Patient Outcomes

Paula Erwin-Toth's picture
Patient and Provider

By Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

As summer gives way to fall, one of the first thoughts most of us have is back to school. Patients and caregivers often feel as though every day is the first day of school and they are being asked to take the final exam before they have learned anything. Learner readiness is the cornerstone of an effective teaching/learning process.

Diana Gallagher's picture
Ostomy

By Diana L. Gallagher MS, RN, CWOCN, CFCN

As a CWOCN® (Certified Wound Ostomy Continence Nurse), I have always been surprised that not everyone shared my passion about caring for and about ostomy patients. Ostomy management is one of my chosen specialties. Parents love each of their children and should not have a favorite. Managing multiple specialties is a lot like being a parent. I love each of my specialties for different reasons but, if I were forced to choose only one, caring for ostomy patients would be the winner.

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Ron Sherman's picture
perspective

By Ron Sherman MD, MSC, DTM&H

Several months back, I suggested that we could better understand our patients' actions (for example, why patients do not adhere to their treatment plans) by looking at the situation from the patient's perspective. What I failed to discuss – largely because it is a topic worthy of its own discussion – is the fact that one of the best ways we can see the world from someone else's perspective is to ask that person to share their view with us.

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Margaret Heale's picture
open door

By Margaret Heale, RN, MSc, CWOCN

People can be open with few secrets and little to hide but even then there are behaviors, memories, hopes, fears and desires that are not revealed. We have a right to be in control of this part of ourselves and the flesh that encompasses it. Such control is part of the freedom we covet as a nation.

Bruce Ruben's picture
doctor and patient

By Bruce E. Ruben MD

Life is a bunch of pivotal moments that move you on to the next phase. Like the moment you realize you're no longer a child. Or the moment it becomes clear that you have to change jobs. Later on, it's when you admit you can no longer maintain your home. And for many of us, there will be the moment you come to grips with the fact that you can no longer care for yourself without help.

Margaret Heale's picture
Holding hands

By Margaret Heale, RN, MSc, CWOCN

Matron Marley is back after a small break (that allowed me to vent about the lack of 'clean' with a clean dressing technique).

Michel Hermans's picture
Calculator

By Michel H.E. Hermans, MD

The 10 year old son of friends of mine incurred a gash in his right knee. After the injury, he was able to walk without pain in the leg (the gash did hurt, of course) but was taken to the hospital by ambulance. There, an X-ray of the knee was taken which did not show any fractures or other non-skin injuries. The gash was sutured and the patient was referred to an orthopedic surgeon for regular checks of the sutures and for suture removal. Sutures were to be removed 14 days after the accident. On that day, the orthopedic surgeon had no office hours.

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Paula Erwin-Toth's picture
Resolution List

By Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

January is the month for committing to new goals and resolutions for the year ahead. Several years ago I made a New Year's resolution to stop making New Year's resolutions. Like most New Year's resolutions I have not had much success in keeping it. Therefore I am sharing a few resolutions.

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Diana Gallagher's picture
family

By Diana L. Gallagher MS, RN, CWOCN, CFCN

I recently had the privilege of attending a patient's funeral. I would imagine that most nurses attend funerals for special patients from time to time. As a Certified Wound Ostomy Continence Nurse (CWOCN®), I often care for patients with chronic conditions. Over time, I get to know them and their families very well. A lot of them have become more than patients…some of them are even my friends. I celebrate their successes and I mourn their losses.

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Bruce Ruben's picture

By Robert Striks, Special Writer, Encompass HealthCare & Wound Medicine

There's a funny scene in the Marx Brothers movie, "Horse Feathers," where Chico tells Harpo how to escape from the room they are locked inside by using a rope. Chico instructs Harpo to tie one end of the rope to the bed and then throw the other end of the rope out the window. "Tie on the bed, throw the rope out the window," he repeats. Haplessly, Harpo takes the tie he was wearing around his neck, places it on the bed and then throws the entire escape rope out the window.

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