽  
Prosthetic Material ◽  
Terminal Ileitis ◽  
Gram Negative ◽  
Prosthetic Joint ◽  
Rare Manifestation ◽  
Enterocolitica Infection

Yersinia enterocolitica is a Gram-negative coccobacillus that is known to cause gastroenteritis and symptoms mimicking appendicitis or terminal ileitis. It is also one of the culprit infections implicated in causing reactive arthritis. Rarely, it can cause musculoskeletal infections including osteomyelitis, septic arthritis, and discitis. We describe the case of a 70-year-old female with multiple comorbidities who presented with left knee pain and swelling after recent gastroenteritis. She was found to have Yersinia enterocolitica septic arthritis in her left knee prosthetic joint. The patient underwent an exchange of her prosthetic material and was successfully treated with a six-week course of ceftriaxone. Our article aims to highlight a rare manifestation of Yersinia enterocolitica infection and to point out an important differential for reactive arthritis after Yersinia enterocolitica infection.

Evaluation of the nursing care plan in a thyroidectomy surgical case

2021 ◽  
Vol 12 (4) ◽  
pp. 156-160
Author(s):  
Emma McCluskey
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Care Plan ◽  
Nursing Interventions ◽  
High Quality ◽  
Care Plans ◽  
Surgical Case ◽  
Post Surgery ◽  
Potential Problems

Veterinary nurses work closely with their patients to deliver a high quality of care. This care is implemented using nursing care plans (NCPs). This article aims to evaluate the use of a nursing care plan and its value in practice as well as enhancing nurses' understanding of them. Within this article the author will be discussing the actual and potential problems and implementing the nursing interventions in a nursing care plan pre, post surgery and at discharge in a thyroidectomy case. Veterinary nurses play an important role in making sure the NCP is successful and patients receive the best quality of care. This article evaluates the benefits and disadvantages of NCPs to determine whether they are useful for nursing care of surgical cases.

scholarly journals Framework for Mining and Analysis of Standardized Nursing Care Plan Data

2016 ◽  
Vol 39 (1) ◽  
pp. 20-41 ◽  
Author(s):  
Ashfaq Khokhar ◽  
Muhammad Kamran Lodhi ◽  
Yingwei Yao ◽  
Rashid Ansari ◽  
Gail Keenan ◽  
...  
Keyword(s):  
Knowledge Discovery ◽  
Nursing Care ◽  
Care Plan ◽  
Data Sets ◽  
Data Set ◽  
Related Data ◽  
Care Plans ◽  
Complete Life Cycle ◽  
Hidden Knowledge ◽  
The Impact

Despite an unprecedented amount of health-related data being amassed from various technological innovations, our ability to process this data and extract hidden knowledge has yet to catch up with this explosive growth. Although nursing care plans can be an effective tool to support the achievement of desired patient outcomes, their online collection, storage, and processing is lagging far behind. As a result, the impact of nursing care is not well understood from qualitative as well as quantitative perspectives. In this article, we first outline a complete life cycle of nursing care data, and present a knowledge discovery and analysis framework for such data sets. We also highlight Big Data issues pertaining to the analysis of nursing care data. Using an exemplar data set, we demonstrate the broad applicability of the proposed framework by showing knowledge discovery results for different outcomes related to patients, nursing staff, and administrators.

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

Sign in / Sign up

Export Citation Format

Share Document