In the first 4 years of the program, more than 1500 individuals have attended and approximately 90% have successfully completed the course. Because of the success of this program, GCOI is contemplating other collaborative efforts. This model of collaboration could easily be instituted by hospitals in other large cities to provide a high-quality continuing course in a cost-effective and time-efficient manner.
Those caring for patients who undergo cardiac surgery share a dilemma. Complications associated with hypothermia encourage the care giver to rewarm the patient quickly, but complications associated with rapid temperature changes and hyperthermia can threaten the patient's hemodynamic stability. What are adequate rewarming measures, when to terminate active rewarming measures to avoid hyperthermia, and what is the optimal rate of rewarming are all unanswered questions. Continued nursing research will expand the science of nursing and provide care givers with knowledge for expert care. As the turn of the century approaches and surgical techniques advance, high-risk patients who undergo reoperation and multi-valve cardiac surgery require expert nursing care.
Neurocysticercosis causes significant neurologic morbidity and mortality in many countries and is increasing in frequency in the United States. The disease should be considered in any patient who has lived in or traveled to an area where it is endemic and who presents clinically with signs of increased intracranial pressure, stroke, seizures, or other neurologic deficits. Neurocysticercosis can be a life-threatening disease depending on the size, location, and active or inactive status of the cysts. Neurocysticercosis is treatable both medically and surgically according to symptoms. The sooner the correct diagnosis is made, the greater the chances for recovery and prevention of further neurologic deterioration. The nurse who is knowledgeable about the cause and treatment for neurocysticercosis can assist in controlling the incidence of this disease, decreasing complications, and averting needless mortality.
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