RESUMO
ABSTRACT: Osteoporosis, a common chronic bone disease, results in reduced bone mineral density and heightened fracture risk, particularly vertebral fractures. This article provides an overview of the condition's diagnosis and management updates.
Assuntos
Osteoporose , Fraturas da Coluna Vertebral , Humanos , Densidade Óssea , Osteoporose/diagnóstico , Fraturas da Coluna Vertebral/diagnóstico , Fraturas da Coluna Vertebral/etiologiaRESUMO
Patients frequently identify communication with nurses as the most important aspect that influences their health-care experience. Nursing education curricula tend to emphasize the preparation of nurses to excel in scientific knowledge, technological expertise, and practical skills. Instruction in communication is often inadequate. While these educational programs may inform learners of what they should do to communicate effectively, they do not tell or show learners how to do it. Failure to develop theoretical instruction in fundamental interactive communication can impair nurses' ability to engage patients in meaningful relationships, and can impact the delivery of patient-centered quality care. The TIS Methodology (Theme, Invitation, Simplicity) is an innovative, systematic approach to purposeful, relational communication. TIS offers an effective way to listen attentively and engage effectively in interpersonal relationships. The primary focus of TIS is the learned ability to listen to what another is saying or meaning, and to respond appropriately. A case study approach is used to illustrate the effective application of the TIS Methodology and to enhance an understanding of TIS principles and standards.
Assuntos
Comunicação , Educação em Enfermagem/métodos , Relações Enfermeiro-Paciente , Atitude do Pessoal de Saúde , Competência Clínica , Humanos , Modelos Educacionais , Modelos de EnfermagemRESUMO
Of the more than 30 million Americans who have diabetes mellitus, as many as 95% have type 2 diabetes. While interventions for type 2 diabetes include modifying diet and exercise, pharmacologic therapy is a mainstay in diabetes treatment. In recent years, with the addition of new medications and medication classifications, pharmacologic therapy for type 2 diabetes has changed dramatically. Nurses need to understand the many pharmacologic agents and combination therapies now in use. This article includes established as well as more recently introduced type 2 diabetes medications, as well as nursing implications regarding patient education and the monitoring of patients for adverse effects.