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Dissertations / Theses on the topic 'Rehabilitation nursing'

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Published: 4 June 2021
Last updated: 27 July 2024

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1

Burton, Christopher Richard. "Therapeutic nursing practice in stroke rehabilitation : the development and evaluation of a therapeutic nursing intervention in stroke rehabilitation." Thesis, University of York, 2002. http://etheses.whiterose.ac.uk/9871/.

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2

Venskus, Diana Gilroy. "Nursing Home Staffing Adequacy, Rehabilitation Orientation and Quality." VCU Scholars Compass, 2003. https://scholarscompass.vcu.edu/etd/5959.

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Objective: The primary objective of this research is to examine how changing levels of nursing home staffing adequacy and variations in rehabilitation orientation have affected facility deficiencies and the quality of patient care as facilities responded to the Balanced Budget Act of 1997.Data Sources: Analyses were performed using data from the On-Line Survey Certification and Reporting System (OSCAR) data from years 1997, 1998, 1999, 2000 and 2001 and were merged with Area Resource File (ARF) data released in February 2001.Study Design: Contingency strategic adaptation provides the theoretical framework for developing the effects of environmental characteristics, organizational characteristics and strategic change on nursing facilities’ performance. The study employed a non-experimental, longitudinal panel design focusing on the individual nursing home as the unit of analysis. Measurement models were proposed and validated for each of the research constructs. Structural equation modeling was used to specify the relationships between staffing adequacy, rehabilitation orientation and nursing home quality.Principal Findings: Decreases in staffing adequacy and rehabilitation orientation, and also in nursing home quality occurred during the period of 1997 to 2001. Environmental and organizational characteristics have various direct effects on staffing, rehabilitation orientation and nursing facility performance. Staffing directly affects rehabilitation orientation; rehabilitation orientation directly affects quality. The variances accounted for in the final structural model are small.Conclusion: Staffing and rehabilitation orientation are, respectively, structures and processes of care subject to strategic change within organizations in response to changing environmental conditions. Changes in staffing and rehabilitation that occurred during the period of implementation of the BBA of 1997 reduced nursing facility performance. The relatively small contribution of each to the measurement of nursing facility performance suggests that other structures and processes should be identified, and their impact on the quality of care evaluated.Keywords: Staffing, rehabilitation, nursing home deficiencies, strategic adaptation, Balanced Budget Act of 1997.
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3

Doyle, Louise A. "The effect of family support systems on stroke rehabilitation /." Staten Island, N.Y. : [s.n.], 1987. http://library.wagner.edu/theses/nursing/1987/thesis_nur_1987_doyle_effec.pdf.

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4

Vanhook, Patricia M. "Reintegration and Rehabilitation of Women Stroke Survivors." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/7443.

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5

Petersson, Lena-Marie. "Group Rehabilitation for Cancer Patients: : Effects, Patient Satisfaction, Utilisation and Prediction of Rehabilitation Need." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis ; Univ.-bibl. [distributör], 2003. http://publications.uu.se/theses/91-554-5548-4/.

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6

Pryor, Julie Anne, and mikewood@deakin edu au. "A grounded theory of nursing's contribution to inpatient rehabilitation." Deakin University. School of Nursing, 2005. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051110.112022.

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There is growing awareness of the benefits of rehabilitation both in Australia and overseas. While the provision of rehabilitation services is not new, recognition of this type of health service as an integral part of health care has been linked to changes in the provision of acute care services, advances in medical technology, improvements in the management of trauma and an ageing population. Despite this, little attention has been paid to nursing's contribution to patient rehabilitation in Australia. The aim of this grounded theory study, therefore, was to collect and analyse nurses' reports of their contributions to patient rehabilitation and to describe and analyse contextual factors influencing that contribution. Data were collected during interviews with registered and enrolled nurses working in five inpatient rehabilitation units in New South Wales and during observation of the nurses' everyday practice. A total of 53 nurses participated in the study, 35 registered nurses and 18 enrolled nurses. Grounded theory, informed by the theoretical perspective of symbolic interactionism, was used to guide data analysis, the ongoing collection of data and the generation of a substantive theory. The findings revealed six major categories. One was an everyday problem labelled incongruence between nurses' and patients' understandings and expectations of rehabilitation. Another category, labelled coaching patients to self-care, described how nurses independently negotiated the everyday problem of incongruence. The remaining four categories captured conditions in the inpatient context which influenced how nurses could contribute to patient rehabilitation. Two categories, labelled segregation: divided and dividing work practices between nursing and allied health and role ambiguity, were powerful in shaping nursing's contribution as they acted individually and synergistically to constrain nursing's contribution to patient rehabilitation. The other two categories, labelled distancing to manage systemic constraints and grasping the nettle to realise nursing's potential, represent the mutually exclusive strategies nurses used in response to segregation and role ambiguity. From exploration of the relationship between the six categories, the core category and an interactive grounded theory called opting in and opting out emerged. In turn, this grounded theory reveals nursing's contribution to inpatient rehabilitation as well as contextual conditions constraining that contribution. The significance of these findings is made manifest through their contribution to the advancement of nursing knowledge and through implications for nursing practice and education, rehabilitation service delivery and research.
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7

Andrews, Sheila Bernadette. "Skilled nursing facility based rehabilitation outcomes of the geriatric stroke patient." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1000.

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8

Massengale, Jill. "The Role of Nursing Practice in Promoting Sleep During Brain Injury Rehabilitation." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1361.

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During hospitalization, sleep can be interrupted or even elusive. It has been established that quality sleep is essential in neural repair. Previous research has indicated that many nurses are unaware of the impact of sleep disturbance on brain injury recovery and do not understand how to promote sleep in the neurorehabilitation setting. The purpose of this project was to determine whether educational intervention would influence nurses' knowledge and attitudes toward sleep. Benner's (2001) novice to expert theory provided a framework for the project. With the collaboration of a neuropsychologist, this study produced a sleep knowledge and attitudes instrument. Pulmonary sleep specialists, rehabilitation physicians, and neuropsychologists who were experts in the treatment of sleep disorders and brain injury validated the instrument. Following instrument validation, 19 rehabilitation nurses completed the instrument prior to receiving sleep hygiene education. Immediately after education, a posttest was administered. Pretest and posttest data were compared via Wilcoxon signed-rank tests. Results indicated a statistically significant increase nurses' knowledge (p = .015) and attitudes (p = .028) toward sleep. These findings support the use of didactic methods of sleep hygiene education for nurses. Providing nurses with sleep knowledge and improving their attitudes toward sleep may shift nursing focus to sleep as an activity rather than inactivity, and it has the potential to improve quality of patient care by empowering nurses to implement good sleep hygiene practices on inpatient units. Additional research is indicated to determine whether the increase in knowledge and improvement in attitudes will be sustained and ultimately affect patient sleep outcomes.
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9

Gianelli, Dorothy M. "Comparison study between Type A and Type B individuals' compliance to cardiac rehabilitation following myocardial infarction /." Staten Island, N.Y. : [s.n.], 1987. http://library.wagner.edu/theses/nursing/1987/thesis_nur_1987_giane_compa.pdf.

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10

Suematsu, Katsuya. "Enabling Architecture- Rehabilitation and Therapeutic Environment -." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1277119864.

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11

Rocha, Kara L. "Exercise Prescription for Cardiac Rehabilitation| A Guide for Clinicians." Thesis, California State University, Long Beach, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10974777.

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Cardiac rehabilitation is a multifaceted intervention aimed to enhance health and wellness in patients with cardiovascular disease and chronic heart failure. Many books on cardiac rehabilitation primarily focus on pathology, risk stratification, and patient assessment while giving less attention to designing an exercise regimen. Exercise Prescription for Cardiac Rehabilitation: A Guide for Clinicians concentrates on developing exercise programs for individuals with chronic heart disease based on recommendations from current research to meet a patient’s personal goals. The purpose of this project is to present health care providers with comprehensive recommendations for treatment plans appropriate for each phase of recovery during rehabilitation. Through this guide, readers can better create individualized programs to help patients progress based on their skills, abilities, and physical capabilities. Physical activity will ultimately lead to short and long term benefits while increasing overall health and quality of life in patients with cardiovascular disease.

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12

Chen, Hsiao-Yu. "Developing a model of spinal cord injury rehabilitation nursing using grounded theory." Thesis, University of Ulster, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.413285.

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13

Echeverri, Rebecca Chloe. "Barriers to participation in cardiac rehabilitation a rural perspective /." Thesis, Montana State University, 2007. http://etd.lib.montana.edu/etd/2007/echeverri/EcheverriR0507.pdf.

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14

Morey, Melissa. "The role of the nurse in promoting cardiac rehabilitation in women." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1459.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Nursing
Nursing
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15

Dirske, van Schalkwyk W. "The essence of stroke rehabilitation experience across two settings." Thesis, Liverpool John Moores University, 2007. http://researchonline.ljmu.ac.uk/5828/.

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The present research used van Manen's application of hermeneutic phenomenology as philosophy and method to explore stroke rehabilitation experience across two different settings, i.e. (i) a conventional setting (National Health Service or NHS stroke unit) and (ii) an unconventional setting (Conductive Education or CE). Interviews, observations and reflective diaries were used to collect data on 24 volunteering stroke patients' experiences. High levels of dis empowerment and negative images of self as well as the nature of motivation were indicated to be thematic of stroke rehabilitation experience in the stroke unit. In the CE setting stroke rehabilitation experience was characterised by increased selfconfidence, unconditional positive regard from conductors, challenging activities and body-half integration. A juxtaposition of stroke rehabilitation experience in the CE setting with stroke rehabilitation experience in the NHS stroke unit brought to light an important difference between the physical body-split caused by stroke, and a much wider and deeper disintegration of being. The juxtaposition further indicated that (i) the approach used in the NHS stroke unit is biomedical in spite of the presence of a multi-disciplinary team, and (ii) that the one adopted by CE is a person-centred approach characterised by holistic principles, with an overall focus on mobility. A reflective evaluation of this hermeneutic phenomenological study ensues, including a discussion on the difference between person-centredness and holism. The better understanding gained regarding stroke rehabilitation experience across the two settings was then used to make recommendations regarding what could constitute a holistic approach to stroke rehabilitation. Finally, the researcher's experience of 'being-immersed' in others' lived experiences was discussed in order to illustrate the holistic effect the research process had on the researcher's well-being, and the development of a tool which addresses researcher emotions holistically is also presented.
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16

Vittatoe, Danielle S. "Determining Patient Activation Levels among Patients who are Receiving Rehabilitation Services in a Rehabilitation or Long-Term Care Facility." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/251.

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Research shows that one of the major contributors for an extended stay in a long-term care facility is lack of knowledge regarding goals for rehabilitation after being discharged from an acute care facility. It is important to determine patients’ levels of engagement because individuals who are actively involved in discharge planning and rehabilitation goals are able to manage their ongoing care more effectively, which results in increased quality of life. The data was collected using a survey method and the instrument used was the Patient Activation Measure or PAM which is a highly accurate and reliable tool. The 22 question survey was used to determine the level of patient activation among patients who are currently receiving rehabilitation services at a rehabilitation or long-term care facility. Determining the level of engagement in patients receiving rehabilitation services will provide health care providers insight into the how willing patients are to be engaged in their own care. A total of 11 surveys were completed by patients varying age, gender, and length of stay. Each patient was currently receiving rehabilitation services at National Healthcare Corporation of Johnson City or John M. Reed Health and Rehabilitation Facility in Limestone.
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17

Evans, Ann Marie. "Staffing Model to Improve Patient Outcomes in an Acute Inpatient Rehabilitation Facility." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4439.

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The goal of the acute inpatient rehabilitation facility (IRF) is to rehabilitate patients and discharge them back into the community at their optimal level of functioning. The IRF patient is more acutely ill today than in the past, and due to a change in condition may be discharged back into the acute care hospital before achieving maximal level of function. An IRF was identified as discharging 14% of patients back into acute care, which indicated the IRF was not meeting its treatment goals. A chart review revealed a possible link between the nurse's role in patient care and the patient's discharge disposition. The purpose of this project was to design a nurse staffing care model that would support the registered nurse in providing care and treatment for the IRF patient. The missed nursing care model and Lewin's change theory were used to support the design of the new staffing model. Sources of evidence included a literature review of nurse staffing models and the nurse's role in patient outcomes. A project team of expert stakeholders participated in the development of the new model. The Appraisal of Guidelines for Research and Evaluation was used in formative and summative evaluations of the new model to systematically assess the quality of the new staffing model. Formative feedback was given by 3 project team members. Nine expert end users provided summative evaluations of the new model after revisions by the project team. All end users recommended implementation without modification. Positive social change with implementation of this model may lead to reduced acute care transfers, improved quality measures, and enhanced patient outcomes in the IRF.
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18

Bladen, Laurie. "Relationship of Embodied Nursing Knowledge and Client Outcomes in Home Health." Thesis, University of Phoenix, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3691406.

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The purpose of this descriptive correlational research was to identify the relationship between nursing expertise, defined as embodied nursing knowledge, nurse’s educational background and experience, and client outcomes. Hierarchical multiple regression and Pearson product moment correlation were used to determine the strength of the relationships between embodied nursing knowledge and home health outcome improvement measures in a convenience sample of 107 home health registered nurses. Embodied nursing knowledge was measured by Minick’s Manifestations of Early Recognition instrument. Scores on the Outcome and Assessment Information Set, version C (OASIS-C), measured client outcome improvement. There were no significant differences between participants’ knowledge of their clients, knowledge of the system and institution, knowledge of their own and colleagues’ skills, level of nursing education and experience, or total years of home health nursing experience and mean total clientcentered improvement. Age had a significant, negative relationship to the mean percent score on the OASIS for improved client-centered outcomes. The outcome improvement measures from the nine home health agencies were at or above the state and national averages, which created a restricted data range for the findings. The restricted data range of the outcome improvement measures may have lessened the validity of the findings in this study and advocates that future studies may need to employ the use of purposeful selection of the sample population in home health. The concepts of knowledge of clients and their families, knowledge of the home health system, and knowledge of registered nurses own skills may not be the same construct in home health as in acute care nursing practice. Further research should explore those concepts that may be used specifically in home health. Understanding the characteristics of home health has the potential to assist home health agencies understand how to support their registered nurses to provide quality care thereby achieving improved clinical outcomes by developing rich structured information base practice.

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19

Conway, Barbara. "Patients from lower socio-economic backgrounds who do not access cardiac rehabilitation programmes : a phenomenological journey." Thesis, Northumbria University, 2012. http://nrl.northumbria.ac.uk/7990/.

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It has long been documented that patients from lower socio-economic backgrounds do not access health services. There have been Government led initiatives to ask service users what they want from services to provide initiatives that will improve the health and well-being of the population. There has been little or no involvement of patients who do not access services to ask them why they do not attend or involve themselves in decision making. Previous studies into access to cardiac rehabilitation have been predominantly quantitative, with very little qualitative data to explore the reasons why people from lower socio-economic backgrounds do not access the programmes provided. In this study beliefs of people who have not accessed cardiac rehabilitation are explored with a group of participants who have a diagnosis of coronary heart disease using a Heideggerian phenomenological approach. Semi-structured interviews were used to collect data. Themes were identified using line by line analysis. Three case examples were described bringing the data back together into a whole transcript for further exploration. The key findings from the research showed that the participants, all from the five poorest electoral wards of Darlington highlighted what to them were the significant factors in their health journey. The most common themes were (1) support, (2) choices and risks, (3) cardiac rehabilitation inhibitors and (4) perceptions of what had happened to them. In conclusion the findings from this study can be used to stimulate a review of current thinking and practices among health professionals, educators and other agencies involved in supporting this group of individuals to meet their long-term adjustment needs. Long term cardiac rehabilitation provision could be further enhanced if future policy initiatives reflected the needs of this group of individuals, and further research into this area could be implemented.
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20

Johnson, Louise. "Explicit and implicit motor learning during early gait rehabilitation post stroke." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/369974/.

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Learning can be explicit or implicit. Explicit learning takes place intentionally, in the presence of factual task-relevant knowledge; whereas implicit learning takes place unintentionally, without concurrent acquisition of knowledge about task performance. The relative benefits of implicit learning have been well investigated within healthy populations. Research consistently demonstrates that skills learnt implicitly are more likely to be retained, and are more robust under secondary task load. However, study protocols tend to involve laboratory based activities, which do not take into account the complexities of motor learning in natural settings. Direct transferability of the findings to stroke rehabilitation is therefore questionable. Two factors in explicit and implicit learning are the concepts of attentional capacity and attentional focus. Attentional capacity refers to the ability to attend to and process incoming information, whereas attentional focus refers to the location of attention in relation to specific aspects of the task being performed. Theories propose that focussing on specific movements (internal focus) may actually constrain or interfere with automatic control processes that would normally regulate movement, whereas if attention is focussed towards the movement effect (external focus) the motor system is able to more naturally self-organize, resulting in more effective performance, and learning. An internal focus of attention is therefore allied to explicit learning; whilst an external focus of attention is allied to implicit learning. This research aimed to improve understanding of explicit and implicit learning within early gait rehabilitation post stroke; primarily through the development and testing of explicit and implicit models of learning interventions. It has comprised three phases; a review of the literature; an observational study to gain insight into current practice; and a feasibility study to test the ability of therapists to deliver interventions with a bias towards either an explicit or implicit approach. Therapists were found to favour the use of explicit techniques; internally focussed instructions and feedback statements were used in high quantities. Practice therefore appeared to be at odds with current evidence; albeit primarily from healthy populations. Guidance for the delivery of explicit and implicit learning models in clinical practice was developed, and then tested in a feasibility study. Therapists demonstrated the ability to change their practice to bias either explicit or implicit learning; both approaches were found to be acceptable to patients and therapists. Recommendations are made on the content and evaluation of explicit and implicit learning models in future research, and specifically, in a Phase II pilot study.
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21

Wong, Nga-sze, and 黃雅詩. "An evidence-based mental health supporting guideline for adults with diabetes and undetected major depressive disorders in primary caresettings." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44626708.

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22

Kneafsey, Rosie. "An exploration of the contribution of nurses and care assistants to patients’ mobility rehabilitation." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3242/.

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Aim of the thesis: To report on a study to describe and explain the contribution of registered nurses’ and care assistants’ to hospitalised patients’ mobility rehabilitation. Background: Studies internationally have shown that older adults often experience a decrease in their ability to mobilise during and after hospitalisation. Rehabilitation nursing interventions could be important in maximising the functional abilities of this population. Methods: A grounded theory approach structured data collection and analysis. Data were derived from three hospital settings (general rehabilitation, spinal injuries and stroke rehabilitation) and included 39 staff interviews and 61 hours of observation. Findings: Mobility rehabilitation is an ‘embedded activity’ and is achieved indirectly when nurses and care assistants transfer patients safely from one place to another. These events are described as ‘A to B transfers’. Practitioners perceive distinct differences in the process and purpose of ‘A to B’ transfers in comparison to ‘therapeutic handling’ activities undertaken by physiotherapists and occupational therapists. The core category for the grounded theory (Care to keep safe: Safe to care) is used to explain the findings. Conclusion: Theoretically, the nursing team could implement more structured intentional strategies’ to promote patients’ mobility rehabilitation. However, teamworking arrangements and work environments do not facilitate this.
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23

Finn, Vincent. "The impact of a Cardiac Rehabilitation Programme (CRP) on the Quality of Life (QOL) of older cardiac patients." Thesis, University of Huddersfield, 2012. http://eprints.hud.ac.uk/id/eprint/13102/.

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The aims of this mixed methods research study were twofold: (1) To explore the impact(s) of a cardiac rehabilitation progrmme (CRP) on the quality of life (QOL) of older cardiac patients who experienced either a myocardial infarction (MI) and/or a coronary artery bypass graft (CABG) and/or a percutaneous coronary intervention (PCI), otherwise known as a coronary angioplasty; and (2), To construct a QOL conceptual model based on the quantitative and qualitative aspects of the patient‟s bio-psycho-social-spiritual aspects of QOL on a CRP. The research sought to answer four research questions devised around the physiological, psychological, and sociological domains of QOL. A mixed methods design was used, under the rubric of a critical realist theoretical approach. The physical domains of QOL focused on the cardiac patients specific physiological measurements using a pre-test-post-test design in order to develop a deeper understanding, of the structures, mechanisms, contexts and outcomes of the CRP. Qualitative components focused on the subjective domains of QOL taken from the eclectic perspectives of cardiac health care professionals and cardiac patients using semi-structured interviews to develop an in-depth understanding of the bio-psycho-social-spiritual and health impacts of the programme. Thirty-five cardiac patients (n = 35) formed a non-random purposive sample for the quantitative component of the study. Using the same type of sampling method for the qualitative component, ten cardiac health care professionals (n = 10) and seven cardiac patients (n = 7) were interviewed to determine the various impact(s) that the programme had on the patients different domains of QOL. The results, derived from dual perspectives, indicated that the CRP had strong positive impacts on the patient‟s QOL across the bio-psycho-social-spiritual domains of QOL. The newly created QOL conceptual model, entitled „The Ripple Impact Model (TRIM)‟of QOL for Older Patients with Coronary Heart Disease (CHD)‟ reflects the dynamic nature of an older cardiac patient‟s QOL on a CRP in view of how they define the concept globally from both medical and non-medical perspectives.
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Harris, Kelly, and Kelly Harris. "Cardiac Rehabilitation for Heart Failure Patients: An Evaluation of Knowledge and Practice Patterns of Nurse Practitioners." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621285.

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Heart failure (HF) is a complex, debilitating disease that affects approximately 6.5 million Americans (Ades et al., 2013). HF is a large reason for hospital readmissions, and subsequently, a major contributor to rising health care costs. Unfortunately, there is no cure for HF, but various interventions such as cardiac rehabilitation (CR) have been employed to help patients manage the symptoms. However, the lack of patients ever being referred to cardiac rehabilitation is disturbing. Healthcare providers play an essential role in providing education about heart failure and CR, and thus should be knowledgeable about these principles themselves. Therefore, the aim of this project is to evaluate data from a survey sent to nurse practitioners (NPs) regarding whether HF patients are being referred to CR appropriately, and if barriers are limiting use of CR programs. This was a descriptive, nonexperimental study with a survey design seeking to understand if NP providers are following evidence-based guidelines when treating HF patients and if providers consider CR programs to be an appropriate treatment tool. A survey questionnaire was distributed to NPs who are members of Coalition of Arizona Nurses in Advanced Practice (CAZNAP). Data from 27 surveys were used for analysis. Results showed that nurse practitioner respondents felt they had a good understanding of heart failure education and diagnosis. A majority also considered CR to be a useful tool for HF patients, and all agreed that health care providers affect CR enrollment and participation rates. A mere nine respondents (33%) reported being introduced to the outcomes and benefits of CR in their graduate education. Findings also confirmed previous work suggesting that providers are not adequately referring HF patients to CR, as 33% of NPs reported they have never referred a patient to CR. With respect to these findings, it is important to identify methods to assist providers with proper education about CR and its referral methods. As supported by the literature review, improved referral rates to CR can lead to better management and health outcomes for HF patients. Therefore, further research is needed to identify interventions that promote increased CR referral rates.
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Walton, Deborah A. "Improved Rehabilitation by Improving Discharge Processes to Decrease Readmissions." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5534.

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Inadequate discharge planning for individuals with chronic illnesses or injuries is associated with increased readmissions to the hospital or rehabilitation facility where the original treatments were administered. To help ensure the recovery of discharged patients and avoid readmissions, discharge planners guide medication and care processes. The rate of readmissions was high in a stand-alone rehabilitation center due to ineffective discharge plans. Patients, family members, and caregivers lacked knowledge about medications, treatments, and self-care guidelines after the patient left the facility. The purpose of this project was to ascertain the impact of improved discharge processes using the (a) IDEAL Discharge Planning Overview, Process, and Checklist; (b) the teach-back Method training for discharge nurses; and (c) the Postdischarge Rehabilitation Services Follow-Up Tool incorporating telephone calls to all participants during Weeks 1, 2, and 4 postdischarge. Lewin's theory of planned change undergirded this project. According to Centers for Medicare and Medicaid Services data, the rate of readmissions among the 50 participants was 4.4%, compared with 6% (all-facility readmission rate) during the same quarter of the prior year. Findings from this project suggest that reductions in readmissions were associated with improvements in discharge planning, training of caregivers, and the use of national tools to standardize practices in reducing readmissions. The implication of this project for positive social change is that patient-centered inpatient rehabilitation care and patient-centered care following discharge may reduce readmissions, reduce costs, improve reimbursement, and reduce deterioration of patients' conditions postdischarge.
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Lam, Kwun-yu, and 林冠羽. "Evidence-based exercise guidelines for adult cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46581984.

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27

Tse, Chi-ying, and 謝智瑩. "A health education program for tuberculosis patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4833926X.

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Although effective anti-tuberculosis agents have been available for over thirty years, tuberculosis (TB) is still a global health concern and the incident rate in Hong Kong remains high. Directly Observed Therapy, Short-course (DOTS) strategy, in combination with patient education are proved to be more effective in reducing TB incidence than the DOTS strategy alone. However, there is a lack of evidence based protocol to guide nurses through the implementation of health education for TB patients. This dissertation is a translational nursing research aims at developing an evidence-based health education guideline for nurses to deliver health education to TB patients to improve treatment adherence. The objectives are to gather evidence on the effectiveness of nursing health education in promoting treatment adherence among TB patients, conduct quality assessment of the reviewed articles, develop evidence-based health education protocol for TB patients, assess the implementation potential of the innovation and discuss its implementation and evaluation plan. In this dissertation, a systematic review of 8 relevant and up-to-date research papers was performed and a guideline was then generated based on the extracted data. The guideline consists of 3 components: effective individual health education, essential elements for health education booklet and training for nurses. The implementation potential of the guideline is considered to be high while the implementation and evaluation plan of the guideline are also discussed. With the implementation of the evidence-based protocol on TB health education, the treatment adherence of the TB patients is expected to be increased.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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Weierbach, Florence M., Bernice Yates, Melody Hertzog, and Bunny Pozehl. "Differences and Similarities in Rural Residents’ Health and Cardiac Risk Factors." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7368.

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Purpose: The current U.S. population exceeds three hundred million with approximately 20% living in non-urban rural areas. A higher percentage of rural residents have diagnosed heart disease and report poorer health compared to non-rural residents; however, it is not known whether risk factor modification for heart disease and health status differ based on degree of rurality. The purposes of this study were: 1) to compare differences in health status and cardiac risk factors between cardiac patients living in large and small/isolated rural areas, and 2) to compare the health status of rural cardiac patients with a national sample. Method: A secondary analysis using data from three separate studies was completed using a comparative descriptive design. The Cardiac Rehabilitation participant sample (n-191) included individuals 3 to 12 months post-cardiac event. The Arizona Heart Institute and Foundation Heart Test measured risk factors and the eight subscales of the Short-Form, Medical Outcomes study measured health status. Findings: No significant differences in health status were found; all participants rated their health moderately high. However, individuals in large rural areas reported significantly better general health than those in the normative sample. No differences in smoking, blood pressure, diabetes, or overweight/obese BMI were found between the two rural groups. Differences in exercise, and anger were present between the two groups. Significant differences were identified in waist circumference between the genders placing women at higher risk for heart disease. Conclusions: Identifying health status and cardiovascular risk factors of rural individuals informs interventions to be tested for rural residents.
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Otuwa, Christiana. "Evidence-Based Pulmonary Rehabilitation Reduces Hospital Readmissions in Adults With COPD." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5513.

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Many patients are affected by chronic obstructive pulmonary disease (COPD), a progressive lung disease that obstructs air flow, resulting in dyspnea and inability to carry out daily activities. Despite optimal pharmacological management, COPD patients make frequent emergency room visits and are hospitalized due to exacerbations of COPD. Literature has suggested that pulmonary rehabilitation (PR), a nonpharmacological treatment, could help to decrease the symptoms that lead to illness exacerbation, hospital readmissions, and decreased quality of life in patients with COPD. The purpose of the project was to increase the quality of life and reduce admission rates for patients diagnosed with COPD through the development and implementation of patient education material that would increase PR awareness, increase patient motivation, and promote participation. The ACE star model was used to guide the project development, and the theoretical framework of the health belief model was used to enhance patients' perceptions and desires to participate in a PR program. Evaluation of the pretests and posttests revealed significant improvement in various variables, reduction of dyspnea, improved exercise tolerance, and increased knowledge. The evaluation of health-related quality of life using the short form 36 showed significant improvement in some subscales namely: general health, role emotional, with slight significance in bodily pain. There were no readmissions among the participants. The implementation of comprehensive PR has implications for positive social change because it helps patients with COPD to be more knowledgeable about their disease and allows for more independence and a higher quality of life.
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Björkdahl, Ann. "Stroke rehabilitation : a randomized controlled study in the home setting : functioning and costs /." Göteborg : Institute of Neuroscience and Physiology/Rehabilitation Medicine, The Sahlgrenska Academy at Göteborg University, 2007. http://hdl.handle.net/2077/2555.

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31

Rickard, Norman Alexander Stuart. "The meaning of involvement for older people in their rehabilitation after acute illness." Thesis, Northumbria University, 2012. http://nrl.northumbria.ac.uk/10457/.

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As the population of people in the UK, over 65, increases and the welfare system moves from a collectivist, towards a consumerist system, involving older people in their rehabilitation and care becomes more important. It is recognised that the effectiveness of practices to increase involvement varies. The reasons for this include the lack of clarity about the meaning of involvement in health care. The aims of this research were to develop a substantive theory, which explains the meaning of involvement for older people in their rehabilitation after acute illness and facilitates recommendations for health care practice development. Grounded theory was employed to collect longitudinal data from four older people, their practitioners and support staff, during the participants’ rehabilitation stay of around six weeks in an Intermediate Care unit in the UK and at home. Data were collected using recorded, semi-structured interviews and conversations, from December 2008 to November 2009 and were analysed qualitatively. The findings suggest that involvement in rehabilitation operates through an Involvement Attribute set consisting of two interdependent groups of Involvement Attributes (the psychologically-based and the action-based). Collectively, the Involvement Attributes are: the possession of a Vision, Incentive and Goals, a positive Disposition; a propensity for Cognitive Development; Goal planning, setting and achievement; and Risk Management. To be maximally involved the Involvement Attribute set has to be strong, balanced and with alignment between the two groups. Involvement in rehabilitation is also related to the type of relationships developed with the health care staff and relatives. Improvements in Involvement Attribute sets require a move away from paternalistic relationships towards the collaborative, partnerships suggested within relationship-centred care. In this way, involvement of older people in rehabilitation is: “A joint commitment within therapeutic relationships to determine and be determined in the pursuit of an Involvement Attribute set that is strong, balanced and aligned”.
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Bok, Amy Jo. "Meanings to Rehabilitation Nurses When Institutionalized Older Persons Fall or a Fall is Prevented." University of Toledo Health Science Campus / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=mco1372448170.

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Cope, Julie K. "Exploring the Effect of an Interdisciplinary Teamwork Intervention in Acute Rehabilitation." BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6459.

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Purpose: The purpose of this study was to explore the efficacy of an interdisciplinary intervention on interdisciplinary teamwork and patient functional outcomes in an acute inpatient rehabilitation unit at a mid-sized regional hospital. Design: Pilot mixed-methods pre-post intervention study. Methods: Interdisciplinary teamwork and patient functional outcomes were measured before and after a teamwork intervention. Interdisciplinary teamwork was measured with the Healthcare Team Vitality Instrument (HTVI) and a qualitative staff questionnaire developed by a content expert. Patient functional outcomes were measured by aggregated Functional Independence Measure (FIM®) scores. Findings: Post-intervention FIM® gain scores increased significantly (p = .008). Staff questionnaire revealed improvement in interdisciplinary teamwork, with the major themes of teamwork and appreciation/respect. Post-intervention HTVI showed no significant change (p=.528). Conclusions: Initial results of this intervention are promising; additional research is needed to study the effectiveness of this intervention in a variety of acute rehabilitation settings. Clinical Relevance: Rehabilitation leaders can implement low-cost teamwork interventions to improve interdisciplinary teamwork and patient outcomes.
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Austin, Elizabeth Nicole. "Older rural women moving up and moving on in cardiac rehabilitation." Diss., Online access via UMI:, 2009.

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Baker, Mark J. "Finding a safe way: a grounded theory of male nurse practice in inpatient rehabilitation." Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/20191.

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Purpose: To make visible male nurse practice in inpatient rehabilitation in Australia. Background: Nurses contribute to rehabilitation through a range of nursing activities to teach patients how to care for themselves. This contribution is largely reported from a female or gender neutral perspective. Despite the work of male nurses being explained in a range of other specialities, their work within inpatient rehabilitation remains unexplored. Methods: Constructivist grounded theory methodology and methods, informed by symbolic interactionism, guided data collection and analysis leading to the construction of a substantive theory. Data were collected from interviews and observation of practice and included male nurse and patient participants. Findings: Male nurses were mindful of patient perceptions about nursing being an occupation for women and male nurses being perceived as sexual threats, which led to a problem of potential for misinterpretation. To address this problem, male nurses engaged in a three-phase process known as assessing and managing risk in order to minimise risk and to keep themselves safe in practice. However, two contextual conditions, type of care and urgency of care, influenced the need for assessing and managing risk. The substantive grounded theory to explain this is finding a safe way. Conclusion: Theoretically, gender relations affected the daily working lives of male nurses in inpatient rehabilitation. Interpersonal relationships were used by male nurses to counter the risk of misinterpretation and to enact the range of problem solving strategies, which were largely learnt on the job, that were used to address the barriers encountered in their working lives. However, male nurse efforts were often influenced by conditions outside of their control and they practised cautiously to keep themselves safe in order to practise nursing.
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Fast, Anna. "Livskvalitet efter hjärtstopp : en litteraturöversikt." Thesis, University West, Division of Nursing, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-1600.

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Aim: The aim was to describe adult patients quality of life after cardiac arrest and resuscitation with CPR. Method: A literature overview based on eight scientific articles and one master thesis. Results: The result is presented in three categories, physical, psychological and social quality of life. Sleeping disorders, fatigue and low energy level affected the physical quality of life in a negative way. The psychological quality of life was often impaired the first time after the cardiac arrest, to be improved over time. Number of patients described a will to change their life, to put priorities straight and live for the moment. The social quality of life was affected by several factors such as social isolation, work disability and impaired social network. Several patients had to move to sheltered accommodation and many more patients was relaying on others to manage their activity of daily living (ADL). Other patients described no change regarding their social quality of life. Conclusion: The results showed that very few people survived a cardiac arrest, but once survival was achieved, a fairly good quality of life could be expected. Several of the studies also showed that patients can have a good quality of life despite physical, psychological and social dysfunction.

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Guerreiro, Maria Inês Queirós. "A Enfermagem de Reabilitação na Capacitação da Pessoa para os Autocuidados." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/28681.

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Mestrado em Enfermagem, Área de especialização: Enfermagem de Reabilitação
O estágio final foi realizado num serviço de medicina, onde foi desenvolvido o projeto que visou caracterizar a funcionalidade em doentes com alterações neurológicas, implementar planos de reeducação para os autocuidados e identificar resultados sensíveis aos cuidados de enfermagem de reabilitação. O autocuidado define-se como uma atividade da pessoa direcionada para um objetivo e desenvolvida a favor da vida, da saúde e do bem-estar. O acidente vascular cerebral é uma das causas mais comuns de dependência a longo prazo. Estudo de caso, participaram quatro doentes com acidente vascular cerebral, com alterações na funcionalidade e dependência nos autocuidados. A média de evolução na capacitação para os autocuidados dos participantes, variou entre 0,75 pontos e 1,75 pontos, com evolução mais favorável ao nível dos autocuidados: alimentação, higiene, vestir a metade superior e uso do sanitário. Os resultados demonstraram sensibilidade aos cuidados de enfermagem de reabilitação na diminuição da dependência.
The final clinical traineeship was taken place in an internal medicine service, where we developed the project that aimed to characterize the functionality of patients with neurological changes, implement rehabilitation plans for self-care re-education and identify sensitive outcomes of nursing care rehabilitation. Self-care is defined as a person activity direct toward a goal and developed in aid of life, health and well-being. The stroke is one of the most common causes of long-term dependency. Case study, participated four stroke patients with functionality changes and self-care dependence. The evolution median training for self-care of the participants, ranged between 0.75 points and 1.75 points, with the most favorable developments at the level of self-care: food, hygiene, dress up the told half and use the toilet. The results demonstrated sensitivity to rehabilitation nursing care in reducing dependence.
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Jansson, Antigona, and Sara Wahlberg. "Sjuksköterskors erfarenheter av att vårda patienter som har insjuknat i stroke : En litteraturstudie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-16718.

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Background: Stroke is a common disease in Sweden and between 25 000–30 000 people fall ill every year. A stroke causes oxygen deficiency and can lead to lifelong disabilities for the patient. Multidisciplinary teams work together where the nurse plays an important role for the care and the process of recovery. Aim: Highlight nurses' experiences of caring for patients who have had a stroke. Method: The design of the study is a literature study with a qualitative approach. The study is based on ten articles and was analyzed using Friberg’s five-step analysis. Results: Two themes and six subthemes emerged. Nurses felt that their care was important for the patient's recovery but wanted further specialized training. Multidisciplinary collaboration was perceived as important both for the development of knowledge and the patient's care. Nurses highlighted relatives' participation in patient care. However, there were daily challenges of, among other things, time pressure and understaffing. Conclusion: The study showed that nurses wish to provide good care for their patients and that their care was important. However, they experience daily challenges. Through organizational changes such as increased staff density and continuing education, the role of the nurse can be strengthened and lead to improved patient care.
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Centurion, Arce Linda, and Catarina Andersson. "Med tassar mot ett mål : kan vårdhund öka välbefinnande, motivation och aktivitet vid rehabilitering?" Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-217788.

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Bakgrund: Användning av vårdhund inom svensk sjukvård har ökat och då antalet studier som gjorts inom området rehabilitering är få ansågs detta vara ett relevant område att fördjupa sig i. Syfte: Att undersöka om rehabilitering med vårdhundsförare och vårdhund kan öka välbefinnande, motivation och aktivitet hos vårdtagare i jämförelse med konventionell träning. Metod: Single case design. Två deltagare studerades under sju träningspass i fyra veckor med videoinspelning, VAS och intervju. Resultat: Självskattning på VAS visade inga skillnader mellan de olika träningarna, medan observationerna av träningarna med vårdhund visade att deltagarna log längre tid och de hade även mer fysisk kontakt, fler finmotoriska övningar och hälften så lång tid av grovmotoriska övningar. Deltagarna beskrev båda träningarna som värdefulla, givande och roliga. Träningarna med vårdhund upplevdes även som lättsamma och en stund då de slapp tänka på det tråkiga som hänt. Slutsats: Båda typerna av träning var lika uppskattade enligt VAS, medan observationerna och intervjuerna visade att träningarna med vårdhund gav ökat välbefinnande. Då välbefinnande är en viktig faktor för motivation och aktivitet, är fler studier inom området av intresse eftersom träning med vårdhund förefaller vara en betydelsefull tillgång inom rehabilitering.
Background: The use of Animal Assisted Intervention (AAI) within Swedish health care has increased and as the number of studies done in the field of rehabilitation is few, this was considered a relevant field to explore. Aim: To investigate whether AAI could increase wellbeing, motivation and activity of patients in comparison with conventional rehabilitation. Method: Single case design. Two participants were studied at seven training sessions for four weeks with video recording, VAS and interview. Result: Self-assessment on VAS showed no differences between the various trainings, while observations showed that the participants smiled longer, had more physical contact, more fine motor skill exercises and half the time of gross motor exercises at AAI sessions. Participants described both trainings as valuable, rewarding and fun. AAI sessions were also described as easy-going and a moment of distraction from the bad things that had happened. Conclusions: According to VAS both trainings were equally appreciated, while the observations and interview showed that AAI provided increased wellbeing. Wellbeing is an important factor for motivation and activity. Thus more studies in the area are of interest since the use of AAI appears to be an important asset in rehabilitation.
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Amato, Shelly. "Effects of Environmental Factors on Sleep Patterns in Traumatic Brain Injured Adults in the Rehabilitation Setting." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1523908904882982.

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Risko, Judy Lynn. "Adolescent experiences in an intensive interdisciplinary pediatric chronic pain rehabilitation program." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1535894519409032.

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Castaño, Víctor. "A Framework for an Intelligent and Adaptive Planning of Rehabilitation Therapies." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-5806.

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Context. In the forthcoming years Healthcare Systems will become better informed, more efficient and particularly focused on the patient through the integration of Information and Communication Technologies. Medical Rehabilitation is an example of a field prone for this evolution. Here, disciplines such as Software Engineering will play a key role during the transformation. Objectives. This study pursues to understand todays rehabilitation therapies and procedures, to conceive how future computer-aided rehabilitation systems should be constructed and to provide a coherent framework that conceptualizes the relationship of their main components and interactions. Methods. The overall thesis work involves a combination of different research methodologies, which vary from literature reviews, empirical observations and semi-structured ethnographic interviews, to constructive research, through software architectural designs. Results. FIAP-RT is a framework created to support the new paradigm on how future software tools oriented to Medical Rehabilitation should be constructed with views to achieve quality attributes such as interoperability, availability, security, accessibility, usability or reliability. Conclusions. This study reveals that it is generally hard to find a real socialization and dissemination of the know-how that is being constantly produced within rehabilitation centers. In addition, it is has been shown how applied Software Engineering can help to integrate advanced solutions even though further evaluation would be needed to validate the proposed framework.
Internet: http://about.me/victor_caslab Phone: (+34) 676026094
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43

Ström, Sofia. "How care providers work with nursing on a rehabilitation center for children with disabilities in rural Peru : An observational study." Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2239.

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Background: In Peru it is estimated that ten percent of the population suffers from a disability. Nursing in rehabilitation setting is when the nurse aims to maximize the quality of life for a patient suffering from disability or chronic disease. Aim: The aim is to describe nursing by care providers on a rehabilitation center in rural Peru. Method: The method in this thesis is observational study with ethnographic approach. The observations is performed on a rehabilitation center in rural Peru. Result: Two themes and four sub-themes were identified from the collected data. Nursing care with including sub-themes clinical investigation and family-centered care. Mobilization and independency with including sub themes improve the chance to mobilize and promote self-management. Conclusion: The Peruvian nursing care provided through a rehabilitation center in rural Peru shows that care providers are working with very basic equipment and limited instructions about how to maximize the patient outcome with very few recourses. Education methods are adjusted to their patient group to promote family centered care. Further research: Guidelines for rehabilitation nursing should be developed for settings without high technologized equipment as well as how to maximize the patient and family outcome through family centered care with limited resources.
Bakgrund: I Peru beräknas tio procent av befolkningen vara drabbad av ett funktionshinder. Rehabiliterings-omvårdnad syftar till att maximera livskvalitén för den patient som lider av ett handikapp eller en kronisk sjukdom. Syfte: Syftet är att beskriva vårdgivarens omvårdnad vid ett rehabiliteringscenter på Perus landsbygd. Metod: Metoden i denna studie är en observationsstudie med etnografisk ansats. Observationerna är utförda vid ett rehabiliteringscenter på Perus landsbygd. Resultat: Två teman och fyra sub-teman har identifierats utifrån insamlad data. Omvårdnad som inkluderar klinisk undersökning och familjecentrerad vård. Mobilisering och ökad självständighet som inkluderar ökad chans till mobilisering och främjande av egenvård. Slutsats: Den peruanska omvårdnaden som erbjuds vid ett rehabiliteringscenter på landsbygden i Peru visar att vårdgivare arbetar med väldigt basal utrustning samt begränsade instruktioner för att patienten ska kunna uppnå maximal funktion med få resurser. Undervisningsmetoder är anpassade till deras patientgrupp för att främja familje-centrerad omvårdnad. Vidare forskning: Riktlinjer för rehabiliteringsomvårdnad bör utvecklas avsett för en miljö utan högteknologisk utrustning samt beskriva hur patienter tillsammans med sin familj uppnår maximalt resultat med få resurser att tillgå.
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Silva, Gelson Aguiar da. "Funcional independence of individuals With paraplegia in a rehabilitation program: results and associated factors." Universidade Federal do CearÃ, 2006. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=389.

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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
Spinal cord injury can convey constraints to individuals, but a rehabilitation program which evalueates the functional gain allows outpatient care during the rehabilitation process. The aim of the present research was to evaluate results obtained trough the administration of Functional Independence Measure (FIM scale) in paraplegic petients within rehabilitation programs, by connecting such results with the variables: age, gender, time, level and etiology of the lesion, classification of lesion according to the ASIA (American Spinal Injury Association) criterion, time of hosptalization, educational status and complications (pressure sores, heterotopic ossofication, spasticity and neuropathic pain). For such, a transversal quantitative retrospective descriptive study was proceeded by analyzing medical records and the scoresobtained with FIM scale. The investigations were done using spedific tests, through the SPOSS software (statistical Package for the Social Science), version 13 for Windws. Results demonstrated that among the variables there studied variables there is a direct correlation between age, time of lesion, motor level, time of hospitalization and hospitalization wich a companion and the independence gain (P< 0.05). Besides there is an inverse relation between the lession classification (AIS A, B, C, D, or E) and the functional gain (P< 0.05). Functional evaluation of people with spinal cord injury though MIF scale allows to fallow up functional gain in people within a rehabilitation program.
A lesÃo medular pode trazer limitaÃÃes ao indivÃduo, mas um programa de reabilitaÃÃo que avalie o ganho funcional permite o acompanhamento, ao longo do decurso de reabilitaÃÃo. O objetivo desta pesquisa foi avaliar os resultados obtidos com a aplicaÃÃo da Medida de IndependÃncia Funcional (MIF) em pessoas portadoras de paraplegia em programa de reabilitaÃÃo; associando tais achados com as variÃveis: idade, sexo, tempo, nÃvel e etiologia da lesÃo, classificaÃÃo da lesÃo segundo o critÃrio da ASIA (American Spinal Injury Association), tempo de hospitalizaÃÃo, escolaridade e complicaÃÃes (Ãlcera de pressÃo, ossificaÃÃo heterotÃpica, espasticidade e dor neuropÃtica). Para isso foi realizado um estudo quantitativo transversal, de natureza retrospectiva, de carÃter descritivo, com anÃlise de 228 prontuÃrios e da pontuaÃÃo obtida mediante a Escala MIF. As anÃlises foram feitas sob testes especÃficos com auxÃlio do software SPSS (Statistical Package for the Social Science), versÃo 13 para Windows. Os resultados mostraram que, dentre as variÃveis estudadas, hà uma relaÃÃo direta entre a idade, o tempo de lesÃo, nÃvel motor, tempo de internaÃÃo e a internaÃÃo com acompanhante e o ganho de independÃncia (p< 0,05). TambÃm hà uma relaÃÃo inversa entre a classificaÃÃo da lesÃo (AIS A, B, C, D ou E) e o ganho funcional (p< 0,05). A avaliaÃÃo funcional em pessoas portadoras de lesÃo medular, por meio da Escala de Medida de IndependÃncia Funcional, permite o acompanhamento do ganho funcional em pessoas submetidas a um programa de reabilitaÃÃo.
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Guerreiro, João Miguel Neves. "Ganhos decorrentes dos cuidados de reabilitação à pessoa com alteração do equilíbrio." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/29867.

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Nas últimas décadas, têm-se verificado alterações no estilo de vida e comportamentos na sociedade. Com o aumento da esperança média de vida e prevalência das doenças crónicas e a expetativa da população perante a manutenção da funcionalidade até ao fim da vida é alocada na evolução da ciência. Insere-se então a importância da enfermagem de reabilitação e a pertinência da investigação científica neste âmbito. O principal foco de atenção deste trabalho foram os “Ganhos decorrentes dos cuidados de Reabilitação à pessoa com alteração do equilíbrio”, pelo que foi desenvolvido um projeto de intervenção profissional neste âmbito. O relatório também vai mostrar o desenvolvimento das competências de especialista nomeadamente em enfermagem de reabilitação e em simultâneo revelar como foi conseguido desenvolver o perfil de mestre em Enfermagem. Foram os distintos processos de cuidados desenvolvidos que permitiram a sua concretização. O referencial teórico foi a Teoria do Autocuidado de Orem, a promoção do autocuidado e da maximização das capacidades da pessoa. Conclui-se que o programa de reabilitação implementado tendo em vista a recuperação do equilíbrio revela ganhos na capacitação para o autocuidado e para a participação social. Neste trabalho foram abordadas as competências do Enfermeiro Especialista em Enfermagem de Reabilitação desenvolvidas durante a experiência de estágio.
In the last decades, there have been changes in lifestyle and behaviour in society. With the increase in the average life expectancy and prevalence of chronic diseases, the expectation of the population towards the maintenance of functionality until the end of life is allocated in the evolution of science. The importance of rehabilitation nursing and the relevance of scientific research in this area are then included. The focus of this study was the "Gains arising from rehabilitation care for the person with altered balance", so a professional intervention project was developed in this area. The report will also show the development of specialist skills namely in rehabilitation nursing and simultaneously reveal how it was possible to develop the master's degree in Nursing. It was the different care processes developed that allowed their implementation. The theoretical reference was Orem's Self-Care Theory, the promotion of self-care and the maximization of the person's capacities. It is concluded that the rehabilitation program implemented in order to recover the balance reveals gains in the capacity for self-care and social participation. In this work the competencies of the Specialist Nursing Rehabilitation Nurses developed during the internship experience were discussed.
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Christopher, Andrew B. "The caregivers of stroke patients : the evolution of health status over the first three months after the patient returns home." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0023/MQ50738.pdf.

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Petruševičienė, Daiva. "Sergančiųjų galvos smegenų insultu veiklų, motorikos, pažintinių ir psichosocialinių funkcijų bei ergoterapijos efektyvumo įvertinimas ankstyvuoju reabilitacijos laikotarpiu." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2006. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2006~D_20060108_160602-31187.

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Background. In Lithuania, the stroke is not only medical, but social issue as well, since only 20% of patients suffering stroke remain active in work. Yearly stroke incidence in Lithuania is 7000–8000 cases. Most common outcome of stroke is unilateral paralysis (hemiplegia), followed by disorders of coordination, balance and movements. Due to dysfunctions of movements, self-care, cognition, behavior, and communication, some part of stroke patients remains disabled. They need assistance and care, provided by other people. During rehabilitation it should be applied occupational therapy sessions, since they determine improvement of patient’s independence and enable training of work skills. The evaluation of certain occupational therapy methods is integral part of complex rehabilitation development. There exist several occupational therapy methods and models, enabling to adjust motoric and cognitive dysfunctions; however, in occupational therapy practice there is still a lack of evidence-based evaluation methods for effectiveness of certain occupational therapies, and evaluation of cognitive and motoric functions and disorders of activities by stroke patients. Aim of study: To evaluate dynamics of motoric, cognitive, psychosocial functions and disorders of activities and to evaluate effectiveness of occupational therapy including related factors on early stage of rehabilitation. Goals of study: 1. To estimate dynamics of motoric, cognitive, psychosocial functions and disorders of... [to full text]
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Van, Neste-Kenny Jocelyne. "Finding meaning after a head injury : the experience of patients' mothers and wives during the early phase of recovery." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84443.

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A head injury is an unexpected and potentially life-threatening event that frequently results in physical, cognitive, and emotional changes in the patient. As a result, a head injury affects the whole family, and mothers and wives may be potentially at risk because they tend to assume the primary caregiving role post-trauma. Current thinking is that a person's ability to restore a sense of meaning in life is an important aspect of psychological adjustment following the traumatic injury of a loved one. However, little is currently known about the process of finding meaning during the early phase of recovery. The purpose of this qualitative study was therefore to generate a theory about how mothers and wives find meaning during the early phase of recovery following the head injury of their loved one.
Grounded theory methodology was used to explore the experience of 5 mothers and 9 wives whose family member had suffered a moderate or severe head injury. Participants were recruited from three major Level I Canadian trauma centres using inclusion criteria and theoretical sampling to achieve theoretical completeness. They were interviewed on two occasions: 1 to 5 weeks and again 6 to 8 weeks following their family member's head injury. Iterative analysis and constant comparative methods were used throughout the study and the data revealed a process of finding meaning embedded in three distinct phases: "Focusing on the here and now", "Expanding perspective", and "Resuming life". The process of finding meaning was characterized by an emerging fit between the participants' perception of their current situation and their pre-trauma value and belief system. This process helped participants to find a new way of thinking about their world and to find a new order and sense of direction in their lives.
The findings of this study augment our theoretical understanding of family members' psychological responses to traumatic events, and may be helpful to guide nursing care of the whole family during the early phase of recovery following a head injury.
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Aldrich, Katherine M. "Predictors of recovery in older adults following cardiac surgery." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3352473.

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Aloush, Sami Mohammad. "Predictors of Exercise Tolerance, Severity of Dyspnea and Quality of Life in Pulmonary Rehabilitation Patients." Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1372853967.

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