| Papers [1-15] of 50 :: [Page 1 of 4] | | Go to page : 1 2 3 4 —> | Search results on "CHEST TUBE CARE": |
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Chest Tube Care, 2007.
This paper explores the nursing care of patients with a chest tube.
1,011 words (approx. 4.0 pages), 4 sources, APA, $ 35.95
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Abstract
The paper discusses the insertion of a chest tube that is used for spontaneous pneumothorax, a common clinical problem involving air in the pleural space, between the lung and chest wall. The paper explores the goals of nursing regarding this procedure, which include pain management, prevention of complications and health teaching for the patient and family.
From the Paper
"Insertion of a chest tube is used for spontaneous pneumothorax, which is a somewhat common clinical problem involving air in the pleural space, or air between the lung and chest wall. Traumatic pneumothorax is rare and results from injury to the chest. In either case, if excess fluid or air accumulates in the pleural space, the patient will experience shortness of breath and increased respiratory rate and effort. A chest tube inserted into the pleural space will drain the air or excess fluid and relieve respiratory distress Coughlin & Parchinsky, 2006). "Nursing care includes preventing complications, resolving the pneumothorax, managing pain, and educating the patient and family" (Roman & Weinstein, 2003, p. 161)."
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Chest Tube Removal: Pain Management, 2007.
A literature review on pain management for chest tube removal.
1,538 words (approx. 6.2 pages), 9 sources, APA, $ 50.95
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Abstract
This paper provides a literature overview of chest tube removal with regard to pain management. It further discusses the appropriate nursing interventions that are most applicable to chest tube removal in the light of the research data and studies that are available. It concludes, based on the literature, that there is a need to explore new avenues in addition to the present standard protocols. It also examines how these new techniques, and means of reducing pain in chest tube removal, revolve around a more inclusive and interactive approach to pain management, where aspects such as anxiety and information flow are catered to.
Outline:
Introduction
Literary Overview of the Problematics of Pain Management
Conclusion
Appendix
From the Paper
"Standard pain management techniques for chest tube removal relate to medications such as Morphine. " Morphine is one of the most often, if not routinely, used opioids for treating pain due to chest tube removal." (Puntillo and Ley, 2004) However, this is not always the most effective procedure in this situation. "...when morphine was used in small doses (ie, a mean [less than or equal to] 3 mg), pain associated with chest tube removal was rated as moderate to severe. Higher morphine doses have not been tested for their effect on such pain. " (Puntillo and Ley, 2004) Other medications include the use of Ketorolac, which is a nonsteroidal anti-inflammatory drug and is considered to be an effective analgesic for pain due to chest tube removal. "
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Feeding Tubes, 2007.
This paper presents a discussion about the use of feeding tubes at the end of life.
990 words (approx. 4.0 pages), 3 sources, APA, $ 35.95
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Abstract
This paper examines the controversy regarding the use of feeding tubes at the end of life for terminal patients. The author presents the research from a nursing perspective. Additionally, the paper considers the questions of whether prolonging life with a feeding tube is in the best interest of the patient. The author includes an extensive literature review with regards to patients with dementia, cancer and other end of life issues and reviews what has been concluded about using feeding tubes at this stage. The writer also touches on the issue of living wills.
Outline:
Introduction
Literature Review
References
From the Paper
"The past few years have seen many controversial stories played out in the news regarding end of life feeding tubes and their use. Society lines up on both sides of the issue and hotly debate whether or not using a feeding tube at the end of one's life is something that should be done even if the patient is not capable of consenting. Meanwhile patients all over the nation languish between the two sides of the debate with their families trying to make the most humane and compassionate decision regarding the placement of a feeding tube into their loved one. Many studies have been conducted regarding the use of a feeding tube on a patient who is at the end of life with differing results. With a small risk in the actual placement of the tube the question centers around whether prolonging life with a feeding tube is really in the best interest of the patient. "
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Thrombolysis in Critical Care, 2006.
An examination of diagnosis and treatment of acute myocardial infarction in patients with chest pain.
2,900 words (approx. 11.6 pages), 36 sources, MLA, $ 85.95
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Abstract
This paper studies how medical professionals diagnose and treat thrombolysis during critical care for patients experiencing chest pain. The paper provides a detailed analysis of scientific and clinical evidence indicating that patients experiencing acute myocardial infarction benefit from the early administration of thrombolytic therapy. The paper then discusses the challenge for multidisciplinary providers in ensuring that patients give true informed consent for all procedures, from administration of medication to invasive procedures. The paper explains that the setting can be chaotic, however, it maintains that effective communication between patients and providers is imperative.
From the Paper
"The definitive diagnosis of AMI is best obtained by following a standard chest pain protocol. Most accident and emergency wards have these in place. It is standard to initially obtain a 12 lead electrocardiogram (ECG) and begin cardiac monitoring. Patient's routine laboratory studies include electrolytes, blood urea nitrogen (BUN), complete blood count (CBC) and markers for myocardial injury (Creatinine Kinase isoenzyme-myocardial (CK-MB) or troponin). Normal serial CK values rule out an acute infarction but are negative in the setting of acute unstable angina. A slight rise in CK-MB or troponin indicates myocardial injury but is not specific for ischemic syndromes. Troponin assay is highly sensitive for identifying acute coronary syndromes. Troponin has longer half life in the system than CK-MB but is less specific for the identification of infarction as opposed to repeated episodes of myocardial ischemia. As the total CK greater than two times the upper ranges of normal is indicative of infarction it can be used as an adjunct in diagnosis ischemia versus infarction and also in determining the relative efficacy of reperfusion. Serum troponin may take up to six hours to become diagnostically sensitive enough (Dougan, 2001)."
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"Tube of Plenty", 2002.
Reviews Erik Barnouw's book on the history of the TV, "Tube of Plenty: The Evolution of American Television".
1,150 words (approx. 4.6 pages), 1 source, $ 44.95
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Abstract
In "Tube of Plenty. The Evolution of American Television", Erik Barnouw provides us with the amazing history of television. He shows us that television is not only a technological reality, but also a sociological phenomenon. Television, in other words, moulds society in the same way that society moulds television. Barnouw demonstrates that we can not really understand our own history without examining the effect that television has had on almost every aspect of our lives. He is especially interested in television's newest features. Thus, the "Tube of Plenty" is not only the history of television, but also the exploration of the development and impact of the latest phases of the communications revolution.
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PEG Tubes vs. NGT Feeding Systems, 2002.
An analysis of the effects of swallowing difficulty and speech difficulty on the quality of life in patients with PEG or NGT tubes.
1,784 words (approx. 7.1 pages), 3 sources, MLA, $ 57.95
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Abstract
This paper discusses a research which measures the effects of having a PEG tube (as opposed to NGT) inserted, on the patient?s quality of life as it relates to their ability to communicate and swallow. Two research questions are answered in this paper: ?Does a PEG procedure have an effect on the patient?s ability to communicate their wishes and improve there satisfaction with the quality of their life in regards to self-care?? and ?Does the PEG method offer more satisfaction in regards to quality of life than the NGT method?? The paper illustrates the importance of taking the individual patient's feelings, concerns and wishes into account and not just focusing on the clinical side of things.
From the Paper
"There are two primary methods for administering food to patients who can no longer swallow or have difficulty swallowing. The first is by way of an NGT tube, which is inserted through the nasal cavity and goes into the stomach. This procedure severely limits the patient?s ability to speak or swallow. The other popular method is PEG where a tube is inserted through an incision in the abdominal wall. In this case a patient?s ability is speak or swallow is not limited by the procedure itself. However, in stroke patients this ability may already be impaired. Many of us consider the ability to communicate our own wishes and enjoy conversation with other human beings a factor in determining our quality of life. Being unable to communicate with another creates a feeling of isolation or helplessness."
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Test-Tube Quantum Computer, 2002.
An examination of the technology of test-tube computers and its expected future uses.
2,125 words (approx. 8.5 pages), 6 sources, MLA, $ 66.95
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Abstract
This paper explains how scientists have developed a computer that processes information running on DNA. It discusses how the computer is so microscopic it can?t be seen by the human eye. The implications for the future are tremendous, and it is now feasible to believe that sometime in the future, man will become part human and part computer. It discusses how the technology that scientists are currently developing may allow tiny computers to analyze, assess and correct biochemical abnormalities before they manifest themselves as problems.
From the Paper
"Test Tube computers came about as the idea that a computer can be so small that ?a trillion of it?s kind can fit into a test tube.? The idea was developed by researchers at the Weizmann Institute in Israel, who developed a nano-computer that consists of DNA and DNA-processing enzymes which are dissolved in a liquid (Noble, 2001). DNA has always functioned as somewhat of a mini computer, and strands of DNA are so small they can?t be detected by the human eye. The discovery has lead researchers to believe that it is possible to perhaps develop a device that is ?capable of processing DNA inside of the human body, finding abnormalities and creating healing drugs? (Noble, 2001). A momentous occasional in revolutionary history."
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The Tube, 2002.
A history of the London underground system.
1,004 words (approx. 4.0 pages), 2 sources, MLA, $ 35.95
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Abstract
This paper looks at the world's oldest subway in London and how it followed the development of the above-ground railway system in England and then went underground for a rapid transit system for the city long before the term "rapid transit" had been devised. It outlines the continuous growth and expansion of the network from the first underground railway which opened by the Metropolitan Railway Company on 10th January 1863.
From the Paper
"The act of tunneling under the Thames required a different engineering approach from the cut-and-cover method. Building this part of the system involved deep-level excavation at the foot of vertical shafts and was similar to coal mining. Since much of London is built on clay, and since clay is easy to excavate and tunnel through, work was completely relatively soon on the next significant step in the development of London's Underground railways--the twin-tunnel City and South London Railway, which ran for 5.2 km (3.25 miles) from King William Street in the City under the River Thames to Stockwell. This was intended to be a cable-hauled railway, but when it opened in 1890, it was the world's first deep-level electric railway. This and similar lines built since have since always been known as tube railways. The Waterloo & City Railway was also constructed under the Thames River and was opened in 1898. Two years later, the Central London Railway opened."
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Ethical Issues in Ageing, 2004.
An analysis of three aspects of aging - feeding tubes, euthanasia and the over-powerful nursing home management.
1,380 words (approx. 5.5 pages), 3 sources, APA, $ 47.95
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Abstract
This paper looks at three aspects of aging: the use of feeding tubes; euthanasia/physician assisted suicide; and the dangers to the elderly by powerful nursing home executives. It describes the characteristics of patients and nursing homes relative to feeding tube use. It then describes experiences with euthanasia and physician assisted suicide in the Netherlands; and then describes what can happen to the elderly who have no one to stand up for them against unfair nursing home practices.
From the Paper
"This paper by Curtin discusses a case study of unethical treatment of an elderly woman living in a retirement community. The woman and her husband both were married for years were very close and financially well-off. They were living in the facility when the..."
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Ms-Tique Corporation, 2004.
This paper analyzes if Ms-Tique Corporation should introduce aerosol or tube packaging for its product.
1,005 words (approx. 4.0 pages), 3 sources, MLA, $ 35.95
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Abstract
This paper explains that packaging plays two important functions: To be attractive to the consumer and communicate the right brand messages to be functional. The author presents a consumer cost-per-ounce argument and concludes that the 10 oz. aerosol can is the best consumer value. The paper stresses that the cost of producing aerosol cans is lower than that for tubes.
Table of Contents
Economics of Three Options
Incremental Contribution
Test Marketing
From the Paper
"The three items, 5 ? oz tube (x), 5 ? oz aerosol can (Y) and 10 oz aerosol can (Z) will be available at the price of $3.95, $3.50 and $4.25 respectively. The company is deciding to set this price for the three items and it is therefore important to see which options would prove to be most feasible in the long run at the current price level. For this reason, we shall calculate the contribution that will be made by each item if they go into the market with this price tag. It appears from general study of prices that there exists a small gap of $0.75 between Y and Z while the oz difference is quite wide and this will only urge the customers to opt for Z instead of Y."
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Nursing Research Article, 2006.
A critique of a nursing research paper on enteral tubes in children.
4,370 words (approx. 17.5 pages), 1 source, APA, $ 135.95
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Abstract
This paper is a critique of a nursing research paper on enteral tubes in children. It critiques the style of the paper, the worthiness of the research, the quality of the literature review, the description of the work by the researchers, the credibility of the results, the usefulness of the results, and the relevance of the results to nursing today.
From the Paper
"This study is a preliminary study and needs to be followed up by several other studies to clarify the results obtained and to get more statistically relevant numbers for some of the parameters being measured."
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"Future Pipe", 2002.
An analysis of this construction pipe and tube manufacturing company.
1,323 words (approx. 5.3 pages), 4 sources, MLA, $ 44.95
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Abstract
This paper examines the Future Pipe Group whose headquarters are in The Netherlands. It discusses the construction market of which Future Pipe is part of and shows how issues such as cost, service, reliability and reputation are an important aspect of all companies dealing with the construction industry. The paper looks at the construction market from a worldwide perspective including predictions for the industry's future. Finally, the paper focuses on Future Pipe's branch office in Paris and shows how French management style affects the running of the business.
From the Paper
"Worldwide, the construction industry is growing at an annual rate of about 4%, while the building materials business generates about $79 billion annually. More than any other economic sector, construction is the world's biggest employer. Traditionally (at least dating from 1956 to around 1970) American building contractors accounted for 90% of the world's construction. The construction power shift has moved from the United States to Japan. Gigantic builders such as Shimizu, TAISEI, OBAYASHI, Mitsui Fudosa, and Kumagai Gumi now control a sizable share of the international construction business."
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Peak Flow Meters and Asthma, 2002.
An in-depth study into whether the use of peak flow meters, which measure possible obstruction to the breathing tubes in asthma patients, prevents attacks and subsequent hospitalization.
7,186 words (approx. 28.7 pages), 23 sources, MLA, $ 160.95
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Abstract
This paper examines whether the use of a peak flow meter is a good indicator of an impending crisis in asthma patients. The hypothesis for this study is that use of a peak flow meter would give both the patient and the doctor early warning and allow treatment adjustments and so avoid hospitalization, emergency room visits, absenteeism and activity limitations in asthma patients. To test this hypothesis, a survey was conducted of asthma patients, doctors, respiratory therapists, nurses and pharmacists to determine the distribution and use of these meters and if they did prevent hospitalizations, emergency room visits, absenteeism and activity limitations in asthma patients.
Table of Contents
Statement of Problem
Introduction
Background
Research Hypothesis
Materials
Methods
Limitations of Study
Results
Discussion
Figures and Tables
References
From the Paper
"Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role, in particular mast cells, eosinophils, T lymphocytes, neutrophils and epithelial cells (Asthma Diagnosis and Management, 2001). In individuals who are susceptible, this inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness and coughing, particularly at night and in the early morning. These episodes are usually associated with widespread but variable airflow obstruction that is often reversible either spontaneously or with treatment. The inflammation also causes an associated increase in the existing bronchial hyperresponsiveness to a variety of stimuli.
In the United States, asthma is the third leading cause of preventable hospitalizations, and is responsible for an estimated 470,000 hospitalizations and 5,500 deaths each year (Asthma Diagnosis and Management, 2001; White and Roughan, 2000). Undertreatment and inappropriate therapy are the major contributors to asthma morbidity and mortality in the United states (Asthma Diagnosis and Management, 2001). Less than half the patients hospitalized in two large metropolitan area emergency departments were found to be receiving inflammatory therapy as recommended in the Expert Panel Report-2 (EPR-2), and only 28 percent of the adult patients hospitalized for asthma had written action plans that told them how to manage their asthma and control exacerbations. The goal of the EPR-2 is to serve as a comprehensive guide to diagnosing and managing asthma. While implementation of EPR-2 recommendations may initially increase some costs of asthma care because it will require an increase in the number of primary care visits and the use of asthma medications, environmental control products and services, and equipment, in the long run asthma diagnosis and management are expected to improve and this should reduce the number of hospitalizations, lost work and school days, emergency department visits and deaths from asthma. The four components of asthma management in the longterm are: assessment and monitoring; pharmacological therapy; patient education and partnership in asthma care; and control of contributing factors."
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Case Study: Hospitalized Five Year Old, 2008.
Looks at the case of Jack, a 5 year 4 month old male hospitalized for the placement of PE tubes secondary to recurrent otitis media.
920 words (approx. 3.7 pages), 3 sources, APA, $ 32.95
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Abstract
This paper describes a 4-year old's life outside of the hospital and his physical development, which is normal. The paper explains that, in the hospital, the child, called 'Jack', played with age-appropriate toys in the room and appears to have no significant developmental delays. Jack was initially somewhat hesitant to be far from his mother in the hospital setting but soon became comfortable in the room and with the staff. The paper relates his play behavior after the surgery.
From the Paper
"The staff provided some coloring books and paper for Jack once he was confined to his bed in preparation for surgery. Jack appeared to be able to manage crayons without difficulty and easily wrote his name in block capital letters which were easy to read. When asked to draw some pictures of his mother and his pet cat he made a half-hearted attempt to draw some stick figures without significant detail. This was felt to represent disinterest with the project rather than lack of motor skills."
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Artificial Hydration and Nutrition, 2005.
Examines the medical and ethical issues of AHN from a nursing perspective.
3,119 words (approx. 12.5 pages), 8 sources, APA, $ 90.95
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Abstract
Artificial hydration and nutrition (AHN) in the elderly and infirm can act as a way to sustain life. IV lines, as well as feeding tubes, are common examples of AHN treatment that are used as tools to prolong death. Questions arise as to when it is ethical to insert feeding tubes not only in the elderly, but also for those who are unable to swallow adequately enough to maintain the nutrition needed to survive. When looking at this issue, there are religious and spiritual concerns that are involved. This paper explores these concerns and researches the general use of feeding tubes from a nursing perspective.
From the Paper
"The issue of Artificial Nutrition and Hydration will most likely be debated for years to come. The most important lesson to be learned is that nurses must value the opinion and beliefs of others. At the same time, nurses will have their own opinions and values. However, the duty of a nurse is to put personal values aside and use societal values while practicing. Hospital regulations and state laws will give the nurse the directions on how to act when a patient is in need of AHN treatment. At that point, the only ethical decision would be to follow orders from the top of the hierarchy. It is completely beneficial to the nurse to understand the controversy and the issue so they can empathize with those on both sides. By understanding the pros and cons of AHN treatment, the nurse can better equip the family of the ill to make a fully informed decision on what treatment is best for their situation."
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