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ORL – Head and Neck Nursing

Table of Contents

 

Winter 2007 / Volume 25, Number 1

 

Feature

 

Parotid Masses: Face the Facts

Jaclyn Wirkus, RN, MSN, FNP-C, APNP, CORLN

 

 

Departments

 

Guest Editorial: Presidential Address from SOHN’s

30th Annual  Congress and Nursing Symposium

Hope Andresen, RN, CORLN

 

Spotlight on Research: Predictive Factors of Immediate

Post-operative Complications after Uvulopalatopharyngoplasty

Editor: Mary Jo Dropkin, PhD, RN

Reviewer: Carolyn Waddington, RN, MS, FNP, CORLN

 

Highlights from the Hill: Who’s Talking for You?

Editor: Linda Miller Calandra, MSN, RN, CPNP, CORLN

Author: Barbara Mossman, RN, CORLN

 

Product of Interest: Tracheostomy Tube Recall

 

Products of Interest: Influenza Prevention Patient Information

 

Media Review: Nutritional Resources for Head and Neck Oncology Practice

Reviewers:

Linda K. Clarke, MS, RN, CORLN

Sara Bergerson, RD

Mr. Joe Bauer

 


 

Parotid Masses: Face the Facts

Jaclyn Wirkus, RN, MSN, FNP-C, APNP, CORLN

Parotid masses present both functional and aesthetic consequences due to the proximity of the facial nerve and the glands’ alignment with the contours of the mandible. As the largest salivary glands, the parotids participate in providing moisture to the mouth through the production of saliva. This paper presents an overview of the anatomy and physiology of the parotid glands, signs and symptoms of parotid conditions, relevant diagnostic testing, medical and surgical treatment of parotid masses, postoperative recovery, and the role of the otorhinolaryngology (ORL) nurse in the continuum of care and patient education.

 

 


 

ORL – Head and Neck Nursing

Table of Contents

 

Spring 2007 / Volume 25, Number 2

 

Feature

 

Diagnostic Testing for Inhalant Allergies

Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN

 

Departments

 

Editorial: Operating in the Green

Susan F. Rudy, MSN, CS-FNP, CORLN

 

Diagnostic Testing for Inhalant Allergies

Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN

 

Spotlight on Research: What is a Cochrane Review?

Editor: Mary Jo Dropkin, PhD, RN

Author: Pamela C. Sieving, MS, MA

 

Highlights from the Hill: The Nurse Reinvestment Act Revisited

Editor: Linda Miller Calandra, MSN, RN, CPNP, CORLN

Author: Ann P. Luther, MSN, APRN, BC, CORLN

 

Media Review: A Nursing Management Text

Editor: Linda K. Clarke, MS, RN, CORLN

Reviewer: Cindy J. Dawson, BSN, RN, CORLN

 

Products of Interest: The Sounds of Handheld Audio Players

Susan F. Rudy, MSN, CS-FNP, CORLN

 


 

Diagnostic Testing for Inhalant Allergies

Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN

 

Allergic rhinitis is one of the most commonly treated disorders seen in otolaryngology office settings. It is often difficult to distinguish the symptoms associated with allergic rhinitis from other causes of rhinitis. Many times these nasal symptoms can be effectively treated using nonspecific pharmacotherapeutic agents in conjunction with general information on ways to reduce exposure to allergens or irritants in the environment. When allergic rhinitis is suspected and a targeted treatment approach is needed, allergy testing can confirm the diagnosis and guide effective treatment for the condition. This paper will discuss various methods for diagnosing inhalant allergies with a special focus on a newer approach to skin testing known as modified quantitative testing or MQT. This paper will also present an overview of the immune response as it occurs in allergic rhinitis, along with a discussion of common inhalant allergens. Finally, this paper will offer a general approach to allergy testing and patient preparation.

 

 


 

ORL – Head and Neck Nursing

Table of Contents

 

Summer 2007 / Volume 25, Number 3

 

Feature

 

Evaluating and Managing Delirium, Dementia, and Depression In Older Adults Hospitalized with Otorhinolaryngic Conditions

Joyce Landers, RN, BA, MS

Alice Bonner, APRN-BC, GNP, FAANP

 

 

Departments

 

Editorial: The History of ORL-Head and Neck Nursing

Barbara Sigler, RN, MNEd

Linda K. Clarke, MS, RN, CORLN

Linda T. Schuring, MSN, RN

Susan F. Rudy, MSN, CRNP, CORLN

 

Spotlight on Research: A Pilot Study of Chlorhexidine and

Benzydamine Oral Rinses for the Prevention and Treatment of

Irradiation Mucositis in Patients with Head and Neck Cancer

Editor: Mary Jo Dropkin, PhD, RN

Reviewer: Diane Reynolds, RN, MS, OCN, CNE

 

Media Review: Writing Resources

Reviewers:

Alicia Livinski, MPH, MA

Linda K. Clarke, MS, RN, CORLN

 

Poetry Corner: Katie

Linda K. Clarke, MS, RN, CORLN

 

 


 

Evaluating and Managing Delirium, Dementia, and Depression In Older Adults Hospitalized with Otorhinolaryngic Conditions

Joyce Landers, RN, BA, MS

Alice Bonner, APRN-BC, GNP, FAANP

Nurses caring for patients who have otorhinolaryngic conditions undergoing medical and surgical treatments find that their patient populations are becoming older and sicker. These patients are more likely to develop delirium, often superimposed on depression or dementia. Sorting out the medical, surgical, and psychosocial changes in geriatric patients presents unique challenges to otorhinolaryngology (ORL) nurses. This paper reviews the evaluation and management of delirium, dementia, and depression in hospitalized elders, focusing on a new resource, the evidence-based

Mental Health Toolkit, developed by the National Conference of Gerontological Nurse Practitioners (NCGNP). The paper further provides material for a structured journal club activity, including a common ORL clinical scenario and learning objectives, as well as discussion questions and answers.

 

 


 

 

 

ORL – Head and Neck Nursing

Table of Contents

 

Fall 2007 / Volume 25, Number 4

 

Feature

 

A Go Kit and a Caddy: Airway Management Preparedness for

Patients with a Tracheostomy or a Laryngectomy

Joyce Truman, RN, BSN, CORLN

Linda Arsenault, RN, MSN, CNRN

Terry Edson, LPN

 

 

Departments

 

Editorial: Communication Mandates and Challenges in

Serving Otorhinolaryngology Patients with Limited English Proficiency

Susan F. Rudy, MSN, CRNP, CORLN

 

Product of Interest: Cetuximab Extends Survival in Recurrent Head and Neck Cancer

 

Spotlight on Research: Breaking Bad News: Evaluation Study on Self-Perceived Competencies and Views of Medical and Nursing Students Taking Part in a Collaborative Workshop

Editor: Mary Jo Dropkin, PhD, RN

Reviewer: Suzanne Marie Carr, PhD, RN

 

Product of Interest: Audio CD: Turn it to the Left

 

Of Specialty Interest: Working Effectively with Live Language Interpreters

Susan F. Rudy, MSN, CRNP, CORLN

 

Media Review: Books for a Nurse’s Gift List

Reviewers:

Linda K. Clarke, MS, RN, CORLN

Ann T. McKennis, RN, CNOR(E), CORLN

 


 

A Go Kit and a Caddy: Airway Management Preparedness for

Patients with a Tracheostomy or a Laryngectomy

Joyce Truman, RN, BSN, CORLN

Linda Arsenault, RN, MSN, CNRN

Terry Edson, LPN

 

This paper describes quality improvement projects by three different multidisciplinary groups. The combined work from these groups addresses the staff’s ability to provide safe, efficient, and expedient airway care during transport away from their home-base inpatient unit for patients who have a tracheostomy or a laryngectomy. The convened multidisciplinary project groups developed airway management algorithms, a “Go Kit,” tracheostomy supply caddies, and a transportation communication check list. This paper further describes associated staff education with revised policies and procedures (DHMC Clinical Operations Policy Library 2005; 2006; 2007).