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Fluid Status Vulnerability in Older Adults.
J Infus Nurs
January 2024
Confidence in Aging, LLC, Alexandria, Virginia (Purvis); Confidence in Aging, LLC, Madison, Wisconsin (Gion).
There is a growing body of evidence about physiological changes with age that impact fluid and electrolyte balance. It is important that infusion nurses have knowledge in managing care for geriatric patients so they can identify these changes when they are exhibited. Knowing how to minimize the effect of these changes on the health of older adults is critical.
View Article and Find Full Text PDFHelping Bridge the Great Divides: Supporting Nurse Communication at End of Life.
J Christ Nurs
September 2019
Sondra B. Lee, DNP, FNP-C, is an oncology nurse practitioner, with 22 years' experience in critical care and education. She is an End-of-Life Nursing Education Consortium Trainer. Jeffery W. Forehand, PhD(c), DNP, RN-BC, CNE, is director and professor at Troy University School of Nursing, Troy, Alabama. Judith L. St. Onge, PhD, RN, has 40 years' experience in military and federal clinical nursing and education. Kristi A. Acker, DNP, RN, serves on the multidisciplinary State Advisory Council on Palliative Care and nationally, on the Hospice and Palliative Nurses Association Graduate Nursing Faculty Advisory Committee.
Many, especially newer, nurses lack the experience for nuanced skillful communication at end of life. This study incorporated the End-of-Life Nursing Education Consortium (ELNEC) Core Curriculum Communication module into a nurse residency program and tested for change in attitudes toward end-of-life (EOL) care. Researchers found significant differences in attitudes toward care of the dying before and after the ELNEC training, and between nurses with greater than and less than 5 years experience.
View Article and Find Full Text PDFStopcocks for Infusion Therapy: Evidence and Experience.
J Infus Nurs
March 2018
Lynn Hadaway Associates, Inc, Milner, Georgia. Lynn Hadaway, MEd, RN-BC, CRNI®, is president of Lynn Hadaway Associates, Inc, and has more than 40 years' experience as an infusion nurse, educator, and consultant. She holds a master's degree in education, as well as certification in professional staff development and infusion nursing. She has published extensively on infusion topics in numerous journals.
Stopcocks have been used for decades to deliver infusion therapy in patients of all ages and in all health care settings. During the past 20 years, a growing number of studies have validated concern about the risk of the open lumen allowing intraluminal contamination. Additional studies highlight fluid flow dynamics associated with stopcocks.
View Article and Find Full Text PDFDetermining the Risk of Sepsis Using Nurse-Compounded Elastomeric Pumps for Continuous Infusion in Outpatient Parenteral Antibiotic Therapy.
J Infus Nurs
November 2017
John Hunter Hospital, Newcastle, New South Wales, Australia (Mss Dobson and Harris, Dr Loewenthal); and University of Newcastle, Newcastle, New South Wales, Australia (Ms Dobson and Dr Loewenthal). Pauline M. Dobson, MHS, RN, is a clinical nurse consultant in the immunology and infectious diseases unit at John Hunter Hospital in Newcastle, Australia. She has 30 years' experience in the provision of home infusion therapy and established the unit's outpatient parenteral antibiotic therapy program in 1995. She is a conjoint lecturer in the faculty of health and medicine at the University of Newcastle, Australia. Mark Loewenthal, MMedSci, MB, BS, FRACP, DTM&H, is a staff specialist in infectious diseases and director of the immunology and infectious diseases unit at John Hunter Hospital, Newcastle, Australia. He is also a conjoint senior lecturer in the faculty of medicine and public health at the University of Newcastle, Australia. Lisa Harris, BSc (Hons), BPharm (Hons), is a clinical pharmacist in John Hunter Hospital's immunology and infectious diseases unit, with particular expertise in antibiotic administration and antimicrobial stewardship.
Limited availability of compounded antibiotics used for continuous infusion outpatient parenteral antibiotic therapy (OPAT) can delay or interrupt an OPAT course. To solve this problem, OPAT nurses at a hospital in Australia have been compounding elastomeric pumps for immediate use. The incidence of sepsis in 5014 patients before and after the introduction of nurse compounding was compared.
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