Biomedical subjects

J V Bush

Publications and source records attributed to J V Bush.

3 recordsLinked to original sources

PubMed1995

An interdisciplinary behavioral treatment program for depressed geriatric rehabilitation inpatients.

Depression is known to be associated with increased functional dependence both in the community and in a hospital setting. An innovative interdisciplinary behavioral treatment of depression protocol is described here. Occupational therapists were trained to deliver a protocol of behavioral treatment techniques during their individual occupational therapy treatment sessions. Methods of training the occupational therapists and a description of the treatment are provided in this article. These methods insure that behavioral treatment is delivered accurately and regularly. An outline of each session is provided, and two case examples are described. Early results indicate that this form of treatment can be reliably and accurately carried out.

Aged↗

PubMed1993

Career self-efficacy in occupational therapy practice.

Career expectations contribute to job satisfaction, which ultimately affects personnel retention. This paper focuses on a current trend in career literature: career self-efficacy, judgments about the efficacy of one's career choice and adjustment. Career self-efficacy is relevant to occupational therapy in that therapists are leaving the profession because of unmet career expectations. This paper explores Bandura's self-efficacy theory (the basis of career self-efficacy) and discusses the authors' experience in clinical practice and education relating the application of career self-efficacy to occupational therapy. Suggested methods for enhancing career self-efficacy include the implementation of a professional development course based on Bandura's self-efficacy theory; incorporation of self-efficacy content into the professional theory and practice courses; clinical supervision that creates realistic self-perceptions of performance during the field-work experience; and transitional programs for entry-level practitioners that identify and explore personal career expectations and support for the experienced practitioner.

Humans↗

PubMed1987

Heparin free dialysis: comparative data and results in high risk patients.

Heparin free hemodialysis was compared to systemic heparinization, intermittent saline flushes and constant saline infusions in eight, stable chronic patients dialyzing on hollow-fiber artificial kidneys (HFAK) at blood flows of 250 to 300 ml/min. No significant differences in small molecule clearance, fluid removal or dialyzer clotting were noted. Since this data showed that heparin free hemodialysis without supplemental saline was feasible in a group of stable, chronic dialysis patients, we then prospectively studied twenty-nine patients judged to be at increased risk of hemorrhage from heparinization during 100 heparin-free dialyses. The incidences of severe and moderate dialyzer clotting were 7% and 20%, respectively. Seventeen of 27 treatments in which moderate or severe clotting occurred had identifiable factors thought to predispose to dialyzer clotting such as low blood flows, poor vascular-access function, severe hypotension and intradialytic blood transfusions. Although higher hematocrit values were associated with greater degrees of dialyser clotting, stepwise discriminant analysis employing blood flow, blood pressure, hematocrit and transfusion administration could not develop an accurate predictor or combination of predictors of clotting. No patient experienced de novo or increased bleeding and problems with inadequate dialysis were not observed. Since this method of heparin free dialysis is as safe and effective as previously reported strategies and requires no specialized equipment or procedures, it is a reasonable initial strategy for dialyzing high risk patients.

Acute Kidney Injury↗