The role of the home visiting nurse in the total education programme of spinal cord injured persons

Beer, N I E

doi:10.1038/sc.1984.50

Cited by 9 publications

(12 citation statements)

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“…[16][17][18][19][20][21] (c) Home visits. [22][23][24] (d) Case management, involving the coordination of care within, between, and beyond the acute and rehabilitation programmes, extending care and coordination to the community and managing the reemerging needs of the population over time. 25 (e) Miscellaneous types of follow-up care consisting of several of the following methods: outpatient consulting hours, home visits, peer teaching and support, outings, ongoing support, therapy from several care disciplines, SCI education, providing SCI expertise and support to community health-care providers, coordination of care with community nursing agencies.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Two-thirds of the follow-up care programmes included this in their aims. [10][11][12][13][14][16][17][18]22,[24][25][26][27][28][29][30] Six followup care programmes solely aimed at the prevention and/or treatment of a specified secondary impairment: pressure sores, [10][11][12][13]17 and urinary tract infections. 16 Beside this, several of these programmes also had a broader aim like the promotion of well-being and community reintegration.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Managing, directing and providing comprehensive care in a collaborative multidisciplinary team Activities are also referrals to other disciplines, consultation to other specialties, and collaboration with primary providers When issues are clearly primary or rehabilitative in nature, patients are assessed in collaboration with the physiatrist Outpatient consulting hours, referrals to in-hospital services when appropriate, telephone contacts in case of emergent problems, and SCI teaching and counselling to patients, partners, and caregivers Beer 22 Not described directly Indirectly: Achieve the primary aim of a preventative nursing role Reduce the number of re-admissions to the spinal unit Help maintain social and domestic stability, and achieving independence for patients…”

Section: Outpatient Consulting Hoursmentioning

confidence: 99%

“…16 Beside this, several of these programmes also had a broader aim like the promotion of well-being and community reintegration. 12,18,22,25,26,[28][29][30] In several publications 13,[18][19][20][21][22]28,29,32 the aim of the follow-up care was not stated explicitly, although in most cases an aim could be derived from the text.Target population of follow-up care programmes The target population in all follow-up care programmes was persons with SCI recently discharged from rehabilitation and living in the community. Some care programmes also involved in-patients.…”

mentioning

confidence: 99%

“…19,[21][22][23][24][25]27,32,33 Responsible care disciplines Almost half of the follow-up care programmes were performed by nurses. [10][11][12][13][14]16,22,[24][25][26]33 The remaining programmes were performed by several care disciplines. In the follow-up programme described by Pollack, 31 the participants had coresponsibility in the performance.…”

mentioning

confidence: 99%

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Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

2005

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Study design: Systematic review. Objectives: (1) To describe and compare follow-up care programmes, performed by rehabilitation centres, for persons with spinal cord injury (SCI) and (2) to describe the effects of these programmes regarding the occurrence of secondary impairments, well-being, the quality and costs of care. Methods: A systematic literature search was conducted in MEDLINE (1972MEDLINE ( -2003 and CINAHL (1982CINAHL ( -2003. Publications were selected about medical and/or nursing follow-up care to SCI patients living in the community performed by or with rehabilitation facilities for SCI patients. The aim of the follow-up care should be a decrease of secondary impairments, an improvement of well-being, an improvement of the quality and/or a decrease of the costs of care. Results: The search resulted in 24 papers. The descriptions of the programmes in these papers were sometimes rather scattered, vague or brief. The most important methods were telemedicine (six programmes; of which five were performed in the same rehabilitation centre), outpatient consulting hours (six programmes), home visits (three programmes, and case management (one programme). Eight other programmes combined several methods (ie outpatient consulting hours, home visits, peer teaching and support, outings, ongoing support, therapy from several care disciplines, SCI education, providing SCI expertise and support to community health-care providers, coordination of care with community nursing agencies). In all, 16 programmes have been evaluated to some degree. In general the quality of the studies was low. Most evaluations were pre-experimental in design. Only three were quasi-experimental, and two programmes were experimental in design. Although several studies claimed positive effects, it was not possible to draw conclusions on the effect of follow-up care on the occurrence of secondary impairments, well-being, the quality and costs of care. Conclusion: There is a need for the development, the publication and the well-designed evaluation of follow-up care programmes for persons with SCI. IntroductionSince persons with spinal cord injury (SCI) are confronted with all kinds of short-and long-term problems in functioning after discharge from initial rehabilitation, the need for continuing care for persons with SCI living in the community has been emphasised in several reports. [1][2][3][4][5][6][7][8] Until recently follow-up care provided by the Dutch rehabilitation centres has consisted of periodical outpatient visits to a physiatrist. During these visits a comprehensive assessment of total functioning is performed and, if necessary, interventions or other support is given. After discharge from clinical rehabilitation, daily medical and nursing care for persons with SCI is usually given by primary care professionals. As a result of the low prevalence of persons with SCI, primary health-care professionals only sporadically have persons with SCI in their practice. Consequently, they do not www.nature.com/sc often have much opportuni...

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Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Outpatient Consulting Hoursmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

2005

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Continuing care of the spinal cord injured

1987

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SummaryThe functions of a comprehensive Spinal Cord Unit do not cease with the discharge of the patient from in-patient treatment after rehabilitation; they extend to after care, both in medical follow-up and prevention and treatment of complications, and in ongoing support and education of the patient and his family.An effective aftercare service must offer a life-long commitment to patients, and the aftercare team must include members of the disciplines which were involved in the initial rehabilitation, and also often others. Although demanding of time, resources and money, good aftercare is cost-effective in terms of savings in the cost of out-patient treatment and of re-admissions to hospital for the treatment of compli cations, and in maintaining many patients in the community, often as contributing members of society.

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Post traumatic paraplegics living in Athens: The impact of pressure sores and UTIs on everyday life activities

et al. 1998

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This paper contains the findings of a scientific research which was done on post-traumatic paraplegics who live in the area of Athens. Greece, and measured the impact of pressure sores and UTIs on their everyday life activities. The target population was 127 individuals out of which 98 were observed and interviewed. A semi-structured questionnaire which consisted of two parts used; the first part of the questionnaire included general questions whereas the second contained the Sarno Functional Life Scale (SFLS) which is a tool measuring the level of independence of disabled people. Sixty-two per cent of the population was male. The mean age of the sample population at the time they had the accident which caused the paraplegia was 31.5, while the median was 28.5. The majority of the subjects comes from the lower socioeconomic class. Traffic accidents accounted for the 55% of the occurrences of paraplegia, falls for 37%, surgical complication for 4% and athletic activities for the remaining 4%. Forty-nine percent of the sample had been hospitalised in a rehabilitation centre. However, the multiple regressions used did not reveal any statistically significant relation between the hospitalisation in a rehabilitation centre and the paraplegic's scores in any of the Sarno Functional Life Scale's (SFLS) variables. Instead, the multiple regressions employed yielded paraplegics' scores in the SFLS's everyday life activities that were negatively related to age (P = 0.004) and pressure sores (P = 0.021). The paraplegics' scores on the SFLS's indoors activities are positively related to the years since injury (P = 0.048) and health education on daily fluid consumption (P = 0.003). The scores of the subjects on the SFLS's outdoor activities are positively related to the years of education (P = 0.008), the years since injury (P = 0.011), while are negatively related to pressure sores (P = 0.034) and UTIs (0.044). The subjects' scores on the SFLS variables regarding social relations had a negative relation to sex, (female) (P = 0.0001), age (P = 0.001) and pressure sores (P = 0.019), while they have a positive relation with the years since injury (P = 0.024).

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The role of the home visiting nurse in the total education programme of spinal cord injured persons

Cited by 9 publications

References 1 publication

Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

Continuing care of the spinal cord injured

Post traumatic paraplegics living in Athens: The impact of pressure sores and UTIs on everyday life activities

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