Cameras in Hospital Rooms: The Fourth Amendment to the Constitution and Munchausen Syndrome by Proxy

Article Abstract:

Controversy exists over whether the Fourth Amendment to the US Constitution protects hospitals when video surveillance has exposed an instance of Munchausen syndrome by proxy. The syndrome is a form of child abuse, or abuse of another individual, by a caretaker who induces an illness in a child or creates symptoms. Videos, for example, have shown a mother tampering with a thermometer to indicate a high fever in her child. US laws permit video surveillance to protect a child patient, monitor treatment, and safeguard hospitals from being sued for negligence.

United States, Prevention, Medical jurisprudence, Forensic medicine, Critical care medicine, Munchausen-by-proxy syndrome, Munchausen syndrome by proxy

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Application of pulse oximetry and the oxyhemoglobin dissociation curve in respiratory management

Article Abstract:

Respiratory care must be taught in ways that use the technology available in a country. U.S. nurses routinely use blood gas analyses and ventilators. These are not available in Nicaragua, so the education team from Duquesne Univ.'s School of Nursing focused on pulse oximetry, which is available. This method of measuring blood oxygen is safe, noninvasive and fast. Nurses must be trained to calculate oxygen saturation and to interpret the results based on the specific physical status of each patient.

Methods, Nurses, Training, Blood, Oximetry, Blood chemical analysis, Respiratory intensive care

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Physical assessment: a vital nursing tool in both developing and developed countries

Article Abstract:

All critical care nurses should have assessment skills developed enough to note even small changes in a patient's condition. These skills are especially important in developing countries, where sophisticated diagnostic and monitoring equipment are not available. Nurses in developed countries would benefit from more formal training in physical assessment also, since they tend to rely too much on technology.

International aspects, Medical care, Nursing assessment

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