ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01555.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Rehabilitation nursing practice and patient care are affected profoundly by reimbursement trends. This article provides a basic understanding of current and proposed reimbursement issues in Medicare, Medicaid, and private insurance—information that should help the rehabilitation nurse make the changes necessary to provide patient care within the constraints of the reimbursement systems. Furthermore, an understanding of these economic issues should assist nurses in working collaboratively and positively with administration while reducing their level of frustration. Nurses can play an important role in managing length of stay, using ancillary services, and moving the patient along the continuum of care, all of which are critical financial factors in a facility's successful management of its payer mi

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01556.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Pressure ulcers remain a serious health problem, especially in terms of personal suffering and economics. The study described here, conducted in a rehabilitation setting, investigated the prevalence (number of persons with pressure ulcers at a given time) and the incidence (number of persons developing pressure ulcers over a given time) of pressure ulcers. Skin assessments and risk assessments of the subjects were completed using the Braden Scale for Predicting Pressure Sore Risk. Demographic data were obtained. The prevalence rate was 25%, although there was no incidence during the time of this study. Factors associated with the prevalence of pressure ulcers are discussed.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01557.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Malodorous skin lesions (primarily fungating tumors and decubitus ulcers) can be extremely resistant to efforts to control their odors. The offending bacteria appear to be anaerobes, specifically theBacteroidesspecies. Topical metronidazole has shown promise for odor control without the cost or side effects of a systemic drug. In various anecdotal reports, lesions in patients treated with topical metronidazole were virtually free of odor within 24 hours, and in some cases, slight improvements in wound appearance and pain also were noted. The encouraging results of these initial experiences with topical metronidazole warrant further study for its efficacy in reducing skin lesion odor.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01558.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This article presents the major predisposing factors and measures associated with preventing nosocomial foot lesions. The combination of nursing interventions and the appropriate use of protective devices can markedly reduce the incidence of foot lesions acquired in the hospital. Patient and family education is another important aspect in preventing skin breakdown of the foot at risk.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01559.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Traditional Chinese medicine (TCM) employs methods of treatment such as acupuncture, acupressure, and Qi Gong (treatment based on meditation). The nurse using TCM can affect rehabilitation patient outcomes positively. With TCM training, nurses have an opportunity to learn the nuances of the Oriental environment and integrate them into their skills to nurse the spirit, mind, and body of patients in a holistic manner.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01560.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This article describes a study of 346 rehabilitation nurses in which the nurses identified the nursing diagnoses most frequently used in rehabilitation. The study identified patterns of diagnosis used by nurses in inpatient and community settings, found no pattern of use by educational background, and delineated etiologies used with diagnoses characteristic of rehabilitation nursing.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01561.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01562.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01563.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01564.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY