ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01007.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Lupus clients face the challenge of dealing with a long‐term illness that often produces multiple symptoms and follows an erratic course. As a result, they are often faced with the need for major lifestyle changes. Social support networks have been shown to be effective in promoting the necessary transition to successfully cope with many chronic illnesses. This article explores theoretical perspectives on the role of self‐help groups in clients with a chronic illness. It also presents the experiment of one local community in developing a telephone help‐line support system. A telephone help‐line manned by lupus members can meet some of the needs of lupus clients. A model for developing similar self‐help community services is presented. Ideas for future development of supportive services for lupus clients are

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01008.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

People with Parkinson's disease often exhibit diminished mobility, depression, and social isolation. An exercise regimen is recommended for these people as a means of enhancing mobility, improving balance and coordination, and increasing independence. The purpose of this study was to determine the effect of a nurse‐directed group program of non‐aerobic flexibility exercise on indices of subjective and objective mobility, functional ability, affect, and perceived social support of a selected group of people with Parkinson's disease. Seven subjects participated in a within‐subject‐control small‐n experimental design study, testing the effect of an eight‐week structured group exercise group on indices of physical and psychosocial functioning. Significant differences were seen in objective mobility and subjective overall function. Change in affect was mixed, and improved perception of social support was observed. The small sample size and absence of control groups limit the ability to generalize from this study. However, the positive results in a variety of human responses to a chronic disease encourage further studies to determine the magnitude and consistency of the effects seen in this study. Further demonstration of improved functional status and well‐being following a group program of exercise would provide a rationale for a cost‐effective nursing therapy for people with Park

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01009.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Accidental falls among patients at a rehabilitation center were studied to provide data for ongoing risk management. Three series of variables were analyzed from the epidemiologic perspective. Environmental variables most frequently associated with accidental falls were week of hospitalization, day of week, activity levels, and site and equipment. Host factors of age and sex were also considered. Age and diagnosis (CVAs) were critical variables in comparing patients who fell with those who did not. Definitive directions have now emerged for development of a targeted preventive program.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01010.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Underpressure to contain costs, Medicare regulations governing home health agencies have been changing. Agencies must either stay abreast of these changes or face the reality of increasing Medicare denials. These revised regulations affect the provision of rehabilitation services to homebound individuals. The frequency and duration of rehabilitation services have been influenced both by the intensity of therapy received prior to discharge and by the acute or chronic nature of the disease or injury. But functional limitations, not the diagnosis or prior exposure to inpatient rehabilitation, should be the basis for eligibility of rehabilitation services. It is now a challenging task to provide individuals with the necessary rehabilitation services while complying with Medicare regulations. Hence, the purpose of this article is to shed light on current regulations which have an impact on the home delivery of rehabilitation services, and to encourage healthcare professionals to work in concert with clients and their families to make changes in the system.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01011.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01012.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01013.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01014.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01015.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb01016.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY