Caring for families: double binds in neuroscience nursing.
Authors: Yetman L Abstract Despite the proliferation of literature related to nurse-family relationships, little is known about such relationships in acute care neuroscience environments. A grounded theory study illuminated the experiences of nurses caring for families of patients with acquired brain injuries in the context of acute care hospital environments. Nurses, working in pressure-cooker-like environments, tried to meet information and emotional needs of families. During data analysis, a communication pattern emerged that impacted on nurses' experiences and relationships with families. This communic...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

The efficacy of 5-HT3 receptor antagonists for the prevention of postoperative vomiting following craniotomy: two studies in children and young adults.
Authors: Neufeld SM, Newburn-Cook CV Abstract The purpose of this meta-analysis was to estimate the efficacy of prophylactic administration of 5-HT3 receptor antagonists for postoperative vomiting (POV) in pediatric craniotomy patients at 24 hours. By updating a previously published systematic literature search, we found a recently published pediatric study to combine with the one already identified. The two published randomized placebo-controlled trials were combined for a total of 135 participants aged 2 to 20 (79 treatment and 56 controls). The only study drug was ondansetron. The combined relative risk...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Using the Human Response to Illness Model to assess altered level of consciousness in patients with subdural hematomas.
Authors: Nesbitt J, Sawatzky JA Abstract Head injuries are the leading cause of trauma mortality and account for nearly half of all deaths related to trauma injuries. Patients who present with subdural hematomas are at risk for initial damage to the brain, as well as for subsequent brain damage related to re-bleed, ischemia or cerebral edema. These injuries can be acute or chronic in nature, and may be manifested in the patient as an altered level of consciousness. Skilled nursing assessment of altered level of consciousness leads to early nursing and medical intervention, which, in turn, can improve patie...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

A pediatric experience with endoscopic third ventriculostomy for hydrocephalus.
Authors: Bullivant KJ, Hader W, Hamilton M Abstract Pediatric neuroscience nurses deal with many children with hydrocephalus. This paper will provide a review of hydrocephalus with a specific focus on third ventriculostomy. Endoscopic third ventriculostomy (ETV) is an accepted treatment option for patients with obstructive hydrocephalus. At the Alberta Children's Hospital in Calgary, Alberta, we have been performing ETV for 15 years. This experience has helped us better understand the complications and benefits of ETV. The author will provide data on the complications specific to ETV in pediatric patients ...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Back to life again--patients' experiences of hope three to four years after a spinal cord injury--a longitudinal study.
This study has a descriptive, longitudinal design, and is part of a larger study on patients' experiences of hope three to four years following spinal cord injury (Lohne, 2001, 2006, 2008a, 2008b; Lohne & Severinsson, 2004a, 2004b, 2005, 2006). Data were collected at three points in time by personal interviews. A phenomenological approach inspired by Ricoeur (1976) was used to extract the meaningful content of the patients' experiences. Findings revealed three main themes: Life-related hopes (I), Body-related hopes (II), and Creative and expanding hopes (III). Results indicated that three to four years following injury...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Midline location of tumour is a risk factor for postoperative vomiting in children requiring posterior fossa tumour resection.
Authors: Neufeld S, Dundon B, Yu H, Newburn-Cook C, Drummond J Abstract Children requiring posterior fossa brain tumour surgery form a unique and significant neuro-oncology population. Postoperative vomiting (POV) is a problem for these children. Also, severe vomiting that is refractory to treatment has been seen clinically in these children, but it is not well described in the literature. A subgroup of children requiring surgery for posterior fossa brain tumours (n=153) from a larger six-year retrospective chart audit (n=249) at two Canadian children's hospitals were reviewed for the presence of no, mild,...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Mary Glover Lecture presented at the CANN Conference, Halifax, N.S., June 2009.
Authors: McKenna FN PMID: 19757745 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Intrathecal baclofen and pregnancy: implications for clinical care.
Authors: DeVries-Rizzo M, Warren D, Delaney G, Levin S, Campbell C, DeRibaupierre S Abstract Pregnancy in patients with intrathecal baclofen (ITB) pumps is rare. To our knowledge, only five reported cases of pregnancy exist in the literature. Thus, there is little experience to inform health care practitioners about the maternal and fetal safety of ITB or its efficacy throughout pregnancy. There are no reports of a pregnant female with an implanted ITB pump having a spontaneous, vaginal delivery at term. As far as we know, this is the first case described in the literature. Additionally, current literature...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Neurofibromatosis 2--a family journey.
Authors: Clarke L Abstract Neurofibromatosis 2 (NF2) is a complex autosomal dominant genetic disorder, now recognized to occur as a result of a mutation on chromosome 22. It is estimated to affect one in every 40,000 individuals worldwide. NF2's clinical manifestations of bilateral vestibular schwannomas and multiple other nervous system tumours have far-reaching implications for patients and families diagnosed with this challenging disorder. Management of these families should occur at specialty centres with the ability to provide treatment of these tumours, if necessary, as well as to have access to gene...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Maternal coping and adaptation: A case study examination of chronic sorrow in caring for an adolescent with a progressive neurodegenerative disease.
Authors: Bettle AM, Latimer MA Abstract A single case study approach was used to examine the maternal experience of chronic sorrow in caring for an adolescent with a progressive neurodegenerative condition. A family systems model was used to examine maternal coping and adaptation. A diagnosis of a childhood neurodegenerative illness will inevitably result in periods of deterioration, increased physical, financial and health care needs. These periods of increased demands result in a build-up of stressors over time. During these different transitions, maternal coping and adaptation have been recognized as im...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Patient awareness of seizures as documented in the epilepsy monitoring unit.
Authors: Poochikian-Sarkissian S, Tai P, del Campo M, Andrade DM, Carlen PL, Valiante T, Wennberg RA Abstract Treatment for epilepsy depends largely on seizure frequency reported by patients through their seizure diaries. However, patients may be unaware of some of their seizures, which may lead to incomplete diary data, impacting on appropriate treatment plans. The purpose of this study was to quantify awareness of seizures in patients admitted to an epilepsy monitoring unit through post event assessments by registered nurses. Results indicated that only 44.5% of complex partial and secondarily generalize...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Sleep disturbance in Parkinson's disease: a human response to illness.
Authors: Wells T, Sawatzky JA, McMillan DE Abstract Parkinson's Disease (PD) is a progressive neurodegenerative movement disorder. Although PD is diagnosed and recognized by the associated motor symptoms, historically the associated non-motor symptoms have been clinically under-appreciated. One of the most distressing of the non-motor symptoms is a sleep-wake pattern disturbance, estimated to affect more than 60% of people living with PD. A review of the literature utilizing the Human Response to Illness Model as an organizing framework will facilitate a comprehensive understanding of the far-reaching impa...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Supportive care needs of caregivers of individuals following stroke: a synopsis of research.
Authors: MacIsaac L, Harrison MB, Godfrey C Abstract Approximately 75% of stroke survivors are discharged from hospital to the community with varying degrees of residual neurological deficits (Heart & Stroke Foundation of Ontario, 2003). As a part of a masters' thesis, a systematic review was conducted to synthesize the research related to the identification of family needs during the acute phase of stroke in order to facilitate successful transition into the role of caregiver. Relevant articles were identified using: CINAHL, MEDLINE, All EBM Reviews, Psych Info, Embase, and AARP Ageline (1978 to Decem...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Development of clinical practice guidelines for patient management of blood pressure instability in multiple system atrophy, Parkinson's disease, and other neurological disorders.
Authors: Viscomi P, Jeffrey J Abstract Multiple system atrophy (MSA) is a progressive, neurodegenerative disorder. Among its range of multisystem dysfunctions, manifestation of highly unstable blood pressure (BP) is often a primary clinical concern for practitioners and patients. The ability to manage BP instability has important implications ranging from patient comfort, safety, and choice of treatments to the incidental demands placed on a strained health care system. Many conditions require that patients monitor their BP, yet no guidelines are available for patients with MSA who have similar needs. Util...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Quality of life and caregiver outcomes following decompressive hemicraniectomy for severe stroke: a narrative literature review.
CONCLUSION: Most patients and caregivers in the studies reviewed agreed with the original decision to undergo DHC and would make the same decision again. However, little is known about quality of life for both patients and caregivers and caregiver burden over the long-term post-surgery. Further research is needed to generate information and interventions for the management of ongoing patient and carer recovery following DHC for severe stroke. PMID: 20533642 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research