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Community Based Rehabilitation

Annalisa Gison, Stefano Bonassi, Federica Rizza, Salvatore Giaquinto
BACKGROUND: Personality traits have gained interest in the field of disability and stress, because they may either prompt or deny compliance. They can also foster motivation and influence outcome. Parkinson disease (PD) is a disabling and stressful condition that requires coping strategies and rehabilitation plans. Three constructs and their relative scales have been a matter of investigation, namely Dispositional Optimism (DO), Locus-of-Control (LOC), and Sense-of- Coherence (SOC). AIM: The present study compared the psychometric properties of three constructs in Parkinson's Disease (PD)...
October 10, 2018: European Journal of Physical and Rehabilitation Medicine
Louis McCusky Gendron, Andre Nyberg, Didier Saey, François Maltais, Yves Lacasse
BACKGROUND: Active mind-body movement therapies (AMBMTs), including but not limited to yoga, tai chi, and qigong, have been applied as exercise modalities for people with chronic obstructive pulmonary disease (COPD). AMBMT strategies have been found to be more effective than usual care; however, whether AMBMT is inferior, equivalent, or superior to pulmonary rehabilitation (PR) in people with COPD remains to be determined. OBJECTIVES: To assess the effects of AMBMTs compared with, or in addition to, PR in the management of COPD...
October 10, 2018: Cochrane Database of Systematic Reviews
Nancy M Gell, Kushang V Patel
OBJECTIVES: To characterize rehabilitation services use of older adults according to fall-risk classification based on screening guidelines. DESIGN: Cross-sectional analysis of 2015 National Health and Aging Trends Study. SETTING: Study participants' homes. PARTICIPANTS: National sample of 7,440 community-dwelling Medicare beneficiaries. MEASUREMENTS: In-person interviews and functional assessments...
October 8, 2018: Journal of the American Geriatrics Society
Sharon Simpson, Stewart Mercer, Robert Simpson, Maggie Lawrence, Sally Wyke
Youth offending is a problem worldwide. Young people in the criminal justice system have frequently experienced adverse childhood circumstances, mental health problems, difficulties regulating emotions and poor quality of life. Mindfulness-based interventions can help people manage problems resulting from these experiences, but their usefulness for youth offending populations is not clear. This review evaluated existing evidence for mindfulness-based interventions among such populations. To be included, each study used an intervention with at least one of the three core components of mindfulness-based stress reduction (breath awareness, body awareness, mindful movement) that was delivered to young people in prison or community rehabilitation programs...
2018: Mindfulness
Paula Soukkio, Sara Suikkanen, Sanna Kääriä, Hannu Kautiainen, Sarianna Sipilä, Katriina Kukkonen-Harjula, Markku Hupli
BACKGROUND: Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture...
October 1, 2018: BMC Geriatrics
Marla K Beauchamp, Rachel E Ward, Alan M Jette, Jonathan F Bean
Background: The Late-Life Function and Disability Instrument (LLFDI) is a well-validated and frequently used patient-reported outcome for older adults. The aim of this study was to estimate the minimal clinically important difference of the LLFDI-Function Component (LLFDI-FC) and its subscales among community-dwelling older adults with mobility limitations. Methods: We performed a secondary analysis of the Boston Rehabilitative Impairment Study of the Elderly, a longitudinal cohort study of older adults with mobility limitations residing in the community...
October 4, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Katie D Schenk, Waimar Tun, Meredith Sheehy, Jerry Okal, Emmanuel Kuffour, Grimond Moono, Felix Mutale, Rita Kyeremaa, Edson Ngirabakunzi, Ugochukwu Amanyeiwe, Suzanne Leclerc-Madlala
BACKGROUND: Persons with disabilities have often been overlooked in the context of HIV and AIDS risk prevention and service provision. This paper explores access to and use of HIV information and services among persons with disabilities. METHODS: We conducted a multi-country qualitative research study at urban and rural sites in Uganda, Zambia, and Ghana: three countries selected to exemplify different stages of the HIV response to persons with disabilities. We conducted key informant interviews with government officials and service providers, and focus group discussions with persons with disabilities and caregivers...
October 3, 2018: Disability and Rehabilitation
Arifuzzaman Khan, Fahim Ashher, Tasneem Karim, Aneeka Fatema, Israt Jahan, Mohammad Muhit, Aditi Dey, Frank Beard, Gulam Khandaker
BACKGROUND: Vaccination is one of the most effective public health tools for prevention of infectious diseases, morbidity and disability. Little is known about the rate of maternal immunization among mothers of children with cerebral palsy (CP), as well as any possible role of maternal immunization in development of CP in the newborns. OBJECTIVE: To determine the socio-demographic characteristics and self-reported vaccination status of mothers of children with CP and compare vaccination coverage in this cohort with national data on immunization...
October 1, 2018: Infectious Disorders Drug Targets
Hui-Wen Yu, Yen-Ju Huang, Wei-Fen Ma
This case report describes a nursing experience caring for a patient with schizophrenia and obsessive-compulsive symptoms. This patient suffered from symptoms of being controlled, obsessive thoughts, and compulsive behaviors. In addition, the patient showed no interest in implementing strategies for dealing with anxiety, no motivation for changing this suffering, and an inability to receive a higher level of rehabilitative job training in daycare. These problems impeded this patient's reintegration into the community...
October 2018: Hu Li za Zhi the Journal of Nursing
Febna Moorkath, Mysore Narasimha Vranda, Channaveerachari Naveenkumar
The spiral phenomenon of homelessness and mental ill-health are major growing epidemic in both developed and developing countries. Viewing from a socio-economic-political dimension, homelessness and mental ill-health cause detrimental effects on the individuals' lives as well as the nation-building process. The condition of women seems to be complex, as the gender perspectives are often described in terms of patriarchy and powerlessness. The bi-directionality of mental illness and homelessness creates a vicious cycle, and many women seem to end up in shelter care homes...
September 2018: Indian Journal of Psychological Medicine
Pratik B Sandesara, Devinder Dhindsa, Jay Khambhati, Suegene K Lee, Tina Varghese, Wesley T O'Neal, Arash Harzand, Dan Gaita, Kornelia Kotseva, Susan B Connolly, Catriona Jennings, Sherry L Grace, David A Wood, Laurence Sperling
Atherosclerotic cardiovascular disease (ASCVD) and its associated economic burden are increasing globally. Although cardiac rehabilitation is a vital component of secondary prevention with proven benefits, it is underutilized due to numerous barriers, especially in resource-limited settings. New care models for delivery of comprehensive prevention programs such as community-based, home-based, and "hybrid" models implementing m-health, e-health, and telemedicine need to be adopted. Such new care models should be offered to all patients with established ASCVD (coronary, cerebral, and peripheral) and additionally to those at high risk of developing ASCVD with multiple risk factors for panvascular prevention...
October 2018: Canadian Journal of Cardiology
Abebayehu Tora, Asrat Mengiste, Gail Davey, Maya Semrau
Podoconiosis is a neglected tropical disease (NTD) characterized by lower-leg swelling (lymphedema), which is caused by long-term exposure to irritant red-clay soils found within tropical volcanic high-altitude environments with heavy rainfall. The condition places a substantial burden on affected people, their families and communities, including disability, economic consequences, social exclusion, and stigma; mental disorders and distress are also common. This paper focuses on community-based care of podoconiosis, and, in particular, the role that community involvement can have in the reduction of stigma against people affected by podoconiosis...
August 16, 2018: Tropical Medicine and Infectious Disease
Franziska Michaela Lohmeyer, Matthew J Commers, Emanuele Leoncini, Maria Lucia Specchia, Stefania Boccia, Walter Gualtiero Ricciardi, Antonio Giulio de Belvis
BACKGROUND: Community-based mental healthcare (CBMH) aims at supplying psychiatric patients with rehabilitative care outside the hospital. The aim of this study was to compare the organization of CBMH in a cross-border region of Germany and the Netherlands. METHOD: Semi-structured interviews gave insight into characteristics of CBMH approaches applied in the German region of Aachen (IHP) and the Dutch Province of Limburg (FACT). We applied a Delphi technique to select a performance indicator (PI) set for CBMH, which served as a conceptual model to allow comparison...
October 1, 2018: Das Gesundheitswesen
Ian Brotman, Matthew Kocher, Stephen McHugh
Patients who are Jehovah's Witnesses are known to the medical community for frequently declining blood products, even at times of life-threatening anemia. Alternatives to red blood cell transfusion are being developed, including hemoglobin (Hb)-based oxygen carriers. We present the case of a 77-year-old male Jehovah's Witness who underwent a cystoprostatectomy and radical nephrectomy with a postoperative Hb nadir of 4.5 g/dL. He received an Hb-based oxygen carrier, PEGylated carboxyhemoglobin bovine (Sanguinate), with gradual improvement in anemia symptoms and eventual discharge to a short-term rehabilitation facility...
September 26, 2018: A&A practice
Chin-Hsuan Lin, A Aldo Faisal
The relationship between sensorimotor variability and falls in older people has not been well investigated. We developed a novel task having shared biomechanics of obstacle negotiation to quantify sensorimotor variability related to locomotion across age. We found that sensorimotor variability in foot placement increases continuously with age. We then applied sensory psychophysics to pinpoint the visual and somatosensory systems associated with sensorimotor variability. We showed increased sensory variability, specifically increased proprioceptive variability, the vital cause of more variable foot placement in older people (greater than 65 years)...
September 28, 2018: Scientific Reports
Aline Ferreira-Correia, Tyler Barberis, Lerato Msimanga
Background: Working memory (WM) deficits have a negative impact on treatment adherence and quality of life. Efficient and effective interventions are needed in order to improve the cognitive functioning of those affected, especially in low-resource communities. Computer-based rehabilitation programmes (CBRP) are low-cost therapeutic approaches for WM deficits. Perceptions and experiences of target users may influence whether CBRP constitute an effective therapeutic option for adults with cognitive impairment in under-resourced environments...
2018: South African Journal of Psychiatry: SAJP: the Journal of the Society of Psychiatrists of South Africa
Iris Fung-Kam Lee, Felix Ngok Yau, Sally Suk-Ha Yim, Diana Tze-Fan Lee
Introduction: Previous studies evaluating home-based rehabilitation service (HBRS) merely focused on the period immediately after the patients' discharge from hospitals. The present study focuses on HBRS that covers clients who have not been recently hospitalized. HBRS aims to meet older clients' rehabilitation needs and support their caregivers in the community. This study intended to evaluate the impact of HBRS on the older clients' health outcomes and hospital services utilization, and caregivers' strain in providing care for clients...
2018: Clinical Interventions in Aging
Kênia K P Menezes, Lucas R Nascimento, Maria Tereza M Alvarenga, Patrick R Avelino, Luci F Teixeira-Salmela
OBJECTIVE: Dyspnea is a relevant outcome to be taken into consideration during stroke rehabilitation. Prevalence, severity, and effects of this condition on individuals with stroke remain uncertain. This study investigated the prevalence and severity of dyspnea after a stroke, as well the associations between dyspnea, activity limitations, and participation restrictions. METHODS: A telephone-based survey was conducted with 285 individuals with stroke. The survey included information regarding the onset and severity of the dyspnea, activity limitations, and participation restrictions...
September 18, 2018: Brazilian Journal of Physical Therapy
Emily R Smith, Brittney J van de Water, Anna Martin, Sarah Jean Barton, Jasmine Seider, Christopher Fitzgibbon, Mathama Malakha Bility, Nelia Ekeji, Joao Ricardo Nickenig Vissoci, Michael M Haglund, Janet Prvu Bettger
BACKGROUND: Community services and supports are essential for children transitioning home to recover from the hospital after surgery. This study assessed the availability and geographic capacity of rehabilitation, assistive devices, familial support, and school reintegration programs for school-aged children in Uganda with identified surgical need. METHODS: This study assessed the geographic epidemiology and spatial analysis of resource availability in communities in Uganda...
September 20, 2018: BMC Health Services Research
Anestis Divanoglou, Marika Augutis, Thórarinn Sveinsson, Claes Hultling, Richard Levi
OBJECTIVE: To explore self-reported health problems and functional goals in community-dwelling individuals with spinal cord injury in Sweden. DESIGN: Cross-sectional descriptive study that used a survey designed by an experienced peer mentor with spinal cord injury. SUBJECTS: Community-dwelling individuals with spinal cord injury from Sweden. METHODS: The survey was distributed online by the community peer-based organization RG Active Rehabilitation...
September 18, 2018: Journal of Rehabilitation Medicine
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