Nursing rehabilitation

Pressure sores may occur secondary to poor nursing, incontinence or malnourishment. They may become infected and take months to heal, thus delaying rehabilitation. Pressure sores can be avoided by attention to pressure areas, use of appropriate mattresses and supports and by regular turning of immobile patients (NHS center for Reviews and Dissemination and the Nuffield Institute for Health 1995). 

Professionals who advocate for the disabled should be enlisted in disaster planning and in the provision of care of the disabled. The Association of Rehabilitation Nurses (ARN) is one such resource. ARN s membership includes more than 5,700 rehabilitation professionals, with more than 60 local chapters across the country. As... 

Certification as a Certified Rehabilitation Registered Nurse (CRRN)... 

The mission of ARN is to promote and advance professional rehabilitation nursing practice through education, advocacy, collaboration, and research to enhance the quality of life for those affected by disability and chronic illness. For more information and resources, contact Association of Rehabilitation Nurses, 4700 W. Lake Avenue Glenview, IL 60025-1485 800/229-7530 or online at www.rehabnurse.org e-mail info rehabnurse.org. 

Fig. 12.2 Disposition of patients classified as minor or major strokes by BASIS. In a study of 230 consecutive patients, approximately 25% were classified as major strokes. Highly significant differences in disposition were identified between groups. AH deaths during hospitalization occurred in major stroke patients. Of the major stroke patients who survived, over 70% were discharged to an inpatient rehabilitation facility (IRF) compared to less than 20% of minor stroke patients (p<0.001). Over 75% of minor stroke patients were discharged directly to home compared to less than 20% of major stroke patients (p< 0.001). A similar proportion of both groups were discharged to specialized nursing facilities (SNF). Adapted from Torres-Mozqueda et al. [4]...

The client diagnosed with cerebrovascular accident (CVA) is complaining of a headache. Which interventions should the rehabilitation nurse implement List in... 

Monga V, Meena CL, Kaur N, Jtiin R (2008) Chemistry and biology of th)uotropin-releasing hormone (TRH) and its analogs. Cutr Med Chem 15 18-33 Moriwaki A, Nishida K, Matsushita M, Ozaki T, Kunisada T, Yoshida A, Inoue H, Matsui H (2005) Calpain inhibitors prevent neuronal cell death and ameliorate motor disturbances after compression-induced spinal cord injury in rats. J Neurotrauma 22 398 06 Murphy M (1999) Traumatic spinal cord injury an acute care rehabilitation perspective. Crit Care Nurse Q 22 51-59... 

Furthermore, patients with spinal cord injuries have a high incidence of pressure ulcers and is a population that reaches beyond nursing homes and hospitals. It has been reported that 40% of this group develops pressure ulcers during initial hospitalization and rehabilitation. In fact, all populations dependent on assistive devices where soft tissue is compressed between a bony prominence and the assistive device are at increased risk for pres-sure ulcer formation. Again as discussed below, elastic protein-based materials are being tested in an appropriate animal model, and preliminary results are promising. 

The Multidisciplinary Approach. At one time, the company physician and occupational health nurse bore the primary responsibility for the health and safety of workers in their workplace. Although that physician-nurse team has expanded to include other disciplines, clinical services are stiU an important part of occupational health and safety programs. Some of the services provided by health care professionals include preemployment physicals, health assessments, and health surveillance through intermittent medical examinations and basic laboratory testing. Health education and counsehng usually falls to occupational health professionals, as do treatment, rehabilitation, and referral. 

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