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Biomedical subjects

M Tellis-Nayak

Publications and source records attributed to M Tellis-Nayak.

11 recordsLinked to original sources
PubMed1989

Quality of care and the burden of two cultures: when the world of the nurse's aide enters the world of the nursing home.

Using ethnographic data, the two worlds of the nurse's aides were examined, the world in which they live and the world in which they work. Because the institutional culture of the nursing home often adds to the adversity of their personal life, the nurse's aides move between the two milieus in a self-perpetuating negative cycle. Aides carry to the bedside of elderly residents the affective and psychological burden these two worlds place on them.

Adult↗
PubMed1986

An alternate level of care, the prospective payment system and the challenge of extended care.

Due to demographic, morbidity and public policy shifts, the health care system is undergoing a profound change. In this unsettled context the problem of the alternate level of care (ALC), or sub-acute care, patient has acquired a new meaning and importance. An ALC patient falls between the traditional levels of acute and skilled care. This study tries to identify the nature and scope of the ALC problem in Illinois, because it is symptomatic of changing morbidity patterns; because it exemplifies the consequent dilemmas for the health care industry; and because it typifies the ambivalent response of the health care institutions. The data reveals that the ALC patients are backed up in 78% of the hospitals in the state, and they pose a heavy burden and future risk both to hospitals and nursing homes. The hospital industry has sensed the challenge of extended care, but it is not responding with a reasoned and concerted strategy. Rather, in a worsening competitive situation, a unique opportunity to bridge the hiatus between acute and long-term care, and to build towards a humane and equitable system of care, may pass us by.

Aged↗
PubMed1986

The challenge of the nursing role in the rehabilitation of the elderly stroke patient.

Health professionals often share in the public's patronizing attitude toward a stroke patient. Since the stroke patient is often an older adult, that discriminatory attitude is reinforced by the stereotypes and myths about aging. Hence, the role of the nurse in rehabilitation of an elderly stroke patient calls for a sophisticated understanding of the situation. Not only should the patient's mental, social, and personal needs be taken into account, but also the difficulties that stem from the structure and culture of an acute-care hospital and the peculiar circumstances of the caregiver at home. We have recorded significant gains regarding strokes on the clinical front. The next challenge is to achieve success in the careful management and rehabilitation of the elderly stroke patient. The nurse can lead the way.

Aged↗
PubMed1984

Games that professionals play: the social psychology of physician-nurse interaction.

The paradox of power dictates that though a society segregates its members into stratified groups, society has to bring these socially distant groups together in a collaborative effort in order to make the social enterprise possible. In terms of professional power, physicians and nurses are hierarchically related in a disparity which is firmly grounded in the social structure. But in a hospital setting these unequal professionals share a common environment and a common goal; they collaborate and communicate in deep interrelationships. Power asymmetry and social intimacy are contrasting categories, and when they are brought together, as in a physician-nurse relationship, there arises an elaborate social ritual that makes an effective communication between them possible without diluting the differences in their status and authority. Their social psychological game manifests itself in both institutional and behavioral expressions. The perpetuation of power rests on a structural and symbolic legitimacy. Any attempt to change the status quo would require that one recognize and deal with both these faces of power.

Female↗