Journal of clinical nursing
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Randomized Controlled Trial
The effect of preoperative fasting on postoperative thirst, hunger and oral intake in paediatric ambulatory tonsillectomy.
The aim of this prospective study was to examine whether preoperative face-to-face counselling about a child's fasting and active preoperative nutrition have an effect on thirst, hunger and postoperative oral intake in paediatric ambulatory tonsillectomy. Families, whose child was admitted for ambulatory tonsillectomy, participated in the study (n = 116; 58/58). ⋯ Clinical practice should take the child's perioperative fasting into account in a more accurate way in preoperative counselling of the parents.
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This study identified risk factors for pressure ulcer development early in the admission stage to determine what appropriate interventions might be conducted early in the admission stage to decrease the risk of pressure ulcer development. ⋯ These patients admitted directly to ICU or HCU were in a high risk group, further preventive strategies will be required.
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The aim of the study was to investigate the phenomenon of Advance Care Planning and the use of Advance Care Directives in residential aged care facilities in Australia. The objectives were to: investigate the implementation process of Advance Care Planning and the use of Advance Care Directives; investigate the outcomes of Advance Care Planning and experiences of people involved in Advance Care Planning and Advance Care Directives, including residents, families and nursing staff. ⋯ The case study identified four determinative requisites for successful implementation of Advance Care Planning in aged care facilities: the expert nurse, discussion, education and involvement of a multidisciplinary team. Nurses should take these factors into account and use person-centred approach in formalised processes to encourage participation in plans for end-of-life care.
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To understand the challenges older people living with end-stage kidney disease and home haemodialysis face in their everyday life. ⋯ Knowledge from the study may contribute to the development of patient-care partnerships that facilitate and promote independence for older people being treated for chronic illnesses.
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To evaluate the usefulness of registered nurses' (RNs) and nursing assistants' (NAs) pain report among 304 institutional older people with dementia and elucidate the factors influencing the agreement of pain reports within dyadic assessors. ⋯ Pain inquiry and behavioural observation should be performed routinely as the fifth vital sign for developing effective care plans. Institutional caregivers should be used as alternative or complementary informants for assessing pain in older people with dementia.