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https://www.readbyqxmd.com/read/27893579/the-psychological-impact-of-first-burn-camp-in-nicaragua
#1
Lisa L Tropez-Arceneaux, Arlen Tatiana Castillo Alaniz, Ivette Lucia Icaza, Eevelyn Alejandra Murillo
Asociacion Pro-Ninos Quemados de Nicaragua (APROQUEN) is a comprehensive burn center that provides a holistic and integrated approach to treating burns. APROQUEN has set the standards internationally with acute treatment for burns, intensive care, reconstructive surgeries, nutritional care, rehabilitation, occupational therapy, and psychological treatment. APROQUEN is excelling within Central and South America with life-saving techniques and quality of care. It is imperative that burn centers in Central America recognize that the treatment of a child with a burn injury surpasses physical care to include psychological treatment for the complete well-being of the child...
November 11, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27858951/an-occupational-therapy-fall-reduction-home-visit-program-for-community-dwelling-older-adults-in-hong-kong-after-an-emergency-department-visit-for-a-fall
#2
Mary Man-Lai Chu, Kenneth Nai-Kuen Fong, Albert Chau-Hung Lit, Timothy Hudson Rainer, Stella Wai-Chee Cheng, Frederick Lap-Yan Au, Henry Kwok-Kwong Fung, Chit-Ming Wong, Hon-Kuan Tong
OBJECTIVES: To investigate the effects of an occupational therapy fall reduction home visit program for older adults admitted to the emergency department (ED) for a fall and discharged directly home. DESIGN: Single-blind, multicenter, randomized, controlled trial. SETTINGS: EDs in three acute care hospitals in Hong Kong. PARTICIPANTS: Individuals aged 65 and older who had fallen (N = 311). INTERVENTIONS: After screening for eligibility, 204 consenting individuals were randomly assigned to an intervention group (IG) and received a single home visit from an occupational therapist (OT) within 2 weeks after discharge from the hospital or a control group (CG) and received a well-wishing visit from a research assistant not trained in fall prevention...
November 17, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27676903/post-stroke-coordination-team-to-support-non-specialized-rehabilitation-hospital-in-french-setting
#3
Bertrand Glize, Manon Mauclere, Pierre-Alain Joseph, Igor Sibon, Patrick Dehail
OBJECTIVE: Access to a specialized rehabilitation is limited for most of post stroke patients who are often transferred in non-specialized rehabilitation hospitals. We have set up a multidisciplinary mobile team working in these hospitals. The aim of this pilot study was to describe the contribution of our mobile team specialized in post acute care of stroke. MATERIALS/PATIENTS AND METHODS: We collected the changes in the management of rehabilitation for 31 patients hospitalized in non-specialized rehabilitation hospital referred to our mobile team...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676853/pediatric-rehabilitation-and-pediatric-oncology-a-winner-association-the-experience-of-grenoble-pediatric-hospital
#4
Véronique Bourg, Anne Descotes, Anne Pagnier, Jacques Griffet, Dominique Plantaz
The Child and Family Hospital of Grenoble is one of the rare university hospitals in France to benefit from the presence of a physician specializing in rehabilitation medicine. This hospital includes both inpatient and outpatient units. During the temporary closure of one department, certain members of the rehabilitation unit were reassigned to the acute care wards of the pediatric department, including physical therapists, occupational therapists, and speech therapists. Over the course of one year, these therapists completed more than 150 interventions in this department, more than half of which were in the hematology and oncology ward...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27661864/point-prevalence-study-of-mobilization-practices-for-acute-respiratory-failure-patients-in-the-united-states
#5
Sarah Elizabeth Jolley, Marc Moss, Dale M Needham, Ellen Caldwell, Peter E Morris, Russell R Miller, Nancy Ringwood, Megan Anders, Karen K Koo, Stephanie E Gundel, Selina M Parry, Catherine L Hough
OBJECTIVE: Early mobility in mechanically ventilated patients is safe, feasible, and may improve functional outcomes. We sought to determine the prevalence and character of mobility for ICU patients with acute respiratory failure in U.S. ICUs. DESIGN: Two-day cross-sectional point prevalence study. SETTING: Forty-two ICUs across 17 Acute Respiratory Distress Syndrome Network hospitals. PATIENTS: Adult patients (≥ 18 yr old) with acute respiratory failure requiring mechanical ventilation...
September 22, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27661040/lead-poisoning-in-a-16-year-old-girl-a-case-report-and-a-review-of-the-literature-care-compliant
#6
Cristina Oana Mărginean, Lorena Elena Meliţ, Horaţiu Moldovan, Vasile Valeriu Lupu, Maria Oana Mărginean
BACKGROUND: Lead is a toxic element of the environment which leads to major complications once it enters the blood stream, affecting multiple organs and systems of the body. METHODS: We present the case of a 16-year-old girl, diagnosed with lead poisoning after occupational exposure due to the fact that the girl was actively involved in the family's pottery business.History revealed that the girl participated in the process of pottery, her father was also diagnosed with lead poisoning 2 years before...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27633187/older-people-readmitted-to-hospital-for-acute-medical-care-implications-for-occupational-therapy
#7
Marie Jönsson, Peter Appelros, Carin Fredriksson
OBJECTIVE: To compare ADL, cognitive function, risk of pressure sores, malnutrition and falls in older people readmitted to hospital. METHODS: This was a comparative study. Persons ≥ 75 years, who were readmitted to hospital, were assessed using the ADL-taxonomy and the Mini Mental State Examination. Risks of pressure sores, malnutrition and falls were assessed using Risk Assessment Pressure Sores, Short-Form Mini Nutritional Assessment and Downton Fall Risk Index...
September 16, 2016: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/27632545/occupational-therapy-in-the-primary-health-care-clinic-experiences-of-two-clinicians
#8
Jeanne Eichler, Lydia Royeen
This article provides personal experiences of two clinicians on the topic of occupational therapy in the primary health care clinic. Lydia Royeen is a full time clinician in acute care and psychiatry and Jeanne Eichler is Assistant Professor and founder of the OTonCampus program at Saint Louis University. (PsycINFO Database Record
September 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27603152/occupational-therapy-predischarge-home-visits-in-acute-hospital-care-a-randomized-trial
#9
Lindy Clemson, Natasha A Lannin, Kylie Wales, Glenn Salkeld, Laurence Rubenstein, Laura Gitlin, Sarah Barris, Lynette Mackenzie, Ian D Cameron
OBJECTIVES: To determine whether an enhanced occupational therapy discharge planning intervention that involved pre- and postdischarge home visits, goal setting, and follow-up (the HOME program) would be superior to a usual care intervention in which an occupational therapy in-hospital consultation for planning and supporting discharge to home is provided to individuals receiving acute care. DESIGN: Randomized controlled trial. SETTING: Acute and medical wards...
October 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27554101/antibiotic-use-and-clinical-outcomes-in-the-acute-setting-under-management-by-an-infectious-diseases-acute-physician-versus-other-clinical-teams-a-cohort-study
#10
Nicola Jk Fawcett, Nicola Jones, T Phuong Quan, Vikash Mistry, Derrick Crook, Tim Peto, A Sarah Walker
OBJECTIVES: To assess the magnitude of difference in antibiotic use between clinical teams in the acute setting and assess evidence for any adverse consequences to patient safety or healthcare delivery. DESIGN: Prospective cohort study (1 week) and analysis of linked electronic health records (3 years). SETTING: UK tertiary care centre. PARTICIPANTS: All patients admitted sequentially to the acute medical service under an infectious diseases acute physician (IDP) and other medical teams during 1 week in 2013 (n=297), and 3 years 2012-2014 (n=47 585)...
2016: BMJ Open
https://www.readbyqxmd.com/read/27384383/patient-experience-after-lower-extremity-amputation-for-sarcoma-in-england-a-national-survey
#11
Sherron Furtado, Tim Briggs, Jennifer Fulton, Lin Russell, Rob Grimer, Vicky Wren, Paul Cool, Kristin Grant, Craig Gerrand
PURPOSE: After amputation, rehabilitation and limb fitting services are critically important to optimise outcomes. We investigated the reported patient experience and variation in limb fitting services after amputation for musculoskeletal tumours in England. METHODS: A postal survey instrument was developed following literature review, patient and clinician consultation and piloting. The survey was sent from each of the five bone tumour surgical centres in England...
July 6, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27359189/burn-rehabilitation-therapists-competency-tool-version-2-an-expansion-to-include-long-term-rehabilitation-and-outpatient-care
#12
Ingrid Parry, Lisa Forbes, David Lorello, Lynne Benavides, Catherine Calvert, Chen Hsu, Annick Chouinard, Matthew Godleski, Phala Helm, Radha K Holavanahalli, Jennifer Kemp-Offenberg, Catherine E Ruiz, Rachel Shon, Jeffrey C Schneider, Melinda Shetler, Oscar E Suman, Bernadette Nedelec
The Burn Rehabilitation Therapist Competency Tool (BRTCT) was developed in 2011 to define core knowledge and skill sets that are central to the job performance of occupational and physical therapists working with burn patients during acute hospitalization and initial rehabilitation. It was the first national effort to provide standards that burn centers could use for the training and evaluation of a BRT performance. The American Burn Association Rehabilitation Committee recently expanded the tool to include long-term rehabilitation and outpatient care in order to more fully represent all of the stages of care in which patients with burn injury receive therapy...
June 28, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27346093/early-rehabilitation-in-the-medical-and-surgical-intensive-care-units-for-patients-with-and-without-mechanical-ventilation-an-interprofessional-performance-improvement-project
#13
John R Corcoran, Jodi M Herbsman, Tamara Bushnik, Steve Van Lew, Angela Stolfi, Kate Parkin, Alison McKenzie, Geoffrey W Hall, Waveney Joseph, Jonathan Whiteson, Steven R Flanagan
BACKGROUND: Most early mobility studies focus on patients on mechanical ventilation and the role of physical and occupational therapy. This Performance Improvement Project (PIP) project examined early mobility and increased intensity of therapy services on patients in the intensive care unit (ICU) with and without mechanical ventilation. In addition, speech-language pathology rehabilitation was added to the early mobilization program. OBJECTIVE: We sought to assess the efficacy of early mobilization of patients with and without mechanical ventilation in the ICU on length of stay (LOS) and patient outcomes and to determine the financial viability of the program...
June 23, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27250775/occupational-therapy-in-australian-acute-hospitals-a-modified-practice
#14
Lauren Britton, Lorna Rosenwax, Beverley McNamara
BACKGROUND/AIM: Ongoing changes to health-care funding Australia wide continue to influence how occupational therapists practise in acute hospitals. This study describes the practice challenges experienced by Western Australian acute care occupational therapists. Then, it explores if and how acute care occupational therapists are modifying their practice in response to these practice changes. METHODOLOGY: This study used a qualitative grounded theory approach. Semi-structured interviews were completed with 13 purposively selected acute care occupational therapists from four Western Australian metropolitan hospitals...
August 2016: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/27245979/acute-hospital-dementia-care-results-from-a-national-audit
#15
Suzanne Timmons, Emma O'Shea, Desmond O'Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons, Sean Kennelly
BACKGROUND: Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess the quality of dementia care in acute hospitals in the Republic of Ireland. METHODS: Across all 35 acute public hospitals, data was collected on care from admission through discharge using a retrospective chart review (n = 660), hospital organisation interview with senior management (n = 35), and ward level organisation interview with ward managers (n = 76)...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27244850/outpatient-rehabilitation-for-medicaid-insured-children-hospitalized-with-traumatic-brain-injury
#16
Nathalia Jimenez, Rebecca G Symons, Jin Wang, Beth H Ebel, Monica S Vavilala, Dedra Buchwald, Nancy Temkin, Kenneth M Jaffe, Frederick P Rivara
OBJECTIVES: To describe the prevalence of postdischarge outpatient rehabilitation among Medicaid-insured children hospitalized with a traumatic brain injury (TBI) and to identify factors associated with receipt of services. METHODS: Retrospective cohort of children <21 years, hospitalized for a TBI between 2007 and 2012, from a national Medicaid claims database. Outcome measures were receipt of outpatient rehabilitation (physical, occupational, or speech therapies or physician visits to a rehabilitation provider) 1 and 3 years after discharge...
June 2016: Pediatrics
https://www.readbyqxmd.com/read/27217753/diagnostic-pitfalls-in-a-young-romanian-ranger-with-an-acute-psychotic-episode
#17
Előd Ernő Nagy, Attila Rácz, Edit Urbán, Gabriella Terhes, Timea Berki, Emőke Horváth, Anca M Georgescu, Iringó E Zaharia-Kézdi
The identification and distinction of the pathological conditions underlying acute psychosis are often challenging. We present the case of a 35-year-old ranger who had no history of acute or chronic infectious disease or any previous neuropsychiatric symptoms. He arrived at the Psychiatry Clinic and was admitted as an emergency case, displaying bizarre behavior, hallucinations, paranoid ideation, and delusional faults. These symptoms had first appeared 7 days earlier. An objective examination revealed abnormalities of behavior, anxiety, visual hallucinations, choreiform, and tic-like facial movements...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27178477/weekly-variation-in-health-care-quality-by-day-and-time-of-admission-a-nationwide-registry-based-prospective-cohort-study-of-acute-stroke-care
#18
Benjamin D Bray, Geoffrey C Cloud, Martin A James, Harry Hemingway, Lizz Paley, Kevin Stewart, Pippa J Tyrrell, Charles D A Wolfe, Anthony G Rudd
BACKGROUND: Studies in many health systems have shown evidence of poorer quality health care for patients admitted on weekends or overnight than for those admitted during the week (the so-called weekend effect). We postulated that variation in quality was dependent on not only day, but also time, of admission, and aimed to describe the pattern and magnitude of variation in the quality of acute stroke care across the entire week. METHODS: We did this nationwide, registry-based, prospective cohort study using data from the Sentinel Stroke National Audit Programme...
July 9, 2016: Lancet
https://www.readbyqxmd.com/read/27163837/massive-intravenous-manganese-overdose-due-to-compounding-error-minimal-role-for-hemodialysis
#19
Elizabeth Quaal Hines, Irfana Soomro, Mary Ann Howland, Robert S Hoffman, Silas W Smith
CONTEXT: Manganese-associated parkinsonism is well described in occupational settings, in chronic methcathinone users, and in patients receiving long-term total parenteral nutrition. We present a unique case of acute intravenous manganese poisoning with a systematic evaluation of hemodialysis efficacy. CASE DETAILS: A 52-year-old woman was inadvertently administered a single intravenous dose of 800 mg compounded manganese chloride at an outpatient chelation center...
July 2016: Clinical Toxicology
https://www.readbyqxmd.com/read/27089283/coming-to-terms-with-the-impact-act-of-2014
#20
Gerben DeJong
The Improving Medicare Post-Acute Transformation (IMPACT) Act of 2014 will set the course for much of postacute care well into the next decade. It (1) authorizes a uniform method of patient assessment in postacute care; (2) sets a timetable for developing, implementing, and reporting quality measures; and (3) lays the groundwork for future payment reform in postacute care. This article places the IMPACT Act into the larger arc of health care reform and change. It summarizes the law's key provisions and presents a contrarian analysis of this much-heralded bipartisan legislation...
May 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
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