ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01526.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This study was designed to determine the efficiency and effectiveness of four bowel training protocols for stroke patients (N =46) differing in two variables: (a) consistent use of suppositories, and (b) time of day scheduled for the bowel training program. Eighty‐five percent of the subjects (n =39) achieved effective bowel training within 1 month. Patients assigned to morning bowel training groups were significantly more efficient than those in evening groups in establishing effective bowel regimens. No significant differences were found between scheduled versus prn suppository use. Efficiency was highest for those assigned to a bowel training group whose time coincided with their previous pattern and lowest for those assigned to a group whose time conflicted with a previous patter

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01527.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Little is known about the experience of recovery following stroke. A longitudinal, descriptive ethnography formed the basis of the study described in this article, in which 120 interviews were conducted over a period of 6 months with 13 individuals who had experienced lacunar infarcts of the internal capsule of the brain. Participants were interviewed within 72 hours of the infarct and during the acute and rehabilitation phases of recovery. This article discusses the experience of the recovering body and plateaus in this recovery, as well as the phenomena of experimentation with tasks, transformation by familiar surroundings, and sequential focus on involved limbs.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01528.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Stroke affects long‐term quality of life and well‐being for not only the patients themselves but also their families. However, the focus of most rehabilitation programs has been on managing the acute stage of stroke and evaluating the effectiveness of short‐term treatments. Families usually share in treatment, especially in the long term, and they are ultimately responsible for the patient's welfare. This article reviews the literature as it relates to the clinical problems that make rehabilitation a family

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01529.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01530.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The study described in this article examined two different methods to reteach reading to stroke patients with Broca's aphasia. The first method was a multisensory technique that used visual, verbal, kinesthetic, and tactile input stimuli, while the alternate method used only a visual‐verbal input procedure. A single‐subject alternate‐treatment design was used to compare the two approaches. It was found that word recognition improved in all patients regardless of the method used. The results of this study suggest that nurses who are aware of this problem may plan a simple approach that can help the affected individual overcome the reading de

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01531.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Since there are a limited number of master's programs that prepare rehabilitation clinical nurse specialists, it was assumed that most or all graduates of such a program newly established at Thomas Jefferson University in Philadelphia would assume positions in traditional rehabilitation settings. A needs assessment completed before the beginning of the program indicated that these facilities needed and definitely would hire graduates as rehabilitation clinical nurse specialists. A follow‐up study, consisting of questionnaires sent to the first graduates and their employers, indicated that several had taken roles in areas not considered traditional rehabilitation settings. This article discusses rehabilitation as an umbrella concept and how that concept possibly influenced graduates in assuming their first position after graduatio

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01532.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

This article reports on a 2‐week trip in a motor home through the southeastern United States with an oxygen‐ and ventilator‐dependent young woman with muscular dystrophy. The article describes the planning, implementation, and evaluation of traveling with technology. Discussed are the amount and types of equipment and supplies to take on such a trip, modification of equipment and the motor home, the roles and responsibilities of the nurses, interactions with the client and family, and legal issues. The impact of the trip on the client's behavior—which was to transform her from a passive recipient of care to an actively involved participant—is

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01533.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

While nursing literature abounds with information on nursing case management (NCM), articles discussing actual NCM implementation problems, particularly in the acute rehabilitation setting, are virtually nonexistent. As hospitals seek ways to combat the economic and quality problems stemming from fragmented care, nursing case management provides a viable approach. Yet, it is imperative that those seeking to implement case management realize the importance of careful planning in avoiding common pitfalls. This article discusses NCM and uses a case analysis approach to illustrate problems commonly encountered in implementing the care delivery model. Recommendations for ensuring a smooth transition from primary nursing to nursing case management are presented.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01534.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1992.tb01535.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY