The Clinical Value of Implementing Early Rehabilitation in the Nursing of Patients with Cerebral Infarction

Objective:This research studied the clinical value of implementing early rehabilitation in the nursing of patients with cerebral infarction.Methods:Eighty-four patients with cerebral infarction in Hubei Third People's Hospital from January 2019 to January 2021 were selected and divided into a control group and a study group using the digital table method in which routine care and early rehabilitation care were given respectively and the effects were observed.Results:Prior to the nursing intervention,there was no significant difference in the National Institutes of Health Stroke Scale(NIHSS)and Barthel index between the two groups of patients,P>0.05.After the nursing intervention,the NIHSS of the study group was lower than that of the control group whereas the Barthel index,Quality of Life Scale,and patient satisfaction in the study group were higher than the control group,P<0.05.Conclusion:The implementation of early rehabilitation in the nursing of patients with cerebral infarction can effectively improve their neurological function and quality of life in addition to a higher satisfaction among them.

Purposeful and Ethical Early Childhood Teacher:The Underlying Values Guiding Finnish Early Childhood Education

Purpose:The new Finnish National Core Curriculum for Early Childhood Education and Care(2018)strongly highlights pedagogical knowledge and practice,demanding teachers to develop their pedagogical thinking,evaluation,judgment,and operating culture.Since ethics is viewed as vital characteristics of the teaching profession,our objective is to make these complex ethical issues more visible to be subject to democratic discussion and change.Design/Approach/Methods:The framework comprises a broad theory base of codes of ethics and professional codes of ethics of teaching.The research materials were national curricula of early childhood education and care(ECEC)-and pre-primary education.The eight-step qualitative analysis process was applied to identify and shed light on the codes of ethics laying the foundations forpurposeful and ethical earlychildhood education(ECE)teacher.Findings:The results indicate that through both theoretical lenses,the Finnish ECEC curricula comprise several ethical codes.For the future purposeful ECE teachers as ethical professionals,the results raise questions for further discussion.Particularly,issues related to the ethics of care,intellectual freedom,inquiry stance,and professional competence,and diversity may further enhance our ECEC curricula.

Effect of nursing-based on early rehabilitation on quality of life in elderly patients with cardiovascular disease:A randomized controlled trial

Background Patients with cardiovascular disease（CVD） have a reduced quality of life（QOL） partly due to their limited range of physical activity and independence. The objective of this study was to investigate whether the nurse based early cardiac rehabilitation will be improved QOL in elderly patients with CVD after8-week treatment from baseline and post intervention, compared with conventional care. Methods Sixty-six elderly patients with CVD were randomly assigned（using the coin tossing method） to either the ‘early cardiac rehabilitation＇ group（i.e. the experimental group）, and the control group（i.e. routine care group） for 8weeks between June 2013 and June 2014, with 33 participants in each group. The control group received routine CVD care, and the experiment group received early rehabilitation care in addition to routine CVD care.The outcome measures included the Short Form-36 Health Survey（SF-36）, and Self-rating Anxiety Scale（SAS）. Results There were non-significant differences between the groups at baseline in age, sex, duration of the disease, length of hospitalization, total number of comorbid conditions, and total number of medications（P 〉 0.05）. Following 8-week treatment, all groups improved their QOL scores and SAS anxiety scores（P 〈 0.05）. In addition, the nursing based on early cardiac rehabilitation group was significantly improved in QOL and SAS anxiety scores（P 〈 0.05）, when compared with the control group. Conclusions This study has demonstrated that the nurse based early cardiac rehabilitation is effective in increasing selected aspects of a general QOL and improved the anxiety situation in elderly patients with CVD. It is worthwhile to be widely used in clinical practice.

Orthopaedic management in the polytrauma patient

The past century has seen many changes in the management of the polytraumatized orthopaedic patient.Early recommendations for non-operative treatment have evolved into early total care(ETC)and damage control orthopaedic(DCO)treatment principles.These principles force the treating orthopaedist to take into account multiple patient parameters including hypothermia,coagulopathy and volume status before deciding upon the operative plan.This requires a multidisciplinary approach involving critical care physicians,anesthesiologists and others.