ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01179.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The purpose of this study was to compare patients receiving neurodevelopmental therapy (NDT) to patients receiving a traditional approach. The study took place on two separate medical rehabilitation units, each using just one approach. Patients were assigned to each unit based upon bed availability. The charts of 43 cerebral vascular accident (CVA) patients who received the traditional approach and of 37 CVA patients who received NDT were audited for demographic, functional, and disposition data. No significant differences at admission were found between the two groups, except that the NDT group had higher scores in dressing (p= .04) and toileting (p= .02). At discharge, the NDT group had higher functioning scores on toileting only (p= .03). Length of stay was almost identical between the two groups. Eighty‐six percent of the NDT sample were discharged home compared to 78% of the traditional sample, but this was not statistically significant. Thus, the NDT approach does not appear to be superior to the traditional approach. These results imply that there needs to be more careful study of rehabilitation approaches before committing to one specific approach in the nursing care of CVA patient

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01180.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The authors tailored a 26‐item risk assessment tool (RAT) for falls based on a literature review and an analysis of causative factors of falls that had occurred over a 3‐month period at the Olin E. Teague VA Medical Center, an 1,100‐bed acute medical‐surgical, psychiatric, and extended care facility in Temple, TX. The RAT was completed by nursing staff on 10 patient units (four medical, four surgical, and two nursing home units) for all admissions during the period. A 25% sample of the completed RATs was randomly selected (n=208). Pearson's correlation coefficient was used to identify factors that would most likely predict falls from the RATs of the randomly selected group and of the patients who fell (n=78). Only 4 of the 26 items were statistically related to falls. Based on findings from this study, the RAT was shortened to the four items and called the RISK (Reassessment Is Safe “Ka

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01181.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The faculty of the department of nursing of Simmons College in Boston revised its curriculum using Betty Neuman's Neuman Systems Model (1982) as the conceptual framework. Content essential to the nursing curriculum was identified, logically grouped, and then leveled for correct sequencing. During senior year (level III of the curriculum), when tertiary preventions were being integrated, students received theoretical content and specific learning experiences with clients in a rehabilitation setting. This article describes the content included, teaching methodologies used, and the selection of the clinical placement. Data from formative and summative evaluations, as well as modifications for the third year, also are included.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01182.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Communication is a universal, dynamic process by which human beings exchange ideas and express needs. Strokes are a major cause of impaired communication, and rehabilitation nurses work closely with these clients and their families to help them cope with deficits, especially aphasia. This article defines speech and language and their physiological and psychosocial aspects, as well as three types of aphasia. Finally, nursing interventions for clients with impaired communication are suggested.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01183.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Nurses acting as legal consultants in malpractice, workers' compensation, or personal injury litigation may be asked to provide a report that assesses a client's past, present, and future healthcare needs. This article describes the composition of such a report, using the nursing process and nursing models. The format illustrates the comprehensive nature of a nurse's contribution to the resolution of legal actions.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01184.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This article describes problems facing family caregivers of elderly, ill, or disabled people. The physical and emotional impact of caregiving is explored, and the concept of role fatigue is discussed to assist nurses in understanding caregivers' problems and needs. Motivational factors for becoming a caregiver and community sources of support are addressed. Rehabilitation nurses are challenged both to accept the responsibility of identifying caregiver role problems, and to help caregivers obtain assistance that will enable them to continue family members' care in a home environment.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01185.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Autism is a lifelong developmental disability manifested before the age of 2½ years (Wing, 1974). Autistic children exhibit language retardation with impaired comprehension. To maximize effective communication with these children, nurses must know how they communicate and be aware of natural, but detrimental, responses to their behaviors

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01186.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01187.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01188.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY