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An ongoing concern: Helping children comprehend death 被引量:3
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作者 Sandra L. McGuire Logan S. McCarthy mary anne modrcin 《Open Journal of Nursing》 2013年第3期307-313,共7页
This article addresses the need for anticipatory guidance about death and death education with young children. Children often experience the death of an immediate family member before the age of ten. This number incre... This article addresses the need for anticipatory guidance about death and death education with young children. Children often experience the death of an immediate family member before the age of ten. This number increases if one considers the loss of friends, pets, and other loved ones. However, children experience a death with little or no anticipatory guidance or knowledge about death. Anticipatory guidance can assist the child in having a better understanding of a death when it occurs. Talking about death with children can be difficult for adults. However, it is important to address the topic and realize the impact anticipatory guidance in relation to death can have in assisting with childhood bereavement, anticipatory grief, and anticipatory adaptation. By providing anticipatory education related to death symptoms such as grief, anger, and/or fear, regressive or aggressive behaviors can be prevented or lessened when a death occurs. Age appropriate developmental levels for understanding the concept of death, resources for death education, and literature that can be used for death education are presented. Any resource used for death education with children should be carefully reviewed by the adult for its appropriateness prior to its use. 展开更多
关键词 CHILDREN DEATH EDUCATION Anticipatory GUIDANCE
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Pressure Ulcer Prevention: Effectiveness of Heel Off-Loading Methodologies
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作者 Christopher C. Griffin Tammy Dean +1 位作者 Jonathan M. Cayce mary anne modrcin 《Open Journal of Nursing》 2015年第10期909-916,共8页
Skin integrity breakdown and pressure ulcer formation on the heel are predictable and preventable healthcare occurrences. By minimizing surface contact pressures that can cause heel capillary occlusion, heel off-loadi... Skin integrity breakdown and pressure ulcer formation on the heel are predictable and preventable healthcare occurrences. By minimizing surface contact pressures that can cause heel capillary occlusion, heel off-loading devices help mitigate the risk of decubitus ulceration. The purpose of this study is to investigate the efficacy of six off-loading methods commonly used in clinical settings to decrease heel contact pressure. Pressure mapping is used to evaluate contact pressure at the heel for underweight, normal weight, and overweight simulations. Based upon averages across four trials, it is shown that all devices reduce heel contact pressure when compared to no off-load- ing. The PRUventor&#8482 boot exhibits significantly lower average pressure values than other off-load- ing strategies tested, suggesting that the PRUventor&#8482 is the most effective off-loading device. From the analysis of the experimental data and comparison to similar data for respective off-loading alternatives, it is concluded that the PRUventor&#8482 boot is an effective heel off-loading device for use in clinical settings. 展开更多
关键词 HEEL PRESSURE ULCER PRESSURE ULCER OFF-LOADING Devices Pruventor™ PRESSURE Mapping
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