Diabetes mellitus is a major cause of morbidity and mortality, and it is a major risk factor for early onset of coronary heart disease. Complications of diabetes are retinopathy, nephropathy, and peripheral neuropathy. Currently, treatment involves diet modification, weight reduction, exercise, oral medications, and insulin. In recent years, important advances have been made into the pathogenesis of diabetes that affect the cardiovascular, renal, and nervous systems; vision; and the lower extremities, especially the feet. The progression of diabetic retinopathy and nephropathy can be slowed or prevented with tight glucose and blood pressure control. Neuropathy remains a major problem causing significant impairment. Ongoing clinical trials and testing of various medications to determine their effectiveness in treating the complications of diabetes have met with some success, but there still is much to learn about this disease.

Elderly surgical patients undergo approximately 20% or more of all surgical procedures in acute care hospitals across the country. Elderly people also are more at risk for surgical intervention because of age-related system changes and comorbid conditions. In recent years, greater knowledge about aging and advanced surgical, anesthetic, and monitoring technology has made it possible for many elderly people to undergo surgery without significant mortality. This article is intended to increase the ability of perioperative nurses to anticipate, plan, and provide care for their elderly surgical patients.

Nurses have been engaged in aspects of aviation and space endeavors from their beginnings. Although no nurse has been chosen as a potential astronaut, nurses have contributed to the space program in many ways. Nurses and other health care providers use technology adapted from the space program. The future of extended space flight remains unclear, although work continues on completing a space station for extended stays on the moon and trips to Mars. Nurses may be one of the health care team members on these excursions.

No abstract

No abstract