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"Hennessy, Kathryn"
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Scientists : who changed history
Explore the lives and achievements of more than 85 of the world's most inspirational and influential scientists with this innovative and boldly graphic biography-led book.The second title in DK's new illustrated biography series, Scientists Who Changed History profiles trailblazing individuals from Greek mathematicians, such as Archimedes and.
eBook
Car : the definitive visual history of the automobile
Traces the history of the automobile, from technological developments and manufacturers to the changing cultural backdrop of various models, and features photographs of the most noted cars of each decade.
Book
Fashion : the definitive visual guide
\"Learn all about fashion's trailblazers and trendsetters in this boldly illustrated, definitive guide that charts style from the late 19th century to the modern day.\"--Provided by publisher.
Book
Books: Home Health Care Nursing
Kathryn Hennessy reviews \"Home Health Care Nursing: Concepts and Practice,\" by Sarah B. Keating and Glenda B. Kelman.
Book Review
HHNK dehydration
One potentially serious complication associated with total parenteral nutrition (TPN) is hyperosmolar, hyperglycemic, nonketotic (HHNK) dehydration, which, when untreated, has a mortality rate of about 40%. Typical TPN solutions consist of 500 cc of 50% dextrose and 500 cc of 8.5% crystalline amino acids (sugar for caloric needs; amino acids for tissue repletion and wound healing). Patients with severe stress, malnutrition, septicemia, diabetes, and the elderly often can't tolerate this amount of glucose. The pathophysiology is described. Treatment includes intravenous administration of insulin and rapid fluid replacement using one-half normal saline with 10-20 milliequivalents potassium per liter, administered at about 250 cc/hour. Careful monitoring of TPN patients can prevent HHNK. Monitor fluid loss (weigh patients daily), evaluate intake and output of fluids, check serum and urine glucose values, and test urine for specific gravity every 8 hours. (kbc)
Journal Article
Clinical Pathways in Home Nutrition Support
In home-care settings, physicians with various medical specialties may order home enteral and/or parenteral nutrition support. Clinical pathways may be used to provide a clear, concise, standardized method for ordering and monitoring home nutrition support. The clinical pathways should be appropriate for 80% of the patients placed on the pathways, allowing for a 20% variance, or deviation, from the pathway. In one home-care facility, disease-specific clinical pathways have been used for longer than 1 year for patients with a variety of diseases requiring home nutrition support. To determine the usefulness of the home nutrition support clinical pathways, data obtained from 20 patients were analyzed. Patients were followed up while being treated using home nutrition support clinical pathways designed for oncology (9 patients), human immunodeficiency virus/acquired immunodeficiency syndrome (2 patients), short bowel syndrome (6 patients), and hyperemesis (3 patients) for 191 weeks. Overall, an average variance (deviation from the pathway) of 22% (the number of variances divided by the total weeks of therapy) was observed. The use of the pathways to provide enteral or parenteral nutrition facilitated more cost-effective care by following pathway guidelines for obtaining laboratory values and patient visits. Communication between the home-care staff and the physician was also improved. Clinical pathways can enable standardization of care for patients receiving nutrition support at home.
Journal Article