ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01638.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Pressure ulcers (PU) remain a serious healthcare problem in the United States. This study investigated the effectiveness of a prevention and early intervention program in reducing the prevalence of pressure ulcers (i.e., the number or the percentage of persons with pressure ulcers at a given time) in a rehabilitation hospital. The Braden Scale for Predicting Pressure Sore Risk was used to assess subjects' PU risk. Protocols were established for PU stages consistent with the National Pressure Ulcer Advisory Panel consensus statement on pressure ulcers. Staff were educated about PUs and the specific protocols for prevention and treatment. Concurrent quarterly prevalence audits on a total of 116 patients were conducted for 1 year. An audit also was done 16 months after protocols had been established. There was a 60% decrease in pressure ulcer prevalence from the 25% baseline to the 10% found at the audit following implementation of the protocols.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01639.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

What are the needs of family caregivers of newly disabled adults? Research to date has focused on the needs of family members of patients in critical care units and of family members who have been in the caregiver role at home for some time. No studies could be found on the perceptions of individuals facing the decision to assume the family caregiver role for a newly disabled adult anticipating discharge from a physical rehabilitation or medical‐surgical nursing unit. Watson's philosophy of science and caring provided the theoretical basis for this study. The Elaine Matthis Educational Wants of Family Caregivers of Disabled Adults Questionnaire was used to assess the perceptions of prospective family caregivers visiting newly disabled adults in an urban medical center. The results of this research are offered to help nurses understand the feelings of uncertainty about the new and unexpected role that family caregivers face and to help nurses meet the needs of families preparing to take disabled adult relatives hom

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01640.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Rehabilitation nurses have moved into the home care setting; along with other home care nurses, they treat clients with chronic wounds. A rehabilitation nurse, however, views the homebound client needing wound care as having a disability that requires lifestyle modification. Rehabilitation nurses also treat clients with other disabilities who are at risk for developing wounds, so they are in an ideal position to instruct clients in wound prevention. Rehabilitation nurses in home care have the skills and expertise to assess clients needing wound care for deficits that might otherwise be overlooked.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01641.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

An experiential activity was conducted as part of a nursing course at a university in the Midwest to determine whether simulating a physical disability by using a wheelchair could be a valuable educational strategy. The goal was to increase nursing students' awareness of disability, sensitivity to people with disabilities, and understanding of the importance of self‐efficacy, as well as to enhance their learning about the research process, which was one of the course objectives. While the results of this activity were not statistically significant, the content analysis of the qualitative data showed an effect on the experimental group. This analysis suggested that the enactment was a beneficial learning experience that increased nursing students' depth of understanding about what life is like for a disabled person in a wheelchai

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01642.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

In some facilities, group learning has been used to teach adults who have various disabilities or chronic diseases (e.g., diabetes, cardiac problems, cancer, Parkinson's disease, spinal cord injury). The following literature review discusses the advantages of group learning, which include peer support, individuals' learning and gaining motivation from each other, reduced feelings of isolation, and opportunities to share problems and goals. It appears likely that greater use of group learning could enhance rehabilitation efforts for adults.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01643.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Impaired skin integrity and a high risk for developing it are two of the more common nursing diagnoses made in the rehabilitation setting. Pressure sores and their consequences are directly related to increased length of stay for patients and can create higher costs for the institution. Most of the sequelae of pressure sores can be avoided, as the identification, prevention, and treatment of pressure sores have become more standardized. The rehabilitation facility discussed in this article developed a standard of care for the maintenance of skin integrity, a pressure sore protocol, and nursing care plans to provide a standardized format for nursing care. The standard was designed to ensure consistency among the nursing staff when they assess, plan, evaluate, and document care of patients who have pressure sores or are at risk of developing them. The standard also created a mechanism for evaluating the knowledge and skill of the nursing staff in preventing and treating pressure sores. This article describes the components of the standard of care and its supporting policies as well as its implementation and use.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01644.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

The purpose of this article is to provide an overview of an educational program that was implemented at a postacute pediatric rehabilitation facility to prepare the nursing staff to provide quality care for patients undergoing limb lengthening. Patients undergoing limb lengthening and limb reconstruction by the Ilizarov orthopedic method wear a highly complex external fixation device that has numerous variations. As such, it is a type of apparatus that pediatric rehabilitation nurses are unaccustomed to dealing with in the clinical arena. The nursing department at the facility described in this article undertook an intensive educational and credentialing program to ensure staff competency, parent satisfaction, and quality patient care for cases involving limb lengthening and reconstruction.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01645.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01646.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Book Reviews: CORE CURRICULUM: FOR HOME HEALTH CARE NURSING Kathy J. Morgan&Sandra L. McClain (Eds.)Book Reviews: PATIENT OR PERSON: LIVING WITH CHRONIC PAIN Penney CowanBook Reviews: PATIENT EDUCATION: A PRACTICAL APPROACH Kate LorigBook Reviews: OUTPATIENT CASE MANAGEMENT: STRATEGIES FOR A NEW REALITY Michelle Regan Donovan&Theodore A. MatsonBook Reviews: ACUTE AND CHRONIC WOUNDS: NURSING MANAGEMENT Ruth A. Bryant (Ed.)Video Reviews: STARTING OVER …(a three‐part video series) PART I—SKIN CARE, PART II—AUTONOMIC DYSREFLEXIA, PART III—BOWEL CAREResource Listings: Books: PHYSICAL MEDICINE AND REHABILITATION: STATE OF THE ART REVIEWS—SEXUALITY AND DISABILITY Trilok N. Mong (Ed.)Resource Listings: Books: WHEN YOU'RE THE CAREGIVEWHEN YOU'RE ILL OR INCAPACITATED James E. MillerResource Listings: Books: CLINICAL DELEGATION SKILLS: A HANDBOOK FOR NURSES Ruth I. Hansten&Marilynn J. WashbumResource Listings: Books: CARING FOR THE ELDERLY CLIENT Mary Ann Anderson&Judith V. BraunResource Listings: Books: HEAD INJURY AND THE FAMILY A LIFE AND LIVING PERSPECTIVE Arthur E. Dell Orto&Paul W. PowerResource Listings: Videos: PATHWAYS: EXERCISE VIDEO FOR PEOPLE WITH LIMITED MOBILITY Mobi

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01647.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY