Jennings, Bonnie M. (2008). Work stress and burnout among nurses. From Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality.
Maxwell, M. (2004). Recruitment realities. Medscape, 22(4). Retrieved:
Tzeng, H., & Yin, C. (2009). Historical trends in human resource issues of hospital nursing in the past generation. Nursing Economics, 27(1), 19-25.
Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice. Sudbury: Jones and Bartlett Publishers.
Clark, C.C. (2008). Classroom skills for nurse educators. Sudbury: Jones and Bartlett
Utley, R.A. (2011). Theory and research for academic nurse educators: Application to practice.
Sudbury: Jones and Bartlett Publishers.
Caregivers, as we have seen, are well aware that the person to whom they are giving care is often in a terminal stage of illness. Most have accepted this mentally, long before any end-stage of life issues occur (Waldrop 2007). However, despite accepting the nature of the terminal nature of the illness menatlly, there is still a psychological shock when the caregiver is confronted with traumatic grief. Despite this trauma, most caregivers perceive that they are coping fairly well- under the circumstances (Grace 2010). There does seem, however, to be a significant correlation between the quality of information and support services extended to the carefiver prior to and after the demise of the patient, and the caregiver's ability to process the grief and move on with their own lives (Hudson 2006).
Family Situation- Mary was well-known to the Distric Nursing Team due to having long-term ulcers. The daughters were both unable to meet me during my first visit, and upon the first visit, patient was found sitting in her chair alone, with a note to remind her to eat and drink. This was certainly important and beside pain issues, it is common to find dementia patients with problems keeping hydrated and their blood sugar up (Alzheimer's Society 2012). Dementia patients, in fact, have not only diminished pain cognition, but their hunger and thirst senses are diminished, often resulting in more serious issues when combined with their advanced age and other health concerns (National Council for Pallative Care 2012).
Based on Mary's chart notes, it appeared that Mary was sad and depressed, not the normal cherry and chatty individual noted. Attempts at communication were unsuccessful, but there was a sense patient was trying to make herself
Colbourn T, Asseburg C, Bojke L, Philips Z, Claxton K, Gilbert R (2007). Prenatal screening and treatment to prevent group B. streptococcal and other bacterial infections in early infance: cost-effectiveness and expected value of information analysis. Health Technology Assessment, 11(29).
Montague N, Cleary T, Martinez O, Procop G (2008). Detection of Group B. Streptococci in Lim Broth by Use of Group B. Streptococcus Peptide Nucleic Acid Fluorescent in Situ Hybridization and Selective and Nonselective Agars. Journal of Clinical Microbiology, 46(10): 3470-72.
Redfern, Crystal J. MT & Sautter, Robert L. PhD, HCLD (2009). Near-Patient Testing for Group B. Streptococci Screening. The Journal of Near-Patient Testing & Technology, 8(1): 25-28.