ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01498.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Stressors and stress management behaviors reported by 52 myocardial infarction (MI) patients were identified from a content analysis of transcriptions of nurse/patient/spouse interactions that took place 30 days postinfarction. Subjects defined stress primarily in terms of distress related to appraisals of harm, loss, or threat. Stressors and stress management behaviors varied, although subjects were similar in age and occupation and were in the same phase of recovery. Most stressors related to recent myocardial infarction and pertained to thoughts and feelings more than to external events. Others, related to family and/or work, were ongoing before the MI. Stress management behaviors comprised a continuum of physical, cognitive, and verbal behaviors ranging from active to passive. Avoidance of situations, ignoring situations, expressing feelings, and thinking things through were the four major modes of stress management behaviors. Implications for rehabilitation nursing practice are identified.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01499.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The purpose of the research project reported in this article was to describe head injury support groups and compare them to other types of self‐help groups. A 21‐item questionnaire inquired about the impact, benefits, and description of the support group selected for study. Seventy‐seven members of four randomly selected state chapters of the National Head Injury Foundation (NHIF) answered the survey. Eighty‐two percent of the members felt that their membership was helpful in their adjustment. The perceived benefits of the groups were (a) to obtain information on head injury; (b) to be with others who were experiencing the same ordeal; (c) to increase awareness about head injury; and (d) to learn about available re

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01500.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A major nursing role in rehabilitation is patient teaching. Through education, the patient is armed with knowledge that enables him or her to reenter community life prepared to be as independent as possible. The teaching in a rehabilitation facility should be evaluated continually to assure its ability to meet patients' needs. This article describes a study in which phone calls made by patients after their discharge were assessed to determine whether knowledge deficits had prompted the calls. The results were used by the hospital nursing staff to make changes in their patient teaching.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01501.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

For more than 10 years, the Alfred I. duPont Institute's Spinal Dysfunction Clinic in Wilmington, DE, has helped families and their children with myelomeningocele and neurogenic bowels to establish workable, acceptable, physiologically sound bowel programs. The basic bowel management program at the Alfred I. duPont Institute is described here, as is a program by which a child with a neurogenic bowel can obtain continence. The program is based on the child's developmental level, physiological abilities, and any necessary pharmacologic intervention. The program has enabled approximately 75% of its child patients over age 5 with neurogenic bowel to be continent of stool.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01502.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Dysphagia, with its inherent risk of aspiration, is a clinical problem frequently encountered in patients with brain injury from trauma or cerebrovascular accident. The use of nasogastric tubes and intravenous lines for nutrition and hydration can be cumbersome and uncomfortable for the patient, and can interfere with rehabilitation therapy. With the advent and increased use of video‐ and cinefluoroscopy to evaluate swallowing, the type of dysphagia can be defined more readily. This article describes the use of a heparin lock at night to provide fluids intravenously to a patient who could swallow solid or semisolid food, but aspirated thin liquids. This approach insured adequate hydration while keeping the patient free of parenteral lines and nasogastric tubes during therapy. This technique was continued for 3 1/2 weeks until the patient's dysphagia improved and a full oral diet could be resumed. The authors recommend the use of nighttime intravenous feeding via a heparin lock as an option for managing this subset of dysphagic patients in a rehabilitation settin

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01503.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01504.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Another milestone in the quest for equal rights for people with disabilities occurred with the passage of PL101‐336, the Americans with Disabilities Act. Though some controversy surrounded the passage of this legislation, the bill had clear bipartisan endorsement, as well as the support of President George Bush. The basis of the law was introduced in the Senate May 9, 1989, as Bill S933 by Senator Thomas Harkin (D‐IA). A similar bill, HR2273, was introduced the same day in the House of Representatives by Rep. Anthony Coehlo (D‐CA). The process by which the House and Senate bills became the final Americans with Disabilities Act was lively. Understanding the law and its provisions is important for rehabilitation nurses who are healthcare providers in frequent contact with people with disabil

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01505.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01506.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

APHASIA: COMMUNICATION AND THE FAMILY William A. Brady, Nova Vulanich,&Roselyn CeraCLINICAL MANAGEMENT OF MEMORY PROBLEMS Barbara A. Wilson&Nick Moffat (Eds.)CRISIS INTERVENTION: THEORY AND METHODOLOGY (6th ed.) Donna AguileraESSENTIALS OF NURSING RESEARCH (4th ed.) Lucille E. Notter&Jacqueline R. HottHEALTH ASSESSMENT IN NURSING Patricia Gonce Morton (Ed.)INDEPENDENCE: BUILDING UPON THE STRENGTHS OF AGING PEOPLE Frances TairaLOVE AGAIN, LIVE AGAIN: NEW TREATMENTS, NEW HOPE FOR TODAY'S COUPLES FACING MALE IMPOTENCE Steven Morganstern&Allen AbrahamsOCCUPATIONAL THERAPY FOR PHYSICAL DYSFUNCTION (3rd ed.) Catherine Trombly (Ed.), Williams&WilkinsSTUDY GUIDE TO ACCOMPANY OCCUPATIONAL THERAPY FOR PHYSICAL DYSFUNCTION Mary Ann Bush (Catherine Trombly, Ed.), Williams&WilkinsPAIN: A CLINICAL MANUAL FOR NURSING PRACTICE Margo McCaffery&Alexandra Beebe, The C.V. Mosby Company, St.THE PRIMACY OF CARING: STRESS AND COPING IN HEALTH AND ILLNESS Patricia Benner&Judith WrubelPRIMARY NURSING PRACTICE Gloria Caliandro&Barbara Judkins, ScottSTROKE! THE ORDEAL AND THE RAINBOW Sam KrupnickUNDERSTANDING CANCER (3rd ed.) Mark Renneker (Ed.)WOUND MANAGEMENT: A COMPREHENSIVE GUIDE TO DRESSING AND HEALING Jill A. David

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1990.tb01507.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY