Features Obstructive Sleep Apnea in Head and Neck Cancer Patients Post Treatment...
Something to Consider
Cheryl Koliha, BSN, RN
Efficacy of Video Education for Patients and
Caregivers
Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN
Departments
Editorial: The Best Practice Approach
Linda K. Clarke, MS, RN, CORLN
Presidential Perspectives: SOHN Members, Where Are
You?
Linda Miller Calandra, MSN, CPNP, CORLN
Media Review: Heroes
Heather Rebic, BS, RN
Of Speciality Interest:
Steps to Successfully Produce Educational Video
Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN
Spotlight on Research:
Home Care for Chronic Respiratory Failure in Children
Feature Editor: Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN
Reviewer: Mary Klein, MS, RN
Practice Management:
Telephone Triage in an Otolaryngology Practice
Feature Editor: Kimberly J. Pollock, RN, MBA
Mary LeGrand, RN, MA
Patient Education: Tips for Smoking Cessation
Janice F. Adams, BSN, MPA, CNA, CORLN
Obstructive Sleep Apnea in Head and Neck
Cancer Patients Post Treatment ... Something To Consider?
Cheryl A. Koliha, RN, BSN
Abstract…
Obstructive sleep apnea (OSA) occurs due to enlarged tissue such as tonsils,
base of tongue or palate, pharyngeal space narrowing, or decreased muscle tone
of the pharyngeal dilator muscles. Treatments
for head and neck cancer may cause physical changes resulting in OSA. Based on
recent anecdotal experience and limited research available looking at the
incidence of OSA in post treatment head and neck cancer patients, assessment for
signs and symptoms of OSA by otorhinolaryngology nurses seems warranted. Prompt
diagnosis and treatment of OSA in the patient with head and neck cancer may
significantly improve the person’s health and quality of life.
EFFICACY OF VIDEO EDUCATION FORPATIENTS AND CAREGIVERS
Helene J. Krouse, Ph.D., APRN, BC, CORLN, FAAN
Abstract…
Videotapes are valuable resources for assistance in educating patients and
caregivers in today’s changing health care environment. Videotapes can be
effective teaching tools for patients by facilitating knowledge acquisition,
reducing anxiety, improving coping skills, and enhancing self care behaviors.
They incorporate visual and auditory information into a teaching modality that
is often easier for individuals to understand and retain. Research on videotaped
patient education will be presented with application of findings to the practice
of otolaryngologic nursing.
Practice Management: Telephone Triage in an
Otolaryngology Practice
Mary LeGrand, RN, MA
Abstract…
Telephone triage is not a new healthcare concept, but it is an idea that is
gaining momentum as Americans move into today’s "e-technology,
e-health" world. In fact, many companies are creating systems and protocols
to improve efficiency and increase access to "triage" personnel.
Utilization and Perceived Benefits of Postoperative
Otology In-Service Training for Inpatient Nurses
Cherie A. Smith-Miller, M.Ed., BSN, RNC, NCSN
Departments
Editorial: Bernie's Gift
Linda K. Clarke, MS, RN, CORLN
Presidential Perspectives: The ABCs of Bridge Building
Linda Miller Calandra, MSN, RN, CPNP, CORLN
Best Practice Forum:
Standard High Level Disinfection Protocol Development
Cindy J. Dawson, BSN, RN, CORLN
Ruth Nielson, BSN, RN, CORLN
Highlights from the Hill:
NIWI: The Nurse in Washington Internship Program—
A Call to All SOHN Members
Ann P. Luther, MSN, RN, CS, Cm, CORLN
Ann T. McKennis, RN, CNOR, CORLN
Patricia Orta, RN, AD, BS
Media Review: Tools for Clinicians
Heather Rebic, BS, RN
Of Specialty Interest:
The Food and Drug Administration: A Partner in Safe Practice
Karen Baker, MSN, RN
Spotlight on Research:
Psychosocial Intervention for Newly Diagnosed Cancer Patients
Feature Editor: Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN
Reviewer; Mary Jo Dropkin, PhD, RN, CORLN
Utilization and Perceived Benefits of Postoperative
Otology In-Service Training for Inpatient Nurses
Cherie A. Smith-Miller, M.Ed., BSN, RNC, NCSN
Abstract…
This study examined the perceived effectiveness of in-service training (IST) to
improve the nursing care of post-operative otology patients as a function of
nursing experience. IST was administered to four distinct units in a large
university hospital, examining nurses with a range of experiences in otology
care. An eight item IST evaluation instrument was developed, administered, and
validated for this study. The results of this study indicate the following: a
variation existed among units in the receptiveness to IST; a 15-20-minute IST
session significantly improved the perceived ability to deliver quality patient
care; similar effectiveness of the IST was observed for all otology care groups;
and an oral IST approach was more effective than a self-study approach. Further,
we found that IST increased awareness and utilization of specialty support
services.
Best Practice Forum: Standard High Level Disinfection
Protocol Development
Cindy J. Dawson, BSN, RN, CORLN
Ruth Nielson, BSN, RN, CORLN
Abstract…
Gluteraldehyde-based high-level disinfection (HLD) poses significant safety
risks for staff and patients as well as institutional cost concerns. A value
analysis team reviewed HLD practices, available products, and environmental
requirements in viewof the literature and standards developed by the
Occupational Safety and Health Administration (OSHA). Institutional areas were
identified and standardized unit-specific educational and competency programs
were established. The overall use of gluteraldehyde-based HLD was decreased in
this institution based on the findings and policy and procedure modification.
Highlights from the Hill: NIWI:
The Nurse in Washington Internship Program—A Call to All SOHN Members
Ann P. Luther, MSN, RN, CS Cm, CORLN
Ann T. McKennis RN, CNOR, CORLN
Patricia Orta, RN, AD, BS
Abstract…
Recent findings from the membership survey conducted in 2002 by the Society of
Otorhinolaryngology and Head-Neck Nurses (SOHN) revealed that many members of
SOHN were unfamiliar with the Nurse in Washington Internship program (NIWI).
SOHN has been participating in the NIWI endeavor since the late eighties. To
date, SOHN’s NIWI interns have been either active members of the Government
Relations Committee or the President-Elects of the Society. At the January 2003
Mid-Winter Board Meeting, the Board of Directors voted to expand the opportunity
for participation in NIWI to SOHN’s members-at-large. This article provides a
brief overview of the NIWI program and describes the plan for extending this
opportunity to the general membership.
Of Specialty Interest: The Food and Drug
Administration: A Partner in Safe Practice
Karen Baker, MSN, RN
Abstract…
Have you ever wondered what really goes on at the United States Food and Drug
Administration (FDA)? At each meeting of the Society of Otorhinolaryngology and
Head-Neck Nurses(SOHN) and the American Academy of Otolaryngology-Head and Neck
Surgery (AAO-HNS) the FDA is repeatedly mentioned, and not always favorably!
This article discusses the process of bringing new medical devices to market and
explains how ORL (or ENT) nurses can contribute to the protection of the public
health by providing medical device adverse event information to FDA.
Features
Intratympanic Therapy for Sensorineural
Hearing Loss and Vertigo
Sam Marzo, M.D.
The Tympanic Membrane: See It, Describe It,
Treat It
Keith McDivitt, MSN, RN, FNP, CORLN
Refeeding Syndrome
Ellen Ladage, RD, CNSD, LDN
Departments
Editorial: The Entry into Practice Debate
Linda K. Clarke, MS, RN, CORLN
Presidential Perspectives: What’s Your
Position?
Linda Miller Calandra, MSN, CPNP, CORLN
Practice Management: Billing for Nurse
Practitioner Services
Kimberley J. Pollock, RN, MBA
Highlights From the Hill: AAO-HNS
Government Relations Briefing
Day on Capital Hill: A Nursing Perspective
Ann T. McKennis, RN, CNOR, CORLN
Media Review: Head and Neck Oncology
Resources
Heather Rebic, BS, RN
Spotlight on Research: Information Needs of
Elderly Postsurgical
Cancer Patients During the Transition from hospital to Home
Feature Editor: Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN
Reviewer: Joan Such Lockhart, Ph.D., RN, CORLN, AOCN®, FAAN
Patient Education: Swimmer’s Ear
Linda T. Schuring, MSN, RN
Practice Management: Billing For Nurse
Practitioner Services
Kim Pollock, RN, MBA
Abstract…
Utilization of Nurse Practitioners (NPs) in otolaryngology practices is
increasing. Otolaryngologists now employ NPs to assist with patient care
responsibilities in a variety of settings, from solo practice to large academic
groups. This article addresses the appropriate third-party billing methods for
NP services.
Intratympanic Therapies for Sensorineural
Hearing Loss and Vertigo
Sam J. Marzo, M.D.
Abstract…
The theory behind intratympanic therapy is that by instilling small amounts
(<0.5 cc) of medications into the middle ear, absorption into the inner ear
occurs though the round window. The medicines exert their effects on the
cochlear and vestibular end organs. The benefits of these therapies include:
control of systemic side effects, and the ability to treat the patients in the
clinic or outpatient setting with encouraging results. The purpose of this paper
is to explain the potential role of intratympanic therapy in treating specific
inner ear disorders.
The Pediatric Tympanic Membrane: See It,
Describe It, Treat It
Keith McDivitt, MSN, RN, FNP, CPRLN
Abstract…
Acute otitis media (AOM) is one of the most common childhood conditions for
which antibiotics are prescribed, often unnecessarily. Current medical
literature focuses on the treatment of AOM, appropriate antibiotics, and
antibiotic resistance. Placing more emphasis on examination and description of
the tympanic membrane (TM) reduces the over diagnosing of AOM and concerns
associated with antibiotic use. A thorough examination of the ear must be
performed in order to make an accurate diagnosis. This article presents a
three-step technique to assist providers to perform pneumatic otoscopy,
visualize the TM, describe their findings, and subsequently treat AOM.
Highlights from the Hill:
AAO-HNS Government Relations Briefing Day on Capitol
Hill: A Nursing Perspective
Ann T. McKennis, RN, CNOR, CORLN
Abstract…
It is a well-known fact that to promote an issue in the political arena, a
coalition or group of people desiring the same thing has more power than a
single entity. I have seen the results in my home state of Texas when the
Nursing Government Relations Coalition of which the Society of Otorhinolaryngology-Head
and Neck Nurses (SOHN) is a member, the Texas Hospital Association, and the
Texas Medical Association all work together to pass legislation. As Chair of the
Government Relations Committee (GRC) it was with this in mind that I requested
to attend the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
Government Relations Briefing Day in Washington, D.C. on March 11, 2003. Executive
Director Sandra Schwartz and President Linda Miller Calandra were also in
attendance. This article provides an overview and personal perspectives of this
event.
Refeeding Syndrome
Ellen Ladage, RD, CNSD, LDN
Abstract…
Refeeding syndrome can occur when nutrition is reinstituted in a starved patient
and, if abnormalities are not corrected, can be lethal. This article describes
metabolic adaptations to starvation, risk factors for the development of
refeeding syndrome, and causes as well as symptoms of refeeding syndrome.
Adverse consequences of hypophosphatemia, hypomagnesemia, and hypokalemia are
described, and nursing implications to prevent refeeding syndrome are outlined.
SOHN Web-Based Membership Survey: Results,
Analysis, and Recommendations
Susan F. Rudy, MSN, CRNP, CORLN
Helene J. Krouse, Ph.D., APRN, BC, CORLN, FAAN
Margaret M. Hickey, MS, MSN, RN, OCN®,
CORLN
Ann P. Luther, MSN, RN, CS, Cm, CORLN
Carolyn P. Waddington, MS, RN, FNP-C, CORLN
Implantable Hearing Devices
Sam Marzo, M.D.
Departments
Editorial: Medical
Marijuana: Politics Vs Patient Care
Linda K. Clarke, MS, RN, CORLN
Presidential Perspectives: The Awards and
Rewards of ORL Nursing
Linda Miller Calandra, MSN, CPNP, CORLN
How I Do It: A Technique for Oral Wound
Irrigation Following Maxillectomy and Mandibulectomy
Mark S. Chambers, D.M.D., MS
James C. Lemon, D.D.S.
Jack W. Martin, D.D.S., MS
Highlights From the Hill: A United Voice for
Nurses
Feature Editor: Helene J. Krouse, Ph.D., APRN, BC, CORLN, FAAN
Media Review: Oncology Care Resources
Heather Rebic, BS, RN
SOHN 2002 Web-Based Membership Survey:
Results, Analysis and Recommendations
Susan F. Rudy, MSN, CRNP, CORLN
Helene J. Krouse, Ph.D., APRN, BC, CORLN, FAAN
Margaret M. Hickey, MS, MSN, RN, OCN, CORLN
Ann P. Luther, MSN, RN, CS, Cm, CORLN
Carolyn P. Waddington, MS, RN, FNP-C, CORLN
Abstract…
In March 2002, the Society of Otorhinolaryngology and Head-Neck Nurses, Inc. (SOHN)
conducted a web-based survey of members’ knowledge of and satisfaction with
its portfolio of products and services. This paper reports on the process of
developing and conducting the survey, as well as its findings. A new
"Volunteer Agreement / Code of Conduct", piloted for this team’s
work is introduced. General and specific recommendations are put forth for SOHN
members and leaders, including useful information to facilitate work for future
survey teams.
Implantable Hearing Devices
Sam J. Marzo, M.D.
Abstract…
Hearing loss remains the most common sensory impairment in the United States.
Fortunately, new treatments for this disorder are becoming available each year.
This article reviews the human ear anatomy, types and causes of hearing loss,
and presents basic information on middle and inner ear implantable hearing
devices. Risks, benefits, costs, and nursing care issues are discussed.
How I Do It: A Technique for Oral Wound
Irrigation Following Maxillectomy and Mandibulectomy
Mark S. Chambers, D.M.D., M.S.
James C. Lemon, D.D.S.
Jack W. Martin, D.D.S., M.S.
Abstract…
Background: Numerous devices have been recommended for ensuring appropriate
hygiene and care of wounds resulting from maxillectomy and mandibulectomy. This
article describes an irrigation device for use in the oral cavity after these
procedures. Methods: The system consists of a prepackaged, disposable, 50-cc
piston syringe; a nonconductive connecting tube, and a saliva ejector that can
be assembled for oral irrigation. Results: The modified piston syringe allows
physicians, nurses, and patients to efficiently irrigate mucosal wounds,
maxillary or andibular defects, and oropharyngeal or oral and pharyngeal wounds.
Conclusion: This system is efficacious, more adaptable, and less expensive than
other self-irrigating gravimetic instruments and is thus recommended for use in
patients who have undergone maxillectomy or other ablative procedures in the
oral cavity.
Highlights from the Hill:
A United Voice for Nurses
Helene J. Krouse, PhD, APRN, BC, CORLN, FAAN
Abstract…
The Nurse in Washington Internship (NIWI) is a wonderful opportunity for members
of the Society of Otorhinolaryngology and Head-Neck Nurses (SOHN) to experience
the political process first hand while making a difference in the lives of
others. As President-Elect in 2003, I was asked to represent SOHN at NIWI, 2003.
I share with you my perspectives based on this unique experience.