Peer Rejection and Neglect of Latency-Age Children: Pathways and a Group Psychotherapy Model

TOPIC: Children's peer relations are one of the most powerful predictors of mental health PROBLEMS: Peer rejection and neglect are associated with depression, academic problems, school withdrawal, and delinquency. PURPOSE: To provide brief introductions to models of social development and peer rejection, and to introduce a developmental-group psychotherapy model for children experiencing peer neglect or rejection. SOURCES: Theoretical and empirical literature, as well as clinical experience. CONCLUSIONS: Early identification and intervention with children vulnerable to peer rejection are essential. Research addressing affective experiences of peer-rejected children and the relationships between self-perception and treatment outcomes is needed.     

Water intoxication: one nursing staff's response and intervention

Water intoxication is a significant problem for psychiatric nurses, especially those in long-term care settings Water intoxication can cause psychological and physiological symptoms which can lead to death The programme described in the paper can significantly modify and change patient behaviour and assist patients in controlling their own impulses to participate in self-limiting fluid and their own self-care satisfactorily     

Modelling and role-modelling: integrating nursing theory into practice

This article contrasts two clinical cases using a relatively new paradigm and theory, modelling and role-modelling. The concepts and linkages from modelling and role-modelling are presented and are the basis for analysing the outcomes of of two patients. The case study approach communicates an understanding of the theory modelling and role-modelling and assists nurses to develop expertise in its use.     

Premature rupture of the membranes and amniotic infections--the significance of laboratory tests

White blood cell count (WBC), C-reactive protein (CRP) and elastase alpha 1-proteinase inhibitor complex (E alpha 1 PI) have been determined in 85 women during pregnancy and after birth to assess their diagnostic value in case of amniotic infection syndrome (AIS). In ten patients clinically diagnosed AIS could be confirmed by histopathological examination, five patients who fulfilled the clinical criteria showed no histological signs of infection. E alpha 1 PI levels were found to be elevated to above 200 micrograms/l in nine patients with clinical and histological infection and remained below this value in all but one of the cases not showing signs of AIS. On the other hand, CRP concentrations were elevated in five out of these ten women, but also showed false-positive values in patients without AIS; leucocyte counts above 15,000/mm3 have been observed in only one case before delivery. The application of betamethasone led to a marked elevation of leucocyte concentrations. CRP levels were raised substantially after birth, whereas E alpha 1 PI remained unchanged under both conditions. It is suggested that all three parameters should be taken into consideration to increase diagnostic reliability in case of suspected amniotic infections.     

Use of Giger and Davidhizar's Transcultural Assessment Model by Health Professions

Nursing science is increasingly gaining recognition. Witness the growing use by other disciplines of nursing's models and ideas. One example is the adoption of the Giger and Davidhizar Model of Transcultural Assessment by non-nursing disciplines to understand and address the needs of a pluralistic multicultural society. Below the authors describe a model to understand culturally diverse clients and show how health professions are using it to provide culturally competent care.