RESUMO
Mechanical restraint devices are sometimes used to prevent challenging behavior displayed by persons with disabilities. However, regulatory guidelines seek to prohibit or restrict the use of restraint in many residential programs. This research evaluated the implementation of restraint-elimination interventions with two students in a pediatric nursing care setting. Assessment and treatment procedures were developed and coordinated through a multidisciplinary, consultative team approach. Mechanical restraints were eliminated successfully with both students following application of individually designed treatment plans. Issues related to restraint-elimination programming and behavioral intervention within pediatric nursing care facilities are discussed.
Assuntos
Cuidados de Enfermagem , Pediatria , Restrição Física , Adulto , Terapia Comportamental , Criança , Feminino , Humanos , Transtornos Mentais/terapia , Aparelhos Ortopédicos , Reforço PsicológicoRESUMO
64 ischemic stroke patients with angiographically verified occlusion of the internal carotid artery were studied. 32 patients underwent surgical revascularization in the acute stage within a few hours of acute onset of stroke. 32 patients had conservative management of treatment. Both groups were compared in regard to mortality rate, functional recovery and clinical findings or neurological deficits and psychiatric disturbances on admission and 4 weeks later. Correlations of functional recovery between the two groups showed no significant differences. Mortality rate in the conservatively managed group however was significantly lower than in the operative group.
Assuntos
Arteriopatias Oclusivas/terapia , Doenças das Artérias Carótidas/terapia , Idoso , Angiocardiografia , Arteriopatias Oclusivas/fisiopatologia , Arteriopatias Oclusivas/cirurgia , Doenças das Artérias Carótidas/fisiopatologia , Doenças das Artérias Carótidas/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Aorta Abdominal/lesões , Fibrina , Adesivos Teciduais , Animais , Aprotinina , Cálcio , Estudos de Avaliação como Assunto , Fator VIII , Suínos , TrombinaRESUMO
The intrathoracic pressure rises when exhaling into a manometer to such an extent that finally the venous flow of blood to the right heart stops. It is supposed that this venous stop flow pressure (VSFP) is equal to the central venous pressure. In a clinical trial by two independent examiners in 97% of the cases a correlation within a range of 5 cm H2O was found (70 measurements). Thus the central venous pressure can be measured noninvasively with an ultrasound device.
