A characterisation of factors determining postoperative ileus after laparoscopic colectomy enables the generation of a novel predictive score

Evid Based Nurs 2011;14:69-70 doi:10.1136/ebn1166 Annette Bisanz

Nursing Department, University of Texas MD Anderson Cancer Center, Houston, Texas, USACorrespondence to Annette Bisanz
26 Grants Lake Circle, Sugar Land, TX 77479, USA; abisanz{at}mdanderson.orgCommentary on: Kronberg U, Kiran RP, Soliman MS, et al. A characterization of factors determining postoperative ileus after laparoscopic colectomy enables the generation of a novel predictive score. Ann Surg 2011; 253: 78– 81.

? Allows the identification of patients at risk for postoperative ileus (POI).

? Predictive information combined with evidence from the WHO provides guidelines to prevent POI.

? Improved preventive care can decrease the cost and length of hospital stays.

? Nurses can advocate for preventive measures even though they do not have prescriptive authority.

? Nurses can translate this information into their standard of care.

? Inspires nurses to get involved in the research process …

Free archive
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

View the original article here

People with Alzheimer's disease are at increased risk of hip fracture and of mortality after hip fracture

Evid Based Nurs 2011;14:78-79 doi:10.1136/ebn1160 Kilian Rapp

Department of Clinical Gerontology, Stuttgart and Institute of Epidemiology, Ulm University, Stuttgart, GermanyCorrespondence to Kilian Rapp
Department of Clinical Gerontology, Robert-Bosch-Hospital, Auerbachstr 110, 70376 Stuttgart, Germany; kilian.rapp{at}rbk.deCommentary on: Baker NL, Cook MN, Arrighi HM, et al. Hip fracture risk and subsequent mortality among Alzheimer's disease patients in the United Kingdom, 1988–2007. Age Ageing 2011; 40: 49– 54.

? People with Alzheimer's disease (AD) are a high-risk population for hip fractures.

? Mortality after a hip fracture is particularly high in such people. Therefore, prevention and management of potential causes like delirium and an early rehabilitation should be priorities in AD patients after a hip fracture.

AD as well as hip fractures increase exponentially with age. Both diseases are frequent and have a considerable effect on the person's function. Previous studies have demonstrated an association between AD and hip fractures. The objective of the study by Baker and colleagues was to evaluate whether AD is an independent risk factor for hip fractures. Furthermore, the study compared mortality after hip fracture in people with and without AD.

People with AD were identified by (1) diagnosis ‘AD’ …

Free archive
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

View the original article here

Caring for the Caregiver: Moving Beyond the Finger Pointing After an Adverse Event

European Online Customer Service
The Boulevard
Langford Lane, Kidlington
Oxford. OX5 1GB
UK
Hours: Monday - Friday, 8:30am - 5:00pm (Greenwich Mean Time/British Summer Time)
Tel: +44 (0) 1865-843177 (Within Europe)
Fax: +44 (0) 1865-843970
E-mail: eurosupport@elsevier.com

North American and Rest of World Online Customer Service
6277 Sea Harbor Drive
Orlando. FL 32887-4800
USA
Hours: Monday - Friday, 7:30am - 6:00pm EST (Eastern Standard/Daylight Time)
Tel: (800) 654-2452 (Toll Free US & Canada)
Tel: (407) 345-4299 (Outside US & Canada)
Fax: (407) 363-9661
E-mail: elspcs@elsevier.com

View the original article here