ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03042.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A theoretical model for the assessment of the interaction between the patient with Parkinson's disease and his caregiver during assisted feeding is suggested. It is based on literature about impairments in Parkinson's disease and about interaction. The main concepts of the model are clarity of cues, sensitivity, interpretation, responsiveness and synchrony. It is suggested that the patient should be allowed to focus on the socio‐emotional content versus the task content of communication during different phases of interaction during the mea

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03043.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

In an exploratory, open‐ended, and non‐random study, 60 health care workers in nine long‐term care institutions in Israel were questioned regarding their experiences, thoughts and feelings related to force feeding senile demented patients. The main findings were analysed according to an ethical decision‐making model. Israeli care workers tended to ground their explanations in traditional Jewish sanctity of life ethics. Their actions as well as their emotional reactions seemed the logical outcome of this world view: patients were force fed and caregivers did not feel guilt for using force or accepting suffering, since they felt obliged to preserve life and thus their actions were right. They did feel ugly and upset about the situation. While most caregivers felt that force feeding was the only acceptable route in an institution, some suggested family home care where discretionary case by case ethics was seen as a viable alternative. This paper compares the Israeli interview results with those of the Swedish

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03044.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

This study compares the effects of the nursing process and traditional care in a patient population where the environment, nurses, other multidisciplinary team members and the nursing model were the same for two patient groups. Both groups were nursed using traditional therapeutic community techniques. One group also received care using a nursing process approach. Patients in the nursing process group did not feel nurses were significantly more therapeutic nor were they more satisfied with their care.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03045.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The concepts of the nursing process and nursing diagnosis are related to models of nursing. The use of nursing diagnosis in relation to Orem, Neuman and Roy's models is presented. Benner's work, describing the development of the nurse from novice to expert, is used to demonstrate strategies that can be used to enhance the decision making process, and the role of the nursing process and models in decision making is explicated.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03046.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Over the last few years, and concurrent with wider debates about the quality of patient care, increasing numbers of practising nurses and nurse educators have expressed interest in using conceptual models of nursing as a basis for planning and delivering nursing care. In the light of such interest, this paper identifies the distinctive features of three fundamental types of nursing model and explores the implications of these for contemporary approaches to nursing practice and nurse education.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03047.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The experience of cancer places considerable physiological and psychological demands upon the patient. In recent years the potential benefits of relaxation training have generated widespread interest in both the lay and professional literature, particularly in the area of stress management. This paper examines the use of relaxation training as a method for helping patients cope with the experience of cancer and reviews a number of studies which have used progressive muscle relaxation and guided imagery in the oncology setting. Although these studies have produced some encouraging results, there are a number of issues which need to be addressed if future relaxation studies are to be useful for nursing practice, and these are discussed.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03048.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Eighty‐four nurse‐patient dyads were studied to obtain descriptions of pain from medical, surgical and oncology patients experiencing pain. These descriptions were compared with the documentation of pain assessment recorded by the nurses providing care to these patients. Neither the descriptions of pain nor the amount of information documented about that pain differed significantly across the three groups. For each group, nurses documented significantly less than 50% of what the patients described. Inadequate documentation of pain assessment has legal and continuity of patient care implicati

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03049.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A double blind controlled trial was carried out to measure the efficacy of Sudocrem, compared with zinc cream BP, in the treatment and prevention of incontinence‐associated dermatitis in an elderly inpatient population. Three objective measures of skin condition were used to assess efficacy. Sudocrem was shown to be superior to zinc cream BP in the treatment of dermatitis, with no significant difference shown in terms of prophylaxis. The objective measures of skin health seemed to be a promising advance on earlier, subjective methods, and their further development is recommended. There was some indication that the normal skin of an incontinent patient does not deteriorate when managed with Sudocrem or zinc crea

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03050.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Fifteen nurse practitioners in a Midwestern urban area in the United States of America volunteered to participate in a study which sought to determine what preconception self‐care practices are taught to female clients at risk for pregnancy as a part of routine health maintenance. Subjects' teaching responses were compared to an investigator‐developed model for preconception counselling. The subjects listened to an audiotape of a stimulus client‐nurse practitioner interview. Their responses were audiotaped and categorized into the following categories: nutrition, vitamins, preconception weight, menstrual cycle review, alcohol, smoking, drug use, exercise, environment hazards, dental care, immunizations, and ‘other’. Frequency counts of the teaching responses and a x2analysis comparing teaching responses to expected teaching based on the PREPARED model (x2= 78‐01, P = 0–001) demonstrated a lack of teaching overall. The conclusion was reached that obstetrical care has not expanded into preconceptio

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1987.tb03051.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY