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This article attempts to define and describe self-mutilation and offers an introductory view of its nursing management. Most importantly it enjoins nurses to self-consciously appraise their practice in this area and develop an unconditional acceptance of the validity of such unconventional behaviour.
Traditionally, supervision among health professionals was a somewhat esoteric forum for a privileged few practitioners who would examine clinical case material in order to elicit and improve their therapeutic skills. Today's professional climate demands a supervisory process, beyond such a purist model, which examines virtually all areas of professional… (More)
Osteochondromas are an infrequent, but significant, source of vascular injuries. Popliteal artery pseudoaneurysms are the most common sequelae, with a complex interplay of anatomic and developmental factors accounting for their prevalence. The authors present a case report, detailed discussion, and literature review of pseudoaneurysm formation in the… (More)
Psychiatric nurses who are key workers or primary nurses within special hospitals are well placed to comment on their patients' needs and the benefits, and shortfalls, of trying to meet these within a maximum-security environment. In this survey, nurse respondents gave information on two groups of special-hospital clients, though they themselves were… (More)
Within more conventional discourse amongst health-care professionals, 'deliberate self-harm' is largely conceived in pejorative terms. Unlike other so-called 'pathological' behaviour for which the 'sick' are not held wholly responsible, this particular behavioural mosaic carries within its very conception quite different connotations of 'intentionality'.… (More)
This study explored motives and identified strategies for service recognition of a sample (714) of Nebraska 4-H organizational andproject volunteer leaders. On average, volunteers sampled were 43 years of age, parents of children in 4-H, and had been involved as a 4-H member more than 7 years. Respondents were predominately motivated by affiliation, and,… (More)
Most nurses, irrespective of specialty, will be confronted with disturbed psychiatric patients. There are many forms of psychiatric emergency; this article examines nurse-aid management of acute confusional states, hallucinations, delusional thinking and suspiciousness and highlights interventions aimed at dealing with disturbed patients to avoid an… (More)