Evidence-Based Practice Nursing Interventions for Improved Functional and Cognitive Outcomes in Traumatic Brain Injury Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/152922
Type:
Presentation
Title:
Evidence-Based Practice Nursing Interventions for Improved Functional and Cognitive Outcomes in Traumatic Brain Injury Patients
Abstract:
Evidence-Based Practice Nursing Interventions for Improved Functional and Cognitive Outcomes in Traumatic Brain Injury Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Kutzleb, Judith Ann, DNP, RN, CCRN, APN-C
P.I. Institution Name:Holy Name Hospital
Title:Doctor of Nursing Practice
21st INRC [Evidence-Based Practice Presentation] Traumatic brain injury (TBI) results in a combination of physical, cognitive, and behavioral impairments, with an estimated 1.5 million Americans sustaining a traumatic brain injury every year. The overall purpose of this clinical project was to implement Evidence-Based practice protocols for management of traumatic brain injury patients. The instrument used in this population was the Orientation-Log (O-Log) by Dr. Thomas Novack, which measured orientation in terms of place, time, and situation. The Evidence-Based practice interventions included: pulse oximetry; blood pressure monitoring; toileting and limited distance ambulation (minimally 10 feet to maximally 25 feet) every two hours. The Evidence-Based protocols included: Baseline O-Log administered within the first 24-hours of admission. Physical Therapy and Speech/Cognitive therapy integrated within 24 hours of admission. Case Management and Social Service referrals within 24 hours of admission for discharge planning. Nurse Practitioner guided Evidence-Based practice protocols improved physical and cognitive outcomes, and decreased bedside patient sitters by 80% in TBI patients. Individually tailored programs enabled TBI patients to achieve improved states of functional and cognitive well-being. Through the strategic cycle of patient assessment, ambulation and toileting, and hemodynamic status evaluation, TBI patients became less apt to develop confused and agitated states, which supported a safer patient environment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvidence-Based Practice Nursing Interventions for Improved Functional and Cognitive Outcomes in Traumatic Brain Injury Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152922-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evidence-Based Practice Nursing Interventions for Improved Functional and Cognitive Outcomes in Traumatic Brain Injury Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kutzleb, Judith Ann, DNP, RN, CCRN, APN-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Holy Name Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctor of Nursing Practice</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kutzlebd@aol.com</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Traumatic brain injury (TBI) results in a combination of physical, cognitive, and behavioral impairments, with an estimated 1.5 million Americans sustaining a traumatic brain injury every year. The overall purpose of this clinical project was to implement Evidence-Based practice protocols for management of traumatic brain injury patients. The instrument used in this population was the Orientation-Log (O-Log) by Dr. Thomas Novack, which measured orientation in terms of place, time, and situation. The Evidence-Based practice interventions included: pulse oximetry; blood pressure monitoring; toileting and limited distance ambulation (minimally 10 feet to maximally 25 feet) every two hours. The Evidence-Based protocols included: Baseline O-Log administered within the first 24-hours of admission. Physical Therapy and Speech/Cognitive therapy integrated within 24 hours of admission. Case Management and Social Service referrals within 24 hours of admission for discharge planning. Nurse Practitioner guided Evidence-Based practice protocols improved physical and cognitive outcomes, and decreased bedside patient sitters by 80% in TBI patients. Individually tailored programs enabled TBI patients to achieve improved states of functional and cognitive well-being. Through the strategic cycle of patient assessment, ambulation and toileting, and hemodynamic status evaluation, TBI patients became less apt to develop confused and agitated states, which supported a safer patient environment.</td></tr></table>en_GB
dc.date.available2011-10-26T11:55:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:55:13Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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