ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00663.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

A study of well‐being in middle‐aged and elderly spinal cord injured persons (Decker&Schulz, 1985) found that long‐term coping was facilitated by the presence of a primary support person or caregiver. The purpose of this study was to identify the determinants of life satisfaction and depression in 67 primary caregivers of middle‐aged and elderly spinal cord injured persons. The study revealed that the availability of social support and feelings of control over one's life were important determinants of caregivers' well‐being. In addition, those caregivers spending more time each day assisting the disabled person and feeling burdened by these responsibilities experienced more depression and less life satisfaction. In working with spinal cord injured persons, rehabilitation nurses must consider the well‐being of the spinal cord injured person/primary caregiver dyad as an important focus of nursing assessment and i

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00664.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

One hundred fifty‐seven spinal cord injured (SCI) individuals from three SCI centers were tested to investigate the relationship between self‐concept and adjustment to rehabilitation. It was hypothesized that strong positive correlations would be found and that neither time since injury nor level of injury would be a factor. The Tennessee Self‐Concept Scale (TSCS) provided a measure of self‐concept. Criteria for differentiating adjustment into a six‐point scale was used by nurses to assess rehabilitation success. Thirteen subsets of the TSCS correlated significantly with the nurses assessment. A norm deviate score from the TSCS showed P<.001. Variables of sex, inpatient/outpatient and time since injury were not significant; however, level of injury was slightly si

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00665.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Multiple sclerosis (MS) is a complex disease, the symptoms of which may wax and wane on a daily basis. Conventional treatment for MS patients may involve numerous trips to a variety of clinics, physicians, and rehabilitation settings. This article describes a nurse‐managed MS clinic which employs an interdisciplinary and holistic approach to treatment of MS patients with the goal of improving their quality of life and coordinating their health care. In this article, the services of the clinic are described, emphasizing the roles of the nurse practitioner (clinic manager), rehabilitation nurse specialist, and nursing director of the hospital‐based home care program. A case study example of the interdisciplinary nature of this clinic's program with one MS patient is inclu

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00666.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

A prospective six‐month study was conducted to determine a high‐risk index for medical rehabilitation patients who fall. Variables studied for all patients included demographics, medical conditions, associated symptoms, orthostatic blood pressure measurements, physical function, posture control, proprioception, use of physical restraints, and medications. A detailed examination of the fall events was also conducted. Of the 143 patients studied, 46 (32%) fell at least once, making a total of 84 falls. Impaired ability to follow directions, impaired judgment, impaired proprioception, presence of physical restraints, use of major tranquilizers, use of sedatives, and presence of psychiatric diagnosis were all individually associated with patients who fell. Males fell more than females. Logistic regression identified altered proprioception as the only major predictor of falling. Of those who fell, only 26% called for assistance prior to the fall. Sixty‐eight percent of the falls were from wheelchairs. Importantly, no patients had serious injury or morbidity from the

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00667.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Chronic pain often is frustrating to nurses and patients, since many times it has not been responsive to traditional medical approaches. The purpose of this article is to discuss the chronic pain syndrome and the role of nursing within a multidisciplinary chronic pain rehabilitation program designed to return the patient to a functional lifestyle. The purpose and rationale for each treatment modality within the pain management program is described, although the treatment plans are individualized for every patient. Nurses play a crucial role, because they are the only professionals who are constantly available to the patient. Nurses collect data and continually assess the patient to develop comprehensive nursing care plans. In this intensive educational program, nurses also assist in teaching the patient positive health practices to control the pain. Further evaluations of these chronic pain rehabilitation programs are needed.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00668.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00669.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00670.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00671.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Book reviewed in this article:BRAIN INJURY REHABILITATION: A NEUROBEHAVIORAL APPROACH: Rodger L. WoodCLINICAL MANAGEMENT OF ALZHEIMER'S DISEASE: Ladislav Volicer, Kathy Fabiszewski, Yvette Rheaume, and Kathryn LaschTHE NURSE AS GROUP LEADER (second edition): Carolyn C. ClarkResource Listings: Books: DEVELOPMENTAL DISABILITIES: DELIVERY OF MEDICAL CARE FOR CHILDREN AND ADULTS: I. Leslie Rubin, and Allen C. CrockerFAMILY INTERVENTIONS THROUGHOUT CHRONIC ILLNESS AND DISABILITY: Paul W. Power, Arthur E. Dell Orto, and Martha Blechar Gibbons“HUMAN SERVICES? THAT MUST BE SO REWARDING.” Gail S. Bernstein and Judith A. Ha‐laszynVideo Resources: IV CHEMOTHERAPY: SAFE ADMINISTRATION OF VESICANT AGENTSINCREASED MOBILITY FOR THE E

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1989.tb00672.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY