ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01162.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The purpose of this qualitative single case study was to explore and describe the various formal and informal pressure sore prevention (PSP) educational encounters that occurred with an adolescent spinal cord injured client during his initial admission in an inpatient rehabilitation facility. Data collection supported the conclusion that nurses engaged most frequently in educational encounters with the client. Based on study findings, nurses should consider the following in planning client teaching: (a) assessing a client's learning style on admission and considering this when choosing teaching methods; (b) timing the delivery of PSP education to coincide with times when the information and skills would be most immediately applicable and relevant for the client; and (c) clarifying PSP measures of highest priority with clients while educating them. It also is suggested that rehabilitation nurses consider striking a balance between modeling important PSP measures in earlier phases of a rehabilitation program and encouraging client independence in these behaviors in later program phases.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01163.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Many social myths and stigmas surround sexuality in the elderly and may account for society's and the medical profession's often ignoring sexuality in these older citizens. Rehabilitation nurses who deal with clients of any age with altered sexual needs should be especially sensitive to the fact that sexual assessment and counseling are very important elements in the rehabilitation process for the promotion of optimum functioning.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01164.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Two nursing units at the James A. Haley Veterans' Hospital in Tampa, FL, used a model directed toward translating research outcomes into clinical knowledge for use in a practice setting. Each unit developed its own unique subjects, based on problem identification by the nursing staff. The clinical areas followed different courses, and the results varied. Many differences between the two units became apparent, such as mode of delivery of nursing care (primary versus team nursing) and differences in staffing patterns. These differences had an impact on successful implementation of the model. This article describes the Conduct and Utilization of Research in Nursing (CURN) model as a process that guides nursing staff in integrating research and clinical practice.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01165.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Bacteriuria—asymptomatic and symptomatic—always has the potential to develop into a serious problem when intermittent catheterization is being used. Research on the best method of reducing bacteriuria is inconclusive. Studies have focused on the use of sterile technique, oral or vesical antibiotics, and the frequency of catheterization. This article presents a summary of current research on bacteriuria in the patient requiring intermittent catheterizat

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01166.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This article describes the application of systems theory to case management in head injury rehabilitation.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01167.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Temporomandibular joint (TMJ) syndrome has only recently surfaced as a workers' compensation or auto accident claim in the insurance industry. It usually appears as a secondary problem to cervical injuries. Further research is needed to establish guidelines for determining whether TMJ syndrome is compensable, but a survey of healthcare practitioners who deal with TMJ—such as the one described in this article—can help in making a determination until guidelines are established. In early 1990, the American Academy of Craniomandibular Disorders and the American Dental Association published guidelines; however, these guidelines address only diagnosis and treatment (Independent Medical and Dental Consultants, Inc., 1990). Further information is needed concerning TMJ's causes and whether the condition should be compensated. Sixty survey questionnaires were sent out to dentists and oral surgeons to identify causes of TMJ, symptoms, diagnostic methods, and treatment. The primary question for which the survey sought an answer was how to judge whether a person with a cervical injury complicated by TMJ syndrome should be compensated for TMJ problems. The remaining questions and answers concerned the medical management of patients with TMJ syndr

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01168.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This article discusses six functions of a nurse expert hired by an attorney. Use of nursing models and the nursing process in legal consultation are described. Qualifications of the nurse legal consultant are outlined.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01169.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Depression following stroke is a complication that frequently is untreated. Lack of awareness of those at risk for poststroke depression, combined with lack of information about depression in stroke patients, may be one reason for this neglect. This article reviews recent studies on characteristics of poststroke depression. The location of the lesion, degree of functional loss, and distinction between major and dysthymic (minor) depression all are factors that influence poststroke depression.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1991.tb01170.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.tb01171.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY