ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00724.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

One hundred forty‐six trauma patients discharged from an acute care setting to home were followed during a 6‐month period after discharge to determine functional problems they experienced and the time required to return to normal activity levels. At 1 week, 58% were unable to drive a car, 59% experienced difficulty with lifting, and 76% were unable to return to work. At 1 month, 27% continued to have trouble driving, 32% had trouble lifting, and 37% had not returned to work yet. Head injury patients and those with orthopedic injuries of the extremities or pelvis experienced problems returning to work. The head injury group also experienced vocational problems. By 6 months, 89% of the patients reported a return to normal activities. Findings suggest that a return to normal functioning levels is a long‐term process, and that certain injury types are at high risk for experiencing specific identifiable pro

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00725.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Spinal cord injury typically occurs in males during late adolescence or young adulthood. These individuals face the developmental challenges of adulthood with significant restrictions in mobility and position. The purposes of this study were to examine how spinal cord injured males experience these limitations and to identify how they fulfill adult developmental tasks/expectations. Interviews on this topic were conducted with a convenience sample of 5 spinal cord injured men between the ages of 30 and 45 who had been injured at least 10 years. The findings of this study indicated that the impairment of mobility and position that resulted from the spinal cord injury did have a significant impact upon the developmental tasks/expectations of adulthood. Mobility and position restrictions delayed and/or interfered with the establishment of close personal relationships and the development of a satisfying career. Information also was obtained about the process of coping with the paralysis of a spinal cord injury over time.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00726.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This article presents a case study illustrating the usual course of Guillain‐Barré syndrome. Rehabilitation nursing problems, interventions, and the outcome of a patient with Guillain‐Barré syndrome are desc

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00727.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This article describes Orem's Self‐Care Theory (Orem, 1985) and applies it to the home setting. The purpose of the study was to identify how older adults manage self‐care activities at home following discharge from a hospital. Results of the survey indicated that 66% of the clients reported self‐care deficits after discharge. In addition, 15% reported inability to care for themselves totally after discharge. Analysis of the information indicated the lack of a supportive‐educative system to promote self‐care at home. The solution to the management of self‐care is the rehabilitation nurse clinical specialist, who can provide nursing strategies that promote partnership with the older adult in planning self‐care activities after ho

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00728.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The attitudes and reactions of rehabilitation nurses and nursing students toward patients with disabilities are important to the patients' adjustment and care over time. The purpose of this research study was to examine the effect of prior work experience and clinical experience in a rehabilitation setting on students' attitudes toward the disabled. The study involved the administration of Yuker, Block, and Young's (1966) Attitudes Toward Disabled Persons Scale (ATDP). Nursing students(N = 225)appropriately completed the ATDP before and I month after attending an educational workshop on care of people with disabilities. Prior work experience with such people was found to have a significant impact on student attitudes. Subjects with prior work experience in a rehabilitation setting had significantly higher scores on the ATDP, indicating more positive attitudes toward people with disabilities, than did subjects without this experience. Students who had clinical experience in a rehabilitation setting had higher scores on the ATDP than students without it, but the difference was not statistically significant.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00729.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Chronically ill patients' perceptions of nursing care are particularly significant because such patients are more likely than others to have repeated and extended contact with nurses. Knowledge of which nursing interactions are perceived positively by the chronically ill can help nurses provide care that is satisfying to the patient. This phenomenological study found the definitive factor in positively perceived care to be the development and maintenance of confidence. The informants believed they would be well cared for and that the nurses were reliable and trustworthy. The respect and interest shown by the nurses reassured the informants that they were capable of coping with the future to the best of their abilities. Most informants felt unprepared to judge the nurses' competence but described a caring, compassionate approach combined with gentle handling, self‐assurance, and recognition of the patient's own knowledge as contributing to confidence. Management of pain, facilitation of independence, and keeping the patient informed also were value

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00730.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Severe and disabling spasticity frequently occurs in people with multiple sclerosis and spinal cord injury. Approximately 30% of these people are treated with oral antispasmodic medications that do not provide adequate relief from spasticity (Hattab, 1980). Clinical trials with spinal stimulation and ablative neurosurgical procedures have not been as uniformly successful for controlling spasticity as has intrathecal baclofen injection (Kasdon, 1986). Delivered by an implantable programmable drug pump, intrathecal baclofen injection has proven to be successful in treating individuals with intractable spasticity. Significant reduction in muscle tone and frequency of spasms have contributed to improved function with activities of daily living, bladder management, overall comfort, and quality of sleep (Penn et al., 1989; Parke, Penn, Savoy,&Corcos, 1989). This article introduces an innovative therapy for controlling spasticity and discusses the nurse's role in patient selection and management.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00731.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This article describes the stages, problems, nursing approaches, and challenges involved in geriatric rehabilitation practice. The article is based largely on patient experiences and outcomes observed at Capital Region Geriatric Rehabilitation Center (Cohoes, NY), a unique new model geriatric rehabilitation facility. The nursing rewards of working in the field and some common myths of aging are emphasized.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00732.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00733.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY