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The power of low-tech nursing
Research has shown that touching patients has several benefits. One study found that patients whose hands were held during cataract surgery reported less anxiety and had lower blood epinephrine levels than those who underwent cataract surgery without hand-holding. Another study found that elderly female nursing home residents who received comforting touch—touch intended to reassure, calm, or encourage them—showed an improvement in their assessments of their self-esteem, well-being, health status, life satisfaction, and faith.
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What's wrong with this patient?
Leishmaniasis
Three months after his return from Afghanistan, a previously healthy 31-year-old soldier entered the Walter Reed Army Medical Center in Washington, DC, because of persistent fever. He had been febrile for a month, with temperatures fluctuating between 99° F (37.2° C) and 104° F (40° C). The clues: Weight loss, persistent fever, enlarged liver and spleen, a recent stint overseas. If you were this soldier's nurse, would you know what was causing his signs and symptoms?
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The 40-year story of PNP caregiving—still being written
In the four decades since nurse practitioners appeared on the health-care scene, they have become an integral part of pediatric care. Here are some things you may not know about this important practice role.
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Pay attention to patient positioning!
A patient undergoing abdominal surgery in a Louisiana hospital was placed on the operating table with his arms extended 45 degrees on armboards. The surgeon stood at the patient's right side throughout the hour-and-20-minute procedure. Postoperatively, the patient reported numbness and tingling in his right hand, which persisted well after his discharge from the hospital.
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