The American journal of nursing
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A potential cause of such emergent issues as cardiac arrhythmias, hypotension, and fluid and electrolyte shifts, accidental hypothermia can be deadly, is common among trauma patients, and is often difficult to recognize. The author discusses predisposing conditions, the classic presentation, and the effects on normal thermoregulatory processes; explains how to conduct a systems assessment of the hypothermic patient; and describes crucial management strategies.
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Paper is omnipresent on hospital units, but few studies have examined the possible role of paper in the spread of nosocomial pathogens. ⋯ Paper can serve as a vehicle for cross-contamination of bacterial pathogens in medical settings if current recommendations on hand hygiene aren't meticulously followed.
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Evidence-based strategies for managing trauma and its complications in this population. ⋯ Trauma is the seventh leading cause of death in older adults. Factors that contribute to the higher rates of morbidity and mortality in geriatric trauma victims include age-related physiologic changes, a high prevalence of comorbidities, and poor physiologic reserves. Existing assessment and management standards for the care of older adults haven't been evaluated for efficacy in geriatric trauma patients, and standardized protocols for trauma management haven't been tested in older adults. Until such specific standards are developed, nurses must be guided by the relevant literature in various areas. The author reviews the mechanisms of traumatic injury in older adults, discusses the effects of aging and comorbidities, reviews assessment guidelines and prevention strategies for trauma-related complications, and outlines some evidence-based approaches for improving outcomes. An illustrative case is also provided.