PubMed HealthSearch

Biomedical subjects

H P Parette

Publications and source records attributed to H P Parette.

13 recordsLinked to original sources

Tentative findings of a study of the technology needs and use patterns of persons with mental retardation.

An examination of the technology use patterns and needs of 680 persons with mental retardation was conducted as part of a grant application process in response to P. L. 100-407, the Technology-Related Assistance for Individuals with Disabilities Act of 1988. Important trends which were deemed valuable for state technology planning purposes were revealed which have implications for other states desiring to develop comprehensive technology systems. Responses obtained from participants indicated that needs for technology were evident in all areas of life functioning, with computer technology being reported as the area of greatest need. Most respondents reported spending less than $1000 for their technology and more than half expressed that a credit plan would have been helpful in purchasing needed technology. Transportation services was reported to be an area of need for many persons participating in the study. More than half the participants indicated the need for more information relating to technology.

Activities of Daily Living

Young children with disabilities and assistive technology: the nurse's role on multidisciplinary technology teams.

Considerations for the involvement of nurses in the provision of assistive technology in education and intervention settings as members of multidisciplinary teams are presented. Philosophical considerations when participating in these processes are discussed, followed by a delineation of factors important in the selection of appropriate technology. Recommendations are discussed that have practical implications for nursing professionals.

Child

Prenatal protocol usage.

A review was conducted of 825 obstetrics cases on active computer file at the Department of Family and Community Medicine in Little Rock, Arkansas. Independent raters evaluated faculty and resident usage of a prenatal protocol which was routinely used as a teaching tool in the department's residency program since 1972. Significant differences were found to exist with regard to usage of the tool by physician status. Faculty were more consistent and thorough in their usage of the teaching tool when compared to residents. Differences were explained in terms of a practice effect, research bias of faculty, levels of practice, and potential weaknesses in the educational program.

Clinical Protocols

Nursing attitudes toward geriatric alcoholism.

Nurses play a critical role in public education regarding the assessment of medical problems related to alcoholism or alcohol abuse. Nurses must assess their personal attitudes toward the disease concept of alcoholism before they can effectively provide services to geriatric patients who are alcoholics or who abuse alcohol. Among the geriatric population, there is a constellation of medical problems related to alcoholism and alcohol abuse. Potentially dysfunctional attitudes exist among nurses and other health-care professionals who are involved in the provision of medical care to geriatric patients who have alcoholism or who abuse alcohol.

Aged

The family physician's role with parents of young children with developmental disabilities.

Technological advances, coupled with recent federal legislation targeting young children who have developmental disabilities, will increasingly necessitate an expanded role of the family physician in the lives of these children and their families. Of particular importance is Public Law 99-457, the Education of the Handicapped Act Amendments of 1986, which recognizes the importance of the family unit in any intervention methodology that may be provided. This legislation also notes that the active involvement of the family's physician is desirable when designing services appropriate for children with developmental disabilities and their families. Providing support and optimizing positive family interactions are crucial to these children. Recommendations to enable the family physician to address more effectively the unique needs of this patient population include (1) an informal screening protocol, and (2) communication skills that include talking with both parents at the same time, using accurate, nonstigmatizing language when presenting a diagnosis, showing acceptance of and optimism regarding the child, encouraging parents to explain their child's problems to others, helping parents to learn about their children's unique needs, and helping parents to understand how their attitudes affect their child.

Child, Preschool

Frequency and duration of therapeutic intervention with young children with cerebral palsy.

Though the terms 'frequency' and 'duration' of physical and occupational therapy strategies for young children with cerebral palsy are inextricably woven, little research has been done to support the provision of these therapies. More recent studies have implied the expanded role of therapists in providing and participating in nontraditional types of intervention. An argument is presented for this position.

Activities of Daily Living

Young children with respiratory problems and assistive technology needs: a nursing care perspective.

An examination was conducted of the technology needs of 33 children with respiratory problems ages 0-5 years as part of a larger survey of persons with disabilities. Unmet technology needs were reported for these children in all areas of life functioning. Children's needs for assistive technology exceeded their usage of equipment and devices in two thirds of the identified areas of functioning. Technology needs were critical particularly in the areas of taking care of the home; using a telephone; using a computer; talking with others; and use of specialized cars, vans, and buses. It was reported for most children that evaluations preceded the provision of assistive technology, and that families were satisfied with technology services received. More than three fourths of the families reported not having had the opportunity to purchase technology on a credit plan, with two thirds of the families showing that such an option would have been helpful to them. Also, more than one half of the children could not try their technology before it was purchased. A need for more information about assistive technology and services was reported for more than one half of these children. Lack of transportation services were reported for most children, with families of almost two thirds of the children indicating travel exceeding 50 miles to receive technology and services. Implications for nurses involved in comprehensive service delivery to these children are discussed.

Arkansas