Issue : May 2002
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Jennie April Walker, BSc Hons, RN, Dip CPC. Staff Nurse, Spinal Trauma and Disorders Unit, Queen’s Medical Centre, Nottingham Autonomic dysreflexia is a sudden and exaggerated autonomic response to stimuli in people with spinal cord injuries or dysfunction.
Forensic skills for nursesSubscription
Dr David Sadler, MB, ChB, FRCPath, MD.Senior Lecturer, Department of Forensic MedicineForensic medicine and forensic science, as portrayed in fiction and on television, are a source of great fascination to us all. However, in real life, the health professionals who have to deal with the victims of trauma are more likely to find forensic situations a source of considerable uncertainty and anxiety.
Dr Saras Henderson, BSc (Nursing), MEd, PhD, RN, RM. Senior Lecturer, School of Nursing and Midwifery, Curtin University of Technology, Western Australia. Dr Henderson is now on secondment as Project Officer, Scope of Nursing Practice, at the Nurses Board of Western Australia, East Perth, Western Australia The need for patients to participate in and make decisions about their care has gained consensus among health professionals in recent times (Kravitz and Melnikow, 2001).
Jennifer Kelly, MSc, BA (Hons), RN, DipN, DipNEd. Senior Lecturer, Homerton School of Health Studies, Cambridge
Sue Benton, RN, SCM.Sister, RadiologyNurses have been successfully inserting tunnelled central venous catheters (TCVCs) since 1991 and have accepted this expansion of their role in order to improve the quality of the service to patients (Hamilton, 1995).
Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice (Pearson et al, 1996). Models of nursing outline a framework for nursing care that is systematically constructed and of scientific origin (Fawcett, 1995).
Brendan Docherty, MSc, RN, PGCE. Critical Care Manager, Queen Elizabeth Hospital NHS Trust, London; and Honorary Visiting Fellow, Healthcare Research Unit, City University, London
Pauline Buchanan, BSc (Hons), RN, RM, ONC, DipN.
Pulmonary rehabilitation for patients with COPDSubscription
Anne McDermott, BA (Hons), RN, DipN.
Wound healing and potential therapeutic optionsSubscription
Andrew KingsleyCNS Infection Control and Tissue Viability, Northern Devon NHS TrustWound healing is a complex process that involves interacting cells, cytokines, enzymes, carbohydrates and proteins in cascades and sequences that are linear in character but occur seemingly simultaneously across the wound bed as different areas progress at different speeds. The process can be divided into inflammation, proliferation and maturation phases (Cox, 1993).