The likelihood of rupture of unruptured intracranial aneurysms that were less than 10 mm in diameter was exceedingly low among patients in group 1 and was substantially higher among those in group 2. The risk of morbidity and mortality related to surgery greatly exceeded the 7.5-year risk of rupture among patients in group 1 with unruptured intracranial aneurysms smaller than 10 mm in diameter.

No abstract

Nursing programs have done a commendable job keeping pace with the rapid advances in disease management. Yet, spirituality has received far less attention in nursing curricula (Keefe, 2005) and nursing students often do not have a strong foundation in this area. The purpose of this project was to integrate spirituality into the undergraduate nursing curricula and measure student outcomes related to spiritual knowledge and attitudes. Nursing faculty participated in a spirituality education program and followed this with sessions focused on integration of spiritual content into individual nursing courses. Student pre and post-tests were administered using a standard instrument to evaluate the effectiveness of the program. Significant differences in spirituality knowledge and attitudes among senior-level nursing students (t = -3.059, p = .004) were revealed. As the healthcare system becomes increasingly complex, providing students with tools to identify and strengthen inner resources is essential to patient care.

No abstract

Created 45 years ago, the Katz Index of Independence in Activities of Daily Living has shown itself to be an important tool in measuring an older adult's capacity to care for her- or himself. When a nurse using the tool notes a diminishment in the patient's ability to perform any of six activities-bathing, dressing, toileting, eating, transferring, or remaining continent-further assessment may uncover a reversible cause, such as a chronic or acute condition requiring treatment. A video demonstrating the use of the Katz index is available for free online at http://links.lww.com/A241.