Pleural effusion: Nursing care challenge in the elderly (CE)

Wing, Sharon

doi:10.1016/j.gerinurse.2004.09.016

Cited by 6 publications

(4 citation statements)

References 2 publications

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“…These phenomena presumably have occurred in this subset of patients, who after surgery presumably decompensated. 23 The development of pleural effusion should be underestimated since it is associated with increased mortality rates ranging between 25% and 57%. 24 Therefore, older patients with poor baseline reserve should be closely monitored after a surgical procedure, even when placed in the ICU, to prevent such complications that might lead to death…”

Section: Discussionmentioning

confidence: 99%

Intradural Extramedullary Pyogenic Abscess: Incidence, Management, and Clinical Outcomes in 45 Patients With a Mean Follow Up of 2 Years

Lenga

Fedorko

Gülec³

et al. 2023

Global Spine Journal

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Study Design Retrospective review Objectives Spinal intradural extramedullary abscess (SIEA) is a rare disease with an unknown incidence. In this study, we systematically described the clinical course of SIEA in a large cohort with acute onset of neurological illness, assessed the morbidity and mortality rates, and determined the potential risk factors for mortality. Methods Electronic medical records of patients diagnosed with SIEA at a single institution for the period between September 2005 and December 2020 were retrieved. Results Over a period of 15 years, 881 patients with spinal infections were treated either conservatively or surgically at our center, of whom 45 patients (45/881, 5.1%) had SIEA. The overall mean age was 69.6 ± 5.6 years of patients diagnosed with SIEA and all of them underwent posterior decompression via laminectomy. The mean Charlson Comorbidity Index (CCI) was 6.9 ± 2.5, indicating a poor baseline reserve. Progressive neurological decline was observed in all patients (mean motor score, 88.6 ± 9.7). The in-hospital rate and 90-day mortality were 4.4% and 10%, respectively. Mortality was not surgery related. Most importantly, the patients’ motor deficits and blood infection parameters significantly improved after surgery. Risk factors for mortality were increased age, comorbidities as measured by CCI, and preoperative motor weakness (MS). Conclusions Immediate surgical decompression via laminectomy, with antiseptic irrigation and drainage of the subdural space, followed by antibiotic therapy, appears to be the key to ensuring beneficial clinical outcomes to treatment of rare diseases such as SIEA.

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Section: Discussionmentioning

confidence: 99%

Intradural Extramedullary Pyogenic Abscess: Incidence, Management, and Clinical Outcomes in 45 Patients With a Mean Follow Up of 2 Years

Lenga

Fedorko

Gülec³

et al. 2023

Global Spine Journal

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“…Physiotherapy has been proposed by some authors 32-34 as part of the treatment of a pleural effusion regardless of the etiology. In fact, various studies 33,34 have suggested that patients with pleural effusion should be included in a respiratory physiotherapy programme as early as possible.…”

Section: Discussionmentioning

confidence: 99%

“…9,10,29,30 The general aim of a physiotherapy programme in critical areas is to apply advanced and cost-effective therapeutic modalities, decrease the dependence of patients, improve residual function, reduce the risk of new hospitalization and improve the quality of life. 31 Physiotherapy has been proposed by some authors [32][33][34] as part of the treatment of a pleural effusion regardless of the etiology. In fact, various studies 33,34 have suggested that patients with pleural effusion should be included in a respiratory physiotherapy programme as early as possible.…”

Section: Discussionmentioning

confidence: 99%

The effects of a physiotherapy programme on patients with a pleural effusion: a randomized controlled trial

et al. 2014

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“…Besides, over the past 6 years, significant efforts have been made to ensure the geriatric competence of all students who have graduated from the nursing program. According to the authors, the student training program has significantly improved its curricula [39]. For 35 years, nursing has been focused on meeting the needs of the elderly, striving to train a cadre of advanced specialists-geriatric nurses.…”

mentioning

confidence: 99%

Modern Aspects of the Organization of Nursing Care to Ensure the Quality of Life and Health of Elderly Patients

ISENOVA,

AIMBETOVA

2023

Farmaciâ Kazahstana

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Currently, the country is actively undergoing health care reform, its modernization. Nursing is the most important component of the healthcare system, which has significant human resources and real potential opportunities for reforms in market conditions. Trends in the development of nursing significantly strengthen the role of the nurse in the modern healthcare system. Initially, the nurse belonged to the average medical staff, was considered a doctor’s assistant and provided nursing care as prescribed by a doctor. Currently, modern theories of nursing, based on a scientific approach and evidence-based practices, represent a nurse as an equal partner of a doctor who makes independent nursing decisions, plans and carries out evidence-based nursing care, reflecting it in nursing documentation. Now the partnership of a doctor and a nurse is that a doctor provides medical care to a patient, and a nurse provides nursing care, working within a multiprofessional team of healthcare professionals to improve the effectiveness of the quality of medical care at all levels of the healthcare system.

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Pleural effusion: Nursing care challenge in the elderly (CE)

Cited by 6 publications

References 2 publications

Intradural Extramedullary Pyogenic Abscess: Incidence, Management, and Clinical Outcomes in 45 Patients With a Mean Follow Up of 2 Years

Intradural Extramedullary Pyogenic Abscess: Incidence, Management, and Clinical Outcomes in 45 Patients With a Mean Follow Up of 2 Years

The effects of a physiotherapy programme on patients with a pleural effusion: a randomized controlled trial

Modern Aspects of the Organization of Nursing Care to Ensure the Quality of Life and Health of Elderly Patients

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