As the population with spinal cord injury (SCI) steadily ages, nurses find it more and more challenging to prevent secondary complications. SCI, an already complex topic, is made more so with the addition of the aging process. Aging need not be a negative occurrence, but can be viewed as a path in life that requires careful navigation along the way.
View Article and Find Full Text PDFThe creation and implementation of a Partners in Practice care delivery model on a spinal cord injury unit is described in this article. As a result of changes in the number and mix of staff, new strategies were necessary to assure the provision of patient focused, team oriented care. The goal was to increase the efficiency, effectiveness, and continuity of care while ensuring staff accountability and appropriate utilization of resources.
View Article and Find Full Text PDFThe course of Crohn's disease is quite variable in children. To assess the frequency and indications for surgery with current medical therapy, the authors reviewed the cases of 204 children (ages, 0.2 to 18.
View Article and Find Full Text PDFPurpose: Continent urinary diversion has become increasingly important for treating childhood urinary tract pathology that cannot be managed by direct reconstructive techniques. We review our 9-year experience with continent diversion.
Materials And Methods: Since 1986 continent diversions were created in 74 patients 3 to 38 years old (mean age 13.
Purpose: We attempted to develop a rational and consistent scheme for surgical reconstruction in patients with genitourinary rhabdomyosarcoma.
Materials And Methods: We reviewed the records of 35 patients with resectable genitourinary rhabdomyosarcoma treated from 1970 to 1993.
Results: Primary sites included bladder in 11 cases, prostate in 13, vagina/uterus in 9 and pelvic tumors of uncertain origin in 2.