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Biomedical subjects

M Cammermeyer

Publications and source records attributed to M Cammermeyer.

13 recordsLinked to original sources

Profiles of cognitive functioning in subjects with neurological disorders.

This report completes a four-year funded project designed to develop a data bank of Neurobehavioral Cognitive Status Examinations (NCSE) profiles of patients with neurological based disorders. Seven facilities participated in the study. Twenty categories of neurological/ psychological disorders were obtained from the NCSE profiles of 804 patients. Four categories had a sample large enough to permit inferences about the cognitive deficits related to the specific neurologic diagnosis. Including all diagnoses, the major areas of cognitive decline were auditory memory, visual memory and construction. Subjects with dementia had similar profiles but the severity varied depending upon the diagnoses of multi-infarct dementia, dementia of unknown origin or Alzheimer's disease. Profiles of cognitive functioning appear to differ among patients with different neurological/psychological disorders. The study also illustrated unique cognitive deficits that occur with different neurologic disorders, and how NCSE profiles were able to identify specific areas of cognitive deficits in population of patients with similar neurologic insults.

Central Nervous System Diseases↗

Perceptions of body image in subjects with multiple sclerosis: a pilot study.

This article reports on a study of the perceived body image of persons with multiple sclerosis (MS) and the relationship between body image and the severity of physical disability. Second and Jourard's Body-Cathexis Scale and Self-Cathexis Scale were used to measure satisfaction or dissatisfaction each person had with his body and self. Kurtzke's Status Disability Scale was used to determine each person's degree of physical disability. The sample consisted of 20 male veterans between 34 and 70 years of age (mean 47.6), who had MS for 7 to 44 years (mean 20.8) and a physical disability score of two to nine (mean 4.65). On the Body-Cathexis Scale, 55% (N = 11) were satisfied and 45% (N = 9) were dissatisfied with their bodies. Whereas on the Self-Cathexis Scale, 45% (N = 9) were satisfied and 55% (N = 11) were dissatisfied with self. Seven subjects (35%) were satisfied with both body and self and seven (35%) were dissatisfied with body and self. Subjects who were satisfied with body and self were older (mean 50.43 years), had MS longer (mean 22.57 years) and were more disabled (mean score 5.0). Implications for further nursing research are identified.

Activities of Daily Living↗

A brief neurobehavioral exam useful for early detection of postoperative complications in neurosurgical patients.

This article describes data from 11 patients evaluated before and after neurosurgical intervention for treatment of brain tumor, subdural hematoma and hydrocephalus. The Neurobehavioral Cognitive Status Examination (NCSE) was administered pre- and postoperatively. Improvement was documented by the NCSE in 6 of the 11 patients. In the remaining five patients, there was evidence of deterioration in cognitive functioning. After clinical and diagnostic re-evaluation by the physician, four patients had repeat operations. Follow-up evaluation after the second operation was useful in determining treatable and non-treatable causes of progressive cognitive deterioration. In these patients use of the NCSE may have expedited effective diagnostic evaluation and subsequently improved patient care. Such instruments have clinical utility since they are easily administered, pragmatic, and objectify subtle changes in cognitive functioning which may be early signs of increased intracranial pressure or complications of surgery.

Adult↗

A growth model of self-care for neurologically impaired people.

The growth Model of Self-Care provides a method of conceptualizing how nursing knowledge is organized in order to determine nursing interventions. It uses physical and psychological integrity as the basis for evaluating how basic needs are met by the individual. When a person is unable to meet basic needs, nursing intervenes to meet such requirements. Since life is a continual process of change so is the nursing requirement and intervention. Virginia Henderson, said we must get "inside the skin ... be the consciousness [of the patient]." And we must know when the person is able to care for these tasks independently. This Growth Model of Self-Care provides a framework for nursing describing its uniqueness and its practice.

Activities of Daily Living↗