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Biomedical subjects

B C Rottkamp

Publications and source records attributed to B C Rottkamp.

5 recordsLinked to original sources

A holistic approach to identifying factors associated with an altered pattern of urinary elimination in stroke patients.

Urination dysfunction is a problem commonly associated with stroke. However, the types of urination abnormalities have yet to be adequately classified. An exploratory, descriptive study was conducted to determine the definition and classification of urination dysfunctions amenable to nursing diagnosis and therapy. A model was constructed for this study that enumerated psychological, social and biological factors and their relationships to urination dysfunction. An abstracting form was developed for obtaining relevant data from discharged patients' records. The sample consisted of thirteen stroke patients discharged from a rehabilitation service. Tabular presentations and comparisons suggested patient characteristics that are pertinent to the diagnosis and treatment of urination dysfunction. This study was an initial step in formulating a theory about urination dysfunction.

Activities of Daily Living

An experimental nursing study: a behavior modification approach to nursing therapeutics in body positioning of spinal cord-injured patients.

Ten spinal cord-injured patients at a rehabilitation center were randomly assigned to two groups: one group received behavior modification training in body positioning, the other group received customary body positioning nursing care. Body positioning behaviors were modified through demonstration of body positions and shaping of body position moves with attention from the nurse as the positive reinforcer. Following treatment, the behavior modification group showed significant change in increased frequencies of daily changes of position and patient-initiated changes of position; in decreases assistance needed for change of position, and in decreased frequencies of intervals of prolonged skin pressure. There was no significant change in frequency of face lying or participation in ward activities of daily living. Replications of the study are needed for confirmation of findings.

Activities of Daily Living