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  • ISSN: 2379-9501
    Volume 1 Issue 3
    Case Report
    Peter Johansson1*, Urban Alehagen1, Magnus Vrethem2, Eva Svanborg2 and Anders Broström2,3
    Abstract: Sleep disordered breathing (SDB) is prevalent in patients with heart failure (HF). The clinical signs of newly diagnosed HF and untreated SDB may overlap and patients in need of SDB treatment can therefore be difficult to identify in patients participating in disease management programmes (DMP). The aim was to describe the care process of two patients with HF involved in a DMP, focusing on the difficulties to identify and initiate treatment of SDB.A prospective case study design was used to follow one male (70 yrs) and one female (74 yrs) patient during 18 months at a Swedish University hospital. It took 5 to 10 months from diagnosis of HF until optimal treatment was reached for their heart conditions and 12 to 17 months until SDB was treated. None of the patients complained of poor sleep, but suffered from fatigue. In the male SDB was detected by the wife’s complaints of her husband’s snoring, apnoeas and restless sleep. In the female, SDB was detected after a detailed assessment of fatigue which was shown to be sleepiness. After optimal treatment of HF but before imitation of SDB treatment both cases cardiac function improved. For the female case improvements also were found in the blood pressure. SDB treatment improved fatigue in both patients. Initiation of HF treatment and self-care routines, as well as identification of SDB is complex and time consuming. Treatment of HF and SDB can improve sleep, cardiac function as well as disturbing associated symptoms.
    Research Article
    Estelle Codier*
    Abstract: Multi-user virtual environments (MUVE), considered by some to be the ‘next wave’ of educational technology, have been effectively used across a wide range of learners and subjects. A meta analysis published in 2012 reviewed 107 articles, including 52 empirical MUVE learning research studies, summarizing its benefits and advantages over traditional teaching methods. Of the 52 research studies, only one focused on health care education [1]. This exploratory, mixed method pilot study was undertaken to evaluate learning activity and course outcomes for nursing students using MUVE learning. Ninety percent of students reported that learning objectives were met using MUVE learning activities, and 80% reported that course objectives were met as well if not better in MUVE learning activities as compared with traditional learning activities. Instructor evaluation validated the student assessments.
    Qualitative themes in student evaluations included "positive learning outcomes and processes",
    "Learning in virtual reality", and "technology obstacles".
    Vitale Elsa*
    Abstract: A demographic shift has occurred in the last decades in developed countries that have resulted in a considerable rise in the number of elderly patients. In this study the Identification of Seniors at Risk (ISAR) index was correlated to the Activities of Daily Living (ADL) index and the Instrumental Activities of Daily Living (IADL) index, in order to evaluate the influence of the ISAR score on the ADL and IADL indexes. Forty elderly subjects were enrolled in this study. Of these, twenty were male and twenty were female. From each participant a questionnaire was administered, which contained the ISAR score, the ADL and the IADL indexes. Correlations between the ISAR index and the ADL and the IADL scores were all statistical significant (p<0.05 and p<0.001). These simple screening tools predict functional impairment in older subjects. It is also moderately predictive of subsequent functional decline after an initial assessment. The ISAR with the ADL and the IADL score seem to be positively correlated and to provide a valid proxy measure for assessing functional status in older patients.
    Short Communication
    E Fistein and DC Malloy*
    Abstract: In this paper we argue that while attention to and acting upon ethical codes of conduct is paramount in professional nursing conduct, a critical antecedent to ethical behaviour is ontological perception, that is, and how we view the patient as a person. We argue that the nurse’s perspective of the essence of patients (e.g., are they a means to our ends or ends in themselves?) - will form the groundwork for the quality of ethical care provided. As a foil for our discussion, we use the 2013 case at the Mid Staffordshire General Hospital in the United Kingdom in which unethical practice among staff place patient health, safety, and dignity at risk. We conclude by offering an ontological dimension to a truly ‘patient first’ strategy which places the very essence of the patient as primary.
    Marc Haspeslagh*
    Abstract: Nurses are assigned to a patient for his or her entire hospital stay. However, patients’ needs change during the period of their recovery. The aptitude of the assigned nurse does not always match these changed needs. The results of a study on nurse aptitudes to care for depressed patients indicate that, as a patient’s depressive feelings change, a nurse with an aptitude that supports the patient’s current needs should be assigned to care for that patient. This suggestion is at odds with current assignment practices. This paper explores this new way of thinking about nurse assignment in residential psychiatric care and delineates four hurdles to take.
    Peter Kokol1*, Helena Blazun2 and Danica Zeleznik3
    Abstract: At the time of establishment the majority of Slovenian nursing institutions offered undergraduate nursing study programme, but over the years developed study programmes in the field of health care. Therefore, many nursing colleges changed their institutional name to" include health care" or health sciences". Some of them have also changed their status from college to faculty level. However, their reflected image is still perceived as "nursing educational institutions". Nevertheless, in the view of international mobility it is necessary to objectively analyse their true "research" identity in the form of research priorities derived from their internationally recognised research. In the present paper we performed this task using bibliometric analysis. The analysis showed that Slovenian higher educational health care institutions research, with the exception of one institution, is primarily not focused on nursing, but either on computer science/medical informatics or psychiatry.
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