New Pre-Operative Clinic
Nursing staff at North Colorado Medical Center in Greeley, Colo., helped develop a new pre-operative clinic that was designed to ease anxiety and improve processes. Anesthesiologist Jim Birgenheier, MD, medical director of perioperative services, and Beverly Peratino, RN, MS, nursing director of perioperative services, worked to gain administrative support.
Vicky Schommer, RN, manager of the ambulatory care unit, said nursing staff worked for more than seven months to develop the program. We put the patient in the center and then thought about all the hospital departments the patient touches, Schommer said. It helped bring our goal into focus: to make this the best possible patient experience.
Pain Measurement Milestone
Cleveland Clinic nurse researchers have found that a tool used to assess pain among intensive care patients who are unable to speak offers a standardized method to measure pain, which could prompt more timely and effective pain management. The research, published in the journal Heart & Lung, shows that patients already try to use eye signals, facial expressions or hand and leg movements to communicate that they are in pain, but there had been limited systematic, independent assessment of the tools used to measure those nonverbal cues.
Our initial testing of the Nonverbal Pain Assessment Tool revealed that it closely reflected patients self-assessment of their pain, said lead researcher, Deborah G. Klein, RN, MSN. This and similar tools may also be useful to nurses caring for patients who have suffered a stroke, are cognitively impaired from Alzheimers disease, or are in a palliative care unit.
In previous research, investigators learned that patients had moderate to severe pain while in ICUs, but were unable to communicate the intensity of their pain. Research on the Nonverbal Pain Assessment Tool showed that its easy for caregivers to use with adult patients, but more research is needed to validate it before its adopted for widespread use.
Methodist Honored for Cardiac Care
Methodist Hospital in Omaha, Neb., has qualified for the American Heart Associations Mission: Lifeline Bronze Performance Achievement Award, which recognizes its commitment and success in implementing a higher standard of care for heart attack patients.
We are pleased and proud to be recognized for our dedication and achievements in cardiac care, said Angie Pfeiffer, APRN-CNS, cardiovascular service line executive.Mildred Horodynski, RN
RN Links Mother-Child Diets
Research reveals a mothers eating habits affects her childs. Professor Mildred Horodynski, RN, PhD, WHCNP, of Michigan State Universitys College of Nursing in East Lansing, Mich., looked at nearly 400 low-income women with children ages 1-3 enrolled in Early Head Start programs.
Results show toddlers were less likely to consume fruits and vegetables four or more times a week if their mothers did not consume that amount or if their mothers viewed their children as picky eaters.
Michigan Training Increases
Michigan is training a growing number of physician assistants and nurse practitioners to help address the states looming physician shortage, but serious challenges remain, says a report issued by the Michigan Health Council, a nonprofit working on the states healthcare workforce issues. The past 20 years have seen an explosion in the number of these types of providers, and several factors are likely to lead to increased demand in the future. The Michigan Health Councils Profile of Michigans Nurse Practitioners and Physician Assistants Workforce 2010 report also indicates many PAs and NPs are leaving primary care for specialty work.
What and how mothers eat is the most direct influence on what toddlers eat, Horodynski said. Health professionals need to consider this when developing strategies to increase a childs consumption of healthy foods. Diets low in fruit and vegetables even at young ages pose increased risks for chronic diseases later in life. The research was published in the journal Public Health Nursing.