Marijuana

Marijuana

This book represents a valuable aid to the operating room supervisor. It can be used for quick reference to justify many of the day-to-day decisions t...

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This book represents a valuable aid to the operating room supervisor. It can be used for quick reference to justify many of the day-to-day decisions that must be made. It could also be used as an orientation tool for new personnel coming into the operating room. Finally, a program of in-service education for all operating room personnel could be built around the material covered in this book.

SR. WILLIAMMARIE,R.N. Baltimore, Maryland

MARIJUANA, b y Edward R. Bloomquist, M.D., Glencoe Press, Beverly Hills, California, 215 pages. Price $4.95-Hardcover, $1.25Paperback. This book does not deal with the operating room or its technique, but it is important for knowledge of possible personnel problems. It is also a very timely subject for us, since as nurses, it is essential that we have the

knowledge to talk about this topic intelligently, There is a definite vocabulary, somewhat foreign to that taught to nurses or medical students, such as: “cop” (buy) ; “the man,” “fuzz” or “heat” (police) ; “narco versus nark” (addict versus narcotic agent) ; “cats” (users) ; “square” (parents) ; “stashes” (individual deposits of marijuana). There are ten most interesting pages listing the jargon of the drug world. It would have been helpful, however, if this section had been placed earlier in the book. Yet this is a well-documented book, with listed references and referrals at the end of each chapter. The history of marijuana (cannabis, hemp, etc.) begins with the year 2727 B.C., is traced through many countries of the world, and includes the various names and uses for the drug. The author states: Such is cannabis: a weed, a commercial product, a sometimes medicinal drug, a psychotoxin. Its wild growth is determined

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529 Greenhurst Drive, Pittsburgh, Pa. 15243 lNCoRPoRATED Telephone. Area Code 412 343-2654

SURGICAL ADVANCEMENT THROUGH MECHANICAL TECHNOLOGY

January 1969

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by the capricious wind. It is cultivated by Indian ganja doctors, American hippies, and commercial manufacturers. It is interesting to note that cannabis was not used much in Western Europe until recent years and has been named, “the American Vice,” being considered another cultural offering to Europe from the United States. The author describes where and how cannabis is sold, the method of “rolling your own,” along with the three successive phases of a cannabis trip: the “going up, experiencing physical and sensory effects, and finally hallucinations.” A chapter titled “Varieties of Response” gives information which could cause a state of curiosity or could leave one rather disgusted with cannabis users. However, to quote one statement: It is not uncommon for a smoker to stop talking in the middle of a sentence and ask his companions what he was talking about, and very often no one in the group can remember. This is not too different from a group of non-users ! For many of us, it would perhaps be a good experience to read this book, learn about, and consequently obtain a better understanding of those persons who feel they must escape reality through the use of drugs. This book on marijuana should be in all school libraries. This gives students and young people an overall, unbiased picture of the history, use and potential dangers of this drug.

MABELCRAWFORD, R.N. Los Angeles, California

NURSES, PATIENTS AND SOCIAL SYSTEMS, Edited b y Jariies M . A . Weiss, 205 pages, University of Missouri Press, Columbia, Missouri, 1968. Price $4.50. Nurses, Patients and Social Systems should be of particular interest to people in the mental health profession. At the same time, it has much information for nurses and doctors of all specialties, health planners and

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personnel with elderly in their family. The authors, two nurses (one the director of the project), two behavioral scientists, and a psychiatrist observe and measure the results of skilled nursing care “on the behavior of older, physically ill patients.” Their statements are based on detailed statistical analyses, recorded in tabular form in two appendices. The data was collected by nurses who acted as both nurse and observer and as observers only. The study was made in three totally different types of nursing home for the aging patient. The high level nursing home had the atmosphere of a “nice hotel;” the low level institution had crowded wards, poor and inadequate food, and an owner mostly interested in financial profit; the third home was on a level between the two described. Two groups of nursing personnel were employed in this experiment. In one group were nurses having high skills-nurses who were able to use verbal communication and interaction so that it produced responses to requests and offers. The second group did not have such skills. Patients were matched for age, sex, and social status. Observations of participant observers were compared with those of second (concurrent) observers. The use of concurrent observers allowed information to be recorded as the patient’s reaction occurred; the participant observer, of necessity, had a time lapse before she was able to record her observations. Several problems occurred under the system of coding and this is well explained as are gathering and assessing research data. There is a theory that an older patient with a chronic disease undergoes a process of atrophy rather than development. This study concluded that in certain environmental conditions the process of atrophy can be arrested, or even reversed, with skilled nursing c:nre.

MABELCRAWFORD,R.N. Los hngeles, California++

AORN Journal