ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01651.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Rehabilitation for persons with head injuries is a multifaceted process that requires structure, consistency, and predictability. This article discusses the process followed by nurses on one rehabilitation unit to revise a standard nursing workload measurement tool to reflect the physical, cognitive, behavioral, and psychosocial needs of patients with traumatic brain injury (TBI). Family education and support, a critical component of care, was also addressed. The flexibility of the tool, known as GRASP, allowed the incorporation of neurobehavioral items based on the Rancho Los Amigos cognitive functioning scale and the inclusion of important therapeutic nursing interventions. The revised tool reflects the time required to deliver comprehensive nursing care to TBI patients and, thus, promotes the desired rehabilitation outcomes for patients and their families.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01652.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Quality, a leading priority in health care today, must be quantified if a rehabilitation facility is to accurately evaluate its treatment effectiveness and durability. Quality can be seen as including four domains, or dimensions: accountability, professional staffing, value, and proven results. This article offers suggestions to rehabilitation case managers and discharge planners, who are in search of quality, on how to evaluate a brain injury rehabilitation program prior to referring patients to a facility.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01653.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Atrophied skeletal muscle is a common clinical manifestation of bed rest that occurs primarily because of a lack of weight‐bearing activity on the muscle. Findings from several studies using an animal model to simulate the effects of bed rest on muscles indicate that when atrophied muscle is used again for weight‐bearing activity, it undergoes a series of physiological changes, such as muscle fiber (myofiber) damage, death, and regeneration. Also, in the recovering muscle, the inflammatory white blood cells, called macrophages, accumulate and shift in type in relation to the ongoing myofiber changes. Similar processes may occur in the muscles of a patient resuming normal physical activity following bed rest. The authors briefly describe the physiological changes related to atrophied muscle recovery and the implications for nursing care. Nursing measures for the recovery period may include (a) assessing for symptoms associated with muscle injury, decreased strength, and fatigue; (b) encouraging sufficient protein intake and maintaining normal metabolic demands to ensure muscle repair; and (c) temporarily avoiding the use of immunosuppressive therapy, if possible, to ensure adequate macrophage funct

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01654.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

In this article, the authors present a cultural model for community practice, which can be used by an interdisciplinary healthcare team caring for children in the community. Its focus is on rehabilitation issues related to the patient and the family members who are coping with a child who has a disability related to chronic illness. The need for culturally sensitive care that empowers the patient and the family and that brings the healthcare team and the community together is stressed. The current healthcare situation of many poor Americans in urban areas also is discussed, along with creative strategies for nurse‐managed, advanced practice intervention

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01655.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

This article reports on four women with traumatic brain injury (TBI). It describes what happened to the women during their initial trauma and what life was like for them following their injuries. TBI can have devastating lifelong consequences because the brain is the body's central functioning unit. Damage from a TBI tends to be comprehensive, extending beyond physical injuries and changing the way a person behaves and feels. It can even bring about a total change in personality and often leads to psychosocial problems. Family and friends of the person with TBI may have difficulty understanding and coping with these changes. The authors suggest nursing interventions to help both the patient and others deal with TBI.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01656.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Patient classification systems can be valuable tools for identifying trends in acuity and for justifying budgeted nursing care hours. A valid and reliable patient classification system can greatly facilitate the delivery of cost‐effective, high‐quality care. However, the more highly specialized the institutional population, the more difficult it becomes to use a standardized system. In this article, the authors address the development of a patient classification system for a postacute rehabilitation pediatric facility. Included is a discussion of the various pilot phases, the implications for clinical nursing practice, and the impact on family‐centered

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1995.tb01657.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.tb01658.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.tb01659.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.tb01660.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY