Myrna Eileen Mamaril

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Complementary modalities, used alone or in combination with pharmacologic therapies, play an important role in the prevention and management of postoperative nausea and vomiting (PONV) and post discharge nausea and vomiting (PDNV). This article will review the evidence for the effective use of complementary modalities: acupuncture and related techniques,(More)
Prudent nursing practice mandates the best, scientific evidence available. The complexity of perianesthesia practice, management, and education, coupled with required competencies within these domains, generate problems demanding answers. ASPAN's financial and human resources, however, are limited. Therefore, ASPAN must be able to articulate research(More)
The American Society of PeriAnesthesia Nurses (ASPAN) highly regards evidence-based practice (EBP) as a guide to promoting "Best Practices" and improving patient outcomes. EBP is now considered the "gold standard" in improving patient care through the use of the best available evidence. EBP models provide the health care provider with a rigorous systematic(More)
Postanesthesia nursing care and standards are continually evolving. ASPAN has the professional responsibility to develop standards of nursing practice to promote a safe environment of care. Currently, ASPAN's recommended staffing ratios are based on the best available evidence: expert opinion and consensus. Our Society believes that these nurse-to-patient(More)
ASPAN guidelines for the prevention of unplanned perioperative hypothermia define normothermia as a core temperature between 36 and 38 degrees C and an acceptable level of warmth. Over a six-month period, more than 30% of the same-day surgery patients experienced hypothermic core temperatures on admission to the preoperative unit. The purpose of the study(More)
Although aging is a natural process, caring for an older person is not the same as caring for a middle-aged adult person. The perioperative and perianesthesia nurses need to be competent in geriatric nursing care and possess specialized knowledge and skills related to a myriad of geriatric issues. This article focuses on the special needs of the elderly(More)
Widespread dissemination of information and high-profile press coverage about pain and comfort management has resulted in heightened awareness among health care professionals and the public of the need for improvements in the way pain and comfort are managed. Despite significant advances in treatment options for pain relief and comfort, studies show that(More)
The practice continuum of perianesthesia nursing interacts in concert with other nursing and medical professional organizations. Professional standards of care establish frameworks that guide these practitioners in the delivery of care. ASPAN is charged with the ethical responsibility of defining and promulgating minimum standards of perianesthesia nursing(More)
Fast-tracking patients in the perianesthesia setting is a health care practice initiative that is rapidly increasing in popularity in hospitals and freestanding surgery centers throughout the United States and the world. ASPAN recognizes the efficacy of fast-tracking ambulatory surgery patients through the postanesthesia phase of care and currently(More)