Advancing Practice in Rehabilitation Nursing by Rebecca Jester

By Rebecca Jester

Nurses play a key function within the rehabilitation approach - maximising the standard of existence and independence of people following trauma, sickness or enduring power sickness. Advancing perform in Rehabilitation Nursing offers an in-depth research of expert perform in rehabilitation nursing. It examines the study foundation underlying scientific perform and identifies special attributes of the nursing function in the context of multidisciplinary and multi-agency operating. the 1st a part of Advancing perform in Rehabilitation Nursing explores normal ideas of professional rehabilitation perform, which might be utilized to either group and in-patient settings. the second one half addresses particular matters in middle parts of perform together with stroke, received mind harm, spinal harm, orthopaedic rehabilitation and administration of individuals with long term stipulations.

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Health professionals, in turn, utilise their knowledge of human anatomy and physiology like a ‘blueprint’, a baseline of ‘normality’ against which all treatments will be measured. Of course, health care is never that straightforward. Human beings also have psychological, social and spiritual belief and value systems alongside personal experience that blend to form each unique individual. Once past the mechanics of the human body there is no one ‘blueprint’, no absolute ‘normal’. Faced with such complexity and diversity, how can advanced nurse practitioners begin to assess psychological need in a systematic way, and who exactly should meet that need?

Jester R. and Hicks C. (2003a) Using cost-effectiveness analysis to compare hospital at home and in-patient interventions. Part 1. Journal of Clinical Nursing, 12, 13–19. Jester R. and Hicks C. (2003b) Using cost-effectiveness analysis to compare hospital at home and in-patient interventions. Part 2. Journal of Clinical Nursing, 12, 20–24. , Gunnell D. and Peters T. (1998) Randomised controlled trial comparing effectiveness and acceptability of an early discharge, hospital at home scheme with acute hospital care.

Specialist rehabilitation centres have often been situated in relatively small and frequently dilapidated hospital premises that are geographically isolated from the main hub of the organisation, often resulting in difficulty in gaining rapid access to clinical investigations and consultations from specialist medical staff. Although this geographical isolation may appear to have several advantages as the therapeutic milieu may be more tranquil and have better parking for relatives and staff, it perpetuates the philosophical separation of acute and restorative care, rather than affirming the seamless integration of these aspects of the patient’s journey to recovery.

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