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Changes and Challenges in Surgical Nursing
Changes and Challenges in Surgical Nursi...ng
Nursing Lecture
Added: 16/10/2017
The nature of surgical procedures today and the increasing co-morbidity of patients are just some of the impacts on surgical nursing practice. Sue Querruel says that surgical patients are more comple...x than ever, presenting unique challenges for nurses working in this speciality.
The Challenge - Acute on Chronic Pain
The Challenge - Acute on Chronic Pain
Nursing Lecture
Added: 09/10/2017
Sue Querruel says that acute pain management for surgical patients who experience chronic pain can be a challenge for many nurses. In this session, learn about the treatment and best practice assessme...nt that will enable you to tackle this challenge head on.
Surgical Nursing- What's Old is New Again
Surgical Nursing- What's Old is New Agai...n
Nursing Lecture
Added: 02/10/2017
As surgical units become busier and more complex than ever, how do we meet these challenges and keep up with the need to provide care for increasingly complex patients? What is old that can become new... again?
The Dermatologist's Perspective
eChapter
Added: 28/02/2013
It is increasingly common for gynaecologists and dermatologists to work in partnership in the diagnosis and management of diseases of the vulva and vagina. This is because understanding the funda...mentals of dermatology applicable to the vulva and vagina has repeatedly been shown to be a valuable adjunct to the rationalisation of diagnosis, classification, investigation and management of disease. This eChapter describes these fundamentals in detail, describes the common dermatological conditions of the vulva, and provides guidance regarding contemporary treatment options. The eChapter begins by describing the scope of concern for dermatologists, and breaks the skin down into three distinct components: the epidermis, comprised of keratinocytes, melanocytes and Langerhans’ cells; the Dermis, comprised of the upper papillary dermis and the reticular dermis and the Basement Membrane Zone. The importance of obtaining a correct dermatological history is emphasised, and the author then progresses to discuss the interpretation of the macroscopic pathology of the skin of the vulva. How disease affects the functions of the various components of the vulval skin is then reviewed, with specific emphasis placed upon alterations in keratinocyte function, oedema of the dermis and coagulation of tissue fluid, and how these may be manifest in clinical signs such as surface scale, blisters, ulcers, scaly skin and crust. This discussion is then extended to include an overview of the processes that lay behind such diseases as erythema, wheals, lichenification, erythemato-squamous lesions, hypo-pigmentation, atrophy blisters, and ulcers. The chapter concludes by providing guidelines for treatment options, including non-pharmacological approaches such as saline soaks and lubricant creams, and pharmacological options such as corticosteroids in their various forms. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vagina Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
The Basics
eChapter
Added: 28/02/2013
This richly illustrated eChapter provides an overview of the anatomy, histology and microbiology of the female genital tract. Including sections on embryology, illustrated anatomy, histology, and the ...non-epithelial cells and hormone receptors of the vulva, the eChapter serves as an excellent primer or reference for both those wishing to refresh their knowledge of the female genital region, and those wishing to explore the other eChapters of the Vulva and Vaginal Manual. The author begins by reviewing the embryonic development of the gonads, genital tract and the indifferent and definitive female external genitalia. This is followed by a detailed description of the anatomy of the vulva, and, using a clearly marked illustration, the location and appearance of the main anatomical features of the Vulva are described, including the clitoris, labia minora and majora, vestibule, hymen, urethral meatus, fossa navicularis and much, much more. The subsequent section also employs several colour photographs to aid description of the different histological regions of the vulva, including: The hair bearing skin of the outer aspect of the labia majora, mons and perineum The hairless skin of the labia majora, labia minora, prepuce and frenulum of the clitoris and fourchette The vestibule The clitoris Mucous glands Following this, the author provides an extended review of the non-epithelial cells and hormone receptors of the vulva, which include lymphocytes, Langerhan’s cells, melanocytes, Merkel and Toker cells, and concludes the section with a brief description of vaginal histology. The eChapter concludes with a section on vaginal ecology, listing the resident microscopic flora of the healthy vagina. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
Endocrine and Metabolic Disorders and Di...sorders of Pigmentation
eChapter
Added: 28/02/2013
This eChapter is part of the Vulva and Vaginal Manual, and draws together two important areas associated with the treatment of diseases of the vulva and vagina: diseases cause by endocrine and metabol...ic disorders, and diseases caused by disorders of pigmentation. A range of disorders are described, including their clinical features, diagnosis and treatment, and this illustrated eChapter will be a valuable resource for anyone wishing to refresh their knowledge of this complex aspect of women’s health. The author begins by describing the clinical features, diagnosis and treatment of both disorders of excess estrogen and estrogen deficiency, including precocious puberty. Adrenocortical syndromes (such as Addison’s disease), iatrogenic virilisation and the glucagonoma syndromes are also examined, with photographs provided to illustrate key characteristics of the disorders. The author then progresses to discuss Acanthosis nigricans (AN), with particular emphasis on its pathology. Disorders such as dermatitis eneteropathica that are mediated by zinc deficiency are then reviewed, as are amyloidosis and ligneous vagainits, with both topics supported by copious photographs of related histopathology. The eChapter then covers calcinosis, verruciform xanthoma and hypopigmentation before progressing to vitiligo, which affects about 1% of the population and has generally has a familial lineage. The eChapter concludes with an illustrated description of hyperpigmentation, or, as it is referred to by gynecologists, pigment incontinence. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
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