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Issue 26 - 10 August 2012

Books Available for borrowing

The following books are held by the NZNO library and can be borrowed by members for 4 weeks.

1/ Dosage calculations made incredibly easy
4th edition, Published in 2010

Now in its Fourth Edition, Dosage Calculations Made Incredibly Easy! contains everything health care practitioners need to review and students need to learn about calculating drug dosages. This entertaining and informative reference reviews the basic math needed to perform dosage calculation, including fractions, decimals, percentages, ratios, and proportions. It walks the nurse through the interpretation of hundreds of examples of drug orders and the performance of hundreds of complex dosage calculations, and provides information on deciphering difficult abbreviations, dealing with unclear handwriting, reading medication labels, selecting administration equipment, and more. Special elements found throughout the book make it easy to remember key points

2/ Ethics and Issues in Contemporary Nursing
By Margaret A. Burkhardt and Alvita Nathaniel
3rd edition, 2007

Students and professionals alike have utilized this dynamic resource to apply legal and ethical decision making to the complex issues affecting their practice. Now, this highly praised text has been updated to include the latest trends, principles, theories, and models that serve as guides for ethically sound behavior in contemporary nursing care. With real world examples like Hurricane Katrina and the Schiavo case, chapter concepts are naturally applied to the practice setting. Critical thinking examples and exercises challenge you through self-reflection. Considering the complexities created by scientific and technological advances, client diversity, and various practice settings, this text emphasizes the importance of moral action in personal and professional situations.

3. Ethics in Nursing Practice
By Sara Fry & Megan-Jane Johnstone
3rd edition, 2008
Every day nurses are required to make ethical decisions in the course of caring for their patients. Ethics in Nursing Practice provides the background necessary to understand ethical decision making and its implications for patient care. The authors focus on the individual nurse’s responsibilities, as well as considering the wider issues affecting patients, colleagues and society as a whole.This third edition is fully updated, and takes into account recent changes in ICN position statements, WHO documents, as well as addressing current issues in healthcare, such as providing for the health and care needs of refugees and asylum seekers, bioethics and the enforcement of nursing codes.

4. Living with Illness: Psychosocial Challenges
By Cath Rogers-Clark
Published in 2005

This book focuses on developing and strengthening understanding of the illness experience. It encourages students to critically appraise conventional approaches to understanding and caring for those who are ill, to empower readers to off true holistic care and to, where appropriate, change nursing practice in light of current research findings. Traditionally nurses have drawn on knowledge from sociology and psychology as two separate but related disciplines to nursing, leaving the beginning level nurse to relate, integrate and translate knowledge gained into nursing practice. Living with Illness combines, in a unique way, sociological and psychological perspectives to creatively represent psychosocial knowledge that is innovative and directly applicable to contemporary nursing practice.

5. Managing Mayhem: Work-Life balance
Edited by Marilyn Waring & Christa Fouche
Published in 2007

This book brings together research that reveals complexities and nuances that people grapple with as they seek to balance paid work, unpaid work and leisure in a way that maintains their quality of life

6.  Transforming Communication: Leading Edge Professional and Personal Skills
by Richard Bolstad
2nd edition, Published 2004

The author combines his knowledge and experience as a communication educator and trainer, to show how a wide range of skills, including Neuro Linguistic Programming (NLP) can be applied to create effective communication.

Articles on Infusion Therapy

7. Infusion therapy part one: minimising the risks
By Gabriel, Janice. Nursing Standard. 4/9/2008, Vol. 22
Issue 31: p51-56
The role of the nurse in infusion therapy has evolved with advances in vascular access technology and the variety of infusion devices available. With increasing numbers of patients requiring vascular access for a range of parenteral therapies, nursing staff need to demonstrate an understanding of the range and management of vascular access devices (VADs) and the clinical indications for individual devices. This article, the first of two, provides information on the type of VADs available and emphasises the importance of patient assessment to ensure safe, reliable and high-quality care for individual patients. The second part, to be published next week, examines some of the common complications associated with infusion therapy and identifies preventive measures. [ABSTRACT FROM AUTHOR].

8. Infusion therapy part two: prevention and management of complications. (cover story)
By Gabriel, Janice. Nursing Standard. 4/16/2008, Vol. 22
Issue 32: p41-48
: In the second of two articles, the author identifies common complications associated with intravenous (IV) therapy and discusses preventive measures. Part one, published last week, provided an overview of IV therapy and the types of vascular access devices available. [ABSTRACT FROM AUTHOR].

9. Recurrent Cellulitis Associated with Long-Term Intrathecal Opioid Infusion Therapy: A Case Report and Review of the Literature
By Xiulu Ruan; HaiNan Liu; Couch, J. Patrick; Wang, Frank; Chiravuri, Srinivas. Pain Medicine. Jun 2010, Vol. 11
Issue 6: p972-976
: Lower-limb edema is recognized as an untoward side effect of intrathecal opioid therapy. Cellulitis, an acute, spreading pyogenic inflammation of the dermis and subcutaneous tissue, predisposed by persistent leg edema, can become problematic in patients on intraspinal opioid infusion therapy.
Objective. To present a case of recurrent cellulitis in an elderly lady with persistent leg edema associated with intrathecal morphine/hydromorphone infusion therapy.
Case Report. Sixty-one-year-old woman with intractable chronic low back pain and bilateral leg pain treated with an intrathecal infusion of morphine up to 5 mg/day over 3 months with satisfactory pain control developed progressive lower extremity edema, complicated by recurrent cellulitis, requiring repeated hospitalization and intravenous antibiotic treatment. Switching to intrathecal hydromorphone helped minimally. Intrathecal baclofen and clonidine infusion resulted in complete resolution of leg edema and pain relief over the following 12 months
Conclusion. Intrathecal Baclofen and Clonidine may be used as alternatives to provide spinally mediated antinociception when intraspinal opioid fails due to pharmacological side effects such as persistent edema. [ABSTRACT FROM AUTHOR].

10. Predictors of glycaemic control in patients with Type 1 diabetes commencing continuous subcutaneous insulin infusion therapy
By Shalitin, S.; Gil, M.; Nimri, R.; de Vries, L.; Gavan, M. Y.; Phillip, M. Diabetic Medicine. Mar 2010, Vol. 27 Issue 3: p339-347
Diabet. Med. 27, 339–347 (2010) Aims To identify variables that predict glycaemic control in Type 1 diabetic patients switched to a continuous subcutaneous insulin infusion (CSII) regimen, in order to improve patient selection for this treatment.
Methods The notes of 421 Type 1 diabetic patients aged 2.6–39.8 years (median 19.4) who initiated CSII treatment in 1998–2007 and used it for = 1 year were reviewed. Details about their background and disease-related and treatment-related variables were recorded. At pump initiation, the mean age was 15.9 ± 7.2 years, mean diabetes duration 6.4 ± 5.8 years. Mean time of CSII use was 4.1 ± 2.1 years. Good glycaemic control was defined by glycated haemoglobin (HbA1c) stratified by age (American Diabetes Association target levels). Improvement in glycaemic control was defined as a reduction of = 0.5% in HbA1c from baseline. The change in the rate of severe hypoglycaemic or diabetic ketoacidosis events was also determined.
Results There was a significant sustained decrease in HbA1c with CSII for an average of 6 years, without increased rates of hypoglycaemia. Achievement of target HbA1c was significantly associated with the following parameters at pump initiation: lower HbA1c ( P < 0.001), younger age (< 12 years), shorter diabetes duration ( P < 0.001) and more frequent daily self blood glucose monitoring (SBGM) ( P < 0.01). Improved glycaemic control was associated with longer CSII use ( P = 0.032) and higher HbA1c at CSII initiation ( P < 0.001).
Conclusions Switching patients to CSII resulted in sustained decrease in HbA1c and improved glycaemic control in patients with high HbA1c. Young age, frequent SBGM and lower HbA1c at pump initiation were identified as predictors of achieving glycaemic targets with CSII. [ABSTRACT FROM AUTHOR].

11. Optimal infusion therapy? Overcome occlusions
By Rosenthal, Kelli. Nursing Management. Feb 2002, Vol. 33 Issue 2: p49-50
Discusses the importance for nurses to identify, prevent or manage the etiology of central vascular access device (CVAD) occlusions to promote better treatment outcomes, shorter hospital stays and reduced care costs. Access of nurses to CVAD; Classification of CVAD occlusions; Technique in managing total occlusion; Best means of managing CVAD occlusion..

Journal - Table of Contents

12. From Primary Health Care (RCN) - Volume 22, Issue 4,
May 2012
Hearing loss: a health problem for all ages
12B. Compassion in practice nursing
12C. How to improve primary care by using significant event audit
12D. The management of caseloads in district nursing services

13.  From Primary Health Care (RCN) - Volume 22, Issue 5,
June 2012
Nurses can help prevent antibiotic resistance
13B. How parental substance misuse affects children’s wellbeing
13C. Recognition and management of pyoderma gangrenosum
13D. Asthma update: recommendations for diagnosis, treatment and management

News - National

14. PHA News - March 2012
Includes the following articles:

- What has the PHA been doing for you
- Ten years at the helm: A farewell to Gay Keating
- Who gains from a Trans-Pacific Partnership Agreement?

15. Diabetes decision 'treats Kiwis like lab rats'
Stuff - 9 Aug, 2012

NZ First has accused Pharmac of treating vulnerable people like "lab rats" after the Government's drug buying agency switched to a sole provider for diabetes equipment. Pharmac yesterday announced diabetics would be limited to three types of subsidised glucose-testing meters, which along with testing strips, would be sourced from Korean supplier CareSens

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