ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01334.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The purpose of the research study described in this article was to identify the range of catheterization techniques currently practiced in inpatient care settings and to determine current methods of patient‐caregiver education about catheterization in a home setting. A questionnaire was mailed to a random sample of 175 rehabilitation facilities accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF); the return rate was 81%. Data were analyzed on the basis of region of the country, type of practice setting, and number of rehabilitation beds. There were few statistically significant correlations, based on this analysis. These results provide a baseline for current practice and suggest the need for development of a standard for practice based on research. A multicenter study that compares clean with sterile methods needs to be conducted to determine which technique is preferable for inpatient practice and which for patient‐caregiver educat

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01335.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The evaluation described in this article compared the Therevac SB™ “mini‐enema” with bisacodyl suppositories in the bowel management programs of patients with spinal cord injury (SCI). Of particular interest were (a) determining whether the additional costs of Therevac SB could be justified and (b) identifying the degree of bowel program improvement possible. Fourteen SCI patients were selected from the SCI inpatient unit and the clinic of a Department of Veterans Affairs facility. All patients experienced a delay of at least 45 minutes between insertion of a suppository and the beginning of stool evacuation. Each patient used bisacodyl suppositories for five bowel programs, then Therevac SB for five programs, finally repeating the bisacodyl suppositories for five more programs. Each patient maintained a bowel program log. Ten patients completed the evaluation. Using a MANOVA, the authors found a significant difference between bisacodyl and Therevac SB mean evacuation times for this group. An analysis of direct and indirect costs related to bowel care with the two regimens is also pr

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01336.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In this exploratory and descriptive study, the self‐management of urinary incontinence among women 31 to 50 years old is described. Eight self‐selected women participated in unstructured tape‐recorded interviews that were guided by an interest in understanding women's perceptions about their incontinence. Self‐management comprised five specific methods: (a) modifying or avoiding the activities that cause involuntary leaking of urine, (b) keeping the bladder empty, (c) avoiding or limiting beverages that stimulate voiding, (d) wearing protective pads, and (e) doing exercises to strengthen the pelvic floor muscles. Successful self‐management was characterized by perceptions of control and normality; unsuccessful self‐management by perceptions of noncontrol and abnormality and a consideration of medical management. Three types of medical encounters experienced by participants are described. The study indicates that participants responded differently to two temporal stages in their development of incontinence, and this difference affected how incontinence was managed at the time. The implications of this finding for nursing practice and nursing research ar

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01337.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Self‐medication, the ability of the patient to administer his or her own medication, can be useful in the rehabilitation setting in reducing the incidence of polypharmacy, medication abuse, and inappropriate medication usage. However, a patient self‐medication program also introduces a variety of issues, such as defining each team member's responsibilities and outlining the steps of the program. These issues may impede the development and implementation of the program. A review of the rehabilitation literature yields little information about program development in the rehabilitation setting or about dealing with such issues. The purpose of this article is to describe the need for a self‐medication program in the rehabilitation setting, the development of one such program, and ways to overcome some of the problems that cause such programs to f

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01338.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Stroke is the third leading cause of death and the major reason for disability in American adults (Sullivan, 1992). Stroke can be a recurrent disease, but most strokes are preventable. Patient and family education about stroke is a vital link in eliminating the knowledge deficit that can help lead to stroke. This article describes the process of developing and implementing a stroke education program that involves both patients and their significant others. In 1990, rehabilitation nurses at St. Margaret Mercy Healthcare Centers in Hammond, IN, identified 11 essential areas for education and grouped them into six 1‐hour teaching sessions. A program was developed and held weekly for a trial period of 3 months. It was so well received that it continues to be a permanent part of the rehabilitation program. Such structured teaching in a relaxed atmosphere better prepares patients for discharge and eases the transition to the home environmen

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01339.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Triad communication can be used by the nurse to facilitate communication with a patient and a caregiver in home health care. The family members may be involved as listeners or in discussion with the patient, the nurse, or both. The caregiver is selected based on specific communication objectives and the third person's ability to assist in meeting these objectives. Triad communication can (a) support the family and patient, (b) increase the caregiver's understanding, (c) increase compliance, (d) increase the nurse's understanding, (e) reinforce instruction, (f) decrease manipulation, (g) promote communication between family members, and (h) facilitate positive patient‐family relationship

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01340.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In this article, the authors describe how the needs of the patient with a new amputation were assessed and how behavioral objectives were developed for an educational program that would address the knowledge, motor skills, and attitudes necessary for self‐care. Two teaching techniques are described. An evaluation process that identifies the patient's or family's achievement of the objectives is discusse

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01341.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01342.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01343.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY