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https://www.readbyqxmd.com/read/29721331/the-development-of-an-occupational-therapy-intervention-for-adults-with-a-diagnosed-psychotic-disorder-following-discharge-from-hospital
#1
Mary Birken, Claire Henderson, Mike Slade
Background: A deterioration in mental health and admission to an acute mental health unit can result in skill loss and decreased participation in daily life. Furthermore, discharge from hospital is associated with high risks of social isolation and suicide. This intervention development study aims to describe the rationale, methods and processes of developing an intervention for adults with a diagnosed psychotic disorder following discharge from hospital. The intervention aims to increase participation in self-care and leisure, wellbeing and quality of life and reduce crisis service use...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29569470/a-cost-minimization-analysis-of-occupational-therapy-discharge-planning-for-older-adults-the-home-randomized-controlled-trial
#2
Kylie Wales, Glenn Salkeld, Lindy Clemson, Natasha A Lannin, Laura Gitlin, Laurence Rubenstein, Kirsten Howard, Martin Howell, Ian D Cameron
OBJECTIVE: To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN: An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program and the in-hospital consultation. Total costs of health and community service utilization were used to calculate incremental cost-effectiveness ratios, activities of daily living and quality-adjusted life years...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29507260/trial-implementation-of-a-telerehabilitation-exercise-system-in-residential-aged-care
#3
Marie Hutchinson, Neil Wendt, Stuart Trevor Smith
The 2011 Productivity Commission report, Caring for Older Australians, observed that as the number of older Australians rises and the demand for aged care services increases, there will be a commensurate increase in demand for a well-trained aged care workforce. One of the significant issues impacting upon the ability of the aged services sector to respond to a growing number of older adults is to attract and retain sufficient numbers of staff. A number of factors are acknowledged to contribute to a failure of the aged care sector to attract and retain workers including: poor sector reputation, poor working conditions, including high client-staff ratios, a lack of career paths and professional development opportunities and low rates of remuneration...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29234509/assessing-the-second-hand-effects-of-a-new-no-smoking-policy-in-an-acute-mental-health-trust
#4
Benjamin Ian Perry, Katherine Meehan, Ashok Kumar Jainer
Aims and method To examine whether a new no-smoking policy in an in-patient mental health setting had any effects outside of smoking cessation. Our hypothesis stated that a forced smoking ban for in-patients may result in an increased susceptibility for clinical incidents, aggression and lower admission rates. All patients admitted to adult in-patient mental health services in Coventry and Warwickshire Partnership NHS Trust were included in the analysis. Data 6 months post-implementation of the smoking policy (1 July 2015 to 1 January 2016) were compared with the same period 1 year prior (1 July 2014 to 1 January 2015)...
December 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/29164023/type-and-timing-of-rehabilitation-following-acute-and-subacute-spinal-cord-injury-a-systematic-review
#5
REVIEW
Anthony S Burns, Ralph J Marino, Sukhvinder Kalsi-Ryan, James W Middleton, Lindsay A Tetreault, Joseph R Dettori, Kathryn E Mihalovich, Michael G Fehlings
Objectives: The objective of this study was to conduct a systematic review of the literature to address the following clinical questions: In adult patients with acute and subacute complete or incomplete traumatic SCI, (1) does the time interval between injury and commencing rehabilitation affect outcome?; (2) what is the comparative effectiveness of different rehabilitation strategies, including different intensities and durations of treatment?; (3) are there patient or injury characteristics that affect the efficacy of rehabilitation?; and (4) what is the cost-effectiveness of various rehabilitation strategies? Methods: A systematic search was conducted for literature published through March 31, 2015 that evaluated rehabilitation strategies in adults with acute or subacute traumatic SCI at any level...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29097964/test-retest-reliability-of-a-measure-of-independence-in-everyday-activities-the-adl-profile
#6
Élisabeth Dutil, Carolina Bottari, Claudine Auger
Background: Very few performance-based measures used in occupational therapy have established test-retest reliability coefficients. Objectives of Study: This study presents the test-retest reliability of the task and operation scores of a performance-based measure of independence in everyday activities called the ADL Profile. Methods: 20 adults with severe traumatic brain injury (mean age 28.4 years; SD 9.9) were tested on two occasions with the 17 tasks (personal care, home, and community) of the ADL Profile...
2017: Occupational Therapy International
https://www.readbyqxmd.com/read/28734936/rehabilitation-interventions-for-upper-limb-function-in-the-first-four-weeks-following-stroke-a-systematic-review-and-meta-analysis-of-the-evidence
#7
REVIEW
Kimberley A Wattchow, Michelle N McDonnell, Susan L Hillier
OBJECTIVE: To investigate the therapeutic interventions reported in the research literature and synthesize their effectiveness in improving upper limb (UL) function in the first 4 weeks poststroke. DATA SOURCES: Electronic databases and trial registries were searched from inception until June 2016, in addition to searching systematic reviews by hand. STUDY SELECTION: Randomized controlled trials (RCTs), controlled trials, and interventional studies with pre/posttest design were included for adults within 4 weeks of any type of stroke with UL impairment...
February 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28628498/earlier-physical-therapy-input-is-associated-with-a-reduced-length-of-hospital-stay-and-reduced-care-needs-on-discharge-in-frail-older-inpatients-an-observational-study
#8
Peter J Hartley, Victoria L Keevil, Ledia Alushi, Rebecca L Charles, Eimear B Conroy, Patricia M Costello, Becki Dixon, Aida M Dolinska-Grzybek, Diana Vajda, Roman Romero-Ortuno
BACKGROUND AND PURPOSE: Pressures on hospital bed occupancy in the English National Health Service have focused attention on enhanced service delivery models and methods by which physical therapists might contribute to effective cost savings, while retaining a patient-centered approach. Earlier access to physical therapy may lead to better outcomes in frail older inpatients, but this has not been well studied in acute National Health Service hospitals. Our aim was to retrospectively study the associations between early physical therapy input and length of hospital stay (LOS), functional outcomes, and care needs on discharge...
June 16, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28424378/-recognition-care-and-prevention-of-suicidal-behaviour-in-adults
#9
Zoltán Rihmer, Attila Németh, Tamás Kurimay, Dóra Perczel-Forintos, György Purebl, Péter Döme
Suicide is a major public health problem everywhere in the world and in the WHO European Region suicide accounts for over 120,000 deaths per year. 1. Recognition and diagnosis: An underlying psychiatric disorder is present in up to 90% of people who completed suicide. Comorbidity with depression, anxiety, substance abuse and personality disorders is high. In order to achieve successful prevention of suicidality, adequate diagnostic procedures and appropriate treatment for the underlying disorder are essential...
2017: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://www.readbyqxmd.com/read/28264614/occupational-therapy-for-complex-inpatients-with-stroke-identification-of-occupational-needs-in-post-acute-rehabilitation-setting
#10
Margherita Schiavi, Stefania Costi, Martina Pellegrini, Debora Formisano, Sergio Borghi, Stefania Fugazzaro
PURPOSE: Inpatients admitted to rehabilitation express needs not linked to disease causing hospitalization. This observational cross-sectional study identifies features and occupational needs of complex inpatients during rehabilitation, focusing on function and ability, regardless of diagnosis. METHOD: This study included sixteen adult inpatients with stroke, deemed complex according to Rehabilitation Complexity Scale-Extended, at admission to Rehabilitation ward (from July 2014 to February 2015)...
May 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28095134/physical-and-occupational-therapy-for-a-teenager-with-acute-flaccid-myelitis-a-case-report
#11
Tracy Kornafel, Elaine Y Tsao, Emily Sabelhaus, Lori Surges, Susan D Apkon
AIMS: The purpose of this case report is to describe the inpatient rehabilitation program of a 13-year-old boy with acute flaccid myelitis (AFM), specific to physical and occupational therapy examination, treatment, and outcomes. CASE DESCRIPTION: AFM is a rare, acute neurologic illness in children and young adults who present with weakness and/or paralysis of unknown etiology. The teenager was admitted to the program, dependent for all mobility and self-care. Interventions focused on range of motion, transfer training, self-care, power wheelchair mobility, and environmental adaptations...
October 20, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/27957879/lead-intoxication-due-to-ayurvedic-medications-as-a-cause-of-abdominal-pain-in-adults
#12
Varun Mehta, Vandana Midha, Ramit Mahajan, Vikram Narang, Praneet Wander, Ridhi Sood, Ajit Sood
BACKGROUND: Though a majority of cases of lead intoxication come from occupational exposures, traditional and folk remedies have also been reported to contain toxic amounts of lead. We present a large series of patients with lead poisoning due to intake of Ayurvedic medicines, all of whom presented with unexplained abdominal pain. METHODOLOGY: This was a retrospective, observational case series from a tertiary care center in India. The charts of patients who underwent blood lead level (BLL) testing as a part of workup for unexplained abdominal pain between 2005 and 2013 were reviewed...
February 2017: Clinical Toxicology
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
#13
RANDOMIZED CONTROLLED TRIAL
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...
February 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27661864/point-prevalence-study-of-mobilization-practices-for-acute-respiratory-failure-patients-in-the-united-states
#14
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...
February 2017: Critical Care Medicine
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
#15
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/26780978/outpatient-management-of-patients-with-acute-tonsillitis-and-peritonsillar-abscess-in-ninety-adult-patients
#16
LETTER
A Ashman, R Harris
No abstract text is available yet for this article.
June 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/25789712/patterns-of-post-acute-health-care-utilization-after-a-severe-traumatic-brain-injury-results-from-the-paris-tbi-cohort
#17
Claire Jourdan, Eleonore Bayen, Emmanuelle Darnoux, Idir Ghout, Sylvie Azerad, Alexis Ruet, Claire Vallat-Azouvi, Pascale Pradat-Diehl, Philippe Aegerter, Jean-Jacques Weiss, Philippe Azouvi
OBJECTIVE: To assess brain injury services utilization and their determinants using Andersen's model. METHODS: Prospective follow-up of the PariS-TBI inception cohort. Out of 504 adults with severe traumatic brain injury (TBI), 245 survived and 147 received a 4-year outcome assessment (mean age 33 years, 80% men). Provision rates of medical, rehabilitation, social and re-entry services and their relations to patients' characteristics were assessed. RESULTS: Following acute care discharge, 78% of patients received physiotherapy, 61% speech/cognitive therapy, 50% occupational therapy, 41% psychological assistance, 63% specialized medical follow-up, 21% community re-entry assistance...
2015: Brain Injury: [BI]
https://www.readbyqxmd.com/read/25555925/rehabilitation-assessments-for-patients-with-stroke-in-australian-hospitals-do-not-always-reflect-the-patients-rehabilitation-requirements
#18
Elizabeth A Lynch, Julie A Luker, Dominique A Cadilhac, Susan L Hillier
OBJECTIVES: To examine the frequency and factors associated with patients with stroke in Australian hospitals receiving documented rehabilitation assessments; to examine the criteria used when rehabilitation was not recommended; and to examine whether being assessed for rehabilitation affected access to rehabilitation. DESIGN: Retrospective medical record audit of patients with a diagnosis of stroke who were discharged consecutively between 2013 and 2014. SETTING: Acute care public hospitals...
May 2015: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/25406858/occupational-therapy-in-homecare-re-ablement-services-others-study-protocol-for-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Phillip J Whitehead, Avril E R Drummond, Marion F Walker, Ruth H Parry, Ian D McGeorge, Zaid Latif
BACKGROUND: Homecare re-ablement services have been developed by local authorities in England in response to the government agenda for health and social care. These services aim to optimize users' independence and ability to cope at home, and reduce the need for ongoing health and social care services. However, there is currently limited evidence and guidance regarding the optimum configuration and delivery of re-ablement services. In particular, the impact of occupational therapy input on service user outcomes has been highlighted as a specific research priority...
November 19, 2014: Trials
https://www.readbyqxmd.com/read/25201807/prolonged-mechanical-ventilation-in-canadian-intensive-care-units-a-national-survey
#20
Louise Rose, Robert A Fowler, Eddy Fan, Ian Fraser, David Leasa, Cathy Mawdsley, Cheryl Pedersen, Gordon Rubenfeld
BACKGROUND: We sought to describe prevalence and care practices for patients experiencing prolonged mechanical ventilation (PMV), defined as ventilation for 21 or more consecutive days and medical stability. METHODS: We provided the survey to eligible units via secure Web link to a nominated unit champion from April to November 2012. Weekly telephone and e-mail reminders were sent for 6 weeks. RESULTS: Response rate was 215 (90%) of 238 units identifying 308 patients requiring PMV on the survey day occupying 11% of all Canadian ventilator-capable beds...
February 2015: Journal of Critical Care
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