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Biomedical subjects

M Nolan

Publications and source records attributed to M Nolan.

At least 163 records · Page 9Linked to original sources
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Stroke. 1: A paradigm case in nursing rehabilitation.

This is the first of two articles which consider rehabilitation following a stroke. Although stroke is a major cause of morbidity and mortality in the UK there have been relatively few studies describing its long-term effects. Despite relatively good functional recovery, in many cases a number of stroke survivors still experience 'long-term misery'. This article argues for an expanded range of outcomes in stroke rehabilitation and for greater attention to be paid to the psychological needs of stroke survivors and their carers. Areas of deficit in stroke rehabilitation are described, as is the currently poorly developed nursing role.

Activities of Daily Living↗
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Stroke 2: expanding the nurse's role in stroke rehabilitation.

This article, the second of two considering the nurse's role in stroke rehabilitation, focuses on potential nursing contributions in a number of areas. There is scope, particularly in the community, to develop a far greater nursing role in both the acute and the postacute phases of rehabilitation. However, nurses often have ambivalent attitudes towards rehabilitation--seeing acute care as more prestigious and important. Such attitudes are developed and reinforced in basic training which gives relatively little emphasis to chronic illness.

Attitude of Health Personnel↗
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Rehabilitation: scope for improvement in current practice.

This article concludes this part of the rehabilitation series by looking at the nursing contribution to rehabilitation. It brings together the common elements which have emerged in the previous seven articles, identifying areas in which there is considerable scope for improvement to current practice. Indicative areas of knowledge and skill required for nurses to play a more active role are considered and a number of potential models are briefly described.

Chronic Disease↗
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COPE: towards a comprehensive assessment of caregiver need.

Supporting family carers is a common policy objective across Europe. However, if appropriate help is to be provided there is a need for a sensitive assessment process. This article describes the COPE project, the purpose of which is to develop a first-stage assessment tool that can be used to identify carers requiring a further in-depth consideration of their support needs.

Adult↗
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Gerontological nursing. 2: Refocusing the community agenda.

This, the second in a series of articles considering potential developments in gerontological nursing, focuses on a community setting. It highlights current trends in policy which emphasizes the promotion of independence and outlines implications for community nurses. The authors argue that if new roles are to emerge then the educational preparation of community nurses must reflect more fully future policy initiatives.

Aged↗
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Gerontological nursing. 3: Valuing nursing homes and valuing staff.

This, the third of five articles considering the future of gerontological nursing, focuses on practice within nursing homes. The important contribution of such environments is highlighted and it is argued that work within long-term care settings must be recognized and valued if the quality of care provided is to improve.

Aged↗
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Gerontological nursing. 4: Age-related hearing explored.

In the previous three articles in this series (Vol 9(1): 39-42; Vol 9(2): 103-6; Vol 9(3): 157-60), nurses have been challenged to reconsider their approach towards the care of older people. To facilitate this it is helpful to provide specific examples of how expert practice might be achieved. Using one of the most prevalent but neglected problems of old age, hearing disability, the authors describe how nurses can contribute to the health of older people and maximize the therapeutic component within gerontological nursing.

Age Factors↗
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Gerontological nursing. 5: Realizing the future potential.

In this, the final article in the series, the authors consider the prospect for the future of gerontological nursing with a special focus on philosophy of care, expert gerontological nurses and evidence-based practice. The article highlights the need for more research and education in gerontological nursing if quality of care is to improve and gerontological nursing is to consolidate its place in the future of nursing practice.

Aged↗
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Gerontological nursing. 1: Challenges nursing older people in acute care.

This article, the first in a series of five, will briefly trace the emergence of gerontological nursing and highlight some of the tensions that currently exist in the context of acute care environments. The next two articles will consider the prospects and challenges for nurses working with older people in community and nursing home environments, while the fourth article uses hearing impairment across a range of care contexts as a case study to summarize the ways in which the nursing contribution to the health needs of older people could be significantly improved. The series will conclude with an article drawing together the challenges that gerontological nursing faces in the new millennium.

Acute Disease↗
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What constitutes good care for people with dementia?

Person-centred care for people with dementia is an aspiration of both family and professional carers, but what constitutes person-centred care and how it can be achieved is less clear. This article describes a Swedish study in which in-depth interviews were completed with both family and professional carers of people with dementia with the purpose of exploring what they considered to be "best care". Important areas of similarity and difference were identified and the results suggest that both groups of carers need to work closely together if person-centred care is to become a reality.

Attitude of Health Personnel↗
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Successful ageing: keeping the 'person' in person-centred care.

This article, based on a paper given at the International Network for Studies Concerning Older Adults conference, Brazil, charts the emergence of notions of successful ageing, health-related quality of life and person-centred care which currently figure prominently in debates about health and social care. It argues that these developments reflect the importance given to autonomy and independence, values which potentially disadvantage the oldest and frailest members of society. It is suggested that there is a need for a more inclusive conceptualization of person-centred care, which recognizes the values of interdependence and reciprocity.

Activities of Daily Living↗
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Supporting family carers in the UK: overview of issues and challenges.

Support for family carers is currently a policy priority in both health and social care. However, despite the launch of the Carers' National Strategy there is a need for further innovation if services are to be optimally effective. This article identifies a number of issues and challenges for the future if family carers are to receive the type and level of support they need. It highlights the need to think more clearly about the intended outcomes of services supporting carers and about the range and type of interventions that should be provided if such outcomes are to be achieved.

Attitude to Health↗
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Pressure damage prevention: basing practice on evidence.

As part of an initiative to develop evidence-based practice at the Northern General Hospital, Sheffield, a three-part project was undertaken. The aims were to identify barriers to using research in nursing, establish a baseline of nurses' knowledge and its influence on their practice in one essential area of nursing care--pressure damage prevention--and develop a strategy for change which took account of the findings from the first two parts of the project. In this article, the authors describe the second part of the project which examined nursing knowledge and practice with reference to the management of pressure damage prevention. The findings are discussed and the authors recommend that nurses integrate into their practice evidence from sources such as systematic reviews.

Bandages↗