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Occupational therapy + acute care +adults

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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
#1
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/27661864/point-prevalence-study-of-mobilization-practices-for-acute-respiratory-failure-patients-in-the-united-states
#2
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/27178477/weekly-variation-in-health-care-quality-by-day-and-time-of-admission-a-nationwide-registry-based-prospective-cohort-study-of-acute-stroke-care
#3
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
#4
A Ashman, R Harris
METHODS: Ethical considerations: the protocol used in this evaluation was based upon current best practices and was reviewed and accepted by departmental heads prior to use. A protocol (see Figure 1) was devised based upon the aforementioned current evidence base.(3-6) Patients already able to eat and drink prior to treatment were excluded from the protocol; such cases were expected to be managed as outpatients in our Trust. Patients unable to eat and drink were then stratified according to risk level, with the aim of identifying patients who were likely to require at least 24 hours' admission...
January 18, 2016: 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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/24985390/determining-the-barriers-and-facilitators-to-adopting-best-practices-in-the-management-of-poststroke-unilateral-spatial-neglect-results-of-a-qualitative-study
#9
Anita Petzold, Nicol Korner-Bitensky, Nancy M Salbach, Sara Ahmed, Anita Menon, Tatiana Ogourtsova
BACKGROUND: A gap exists between best and actual management of poststroke unilateral spatial neglect (USN). Given the negative impact of USN on poststroke recovery, knowledge translation efforts are needed to optimize USN management. To date, no study has investigated the specific barriers and facilitators affecting USN management during the acute care process. OBJECTIVE: To identify the facilitators and barriers that affect evidence-based practice use by occupational therapists (the primary discipline managing USN) when treating individuals with acute poststroke USN...
May 2014: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/24968955/influence-of-different-rehabilitation-therapy-models-on-patient-outcomes-hand-function-therapy-in-individuals-with-incomplete-sci
#10
Naaz M Kapadia, Shaghayegh Bagher, Milos R Popovic
OBJECTIVES: The primary objective was to compare the benefits of single (COT1) versus double (COT2) dose of conventional occupational therapy (COT) in improving voluntary hand function in individuals with incomplete, sub-acute C3-C7 spinal cord injury (SCI). The secondary objective was to compare these two interventions versus functional electrical stimulation therapy plus COT (FES + COT). DESIGN: Retrospective analysis. Setting Inpatient spinal cord rehabilitation center, Toronto...
November 2014: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/24802976/four-weeks-of-functional-electrical-stimulated-cycling-after-spinal-cord-injury-a-clinical-cohort-study
#11
Daniel Kuhn, Veronika Leichtfried, Wolfgang Schobersberger
The aim of this study was to determine the efficacy and the effects of functional electrical stimulated cycling (FES cycling) in patients with spinal cord injury during their rehabilitation in a special acute care unit. Thirty patients [10 with American Spinal Injury Association Impairment Scale (AIS) grade A, three with AIS grade B, 15 with AIS grade C, two with AIS grade D] aged 44±15.5 years and 2 (median) (interquartile range, 1.0-4.25) months after spinal cord injury were included in the study. The patients participated in a 20-min FES-cycling program 2 days per week for 4 weeks during their acute inpatient rehabilitation...
September 2014: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/24783484/spirituality-in-bedlam-exploring-patient-conversations-on-acute-psychiatric-units
#12
Sharon Smith, Melinda J Suto
BACKGROUND: Spirituality is a complex yet vital aspect of care on acute psychiatric units. Occupational therapists play a role in engaging their clients regarding spirituality as a resource for recovery. PURPOSE: This manuscript reports on Part I of a research study that explored the experience of spiritual conversations for patients (Part I) and mental health professionals (Part 2) on acute psychiatric units. METHOD: Community-based participatory research framed the project philosophically and relationally, and interpretive description defined the data collection, data analysis, and dissemination methods...
February 2014: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/24764073/am-pac-6-clicks-functional-assessment-scores-predict-acute-care-hospital-discharge-destination
#13
Diane U Jette, Mary Stilphen, Vinoth K Ranganathan, Sandra D Passek, Frederick S Frost, Alan M Jette
BACKGROUND: Physical therapists and occupational therapists practicing in acute care hospitals play a crucial role in discharge planning. A standardized assessment of patients' function could be useful for discharge recommendations. OBJECTIVES: The study objective was to determine the accuracy of "6-Clicks" basic mobility and daily activity measures for predicting discharge from an acute care hospital to a home or institutional setting. DESIGN: The study was retrospective and observational...
September 2014: Physical Therapy
https://www.readbyqxmd.com/read/24651115/service-use-charge-and-access-to-mental-healthcare-in-a-private-kenyan-inpatient-setting-the-effects-of-insurance
#14
Victoria Pattison de Menil, Martin Knapp, David McDaid, Frank Gitau Njenga
The gap in Kenya between need and treatment for mental disorders is wide, and private providers are increasingly offering services, funded in part by private health insurance (PHI). Chiromo, a 30-bed psychiatric hospital in Nairobi, forms part of one of the largest private psychiatric providers in East Africa. The study evaluated the effects of insurance on service use and charge, questioning implications on access to care. Data derive from invoices for 455 sequential patients, including 12-month follow-up...
2014: PloS One
https://www.readbyqxmd.com/read/24627136/management-of-adults-with-ptsd-part-i-background-diagnosis-and-psychological-therapies
#15
(no author information available yet)
Post-traumatic stress disorder (PTSD) comprises four core symptom clusters following a traumatic event: (1) re-experiencing, (2) avoidance, (3) negative cognitions/mood, and (4) hyperarousal, lasting >1 month.(1,2) It causes clinically significant distress or impairment in social, occupational or other important functions.(1) Acute stress disorder (ASD) occurs within 4 weeks of the event and comprises similar symptoms to PTSD, lasting 2 days to 4 weeks.(3,4) Recognition and treatment of PTSD may be complicated by symptom overlap or comorbidity with disorders such as anxiety and depression...
March 2014: Drug and Therapeutics Bulletin
https://www.readbyqxmd.com/read/24500965/does-additional-acute-phase-inpatient-rehabilitation-help-people-return-to-work-a-subgroup-analysis-from-a-randomized-controlled-trial
#16
Natasha Kareem Brusco, Jennifer J Watts, Nora Shields, Siew-Pang Chan, Nicholas F Taylor
OBJECTIVE: To investigate if a Saturday rehabilitation service in addition to usual care improved return to work outcomes 12 months post discharge and to report predictors of return to work. DESIGN: Subgroup analysis of a single-blind randomized controlled trial. SETTING: General inpatient rehabilitation service. SUBJECTS: A mixed cohort of 137 adults previously engaged in work, who were admitted for inpatient rehabilitation and allocated to a control group (n=63) or an intervention group (n=74)...
August 2014: Clinical Rehabilitation
https://www.readbyqxmd.com/read/24468119/an-inpatient-rehabilitation-program-utilizing-standardized-care-pathways-after-paracorporeal-ventricular-assist-device-placement-in-children
#17
Seth A Hollander, Amanda J Hollander, Sandra Rizzuto, Olaf Reinhartz, Katsuhide Maeda, David N Rosenthal
BACKGROUND: Structured rehabilitation programs in adults after ventricular assist device (VAD) placement result in improvements in physical function and exercise capacity, and have been shown to improve survival and accelerate post-transplant recovery. The objective of this study was to determine the safety and feasibility of an acute inpatient rehabilitation program for children utilizing standardized, age-appropriate, family-centered care pathways after paracorporeal VAD placement in both the ICU and acute-care inpatient settings...
June 2014: Journal of Heart and Lung Transplantation
https://www.readbyqxmd.com/read/24462619/active-rehabilitation-in-a-pediatric-extracorporeal-membrane-oxygenation-patient
#18
Carleen Zebuhr, Amit Sinha, Heather Skillman, Shannon Buckvold
Decreased intensive care unit (ICU) mortality has led to an increase in ICU morbidity. ICU-induced immobilization plays a major role in this morbidity. Recently, ICU mobility has been shown to be safe and effective in adolescent and adult patients. We report the successful rehabilitation of an 8-year-old boy with severe acute respiratory distress syndrome on extracorporeal membrane oxygenation. A child who is critically ill may safely perform active rehabilitation while on venovenous extracorporeal membrane oxygenation...
May 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/24419019/feasibility-study-of-a-combined-treatment-of-electromyography-triggered-neuromuscular-stimulation-and-mirror-therapy-in-stroke-patients-a-randomized-crossover-trial
#19
RANDOMIZED CONTROLLED TRIAL
Kosuke Kojima, Koki Ikuno, Yuta Morii, Kentaro Tokuhisa, Shigeru Morimoto, Koji Shomoto
BACKGROUND: Mirror therapy (MT) and electromyography-triggered neuromuscular stimulation (ETMS) are both effective treatments for impaired upper limbs following stroke. A combination of these two treatments (ETMS-MT) may result in greater gain than either treatment alone. OBJECTIVES: The feasibility and possible effects of ETMS-MT upon upper extremity function were investigated in stroke patients. METHODS: Thirteen post-acute stroke patients were randomly assigned to an immediate ETMS-MT group or a delayed ETMS-MT group and then underwent an 8-week training program...
2014: NeuroRehabilitation
https://www.readbyqxmd.com/read/24217880/-rehabilitation-of-severely-injured-patients-in-acute-care-hospitals-who-is-doing-what-a-nationwide-survey-in-the-trauma-network-dgu
#20
F Debus, D Mierswa, S Ruchholtz, C L Lopez, T Schwarting, C A Kühne
BACKGROUND: During the treatment of severely injured patients, rehabilitation takes an important role. In this study we examined the present structures in acute care hospitals, which influence the process of rehabiliation. MATERIALS AND METHODS: The data was captured in a questionnaire. The questions deal with the personal and structural situation of acute care hospitals in Germany. The questionnaires were sent to all clinics, which are registered in the TraumaNetwork DGU...
February 2014: Die Rehabilitation
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