RESUMO
Clinicians in ambulatory and primary care are almost guaranteed, at some point in their practice, to encounter a patient who has suffered an ankle injury. They must be prepared to diagnose, treat, and refer appropriately. By understanding the anatomy of the ankle, the health care provider will understand the mechanisms and common types of injury. By using techniques of inspection, palpation, and performing the anterior drawer and talar tilt tests, the clinician can grade a sprain accordingly, and refer for x-rays or orthopedic consultation appropriately. The principles of RICE (rest, ice, compression, elevation) are explained and different treatment methodologies for grades I to III of sprain are discussed.
Assuntos
Traumatismos do Tornozelo/diagnóstico , Traumatismos do Tornozelo/terapia , Profissionais de Enfermagem , Entorses e Distensões/terapia , Traumatismos do Tornozelo/fisiopatologia , Bandagens , Repouso em Cama , Fenômenos Biomecânicos , Humanos , Gelo , Escala de Gravidade do Ferimento , Avaliação em Enfermagem , Exame Físico/métodos , Entorses e Distensões/diagnóstico , Entorses e Distensões/fisiopatologiaRESUMO
The incidence of dyspareunia, defined as difficult and painful intercourse, appears to be increasing. A symptom not a disease, dyspareunia is rarely reported by patients, even though it may be the actual reason why they seek health care. Often, patients will only discuss their concerns after questioning. Health care professionals who provide primary care to women must understand the various etiologies of dyspareunia. Possible causes of dyspareunia as well as current treatment modalities are identified. Sex education, counseling, vaginal dilatation and pelvic-relaxation exercises may be needed to restore the woman's confidence and decrease anxiety. Not until all organic causes of dyspareunia are ruled out, should the option of psychiatric intervention be suggested.
Assuntos
Dispareunia/terapia , Profissionais de Enfermagem , Árvores de Decisões , Dispareunia/etiologia , Dispareunia/enfermagem , Feminino , Humanos , Planejamento de Assistência ao PacienteAssuntos
Pais/psicologia , Instituições Acadêmicas , Educação Sexual , Criança , Comunicação , Currículo , Feminino , Humanos , Masculino , Relações Pais-FilhoRESUMO
Pneumopericardium resulting in cardiac tamponade may be caused by a variety of phenomena. The onset of cardiac tamponade can indicate the presence of a rare underlying condition. As a rare complication of mechanical ventilation and PEEP, our patient experienced pneumopericardium that resulted in cardiac tamponade. Perhaps the most crucial therapy of all is astute critical care nursing assessment of patients at risk of developing the life-threatening complication of cardiac tamponade. All critical care nurses should know the signs and symptoms of cardiac tamponade. Through accurate data collection, frequent monitoring, and immediate referral to the critical care team for medical diagnosis and treatment, a patient's death can be prevented.
