By Valerie L. Stevenson, Louise Jarrett
The root of this guide is to gather jointly the event and data of a group who've labored during this quarter for 10 years. It pulls jointly all components together with how you can organize and increase a carrier in addition to worthy administration thoughts. On a pragmatic notice it comprises whole copies of sufferer info, evaluate proformas, protocols for various interventions, nursing care plans, and an built-in care pathway for outpatient spasticity administration either in e-book and CD structure. those protocols are particular to this care staff yet might simply be tailored to be used in different facilities. This resource might help experts strengthen their very own carrier hence enhancing administration for all people with spasticity.
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Additional info for Spasticity Management: A Practical Multidisciplinary Guide
Example text
However, sometimes changes in treatments may be required until the trigger has been successfully treated and the person can then return to their original drug prescription and treatment regime; for example, a woman experienced an increase in spasticity and flexor spasms after dislocating her little toe. She had an open wound on the side of her toe and was unable to stand in her standing frame for 2 months. During this time, her partner instigated passive lower-limb stretches once a day and her intrathecal baclofen dose was increased until the bone and wound were healed and she could resume standing again.
Loss of self: A fundamental form of suffering in the chronically ill. Sociol Health Illness 1983;5:168–95. 21. Kralik D. The quest for ordinariness: transition experienced by midlife woman living with chronic illness. J Adv Nurs 2002;39:1146–54. 22. Schon D. Educating the Reflective Practitioner. San Francisco, CA: Jossey-Bass, 1987. 23. Johns C. Becoming a Reflective Practitioner, 2nd edn. Oxford: Blackwell Science, 2004. 24. Benner P, Tanner C, Chelsa C. Expertise in Nursing Practice. New York: Springer-Verlag, 1996.
Is a home exercise programme established? If so, what exercises are used, who prescribed them, how often are they performed, is the programme helpful and when was it last reviewed? If lowerlimb spasticity is problematic and standing or walking is difficult, has a standing programme been tried? What is the therapy input to date. Has the person ever seen a physiotherapist or occupational therapist? If so, who, how often, and does it help the spasticity or spasms? Are any orthotics or splints used?