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1.
ENFURO: Rev. Asoc. Esp. A.T.S. Urol ; (133): 29-32, ago. 2017. tab
Article in Spanish | IBECS | ID: ibc-171301

ABSTRACT

Dada la importancia de una adecuada atención de enfermería, así como del uso de planes de cuidados estandarizados para la mejora de dichos cuidados, presentamos esta comunicación donde mostramos un caso clínico concreto. Se trata de una mujer de 48 años que ingresa en nuestra planta con el diagnóstico de cistitis actínica o rádica. Para ello tomamos como referencia los patrones funcionales de Gordon, determinando los diagnósticos enfermeros así como los criterios de resultados (NOC) y las intervenciones de enfermería (NIC). Por otro lado, hemos usado la escala tipo Likert con la que hemos evaluado los indicadores propuestos para conseguir nuestros resultados


Given the importance of an adequate nursing work and the development of standardized care plans to improve care practice, we bring forward this communication to present this particular clinical case: a 48-year-old female patient who developed actinic cystitis. To treat this female patient, we use Gordon's functional health patterns. This allows us to provide a comprehensive nursing assessment of the patient to determine nursing outcomes classification (NOC) and to evaluate the effects of interventions (NIC). On the other hand, we have used Likert scale to assess the proposed indicators which will allow us to reach the main goals


Subject(s)
Humans , Female , Middle Aged , Cystitis/nursing , Nursing Care/methods , Hematuria/complications , Anemia/complications , Nursing Diagnosis/organization & administration , Standardized Nursing Terminology , Nephrostomy, Percutaneous/nursing
3.
J Am Acad Nurse Pract ; 23(1): 2-7, 2011 Jan.
Article in English | MEDLINE | ID: mdl-21208328

ABSTRACT

PURPOSE: To provide nurse practitioners an understanding of urachal anomalies, their presentations, and treatment options. DATA SOURCES: Scientific literature, including articles that address the pathogenesis, presentation, complications, diagnosis, and treatment of acquired and congenital urachal anomalies. CONCLUSION: Urachal disorders occur in 1 of 5000 persons. Complications from these disorders are even rarer. Early recognition of these anomalies can reduce the incidence of more serious complications such as secondary infections, sepsis, abscess formation, recurrent cystitis, and neoplasms. IMPLICATIONS FOR PRACTICE: Nurse practitioners will encounter patients with stable and acute complications from urachal anomalies. Awareness of these anomalies can expedite diagnosis, treatment, and referral therefore improving patient outcomes.


Subject(s)
Cystitis/nursing , Nurse Practitioners , Sepsis/nursing , Urachal Cyst/nursing , Urachus/abnormalities , Clinical Competence , Cystitis/diagnosis , Cystitis/surgery , Health Knowledge, Attitudes, Practice , Humans , Sepsis/diagnosis , Sepsis/surgery , Urachal Cyst/diagnosis , Urachal Cyst/surgery , Urachus/surgery
5.
Clin J Oncol Nurs ; 12(6): 895-900, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19064383

ABSTRACT

BK virus has become a serious issue in hematopoietic stem cell transplantation recipients, commonly manifesting as hemorrhagic cystitis, which can last from a matter of days to months and, if severe enough, may result in death. Patients with BK virus-associated hemorrhagic cystitis often experience poor quality of life, severe pain and discomfort, and prolonged hospitalizations. Despite numerous advances in stem cell transplantation methods, BK virus-associated hemorrhagic cystitis is difficult to control and treatment options are few. This article provides an overview of BK virus along with risk factors, current treatment modalities, and nursing considerations.


Subject(s)
BK Virus/isolation & purification , Hematopoietic Stem Cell Transplantation , Cystitis/nursing , Cystitis/virology , Graft vs Host Disease , Hematuria/virology , Humans , Transplantation Conditioning , Viral Load
6.
J Wound Ostomy Continence Nurs ; 27(3): 155-67, 2000 May.
Article in English | MEDLINE | ID: mdl-10814948

ABSTRACT

Radiation therapy is an increasingly common treatment for prostate cancer. Although radiotherapy is generally effective, it is not free of complications. Acute adverse effects of radiation are usually mild and managed on an outpatient basis. In contrast, long-term complications, although uncommon, may be debilitating or even life-threatening, requiring more invasive treatments or hospitalization. This article will review the pathophysiology of the acute and long-term effects of radiation on the lower urinary tract and implications for WOC nursing management of patients with voiding dysfunction following radiation therapy for prostate cancer.


Subject(s)
Prostatic Neoplasms/radiotherapy , Radiotherapy/adverse effects , Urination Disorders/etiology , Urination Disorders/nursing , Cystitis/etiology , Cystitis/nursing , Humans , Male , Perioperative Nursing/methods , Prostatic Neoplasms/nursing , Radiotherapy/nursing
7.
Jt Comm J Qual Improv ; 22(10): 673-82, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8923167

ABSTRACT

BACKGROUND: A study was conducted in 1995 at five primary care clinics of a staff-model health maintenance organization in the Midwest to assess the impact of a cystitis clinical guideline and to help elucidate the guideline implementation process. METHODOLOGY: Two hundred one eligible women with uncomplicated cystitis were treated in a three-month period before the guideline, and 241 similar cases were treated in a three-month period after the guideline. Nursing supervisors and clinic managers at each clinic were interviewed about how the cystitis guideline was implemented at each clinic. RESULTS: Use of a recommended three-day antibiotic treatment increased from 28% to 52% of cases (chi-square = 25.01, p < 0.001). Use of urine cultures decreased from 70% to 37% of cases (chi-square = 48.19, p < 0.001). The proportion of eligible cystitis cases coordinated primarily by the nurse increased from 21% to 78% (chi-square = 142.93, p < 0.001). However, desired changes in use of antibiotics and urine cultures were limited to nurse-coordinated cases. There was no increase in hospital admissions, emergency room visits, repeat office visits (p > 0.05), or repeat antibiotic courses (p > 0.05) after cystitis guideline implementation. Cost of cystitis care delivered after guideline implementation was 35% lower than before guideline implementation. CONCLUSIONS: Use of the guideline was associated with desirable changes in antibiotic use, nurse coordination of care, costs of care, and comparable clinical outcomes. Clinics that used clinical systems and tools to support nurse-coordinated cystitis care had greater guideline adherence than clinics that did not support nurse-coordinated care.


Subject(s)
Cystitis/nursing , Health Maintenance Organizations/standards , Patient Care Planning/organization & administration , Practice Guidelines as Topic , Total Quality Management/methods , Adult , Anti-Bacterial Agents/economics , Anti-Bacterial Agents/therapeutic use , Case-Control Studies , Cystitis/diagnosis , Cystitis/economics , Cystitis/therapy , Drug Utilization , Female , Health Care Costs , Health Maintenance Organizations/economics , Health Plan Implementation , Humans , Medical Audit , Middle Aged , Midwestern United States , Patient Care Team , Treatment Outcome , Urinalysis/statistics & numerical data
8.
Nurs Stand ; 9(34): 33-5, 1995.
Article in English | MEDLINE | ID: mdl-7612429

ABSTRACT

This article considers the treatment of recurrent cystitis. It examines the evidence for drinking cranberry juice to prevent recurrent urinary tract infections and discusses the nursing issues raised, drawing conclusions from the evidence presented.


Subject(s)
Beverages , Complementary Therapies , Cystitis/prevention & control , Fruit , Urinary Tract Infections/prevention & control , Cystitis/nursing , Ethics, Nursing , Humans , Recurrence , Urinary Tract Infections/nursing
9.
Nurse Pract ; 20(2): 36, 39-40, 42-4, passim, 1995 Feb.
Article in English | MEDLINE | ID: mdl-7715865

ABSTRACT

Urinary discomfort is the second most common physical complaint affecting women. Although urinary discomfort is commonly a result of inflammation due to bacterial invasion, there are also nonbacterial causes. The development of antimicrobial resistance to bacteria is frequent and costs the patient and the medical community unnecessary time and money. Antimicrobial intervention should be instituted only after the uropathogen is identified through a urine culture. While awaiting the results of the urine culture or other laboratory or radiological tests, the patient's symptoms can be relieved with the use of urinary analgesics or antispasmodics. This conservative approach meets the immediate concern of the patient and better ensures a proper diagnostic workup and successful cure. Along with a conservative diagnostic approach, the patient should be included in all aspects of health care management.


Subject(s)
Urologic Diseases/nursing , Bacteriuria/complications , Bacteriuria/drug therapy , Bacteriuria/nursing , Bacteriuria/urine , Cystitis/complications , Cystitis/drug therapy , Cystitis/nursing , Cystitis/urine , Female , Humans , Male , Urinary Tract Infections/complications , Urinary Tract Infections/drug therapy , Urinary Tract Infections/nursing , Urinary Tract Infections/urine , Urologic Diseases/drug therapy , Urologic Diseases/etiology , Urologic Diseases/urine
11.
Article in English | MEDLINE | ID: mdl-8242045

ABSTRACT

Interstitial cystitis (IC) is a form of painful bladder disease, characterized by chronic urinary urgency, frequency, and pain without evidence of bacterial infection. Ninety percent of patients with IC are women. Somatization disorder is a psychiatric diagnosis, given most often to women who report a variety of symptoms, such as dysmenorrhea, burning in sex organs, dyspareunia, irregular menstrual periods, and painful urination. Because diagnosis of interstitial cystitis may take many years, health care providers must be alert to the risks of the overdiagnosis of psychiatric problems and the underdiagnosis of interstitial cystitis.


Subject(s)
Cystitis/diagnosis , Women's Health , Adult , Cystitis/epidemiology , Cystitis/nursing , Diagnostic Errors , Female , Humans , Psychophysiologic Disorders/diagnosis
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