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Biomedical subjects

J V Hickey

Publications and source records attributed to J V Hickey.

7 recordsLinked to original sources

Human development in the context of aging and chronic illness: the role of attachment in Alzheimer's disease and stroke.

Does chronic illness in older people provide potentials for human development? To date, this question has not been adequately addressed by dynamic theorists of human development. In this article, two illness trajectories, Alzheimer's disease and stroke, are examined to illustrate emerging changes in human development over each course of illness and the increasing importance of attachment behavior among ill elders and their family members. It is argued that the phenomenon of attachment links ailing older people to their environment, and that attachment is vital if human development is to continue.

Aged

The changing health care system: neuroscience nursing practice in the 1990s.

Radical changes in the health care system, including the paradigm shift from an acute to chronic illness model, and advances in managing major neuroscience patient populations are redefining neuroscience nursing practice in the 1990s. For example, advances in management mean that many more neurotrauma patients and patients with cerebrovascular disorders survive. Once stabilized, illness may become chronic and require long-term management. There are also promising developments in managing major neurological diseases. The decade of the 90s will require more collaboration, new practice models and a greater focus on rehabilitation. Research and education must support practice in reshaping neuroscience nursing.

Brain Damage, Chronic

Cerebral circulation demystified.

Basic anatomic and physiologic concepts related to cerebral circulation are summarized. The arterial blood supply is traced from its origins to the major divisions of anterior and posterior circulation. The circle of Willis, the major arterial vessels and territories, and the peculiarities of the cerebral venous circulation are discussed. Finally, concepts of cerebral circulations are applied to clinical practice to assist the nurse in accurately assessing, monitoring, and predicting human responses to alterations in cerebral blood supply.

Brain

Effective discharge planning and the neurosurgical nurse.

Discharge planning is a complex collaborative process that begins with the admission of a patient and culminates with a smooth discharge to another care facility or home. The process is designed to ensure quality of care and cost containment. However, the goals of discharge planning can only be realized if health care professionals involved in the patient's care see this as their professional responsibility and consciously work toward meeting the needs of the patient.

Family