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Biomedical subjects

J J Hourcade

Publications and source records attributed to J J Hourcade.

8 recordsLinked to original sources

Nursing attitudes toward geriatric alcoholism.

Nurses play a critical role in public education regarding the assessment of medical problems related to alcoholism or alcohol abuse. Nurses must assess their personal attitudes toward the disease concept of alcoholism before they can effectively provide services to geriatric patients who are alcoholics or who abuse alcohol. Among the geriatric population, there is a constellation of medical problems related to alcoholism and alcohol abuse. Potentially dysfunctional attitudes exist among nurses and other health-care professionals who are involved in the provision of medical care to geriatric patients who have alcoholism or who abuse alcohol.

Aged↗

The family physician's role with parents of young children with developmental disabilities.

Technological advances, coupled with recent federal legislation targeting young children who have developmental disabilities, will increasingly necessitate an expanded role of the family physician in the lives of these children and their families. Of particular importance is Public Law 99-457, the Education of the Handicapped Act Amendments of 1986, which recognizes the importance of the family unit in any intervention methodology that may be provided. This legislation also notes that the active involvement of the family's physician is desirable when designing services appropriate for children with developmental disabilities and their families. Providing support and optimizing positive family interactions are crucial to these children. Recommendations to enable the family physician to address more effectively the unique needs of this patient population include (1) an informal screening protocol, and (2) communication skills that include talking with both parents at the same time, using accurate, nonstigmatizing language when presenting a diagnosis, showing acceptance of and optimism regarding the child, encouraging parents to explain their child's problems to others, helping parents to learn about their children's unique needs, and helping parents to understand how their attitudes affect their child.

Child, Preschool↗

A review of therapeutic intervention research on gross and fine motor progress in young children with cerebral palsy.

Recently, perhaps due to increased societal demands for accountability, early intervention programming for handicapped infants and young children has been questioned. Therapeutic intervention provided through occupational and/or physical therapy has been increasingly implemented in habilitation settings for children diagnosed as having cerebral palsy, although research justifying this increase is inconclusive. This review presents a comprehensive evaluation of 18 studies that evaluated early occupational and/or physical therapy intervention for children with cerebral palsy. An analysis of these studies revealed that as research paradigms become more rigorous, support for therapeutic intervention effectiveness decreases. This finding was explained in light of the currently inadequate levels of technology relating to instrumentation and the manipulation of the many variables that have been suggested to affect therapeutic intervention effectiveness.

Age Factors↗

Early intervention: a conflict of therapist and educator.

Given the motor problems of infants and young children who have cerebral palsy, increasing emphasis is being placed on early therapeutic strategies, such as neurodevelopmental treatment. Although the underlying rationale for neurodevelopmental treatment is the inhibition of abnormal motor development, this approach may in fact also limit the child's interaction with the environment, a prerequisite for subsequent intellectual development. There may be potential conflict for an interventionist who must make a decision between focusing on motoric gain for children with motor problems and facilitation of their cognitive development.

Cerebral Palsy↗