Physical Medicine Rehabilitation Randall Braddom Pdf Free Download
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The study is limited by the lack of a longer follow-up. Further studies that include comparisons against exercise modalities with a focus on sexual outcomes (eg, strength, function, time to intercourse) and those that include patients who are of reproductive age, can be considered in the interest of improving the medical care they receive in the future. The outcome measurements used today represent an important first step in assessing sexual functioning in patients at the end of rehabilitation. Measuring patient outcome should not be the end of a patient-centered approach, however. Process-oriented measures of rehabilitation are also inferior to outcome measures and should not be used to determine the success of a rehabilitation program [38]. Repetitive and strenuous mental and physical activities or exercises can cause anxiety, depression, and poor self-esteem. Patients who have experienced these feelings may be reluctant to independently engage in physical activities and may set exercise goals that are unreachable. To address these concerns, it is essential to offer psychosocial support and to advocate for effective, individualized rehabilitation plans [39].
Numerous different definitions exist for treatment burden, however, including in the literature the use of the following terms: nurse-reported burden, physical burden, and physical-administrative burden. While these concepts differ significantly, they may overlap to some degree, making it difficult to determine which might be most useful for determining the burden placed on nursing staff across different clinical scenarios [30]. The following is a conceptual analysis of burden, as discussed by the authors, that can be applied to the literature: time spent by nursing staff administering treatments [30]. Burden can be measured in a number of different ways and associated with several different outcomes, including patient satisfaction, nurse health, or function of nursing staff. The contributions of the physical and psychological factors to nursing burden are unclear, although some of the higher levels of burden are associated with higher amounts of work (eg, longer length of stay and higher number of prescriptions) and decreased physical function (eg, lower levels of self-reported physical and mental health [30]. 7211a4ac4a
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