Background: The consequences of malnutrition in patients with stroke are investigated in few, small studies. The purpose of this study is to examine the incidence of poor nutritional status and dysphagia in stroke patients, and the consequences for the short term prognosis.
Methods: Case records at the stroke unit at Hvidovre University Hospital were reviewed by audit. Nutritional baseline characteristics were correlated to mortality, pneumonia, nutrition and dysphagia. Results: The study included 77 patients. Of these 49% had dysphagia at admittance and 50% were nutritionally at-risk at the initial screening. There was significant correlations between being nutritional at-risk and mortality, pneumonia, prior stroke, hospitalization from nursing home or similar, and discharge to nursing home or similar. There was correlation between dysphagia and mortality, pneumonia and weight loss *5%.
Conclusions: Nutritional screening and therapy in the acute state is essential. A particular focus should be kept on patients admitted from institutions.
Several studies show that critical care nurses should pay attention to symptoms and subtle changes in the critically ill patient’s physical and psychological condition. At the same time the phenomenon of attention seems to have received little focus in the literature.
The aim of this article is to show the importance and challenges of being fully present when practising critical care.
This article will discuss factors which interfere with the process of paying attention, and will draw on selected theory (especially Martinsen and Molander), and other relevant literature together with empirical studies from the field of critical nursing.
The data used in this article is based on interviews of senior critical care nurses and literature review. The quality of attention is affected by the nurse’s presence and use of appropriate knowledge. It also depends on feedback from colleagues and the absence of “noise”.
History provides ways of knowing and understanding the past: what happened, who participated in the event, when and where did it happen, and not least how and why did it happen. Nursing history provides nurses with knowledge about their past, but is also provides ways of understanding today’s issues and offers a way of getting an insight into the future. History teaches us who we are and represent a significant source of identity for nurses. The aim of this article is to examine the methodology of history in order to contribute to understanding of nursing history. This may also assist and inspire nurses to use, read and to do historical research in nursing. The research process is presented through 5 steps. These steps intend to serve as a guide for understanding and doing historical research. Each step is explored and described, and material from the authors own historical research is used to exemplify the steps in the research process.
The article presents a pilot study that aims to understand patient’s social practices around the call bell. Methods and analysis are inspired by the practice theory of Pierre Bourdieu. Empirical data are designed through observations and interviews with two patients. Results show that use of the call bell occurs when patients need help which is not a part of the predefined care. The call bell as a tool to make contact with caregivers is both inconvenient and complicated. The patient’s position in relation to professionals is compounded by the practice that is unfolding around the call bell. Results also show that patients often do not use the call bell even though they seem to need help. The hospital may, as an institution in the medical field, influence the patient’s use of the call bell. The study invites professionals to discuss and reflect on both patients and their own practices in relation to the call bell, both regarding pragmatic, attitudinal, and communicative matters. Further research in this area is required.