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Table of Contents
Fall 2000 / Volume 18, Number 4

Features

Multidisciplinary Care of the Child Born with Cleft Lip and Palate
Phyllis C. Thomas, MS, RN, CORLN

Departments

Editorial The Indignity of Pain
Linda K. Clarke, MS, RN, CORLN

Presidential Perspectives Advocacy - The Cornerstone of Professional Nursing
Ann P. Luther, MSN, RN, CS, Cm, CORLN

Spotlight on Research
Feature Editor - Helene J. Krouse, PhD, ARNP, CORLN
Lorie Sparacino, MS, CPNP, CORLN
Margaret M. Hickey, MS, MSN, RN, OCN, CORLN

Media Review Diverse Resources
Heather Rebic, BS, RN

Highlights from the Hill Taking the Hill One Nurse at a Time
Janice F. Adams, BSN, MPA, CNA, CORLN

Of Specialty Interest Diagnosing Alzheimer,s: The 7 Minute Screen
Linda K. Clarke, MS, RN, CORLN

Neck Breather Medical Awareness Skin Decal
Eric D. Blom, PhD

A New Source for Help
Eric D. Blom, PhD

5th International Conference on Head and Neck Cancer


 Multidisciplinary Care of the Child Born with Cleft Lip and Palate
Phyllis C. Thomas, MS, RN, CORLN

Abstract ...
Cleft lip and cleft palate affect about one in every 700 children born in the United States. Parents of newborns with orofacial clefts, often unaware of the cleft until birth, need emotional support and professional guidance in caring for their baby. As the child grows, it is important to properly time surgical procedures, speech therapy, hearing evaluations, and dental interventions and to assess the child,s psychological status. Multidisciplinary cleft palate teams provide a significant resource to families of children with facial clefts. This article describes the role of team members, provides an overview of the cleft condition, and lists resources for families and healthcare professionals.

Media Review: Summer Reading
Heather Rebic, BS, RN

Abstract ...
Earning an academic degree is often considered necessary in today,s healthcare employee market, but finding the time to pursue a degree is often difficult. This review covers a promising new way to earn a degree online as well as a diverse collection of resources. Five additional websites, including the SOHN site are also reviewed. The diversity continues with a look at articles written by SOHN members for other journals, an article of interest to home health and head and neck nurses, a free packet on fighting cancer related fatigue, and a cookbook for cancer patients.

Taking the Hill. One Nurse at a Time
Jan Adams, BSN, RN, MPA, CNA, CORLN

Abstract ...
Visiting Capitol Hill in person or by telephone can be a very intimidating experience. After all, the Capitol is a large resounding building complete with police, barricades, and people in business suites scurrying around. But inside the Capitol lies another world altogether, one that has intrigued me for years. This article seeks to break into that world beginning with demystifying the Government Relations process, defining the role of Congressional Staff, introducing you to "how to visit Capitol Hill, and covering some "Hill basics.

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Table of Contents
Summer 2000 / Volume 18, Number 3

Features

Latex Allergy: A Nursing Update
Margaret A. Kramper, MSN, RN, CORLN

Smokeless Tobacco and Smoking Cessation: A Program Evaluation
Jan Adams, BSN, RN, CNA, CORLN
Helene J. Krouse, PhD, ARNP, CORLN
Lorie Sparacino, MS, CPNP, CORLN

Departments

Editorial: The Wonder Beep
Linda K. Clarke, MS, RN, CORLN

Presidential Perspectives: Building Our Preferred Future
Ann P. Luther, MSN, RN, CS, Cm, CORLN

Spotlight on Research
Lenore L. Harris, MSN, RN, AOCN

Media Review: Summer Reading
Heather Rebic, BS, RN

Of Specialty Interest: Web Site Resources for ORL Nurses
Linda K. Clarke, MS, RN, CORLN

Products of Interest
Cynthia A. Tucker, BA, RN, RNFA, CORLN, CNOR


Abstracts

Latex Allergy: A Nursing Update
Margaret A. Kramper, MSN, RN, CORLN

Abstract ...
Latex allergy emerged in the 1990,s as a significant and challenging public health concern for patients as well as healthcare workers. This article provides a review of this complex health care challenge. Understanding latex allergy production and sources of exposure will provide a background to explore the immunological implications of this exposure risk. Diagnostic and treatment measures are reviewed. The focus of this article is to increase awareness and encourage prevention of this growing health concern.

Smokeless Tobacco and Smoking Cessation: A Program Evaluation
Jan Adams, BSN, RN, CNA, CORLN
Helene J. Krouse, PhD, ARNP, CORLN
Lorie Sparacino, MS, CPNP, CORLN

Abstract ...
During the 1998 mid-winter Board of Directors meeting in Tampa, Florida, the leaders of the Society of Otorhinolaryngology and Head-Neck Nurses (SOHN) discussed the vision and mission of SOHN. Part of the vision that emerged was a long-overdue educational program on smoking cessation. SOHN members wanted a self-contained program to use in their clinical practice or in the community that was simple, easy, and comprehensive. In response to this request, a program was developed and presented at the 1999 SOHN Spring Seminar and repeated at the 1999 SOHN Annual Congress. Program participants increased their knowledge as assessed by two novel evaluation tools. This paper discusses the process of tool development and use as well as the detailed responses of the participants. Directions for future training programs and strategies for increasing implementation of smoking cessation programs in otorhinolaryngology (ORL) nursing practice are also discussed.

Media Review: Summer Reading
Heather Rebic, BS, RN

Abstract ...
Summer reading choices tend to be more light-hearted than the rest of the year but when available resources are both entertaining and informative, readers can revel in these literary gifts. This review includes an inspiring book about heroic nurses who served in World War II, a tale of an epidemic which reads like a mystery novel, a book explaining alternative medicine choices, and an article about the wisdom of choosing the nursing profession. Readers will be inspired, informed, and entertained.

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Table of Contents
Spring 2000 / Volume 18, Number 2

Features

A Multidisciplinary Team Approach to
Preservation of Quality of Life for Patients Following Oral Cancer Surgery

Gabriella Cremonese, BScN, RN, CPN(C)
Gina Bryden, BA, RN
Christine Bottcher, RN

Departments

Editorial: The International Link
Linda K. Clarke, MS, RN, CORLN, Editor

Presidential Address: Affirmations and Visualization: Achieving Our Vision
Ann P. Luther, MSN, RN, CS, Cm, CORLN

Highlights from the Hill: It is an Election Year: Shall I Get Involved?
Ann T. McKennis, RN, CNOR, CORLN

Special Report: Florence Nightingale: Preserving History into the 21st Century
Ann T. McKennis, RN, CNOR, CORLN

Media Review
Heather Rebic, BSN, RN

Introduction to SOHN Officers and Board

Spotlight on Research
Janice F. Adams, BSN, MPA, CNA, CORLN
Ann Sievers, MA, RN, CORLN

Of Specialty Interest: Setting Up A Home Office
Linda K. Clarke, MS, RN, CORLN


Abstracts

A Multidisciplinary Team Approach to
Preservation of Quality of Life for Patients Following Oral Cancer Surgery

Gabriella Cremonese, BScN, RN, CPN(C)
Gina Bryden, BA, RN
Christine Bottcher, RN

Introduction
Oral cavity cancers account for approximately 2.5% of all malignant tumors in Canada and the United States (American Cancer Society, 1999; National Cancer Institute of Canada, 1999). If left untreated, cancers of the oral cavity are often disabling and possibly fatal. Even when treated, the patient faces a potential loss of physiological functions, sensory deficits, and changes in body image. The face is the first image presented to the world in a society which values and forms judgments based on aesthetic appearance.

Highlights from the Hill: It is an Election Year: Shall I Get Involved?
Ann T. McKennis, RN, CNOR, CORLN

Abstract ...
Nurses are becoming players in the field of health policy and are increasingly involved in the political process at all levels: national, state and local. To become a "player" in the often intimidating world of politics may seem complicated and unapproachable. One of the easiest ways to show interest and to learn is by volunteering during an election year. There are many avenues that may be followed and this article offers an introduction as to what to do, how to do it, and why your actions will make a difference.

Special Report: Florence Nightingale: Preserving History into the 21st Century
Ann T. McKennis, RN, CNOR, CORLN

Abstract ...
Florence Nightingale is a name recognized throughout the world for her contributions to nursing and for her visions of health care. Upon hearing her name, one immediately has an image of the lady with the lamp, but this dynamic woman's work went far beyond her service during the Crimean War. Her nursing practice innovations and philosophy of care remain valid today as we enter the 21st century.

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Table of Contents
Winter 2000 / Volume 18, Number 1

Features

Endoscope Reprocessing: Taking the Mystery Out of High-Level Disinfection
Linda McCullagh, MPH, RN
Karen Baker, MSN, RN

Departments

Editorial: The Future of Women in Otolaryngology
Linda K. Clarke, MS, RN, CORLN, Editor

Presidential Address: Images of Nursing
Margaret M. Hickey, MSN, MS, RN, OCN, CORLN

Special Report: The Consequences of Untreated Hearing Loss in Older Persons
The National Council on Aging

Spotlight on Research: Introduction to a New Feature
Helene J. Krouse, PhD, ARNP, CORLN
Susan F. Rudy, MSN, RN, CRNP, CORLN

Products of Interest
Cynthia A Tucker, BA, RN, CORLN, RNFA

Highlights from the Hill
Janice F. Adams, BSN, MPA, CNA, CORLN

1999 Congress Highlights

Of Specialty Interest: Writing a Resumé
Linda K. Clarke, MS, RN, CORLN

Media Review
Heather Rebic, BSN, RN

1999 Subject Index


Abstracts

Endoscope Reprocessing: Taking the Mystery Out of High-Level Disinfection
Linda McCallagh, MPH, RN
Karen Baker, MSN, RN

Abstract ...
Flexible endoscopes used in otolaryngology are often unable to withstand heat sterilization. An acceptable alternative to heat sterilization for these devices used to examine the aerodigestive tract is high-level disinfection. A review of otorhinolaryngology (ORL) nursing clinical practice indicates that there is confusion regarding the recommended disinfectant solutions to use and the proper manner in which to use them. This article describes a method that is useful in determining the level of risk of infection posed by ORL endoscopy, a description of appropriate levels of disinfection, points to consider for achieving high-level disinfection, and appropriate personal protective measures.

The Consequences of Untreated Hearing Loss in Older Persons
Summary report from the National Council on the Aging

Abstract ...
Hearing loss is one of the most prevalent chronic conditions in the United States. More than nine million Americans over the age of 65 have a hearing loss. More than 10 million middle-aged Americans (between the ages of 45 to 64) have a hearing loss. (Between 1971 and 1990, hearing loss in this age group increased by 26 percent, according to the National Health Interview Survey.) Six out of seven middle-aged Americans with hearing loss do not use hearing aids.

Despite the prevalence of hearing loss among older Americans, relatively little is known about the effect of hearing loss and the impact of treatment (i.e. using a hearing aid) on the quality of their lives.

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