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The Glasgow Coma Scale in clinical practice: a critique

Article Abstract:

A lack of thorough research into the use of the neurological testing tool, the Glasgow Coma Scale (GCS), means the true nature of brain injuries and the effects on patients may be going undetected. The GCS relies heavily on patient response to stimuli but fails to take into account degrees of consciousness. Patients are often subjected to pinching or pressure being exerted on the bed of the fingernail to obtain a response to pain. A more appropriate method of assessment would be to gauge the level of consciousness through regular checks and pupil dilation.

Author: Lowry, Mike
Publisher: Macmillan Publishing Ltd.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1999
Research, Identification and classification, Neurology, Coma, Glasgow coma scale

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Primary health care records: an integrated approach

Article Abstract:

Plans to introduce a national strategy for keeping integrated patient records by the year 2004 appear a long way off for UK community nurses, who believe the introduction of information technology has had little impact on their working lives. The only way a multi-discipline led patient record system could work is through the introduction of a supported framework and funding for research into appropriate methods of recording and training.

Author: Mooney, Gail, Clark, June
Publisher: Macmillan Publishing Ltd.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1999
Technology application, Patients, Records and correspondence, Nursing records

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Subjects list: Practice, Nursing
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