Biomedical subjects
Publications and source records attributed to L J Neal.
THE REHABILITATION CNS is a rarity in the home health care setting. Rehabilitation nursing theory is consistent with home care practice. Both emphasize independence and self-care. In this article, experiences of one rehabilitation CNS in a home care agency during development of the role are described, and potential for the rehabilitation CNS role in home care under ideal conditions is explored.
This article discusses the initiation and development of a home care rehabilitation nursing team at a large home care agency in northern Virginia. The team had its origins in the concept of the therapy nurse, which evolved into the current rehabilitation nursing role. A team of rehabilitation nurses at the agency provides in-service programs and consultation and case management services for clients with a variety of medical diagnoses. The idea of the rehabilitation nursing team in the home care setting is a fairly new one and warrants the attention of all rehabilitation nurses who are concerned with patients' posthospital care as well as those nurses who are ready to consider moving into the home care field.
Rehabilitation nurses have moved into the home care setting; along with other home care nurses, they treat clients with chronic wounds. A rehabilitation nurse, however, views the homebound client needing wound care as having a disability that requires lifestyle modification. Rehabilitation nurses also treat clients with other disabilities who are at risk for developing wounds, so they are in an ideal position to instruct clients in wound prevention. Rehabilitation nurses in home care have the skills and expertise to assess clients needing wound care for deficits that might otherwise be overlooked.
Explore the source record for details and available documents.
People with HIV or AIDS who are experiencing pain, fatigue, sexual dysfunction, bowel and bladder dysfunction, and self-care deficits are being cared for by rehabilitation nurses in the home setting. The home care rehabilitation nurse provides instruction and care to clients, their families, and caregivers regarding physical manifestations of the disease and issues such as the importance of involving the client in household activities and activities of daily living. In addition to working with an interdisciplinary team to meet clients' needs, home care rehabilitation nurses work and consult with the generalist nursing staff to offer recommendations about rehabilitation nursing care for clients with HIV or AIDS.
Explore the source record for details and available documents.
A grounded-theory study of 30 home health nurses conducted in the Washington, DC, metropolitan area used unstructured audiotaped interviews to elicit data as to how home health nurses define their practice. The purpose of the study was to develop a beginning substantive research-based theory of home health nursing practice. The model that emerged consists of three stages by which nurses attain autonomy in their practice. Adaptation was found to be the core category, in that nurses cannot function effectively or successfully in the home health arena unless they are or learn to be adaptable. Data also revealed that home health nurses either knowingly or unknowingly use rehabilitation nursing principles in their practice, thereby lending credence to the supposition that home health nursing practice is congruent with rehabilitation nursing principles.
Medical-surgical nursing has been taught at the undergraduate level using several approaches (Bocchi, Pessuto, & Dell'Aqua, 1996; Hinzman, 1996). Although a review of the literature indicates that nursing schools have had some success offering classes that focus on rehabilitation principles and theory, there is no literature about medical-surgical nursing that is taught from a rehabilitation perspective. This article describes an undergraduate medical-surgical nursing course that teaches students how to care for the chronically ill using rehabilitation theory and principles.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
"Power Pudding" is a natural laxative recipe for relieving and preventing constipation. Its ingredients are nutritious and inexpensive. A small study conducted at a home care agency in northern Virginia demonstrated the effectiveness of "Power Pudding" with several elderly clients who were homebound. As a nursing intervention, it has good potential for improving bowel function in the elderly home care population.
Outpatient ACL reconstructive surgery is a recent trend in orthopaedics. The Visiting Nurse Association (VNA), a large home care agency in Northern Virginia, provides skilled rehabilitation nursing care to these patients during the immediate postoperative period. Home care nurses visit these patients upon discharge from the hospital on the day of surgery and revisit on the first postoperative day. The nurses administer injections for pain, assess and reinforce dressings, evaluate the operative extremity for circulatory and sensory changes and instruct the clients regarding postoperative protocols. Patients who have received home health nursing following ACL reconstruction have recovered successfully without rehospitalization.
Explore the source record for details and available documents.