Het meten van de lichaamstemperatuur van patiënten is een basisvaardigheid van verpleegkundigen. Zij doen dit veelvuldig. Nauwkeurige meting van de lichaamstemperatuur is belangrijk voor de tijdige detectie van koorts of onderkoeling bij patiënten. Waar lange tijd rectale lichaamstemperatuur- meting de norm was, worden tegenwoordig vaker niet-invasieve instrumenten gebruikt. Het Universitair Medisch Centrum Groningen (UMCG) maakt sinds eind 2018 op alle verpleegafdelingen gebruik van de voorhoofdthermometer om de lichaamstemperatuur te meten. Dit instrument wordt ook wel Temporal Artery Thermometer (TAT) genoemd (zie figuur 1). Sinds de invoering van de TAT hebben verpleegkundigen en artsen twijfels over de nauwkeurigheid van de metingen, maar zij hadden niet de mogelijkheid deze zorgen voldoende te onderbouwen. Dit was voor de intensive care volwassenen (ICV) van het UMCG, in samenwerking met het lectoraat verpleegkundige diagnostiek van de Hanzehogeschool Groningen, aanleiding om een exploratief, vergelijkend cohortonderzoek uit te voeren. 1
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This chapter describes the growing influence of point-of-care diagnostics (POCD) on the daily lives of citizens, their immediate families, and healthcare providers. With a view to the future, the most important contemporary developments in this field are discussed, such as noninvasive sensor technology in the diagnostic process, practical examples of point-of-care diagnostics (POCD), including the quantify-self movement and infrared technology. Cost-effectiveness, adoption of POCD, and the contribution of POCD innovations to self-management and health literacy are also discussed. Developments in which deep learning and artificial intelligence are used to make the diagnostic results more reliable are also conferred, such as the development of point-of-care Internet diagnostics. The discussion of professional advice dilemma’s in POCD, the patient’s appreciation of POCD, and ethical and philosophical considerations conclude this chapter.
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Light therapy is increasingly administered and studied as a non-pharmacologic treatment for a variety of healthrelated problems, including treatment of people with dementia. Light therapy comes in a variety of ways, ranging from being exposed to daylight, to being exposed to light emitted by light boxes and ambient bright light. Light therapy is an area in medicine where medical sciences meet the realms of physics, engineering and technology. Therefore, it is paramount that attention is paid in the methodology of studies to the technical aspects in their full breadth. This paper provides an extensive introduction for non-technical researchers on how to describe and adjust their methodology when involved in lighting therapy research. A specific focus in this manuscript is on ambient bright light, as it is an emerging field within the domain of light therapy. The paper deals with how to (i) describe the lighting equipment, (ii) describe the light measurements, (iii) describe the building and interaction with daylight. Moreover, attention is paid to the uncertainty in standards and guidelines regarding light and lighting for older adults.
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