The new Canadian Journal of Applied Sport Sciences should help to keep the "whole" concept of sports medicine in front of all interested groups. Smalltown physicians are not enthralled with the testosterone excretion of rats on a treadmill, and researchers aren't too keen on the newest method of repairing a torn medial collateral knee ligament.
Perhaps that is why general practitioners are the backbone of sports medicine: their interests are between these extremes. A blend of the newest development and the "tried-and-true" method, mixed with common sense and good judgement, always will be the best approach, not only for athletes but also for all our other patients.E
10. The nurse and sports medicine COLLEEN BARNES, RN
The sports medicine nurse is forsaking the traditional black cap-band and white uniform for a tracksuit, and is thereby gaining physical access to the athlete and becoming more directly involved with his or her feelings and experiences. A basic liking of sports is the most important prerequisite for the nurse working with athletes. Of almost equal importance is prior first-hand experience and participation in most types of sports, which engender an understanding of athletic activity. Thus the nurse understands the personality attributed to those special people whose competitive skill, drive and stamina lead them to outstanding performance. An athlete's first priority is his discipline, and few factors can deter him from striving towards his goal. Those of us in sports medicine must appreciate this priority, empathize with the athlete and help him maintain the prime of health and fitness. Sports medicine should not be confused with other aspects of medicine. It is a unique entity and the patients have special needs and problems. Consequently one cannot step from the hospital to the sidelines of a football game and have a total understanding of the needs to be met. Where does the interested nurse begin? The most appropriate and useful background for the registered nurse is in orthopedic surgery. Here the nurse learns about corrective procedures for injuries of the bones, joints, tendons and ligaments. A good working knowledge of anatomy and physiology is essential, as are an understanding of the biomechanics of injury and a basic knowledge of the rehabilitation program (usually guided by the physiotherapist). Thus the nurse understands the entire process, from injury to rehabilitation. Reprint requests to: Ms. Colleen Barnes, 1209 Richmond St. N, Apt. 912, London, Ont. N6A 3L7
What does the sports medicine nurse actually do? The nurse works primarily with the physician in making the initial diagnosis. For example, in a clinic, as in major competitions, the nurse assesses the athlete's condition to decide whether he should either see the doctor or enter directly into treatment by a therapist. She must speak with the athlete to determine the history of the problem, present and past symptoms and debilitating results. In the clinic she also dispenses drugs, if need be, and performs or assists with treatment. Emotional support of the athlete is also an important concern of the nurse. The athlete has special psychologic needs. Apprehension and the physical and mental stress of competition leave him at times vulnerable to anxiety. Support is required from someone other than the coach, and often the nurse is this person. With study and experience the nurse can move on to many areas of sports medicine. She can, for example, become an athletic therapist, working towards the physical rehabilitation of the injured athlete. Sports medicine is an exciting and rewarding field, and is open to those aggressive enough to undertake its challenge. U
BOOKS continued from page 616 SURFACE ANATOMY. An Instruction Manual. John V. Basmajian. 68 pp. Illust. The Williams & Wilkins Company, Baltimore; Burns & Mac Eachern Limited, Don MIlls, 1977. $5.65, paperbound. ISBN 0-683-00358-5 VON NOORDEN-MAUMENEE'S ATLAS OF STRABISMUS. 3rd ed. Edited by Gunter K. von Noorden. 211 pp. Illust. The C.V. Mosby Company, Saint Louis, 1977. $33.10. ISBN 0-8016-5252-9 WORLD REVIEW OF NUTRITION AND DIETETICS. Vol. 27. Some Aspects of Human Nutrition. Edited by Geoffrey H. Bourne. 178 pp. Illust. S. Karger AG. Basel, 1977. $44. ISBN 3-8055-2393-9
646 CMA JOURNAL/SEPTEMBER 17, 1977/VOL. 117
The smallest dose of estrogen in any oral contraceptive in Canada.
1/20
tablet contains mg norethindrone each white acetate and 20 mcg ethinyl estradiol
INDICATION-MinEstrin 1/20 is indicated for the control of conception. CONTRAINDICATIONS - Thrombophlebitis, thromboembolic disorders, cerebral apoplexy, or a past history of these conditions; markedly impaired liver function; known or suspected carcinoma of the breast or genital tract; known or suspected estrogen dependent neoplasia; undiagnosed abnormal genital bleeding; during the period a mother is breast feeding an infant; any ocular lesion such as partial or complete loss of vision, defect in visual fields or diplopia arising from ophthalmic vascular disease; when epiphysial closure is not complete; when pregnancy is suspected; classical migraine; history of cholestatic jaundice; coronary thrombosis. WARNINGS-If any thrombotic disorder occurs or is suspected, the drug should be discontinued immediately. Pretreatment and periodic physical examination should include special reference to breast and pelvic organs. Preexisting uterine fibromyomata may increase in size. Conditions influenced by fluid retention, such as epilepsy, asthma, cardiac or renal dysfunction, require careful observation. PRECAUTIONS-Among the precautions associated with oral contraceptive usage are the following: Endocrine, possibly liver function tests and thyroid function tests may be affected. Altered bleeding patterns may be induced. Diabetic patients or those with a familial history of diabetes should be carefully observed while receiving oral contraceptives. Oral contraceptives may mask the onset of the climacteric. Susceptible women may experience an increase in blood pressure. Patients with a history of jaundice should be given oral contraceptives with great care. ADVERSE REACTIONS - Possible adverse reactions include thrombophlebitis, pulmonary embolism, cerebral thrombosis, nausea, altered bleeding patterns, edema, breast soreness, changes in weight, headache, acne, depression, premenstrual tension, hirsutism, and neuro-ocular lesion. DOSAGE FORMS-MinEstrin® 1/20 is available in Simpak® dispensers of 21 tablets (white) and Simpak dispensers of 28 tablets (21 white tablets and 7 lilac inert tablets). Each white tablet contains 1 mg of norethindrone acetate and 20 mcg of ethinyl estradiol. Full product information available on request.
PARKE-DAVIS EE. Parke, Davis & Company, Ltd
Scarborough, Ontario MiK 5C5
Perhaps that is why general practitioners are the backbone of sports medicine: their interests are between these extremes. A blend of the newest development and the "tried-and-true" method, mixed with common sense and good judgement, always will be the best approach, not only for athletes but also for all our other patients.E
10. The nurse and sports medicine COLLEEN BARNES, RN
The sports medicine nurse is forsaking the traditional black cap-band and white uniform for a tracksuit, and is thereby gaining physical access to the athlete and becoming more directly involved with his or her feelings and experiences. A basic liking of sports is the most important prerequisite for the nurse working with athletes. Of almost equal importance is prior first-hand experience and participation in most types of sports, which engender an understanding of athletic activity. Thus the nurse understands the personality attributed to those special people whose competitive skill, drive and stamina lead them to outstanding performance. An athlete's first priority is his discipline, and few factors can deter him from striving towards his goal. Those of us in sports medicine must appreciate this priority, empathize with the athlete and help him maintain the prime of health and fitness. Sports medicine should not be confused with other aspects of medicine. It is a unique entity and the patients have special needs and problems. Consequently one cannot step from the hospital to the sidelines of a football game and have a total understanding of the needs to be met. Where does the interested nurse begin? The most appropriate and useful background for the registered nurse is in orthopedic surgery. Here the nurse learns about corrective procedures for injuries of the bones, joints, tendons and ligaments. A good working knowledge of anatomy and physiology is essential, as are an understanding of the biomechanics of injury and a basic knowledge of the rehabilitation program (usually guided by the physiotherapist). Thus the nurse understands the entire process, from injury to rehabilitation. Reprint requests to: Ms. Colleen Barnes, 1209 Richmond St. N, Apt. 912, London, Ont. N6A 3L7
What does the sports medicine nurse actually do? The nurse works primarily with the physician in making the initial diagnosis. For example, in a clinic, as in major competitions, the nurse assesses the athlete's condition to decide whether he should either see the doctor or enter directly into treatment by a therapist. She must speak with the athlete to determine the history of the problem, present and past symptoms and debilitating results. In the clinic she also dispenses drugs, if need be, and performs or assists with treatment. Emotional support of the athlete is also an important concern of the nurse. The athlete has special psychologic needs. Apprehension and the physical and mental stress of competition leave him at times vulnerable to anxiety. Support is required from someone other than the coach, and often the nurse is this person. With study and experience the nurse can move on to many areas of sports medicine. She can, for example, become an athletic therapist, working towards the physical rehabilitation of the injured athlete. Sports medicine is an exciting and rewarding field, and is open to those aggressive enough to undertake its challenge. U
BOOKS continued from page 616 SURFACE ANATOMY. An Instruction Manual. John V. Basmajian. 68 pp. Illust. The Williams & Wilkins Company, Baltimore; Burns & Mac Eachern Limited, Don MIlls, 1977. $5.65, paperbound. ISBN 0-683-00358-5 VON NOORDEN-MAUMENEE'S ATLAS OF STRABISMUS. 3rd ed. Edited by Gunter K. von Noorden. 211 pp. Illust. The C.V. Mosby Company, Saint Louis, 1977. $33.10. ISBN 0-8016-5252-9 WORLD REVIEW OF NUTRITION AND DIETETICS. Vol. 27. Some Aspects of Human Nutrition. Edited by Geoffrey H. Bourne. 178 pp. Illust. S. Karger AG. Basel, 1977. $44. ISBN 3-8055-2393-9
646 CMA JOURNAL/SEPTEMBER 17, 1977/VOL. 117
The smallest dose of estrogen in any oral contraceptive in Canada.
1/20
tablet contains mg norethindrone each white acetate and 20 mcg ethinyl estradiol
INDICATION-MinEstrin 1/20 is indicated for the control of conception. CONTRAINDICATIONS - Thrombophlebitis, thromboembolic disorders, cerebral apoplexy, or a past history of these conditions; markedly impaired liver function; known or suspected carcinoma of the breast or genital tract; known or suspected estrogen dependent neoplasia; undiagnosed abnormal genital bleeding; during the period a mother is breast feeding an infant; any ocular lesion such as partial or complete loss of vision, defect in visual fields or diplopia arising from ophthalmic vascular disease; when epiphysial closure is not complete; when pregnancy is suspected; classical migraine; history of cholestatic jaundice; coronary thrombosis. WARNINGS-If any thrombotic disorder occurs or is suspected, the drug should be discontinued immediately. Pretreatment and periodic physical examination should include special reference to breast and pelvic organs. Preexisting uterine fibromyomata may increase in size. Conditions influenced by fluid retention, such as epilepsy, asthma, cardiac or renal dysfunction, require careful observation. PRECAUTIONS-Among the precautions associated with oral contraceptive usage are the following: Endocrine, possibly liver function tests and thyroid function tests may be affected. Altered bleeding patterns may be induced. Diabetic patients or those with a familial history of diabetes should be carefully observed while receiving oral contraceptives. Oral contraceptives may mask the onset of the climacteric. Susceptible women may experience an increase in blood pressure. Patients with a history of jaundice should be given oral contraceptives with great care. ADVERSE REACTIONS - Possible adverse reactions include thrombophlebitis, pulmonary embolism, cerebral thrombosis, nausea, altered bleeding patterns, edema, breast soreness, changes in weight, headache, acne, depression, premenstrual tension, hirsutism, and neuro-ocular lesion. DOSAGE FORMS-MinEstrin® 1/20 is available in Simpak® dispensers of 21 tablets (white) and Simpak dispensers of 28 tablets (21 white tablets and 7 lilac inert tablets). Each white tablet contains 1 mg of norethindrone acetate and 20 mcg of ethinyl estradiol. Full product information available on request.
PARKE-DAVIS EE. Parke, Davis & Company, Ltd
Scarborough, Ontario MiK 5C5
