Subject(s)
Appendicitis/diagnosis , Appendicitis/nursing , Heroin/adverse effects , Nurse-Patient Relations , Substance Withdrawal Syndrome/diagnosis , Substance Withdrawal Syndrome/nursing , Substance-Related Disorders/nursing , Abdominal Pain , Adult , Appendectomy , Appendicitis/surgery , Constipation , Diagnosis, Differential , Emergency Service, Hospital , Humans , Male , Reward , Substance Abuse Treatment Centers , Treatment OutcomeABSTRACT
Siba Prosad Paul, Alifa De Aguiar, Joanna Barnden, Anna Cannon and Megan Eaton discuss the implications of high levels of the inflammatory marker, drawing on local audit.
Subject(s)
C-Reactive Protein/metabolism , Hematologic Tests/standards , Outcome Assessment, Health Care , Appendicitis/blood , Appendicitis/epidemiology , Appendicitis/nursing , Child , Child Health Services , Child, Preschool , England/epidemiology , Humans , Infant , Infant, Newborn , Medical Audit , Pediatrics , Pneumonia/blood , Pneumonia/epidemiology , Pneumonia/nursing , State Medicine , Urinary Tract Infections/blood , Urinary Tract Infections/epidemiology , Urinary Tract Infections/nursingABSTRACT
Abdominal pain is a common chief complaint encountered by school nurses. This article explains the etiology of abdominal pain in children and adolescents, describes the office assessment, and delineates life-threatening conditions associated with severe abdominal pain that may prompt the school nurse to transfer the student to a local emergency department.
Subject(s)
Abdominal Pain/diagnosis , Abdominal Pain/nursing , Appendicitis/diagnosis , Ovarian Diseases/diagnosis , Practice Guidelines as Topic , School Nursing/standards , Torsion Abnormality/diagnosis , Adolescent , Appendicitis/nursing , Female , Humans , Male , Ovarian Diseases/nursing , Ovarian Diseases/surgery , Torsion Abnormality/nursing , Torsion Abnormality/surgery , Treatment Outcome , United StatesSubject(s)
Appendectomy/statistics & numerical data , Appendicitis/nursing , Unnecessary Procedures/statistics & numerical data , Adolescent , Appendicitis/epidemiology , Child , Child, Preschool , Cross-Sectional Studies , Germany , Humans , Laparoscopy/statistics & numerical data , Treatment OutcomeABSTRACT
In response to a clinical safety review, we have implemented an AND to empower our pediatric emergency nurses to identify and initiate care directives for children with suspected appendicitis. Future quality assessment and research studies will focus on the accuracy of the AND in predicting which children will have imaging studies or an appendectomy as well as the impact of the AND on key pediatric ED flow measures.
Subject(s)
Advance Directives/legislation & jurisprudence , Appendicitis/nursing , Emergency Nursing/legislation & jurisprudence , Emergency Nursing/methods , Pediatrics/methods , Child , Humans , United StatesABSTRACT
Acute appendicitis is one of the most common surgical conditions, and affects about seven per cent of the population. Perforation of the appendix and associated peritonitis is the most common complication. This guided reflection article discusses the signs, pre and postoperative treatment and nursing management of patients presenting with acute appendicitis.
Subject(s)
Appendicitis/nursing , Appendectomy/nursing , Appendicitis/physiopathology , Appendicitis/surgery , Humans , Perioperative CareSubject(s)
Abdominal Pain/etiology , Appendicitis/complications , Appendicitis/diagnosis , Pelvic Inflammatory Disease/complications , Pelvic Inflammatory Disease/diagnosis , Abdominal Pain/nursing , Appendicitis/nursing , Clinical Protocols , Diagnosis, Differential , Emergency Nursing/methods , Female , Humans , Nurse Practitioners , Nursing Assessment/methods , Pelvic Inflammatory Disease/nursingABSTRACT
The advanced practice nurse (APN) functions in pediatric surgery in a variety of ways. In the inpatient setting, the APN can provide care to infants and children with many complex congenital and other surgical anomalies. In the outpatient office, the role includes diagnosis, management, education, and care coordination for children with both routine and complex diagnoses. This article discusses the differences in some of these roles and a few of the common diagnoses seen by the APN in a pediatric surgical practice on a routine day.
Subject(s)
Appendicitis , Hernia , Pediatric Nursing , Appendicitis/diagnosis , Appendicitis/nursing , Appendicitis/physiopathology , Appendicitis/surgery , Child , Diagnosis, Differential , Female , Hernia/diagnosis , Hernia/nursing , Hernia/physiopathology , Herniorrhaphy , Humans , Infant, Newborn , Male , Postoperative Care/nursingABSTRACT
Appendicitis is one of the most common causes of acute abdominal pain in the industrialized world. Appendicitis must be considered in the differential diagnosis of any patient presenting with abdominal pain. Workup may include blood tests, abdominal radiographs, abdominal ultrasound, and focused appendix computed tomography. Unfortunately, none of these provides definitive results. Although several signs and symptoms are associated with appendicitis, their inconsistent presentation, especially among the young and the elderly, can lead to an erroneous diagnosis. The classic sequence of symptoms includes the onset of vague epigastric or periumbilical pain; associated nausea, anorexia, or unsustained vomiting; and pain migrating to the right lower quadrant. In uncomplicated cases, the treatment of appendicitis is appendectomy. However, less definitive presentations merit further diagnostic testing and close follow-up.
Subject(s)
Appendicitis/diagnosis , Appendicitis/nursing , Nursing Assessment/methods , Abdominal Pain/etiology , Appendicitis/blood , Appendicitis/complications , Diagnosis, Differential , Diagnostic Errors , Humans , Leukocytosis/etiology , Medical History Taking/methods , Nausea/etiology , Nurse Practitioners , Physical Examination/methods , Reproducibility of Results , Sensitivity and Specificity , Vomiting/etiologyABSTRACT
This study describes how assessment and documentation of children's acute postoperative pain is managed by nurses in university hospitals in Finland. A survey was conducted of 303 nurses working in children's wards of university-affiliated hospitals, and at the same time a retrospective chart review of 50 consecutive cases of operation of acute appendicitis was carried out. Charts were analyzed by content analysis, and the results of the survey are reported with percentage distribution and nonparametric statistical calculations. The results indicate that nurses assess pain mainly by observing the child's behavior and changes in physiology. Pain measurement instruments are rarely used, and nurses do not recognize them. The documentation of pain care is unsystematic and does not support the continuity of care. There is a clear need for development of assessment and documentation practices in the studied hospitals. Future research should look at the postoperative care of pain at home as well as care in non-university-affiliated hospitals.
Subject(s)
Appendicitis/nursing , Child, Hospitalized , Nursing Process , Pain Measurement , Pain, Postoperative/nursing , Pediatric Nursing/standards , Adolescent , Adult , Appendicitis/surgery , Child , Child, Preschool , Female , Finland , Hospitals, University , Humans , Male , Medical Records , Middle Aged , Pain, Postoperative/drug therapy , Retrospective Studies , Treatment OutcomeABSTRACT
Las enfermedades del apéndice destacan en la práctica quirúrgica. La apendicitis es la enfermedad abdominal aguda más frecuente que trata el cirujano. Es al mismo tiempo, una de las entidades clínicas mejor conocidas y uno de los problemas de diagnóstico más difíciles que puede encontrar el clínico. En el diagnóstico diferencial deben considerarse casi todos los procesos agudos que pueden ocurrir dentro de la concavidad abdominal y algunas urgencias relacionadas con los órganos torácicos. Es en estas circunstancias que los estudios de laboratorio y gabinete orientan a un manejo conservador, y que a la larga evita tomar decisiones quirúrgicas impulsivas
Subject(s)
Humans , Acute Disease , Appendicitis/nursing , Clinical Diagnosis , Laboratories, Hospital , Physical Examination , Research , Specialties, Surgical , BoliviaSubject(s)
Appendicitis/nursing , Critical Pathways/organization & administration , Pediatric Nursing/methods , Total Quality Management/organization & administration , Acute Disease , Algorithms , Appendicitis/complications , Appendicitis/economics , Appendicitis/surgery , Child , Humans , Length of Stay/statistics & numerical data , Nursing Assessment , Outcome and Process Assessment, Health CareABSTRACT
La infección postoperatoria de la herida quirúrgica en pacientes que presentaron abdomen agudo inflamatorio es alarmante. El objetivo de este trabajo es determinar el índice de infección de la pared abdominal en nuestro Hospital y marcar pautas correctoras para disminuir la morbilidad hospitalaria por esta causa. El presente estudio prospectivo, abarca pacientes ingresados de enero a marzo de 1997 en el Servicio de Cirugía General del Hospital Carlos Andrade Marín con diagnóstico de Abdomen Agudo Inflamatorio. Se determinó tres grupos de estudio de acuerdo al tipo de cirugía: limpia contaminada, contaminada y sucia. Se incluyeron solo los pacientes con histopatológico positivo para enfermedad apendicular y se excluyó a pacientes con patologías adyuvantes y embarazadas. Nuestro trabajo concluyó que el mayor porcentaje de cirugías correspondían a limpias contaminadas 58.7 por ciento y el menor a sucias 11,7 por ciento. El índice de infección fue del 1,5 por ciento, 19,3 por ciento, 28,5 por ciento en estos tres grupos respectivamente. Nuestro estudio demostró la ineficacia de manejar la pared abdominal en forma primaria o diferida para evitar infeciones pues se encontró infección en ambos procesos con un porcentaje mayor en heridas diferidas 8,8 por ciento en cirugía contaminada y 25 por ciento en cirugía sucia y estableció que la única forma de reducir y prevenir la infección de herida es el manejo en la técnica operatoria.
