Rehabilitation Nursing Approaches to Cerebrovascular Accident: A Comparison of Two Approaches

Authors

  • Judith Salter MSN RN CRRN,

    Clinical Nurse Specialists, Corresponding authorSearch for more papers by this author
    • The authors are employed by MetroHealth Medical Center in Cleveland. Judith Salter and Linda L. Pierce are clinical nurse specialists; Yvonne Camp is a clinical nurse III in the department of rehabilitation nursing; and Lorraine C. Mion is a senior research associate in the division of restorative and geriatric medicine. In addition, Pierce is an assistant professor in the school of nursing at the Medical College of Ohio in Toledo, OH.

  • Yvonne Camp RN,

    Clinical NurseSearch for more papers by this author
    • The authors are employed by MetroHealth Medical Center in Cleveland. Judith Salter and Linda L. Pierce are clinical nurse specialists; Yvonne Camp is a clinical nurse III in the department of rehabilitation nursing; and Lorraine C. Mion is a senior research associate in the division of restorative and geriatric medicine. In addition, Pierce is an assistant professor in the school of nursing at the Medical College of Ohio in Toledo, OH.

  • Linda L. Pierce MSN RN C CRRN,

    Clinical Nurse SpecialistsSearch for more papers by this author
    • The authors are employed by MetroHealth Medical Center in Cleveland. Judith Salter and Linda L. Pierce are clinical nurse specialists; Yvonne Camp is a clinical nurse III in the department of rehabilitation nursing; and Lorraine C. Mion is a senior research associate in the division of restorative and geriatric medicine. In addition, Pierce is an assistant professor in the school of nursing at the Medical College of Ohio in Toledo, OH.

  • Lorraine C. Mion MSN RN

    Senior Research AssociateSearch for more papers by this author
    • The authors are employed by MetroHealth Medical Center in Cleveland. Judith Salter and Linda L. Pierce are clinical nurse specialists; Yvonne Camp is a clinical nurse III in the department of rehabilitation nursing; and Lorraine C. Mion is a senior research associate in the division of restorative and geriatric medicine. In addition, Pierce is an assistant professor in the school of nursing at the Medical College of Ohio in Toledo, OH.


Department of Rehabilitation, MetroHealth Medical Center, 3395 Scranton Road, Cleveland, OH 44109.

Abstract

The purpose of this study was to compare patients receiving neurodevelopmental therapy (NDT) to patients receiving a traditional approach. The study took place on two separate medical rehabilitation units, each using just one approach. Patients were assigned to each unit based upon bed availability. The charts of 43 cerebral vascular accident (CVA) patients who received the traditional approach and of 37 CVA patients who received NDT were audited for demographic, functional, and disposition data. No significant differences at admission were found between the two groups, except that the NDT group had higher scores in dressing (p = .04) and toileting (p = .02). At discharge, the NDT group had higher functioning scores on toileting only (p = .03). Length of stay was almost identical between the two groups. Eighty-six percent of the NDT sample were discharged home compared to 78% of the traditional sample, but this was not statistically significant. Thus, the NDT approach does not appear to be superior to the traditional approach. These results imply that there needs to be more careful study of rehabilitation approaches before committing to one specific approach in the nursing care of CVA patients.

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