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Initial Experiences With Telerehabilitation and Contingency Management Programs for the Prevention and Management of Pressure Ulceration in Patients With Spinal Cord Injuries

 

作者: Cynthia Mathewson,   Vincent Adkins,   Michael Jones,  

 

期刊: Journal of Wound, Ostomy and Continence Nursing  (OVID Available online 2000)
卷期: Volume 27, issue 5  

页码: 269-271

 

ISSN:1071-5754

 

年代: 2000

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Two alternative treatment methods for preventive interventions for pressure ulcers, tele-rehabilitation and contingency management, are discussed. Telerehabilitation uses a videophone that transmits both audio and still images over a telephone line. Using this technology, the WOC nurse can interview a patient who cannot be present at a clinic because of physical condition or distance. Telerehabilitation allows the nurse to assess a patient's pressure ulcer, consult with appropriate caregivers, and make recommendations for treatment. Contingency management procedures are designed for patients with high rates of noncompliance in skin care. The patients are seen as outpatients and are compensated systematically for appropriate skin care (ie, the lack of pressure ulcers). Examples of each of these patient interventions is described, discussed, and contrasted.

 

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