Facilitating Early Rehabilitation in Acute Stroke Patients Using an Occupational Therapy Assistant
|
|
- Rafe Hudson
- 6 years ago
- Views:
Transcription
1 Facilitating Early Rehabilitation in Acute Stroke Patients Using an Occupational Therapy Assistant Dan Bonython & Georgie Hyder Royal Adelaide Hospital Central Adelaide Local Health Network
2 Introduction > Stroke patients in the acute setting generally spend 53% of their therapeutic day resting in bed and a further 28% of their time sitting with minimal to nil physical activity. Bernhardt et al. (2004
3 Introduction > Earlier and more aggressive therapies are associated with better outcomes Horn et al. (2005
4 Introduction So why the disparity? > Limited resources and staffing levels. > Healthcare system is challenged to provide an adequate number of appropriately skilled health care workers. Lizarondo et al. (2010)
5 Introduction Why do stroke patients benefit from Occupational Therapy? > Occupational therapy plays an integral part in the rehabilitation of stroke patients Horn et al. (2005) > Consistent Occupational Therapy is associated with significantly improved functional outcome and greater rates of discharge home Legg et al. (2007)
6 Introduction Aim of the study > To evaluate the effectiveness of using an Occupational Therapy Assistant to provide earlier and more intensive rehabilitation to acute stroke patients by measuring functional performance and quality of life outcomes.
7 Introduction Case Study Introducing Mrs Butler > 60 year old female > Presents to Emergency Department with a left upper limb weakness
8 Case Study OT sees the patient on day 2 Intensive therapy recommended Who s going to assist with the therapy?? >The patient? >The family? >Nursing staff?
9 Method Research Design > A non-blinded, parallel-group superiority study > Ethics approval granted by the Royal Adelaide Hospital Research Ethics Committee. > Admission and discharge assessments Setting and Participants > Royal Adelaide Hospital, Stroke Unit > Participants >18; Stroke Unit; Stroke diagnosis N = 52 (26 control, 26 intervention)
10 Method Control > Standard Occupational Therapy intervention Intervention > Standard Occupational Therapy intervention > Daily Occupational Therapy Assistant therapy Personal activities of daily living Upper limb therapy Functional mobility
11 Method Outcome measures > Primary: Modified Barthel s Index (MBI) Objective measure 10 items scored on a 5 point scale Total score out of 100 >Secondary: EuroQol EQ-5D-3L (EQ-5D) Subjective measure Five dimensions Visual analogue scale > Other: Length of stay; discharge destination
12 Improvement in Mean MBI Score Results Modified Barthel Index Intervention Control Activity of Daily Living
13 Improvement in Mean MBI score Results Modified Bathel Index Scores Intervention Control 5 0 Total score
14 Back to Mrs Smith > If in the intervention group: Capacity to see her daily to perform prom UL exercises Resulted in multiple positive outcomes Had a head start on therapy in rehab > If in control group OT able to see her briefly a couple of times a week Very limited input from family and nursing staff Some spontaneous improvements
15 Results Quality of life measure > Improved VAS scores for control and Intervention however no significant difference between groups Length of stay and discharge destination > No significant difference between groups
16 Discussion Limitations > Non-randomised allocation > Non-blinded examiners and subjects > High exclusion rate > Missed data > Changed therapist
17 Discussion > More evidence is needed > Investigation on the longer term effects on the stroke population > The monetary effect on the health care system > Occupational Therapist vs Occupational Therapy Assistant
18 Mrs Smith Back to Mrs Smith one last time > Able to reach her rehab goals earlier
19 Acknowledgements > Royal Adelaide Hospital Allied Health, Pharmacy and Nursing Clinical Research Grant > Data Management and Analysis Centre, University of Adelaide > Occupational Therapy Department, Royal Adelaide Hospital > Royal Adelaide Hospital Stroke Unit
20 References > Bernhardt, J., Dewey, H., Thrift, A. & Donnan, G. (2004). Inactive and alone: physical activity within the first 14 days of acute stroke unit care. Stroke, 35, > Cadilhac, D.A., Carter, R., Thrift, A.G., Dewey, H.M. (2009). Estimating the long-term costs of ischemic (IS) and hemorrhagic (ICH) stroke for Australia: new evidence derived from the North East Melbourne Stroke Incidence Study (NEMESIS). Stroke, 40, > Horn, S.D., DeJong, G., Smout, R.J., Gassaway, J., James, R. & Conroy, B. (2005). Stroke rehabilitation patients, practice, and outcomes: Is earlier and more aggressive therapy better? Archives of Physical Medicine and Rehabilitation, 86 (Suppl 2), S101 S114.(Legg et al. 2007). > Legg, L., Drummond, A., Leonardi-Bee, J., Gladman, J.R.F., Corr, S., Donkervoort, M. et a l. (2007). Occupational Therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials. British Medical Journal, 335, > Lizarondo, L., Kumar, S., Hyde, L. & Skidmore, D. (2010). Allied health assistants and what they do: a systematic review of the literature. Journal of Multidisciplinary Healthcare, 3,
21
Evidence Tables and References 5.3 Delivery of Inpatient Stroke Rehabilitation
Evidence Tables and References 5.3 Delivery of Inpatient Stroke Rehabilitation Canadian Best Practice Recommendations for Stroke Care 2011-2013 Update Last Updated: June 12, 2013 Contents Search Strategy...
More informationAdditional Weekend Physiotherapy for In-patients Receiving Rehabilitation. Natasha Brusco Chief Advisor of Physiotherapy Eastern Health
Additional Weekend Physiotherapy for In-patients Receiving Rehabilitation Natasha Brusco Chief Advisor of Physiotherapy Eastern Health Introduction Background: In 2003 the Angliss Hospital opened an additional
More informationEARLY PHYSICAL ACTIVITY IN COMPREHENSIVE STROKE UNIT CARE
EARLY PHYSICAL ACTIVITY IN COMPREHENSIVE STROKE UNIT CARE Tanya Narelle West Graduate Diploma (Neurological Rehabilitation) Bachelor of Science (Physiotherapy) Bachelor of Science (Human Movement) A thesis
More informationA Very Early Rehabilitation Trial (AVERT): What we know, what we think and what s to come
A Very Early Rehabilitation Trial (AVERT): What we know, what we think and what s to come The AVERT Trial Collaboration group Joshua Kwant, Blinded Assessor 17 th May 2016 NIMAST Nothing to disclose Disclosure
More informationCan occupational therapy intervention focused on activities of daily living increase quality of life in people who have had a stroke?
Pacific University CommonKnowledge Physical Function CATs OT Critically Appraised Topics 2008 Can occupational therapy intervention focused on activities of daily living increase quality of life in people
More informationUniversity of South Australia, 2 Royal Adelaide Hospital Australia
English et al: Shoulder pain after stroke Incidence and severity of shoulder pain does not increase with the use of circuit class therapy during inpatient stroke rehabilitation: a controlled trial Coralie
More informationSTROKE REHABILITATION: EVIDENCE-BASED OR EVIDENCE-TINGED?*
J Rehabil Med 2007; 39: 193 197 Review Article STROKE REHABILITATION: EVIDENCE-BASED OR EVIDENCE-TINGED?* Marion F. Walker From the Division of Rehabilitation and Ageing, University of Nottingham, Nottingham,
More informationStroke is the third largest cause of death and one of the leading causes of longterm
Occupational Therapy Activities and Intervention Techniques for Clients With Stroke in Six Rehabilitation Hospitals Nancy K. Latham, Diane U. Jette, Wendy Coster, Lorie Richards, Randall J. Smout, Roberta
More informationFrequently Asked Questions: Riverview Rehabilitation Center
Frequently Asked Questions: Riverview Rehabilitation Center WHAT SERVICES ARE PROVIDED? Riverview Rehabilitation Center provides a comprehensive, interdisciplinary and functionally based treatment program
More informationNZ Organised Stroke Rehabilitation Service Specifications (in-patient and community)
NZ Organised Stroke Rehabilitation Service Specifications (in-patient and community) Prepared by the National Stroke Network to outline minimum and strongly recommended standards for DHBs. Date: December
More informationYour Risk for Stroke and How to Be Prepared
Your Risk for Stroke and How to Be Prepared TABLE OF CONTENTS 01 / 02 / 03 / 04 / 06 / 07 / 08 / 09 / 14 / Stroke Education Stroke: The No. 5 Cause Of Death In The U.S. Is Stroke Preventable? Stroke Risk
More informationStroke Rehab Definitions Framework Self-Assessment Tool Acute Integrated Stroke Unit
rth & East GTA Stroke Network Stroke Rehab Definitions Framework Self-Assessment Tool Acute Integrated Stroke Unit Purpose of the Self-Assessment Tool: The GTA Rehab Network and the GTA regions of the
More informationEvaluation of the functional independence for stroke survivors in the community
Asian J Gerontol Geriatr 2009; 4: 24 9 Evaluation of the functional independence for stroke survivors in the community ORIGINAL ARTICLE CKC Chan Bsc, DWC Chan Msc, SKM Wong MBA, MAIS, BA, PDOT ABSTRACT
More informationWhat to expect following spinal cord injury. Information for patients Therapy Services
What to expect following spinal cord injury Information for patients Therapy Services Introduction This leaflet aims to explain what spinal cord injury is and what to expect over the next few months. What
More informationKnowsley Community. Stroke Team.
Knowsley Community Stroke Team julia.owens@lhch.nhs.uk marie.florian@lhch.nhs.uk 0151 244 3369 Knowsley Cardiovascular Disease Service Community Cardiovascular Service Rehabilitation services One stop
More informationShort Report. Introduction. Overview of AusTOMs - OT. Carolyn A Unsworth and Dianne Duncombe
Short Report The 12 scales in the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs - OT) have been previously reported as offering therapists a simple and quick outcome measure for
More informationEarly mobilization after stroke What do we know (so far)?
NICIS Neurosciences in Critical Care International Symposium 19 th June, 2015 Early mobilization after stroke What do we know (so far)? Peter Langhorne, Professor of stroke care, Glasgow University Acknowledgements
More informationComments, Opinions, and Reviews
Comments, Opinions, and Reviews Individual Patient Data Meta-Analysis of Randomized Controlled Trials of Community Occupational Therapy for Stroke Patients M.F. Walker, PhD; J. Leonardi-Bee, MSc; P. Bath,
More informationAttachment Program for Allied Health Professions in Rehabilitation Services
Attachment Program for Allied Health Professions in Rehabilitation Services Florence Kwok,TMH ClinPsy; Joshua MAK,TMH SST Peg CHEUNG,TMH OTI; Manfield CHAN,TMH PTI 4 May, 2016 Pathway of a Stroke Patient
More informationNot All Stroke Units Are the Same A Comparison of Physical Activity Patterns in Melbourne, Australia, and Trondheim, Norway
Not All Stroke Units Are the Same A Comparison of Physical Activity Patterns in Melbourne, Australia, and Trondheim, Norway Julie Bernhardt, PhD; Numthip Chitravas, MD; Ingvild Lidarende Meslo, PT; Amanda
More informationRole of the Occupational Therapist in Critical care
Role of the Occupational Therapist in Critical care Sarah Elliott Physiotherapist Emily Fox Occupational Therapist Objectives Critical Care Services at Medway Hospital Identifying a need for OT NICE /
More informationBED BLOCKERS: A STUDY ON THE ELDERLY PATIENTS IN A TEACHING HOSPITAL IN INDIA
ISPUB.COM The Internet Journal of Health Volume 11 Number 1 BED BLOCKERS: A STUDY ON THE ELDERLY PATIENTS IN A TEACHING HOSPITAL IN INDIA P N., N Shinge, P S. Citation P N., N Shinge, P S.. BED BLOCKERS:
More informationEarly Mobilization After Stroke An Example of an Individual Patient Data Meta-Analysis of a Complex Intervention
Early Mobilization After Stroke An Example of an Individual Patient Data Meta-Analysis of a Complex Intervention Louise E. Craig, BSc; Julie Bernhardt, PhD; Peter Langhorne, PhD; Olivia Wu, PhD Background
More informationStroke Rehabilitation Intensity Literature Review
Stroke Rehabilitation Intensity Literature Review Topic Description and Rationale for Choosing the Topic: Providing effective levels of therapy is a major concern post stroke. Patients spend 60% of their
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Is early mobilization safe and more effective than usual care in promoting recovery and functional independence in clients in the intensive care unit (ICU)
More informationOUTCOME MEASURES. NZAOT Conference 2012 Hamilton Linda Robertson
OUTCOME MEASURES NZAOT Conference 2012 Hamilton Linda Robertson Measurement Tools TASK: What assessment methods / tools do you use? What is an Outcome Measure? It is an assessment or test that is known
More informationAVERT Trial Debate: Implications for Practice Have we AVERT ed the real message?
AVERT Trial Debate: Implications for Practice Have we AVERT ed the real message? Jackie Bosch, PhD, OT Reg(Ont) School of Rehabilitation Science McMaster University Vince DePaul PT PhD School of Rehabilitation
More informationManagement of the Hemiplegic Arm: Implementing a Best Practice Protocol
Background Information Appendix J Management of the Hemiplegic Arm: Implementing a Best Practice Protocol Dalia Abromaitis, OT Reg (Ont) Jennifer Curry, PT www.swostroke.ca Objectives Provide tools for
More informationCircuit Class Therapy and 7-Day-Week Therapy Increase Physiotherapy Time, But Not Patient Activity Early Results From the CIRCIT Trial
Circuit Class Therapy and 7-Day-Week Therapy Increase Physiotherapy Time, But Not Patient Activity Early Results From the CIRCIT Trial Coralie English, PhD; Julie Bernhardt, PhD; Susan Hillier, PhD Background
More informationJoint replacement reviews conducted by physiotherapists Bernarda Cavka Advanced Practice Physiotherapist The Royal Melbourne Hospital
Joint replacement reviews conducted by physiotherapists Bernarda Cavka Advanced Practice Physiotherapist The Royal Melbourne Hospital 2014 The Quantum Leap The Royal Melbourne Hospital (RMH) One of two
More informationEVERY MINUTE COUNTS - Stroke Rehabilitation Intensity -
EVERY MINUTE COUNTS - Stroke Rehabilitation Intensity - Presentation prepared by the Ontario Stroke Network Rehabilitation Intensity Working Group February 12, 2015 Objectives To provide context on why
More informationLearned communicative non-use is a reality in very early aphasia recovery: Preliminary results from an ongoing observational study
Learned communicative non-use is a reality in very early aphasia recovery: Preliminary results from an ongoing observational study Background: Recent neurorehabilitation literature in animal motor models
More informationOccupational Therapy and Physiotherapy in Stroke and Neurology Inpatient Services
Occupational Therapy and Physiotherapy in Stroke and Neurology Inpatient Services Information for patients Welcome to the Stroke and Neurology inpatient therapy team. As part of your stay you may be assessed
More informationHow to get a Clinical Psychologist. Dr Ian Kneebone Consultant Clinical Psychologist & Visiting Reader
How to get a Clinical Psychologist Dr Ian Kneebone Consultant Clinical Psychologist & Visiting Reader How to make a case to the new clinical commissioning groups (CCG) If CCGs do not eventuate basics should
More informationThe role of multidisciplinary team care in stroke rehabilitation
Stroke rehabilitation z Multidisciplinary care The role of multidisciplinary team care in stroke rehabilitation David J Clarke MSc, PhD, RN Co-ordinated multidisciplinary team working has made a significant
More informationResearch Article Five Years of Acute Stroke Unit Care: Comparing ASU and Non-ASU Admissions and Allied Health Involvement
Stroke Research and Treatment, Article ID 798258, 5 pages http://dx.doi.org/10.1155/2014/798258 Research Article Five Years of Acute Stroke Unit Care: Comparing ASU and Non-ASU Admissions and Allied Health
More informationPhysical Therapy Diagnosis and Documentation Tips
1 This tool is designed to assist the Physical Therapist in consultation with the physician, in the selection of an appropriate according to Medicare coverage guidelines. The documentation tips will add
More informationPURPOSE OF THE SELF-ASSESSMENT TOOLS:
Pulmonary Rehab s Framework Self-Assessment Tool Inpatient Rehab Survey for Pulmonary Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in many different
More informationThe Hand Hub. Mary P Galea Departments of Medicine and Rehabilitation Medicine (Royal Melbourne Hospital) The University of Melbourne
The Hand Hub Mary P Galea Departments of Medicine and Rehabilitation Medicine (Royal Melbourne Hospital) The University of Melbourne What prompted this project? 30%-60% of stroke survivors fail to regain
More informationEMU A NEW MODEL OF EMERGENCY CARE FOR THE FRAIL & ELDERLY
EMU A NEW MODEL OF EMERGENCY CARE FOR THE FRAIL & ELDERLY Geriatrics, General practice, Emergency medicine, Interface medicine SUMMARY An integrated, community emergency service specifically designed for
More informationPlease make sure that you complete a self-assessment survey for each type of rehab program that your organization provides.
Oncology Rehab s Framework Self-Assessment Tool Inpatient Rehab Survey for Oncology Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in many different settings
More informationCasa Colina Centers for Rehabilitation: A unique physician-directed model of care that works
Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works Emily R. Rosario, PhD Why is Casa Colina unique? Continuum of care offering medical and rehabilitation services
More informationAiming for Excellence in Stroke Care
Training Centre in Sub-acute Care (TRACS WA) Aiming for Excellence in Stroke Care A tool for quality improvement in stroke care Developed by TRAining Centre in Subacute Care (TRACS WA) February 2016 For
More informationAROC Intensity of Therapy Project. AFRM Conference 18 September 2013
AROC Intensity of Therapy Project AFRM Conference 18 September 2013 What is AROC? AROC began as a joint initiative of the whole Australian rehabilitation sector (providers, payers, regulators and consumers)
More informationI write in response to your request for information in relation to physiotherapy services within NHS Lothian.
Lothian NHS Board = Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG = Telephone: 0131 536 9000 www.nhslothian.scot.nhs.uk www.nhslothian.scot.nhs.uk Dear FREEDOM OF INFORMATION PHYSIOTHERAPY Date: 15/08/2016
More informationClinical Psychology Profession Specific Audit of Stroke Care
Clinical Psychology Profession Specific Audit of Stroke Care Clinical Casenote Audit Clinical site code. Age (in years).. Patient ID. Date of admission to unit.. Gender.. Inpatient location: Acute Rehabilitation
More informationComprehensive Acute. Rehabilitation Unit
Comprehensive Acute Rehabilitation Unit The Comprehensive Acute Rehabilitation Unit at Thomas Jefferson University Hospital has provided excellence in patient-focused acute rehabilitative care since 1963.
More informationComprehensive geriatric assessment and home-based rehabilitation for elderly people with a history of recurrent non-elective hospital admissions
Geriatric assessment and home-based rehabilitation Age and Ageing 2006; 35: 487 491 doi:10.1093/ageing/afl049 Published electronically 13 June 2006 The Author 2006. Published by Oxford University Press
More informationSurgery saved my life. Rehab is restoring my future.
The Best Way Back Baylor Institute for Rehabilitation offers care for the most challenging and medically complex patients, including those with traumatic brain injury, traumatic spinal cord injury and
More informationTrial of Wii TM in Stroke- TWIST
Trial of Wii TM in Stroke- TWIST NIHR Statement This presentation summarises independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB)
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION To what extent do the effects of neuromuscular electrical stimulation (NMES) on motor recovery of the upper extremity after stroke persist after the intervention
More informationIntegrating Medical and Social Support for Elderly System & Technology Enabled Service Innovations. Dr Christina MAW Hospital Authority, Hong Kong
Integrating Medical and Social Support for Elderly System & Technology Enabled Service Innovations Dr Christina MAW Hospital Authority, Hong Kong Hospital Authority (HA) of Hong Kong A statutory body responsible
More information<INSERT COUNTRY/SITE NAME> All Stroke Events
WHO STEPS STROKE INSTRUMENT For further guidance on All Stroke Events, see Section 5, page 5-15 All Stroke Events Patient Identification and Patient Characteristics (I 1) Stroke
More informationExercise after stroke. Vision More people after stroke, more active more often, exercising safely and effectively.
Exercise after stroke Vision More people after stroke, more active more often, exercising safely and effectively. Who are we! Community exercise team, HL&S Blackburn with Darwen BC Community stroke rehab
More informationGeneral Medical Rehabilitation
General Medical Rehabilitation Outcomes Report 20 Rehabilitation Hospital is part of the Rehabilitation system of care, a post-acute provider of neuro-rehabilitation for over 45 years. Our 160-bed acute,
More informationVariability in Blood Pressure Medications Prescribed to Stroke Patients at Hospital Discharge
Variability in Blood Pressure Medications Prescribed to Stroke Patients at Hospital Discharge A. Lantzy, MSN, RN, L. Simo, A. Carlson-Chalifoux, MS, RN, AGACNP-BC, CCRN, SCRN, P. Feit, MS, A. Sharrief,
More informationCare of the Elderly 1
Care of the Elderly 1 Contents Summary... 3 Introduction... 4 National Trends 4 Older people's Care in Dumfries & Galloway... 6 Professional Body Recommendation 11 Experience from elsewhere..12 Models
More informationThe Utility of the HoNOS-Secure in Low Secure Mental Health Settings
The Utility of the HoNOS-Secure in Low Secure Mental Health Settings Emily Barratt MSc Research Student Prof Jason Davies Consultant Clinical Forensic Psychologist Honorary Professor of Forensic Clinical
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Wu, C., Huang, P., Chen, Y., Lin, K., & Yang, H. (2013). Effects of mirror therapy on motor and sensory recovery in chronic stroke: A randomized controlled trial. Archives
More informationPHYSIOTHERAPY IN INTENSIVE CARE: how the evidence has changed since 2000 Kathy Stiller Physiotherapy Department Royal Adelaide Hospital Adelaide South Australia Kathy.Stiller@health.sa.gov.au Aim review
More informationAMAJOR CHALLENGE in stroke rehabilitation practice is
ORIGINAL ARTICLE Stroke Rehabilitation Patients, Practice, and Outcomes: Is Earlier and More Aggressive Therapy Better? Susan D. Horn, PhD, Gerben DeJong, PhD, Randall J. Smout, MS, Julie Gassaway, MS,
More informationSpecialty Rehabilitation Fact Sheet
TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted by neurological illness, trauma or other debilitating conditions back to independence. Some of the
More informationEarly Intervention Teams services for early psychosis
Early Intervention Teams services for early psychosis Early intervention services work with people who are usually between 14 and 35, and are either at risk of or are currently experiencing a first episode
More informationRehabilitation within critical care
Rehabilitation within critical care Why consider Rehab on ITU? 110,000 people admitted to critical care units in England and Wales each year (ICNARC) 75% survive and are discharged home Long Term Effects
More informationPHYSICAL INACTIVITY HAS important negative health
ORIGINAL ARTICLE Additional Saturday Allied Health Services Increase Habitual Physical Activity Among Patients Receiving Inpatient Rehabilitation for Lower Limb Orthopedic Conditions: A Randomized Controlled
More informationDaily Amount of Mobilization and Physical Activity During Rehabilitation of Patients with Acute Stroke Managed in a General Ward
Daily Amount of Mobilization and Physical Activity During Rehabilitation of Patients with Acute Stroke Managed in a General Ward NOZOE Masafumi, YAMAMOTO Miho, KANAI Masashi, KUBO Hiroki, FURUICHI Asami,
More informationRoyal National Orthopaedic Hospital. Chronic Pain Centre
Royal National Orthopaedic Hospital Chronic Pain Centre Annual Report 2016-2017 Financial Year 2016 / 2017 Authors: Dr Rebecca Berman Dr Tacson Fernandez Dr Roxaneh Zarnegar (Audit Lead) (Neuromodulation
More information. 10. Hydration and nutrition 10.2 Assessment of swallowing function
. 10. Hydration and nutrition 10.2 Assessment of swallowing function NUTRI 1b: In patients with acute, what is the accuracy of a) bedside swallowing assessment b) video fluoroscopy c) fiberoptic endoscopic
More informationSOC s Guide to the 2013 CMS New Core Measures for Stroke
SOC s Guide to the 2013 CMS New Core Measures for Stroke Since 2004, the Centers for Medicare & Medicaid Services (CMS) has collected quality data from acute care hospitals on a voluntary basis under the
More informationSubacute inpatient rehabilitation across a range of impairments: intensity of therapy received and outcomes
University of Wollongong Research Online Australian Health Services Research Institute Faculty of Business 2013 Subacute inpatient rehabilitation across a range of impairments: intensity of therapy received
More informationCommunity Programs & Minimising Frailty in Older People
VITALITY CLUB Community Programs & Minimising Frailty in Older People Presented by Theeban Rubasingham & Ahilan St George Vitality Club Directors & Co-Founders Outline of talk: 1. The Founders 2. The Vitality
More informationPractical measures for evaluating outcomes: Australian Therapy Outcome Measures (AusTOMs)
Practical measures for evaluating outcomes: Australian Therapy Outcome Measures (AusTOMs) Jemma Skeat Evaluation and Analysis Coordinator Royal Children s Hospital, Melbourne Professor Alison Perry Professor
More informationFim Manual For Speech Therapist
Fim Manual For Speech Therapist FIM scores flashcards Quizlet - 21 terms FIM Functional Independence Measure, FIM purpose Measures functional status; re, Level 7 Complete Independence, UDSMR:::The FIM
More informationREVIEW OF REHABILITATION OF ISCHAEMIC STROKE PATIENTS
REVIEW OF REHABILITATION OF ISCHAEMIC STROKE PATIENTS MAHMOOD K 1, HOSSAIN MS2, RAHMAN S 3 Abstract: Rehabilitation of stroke patient is a continuum, starting within days of onset and ending only when
More informationREHABILITATION UNIT ANNUAL OUTCOMES REPORT Prepared by
REHABILITATION UNIT ANNUAL OUTCOMES Prepared by REPORT - 2014 Keir Ringquist, PT, PhD, GCS Rehabilitation Program Manager Director of Occupational and Physical Therapy DEMOGRAPHICS OF THE REHABILITATION
More informationOrientation to Mental Health - Student Assignment
Orientation to Mental Health - Student Assignment This is an example structure of a case study assignment given by the Practice Educator whilst on placement. ABOUT THIS SERVICE 1. Describe the role of
More informationPhysiotherapy on the Intensive Care Unit. Information for patients, their family and carers
Physiotherapy on the Intensive Care Unit Information for patients, their family and carers A team of Specialist Physiotherapists works in the Intensive Care Units within the Oxford University Hospitals
More informationOutcomes in GEM models of geriatric care: How do we measure success? Disclosure. Objectives. Geriatric Grand Rounds
Geriatric Grand Rounds Tuesday, October 7, 2008 12:00 noon Dr. Bill Black Auditorium Glenrose Rehabilitation Hospital Outcomes in GEM models of geriatric care: How do we measure success? In keeping with
More informationWaterloo Wellington CCAC Community Stroke Program
Waterloo Wellington CCAC Community Stroke Program Stroke Collaborative 2014 October 27, 2014 Maria Fage, OT Reg. (Ont.) Manager, Client Services Map of Waterloo Wellington LHIN 2 Background Integration
More informationStroke Network Updates
Stroke Network Updates SLP Network Deborah Willems March 21, 2014 www.swostroke.ca SWOSN Staffing Lyndsey Butler Regional Educator Paula Gilmore Regional Director Margo Collver Regional Community & LTC
More informationNorthumbria Healthcare NHS Foundation Trust. Your guide to understanding Delirium. Issued by Department of Medicine
Northumbria Healthcare NHS Foundation Trust Your guide to understanding Delirium Issued by Department of Medicine Purpose of this leaflet This leaflet is for patients and carers and aims to give you information
More informationHealthcare, hospitals and the challenges of an ageing population
Healthcare, hospitals and the challenges of an ageing population Prof David Oliver Vice President, RCP, London Past President, British Geriatrics Society Senior Visiting Fellow, King s Fund Consultant
More informationE1. Post hospital discharge follow-up services and rehabilitation programmes
A UK Survey of Rehabilitation Following Critical Illness: Implementation of NICE Clinical Guidance 83 (CG83) Following Hospital Discharge B Connolly 1, 2, 3 Clinical Research Fellow, A Douiri 4 Lecturer
More informationEfficiency, Effectiveness, and Duration of Stroke Rehabilitation
241 Efficiency, Effectiveness, and Duration of Stroke Rehabilitation Surya Shah, MEd OTR/L, Frank Vanclay, MSocSci, and Betty Cooper, BAppSc This prospective multicenter study identifies the variables
More informationNeurodegenerative diseases Includes multiple sclerosis, Parkinson s disease, postpolio syndrome, rheumatoid arthritis, lupus
TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted by neurological illness, trauma or other debilitating conditions back to independence. Some of the
More informationThe organization of inpatient stroke care was, for the first
Stroke Unit Care Combined With Early Supported Discharge Improves 5-Year Outcome A Randomized Controlled Trial Hild Fjærtoft, PT, PhD; Gitta Rohweder, MD; Bent Indredavik, MD, PhD Background and Purpose
More informationNeurodegenerative Diseases, Debilitating Conditions and Multiple Trauma Program (Neuromuscular Rehab)
Neurodegenerative Diseases, Debilitating Conditions and Multiple Trauma Program (Neuromuscular Rehab) TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationAllied Health Professions in NHSScotland
Arts therapist Care assistant Dietitian Dietetic assistant Imaging support worker Limited orthotic practitioner Occupational therapist Occupational therapy assistant Orthoptist Physiotherapist Physiotherapy
More informationAcute Rehabilitation. Giving Courage l Creating Hope l Building Strength
Acute Rehabilitation Giving Courage l Creating Hope l Building Strength What is Acute Rehabilitation? Rehabilitation is a team of healthcare professionals working together to help people regain function
More informationTreatment and Outcomes of Working Aged Adults with Stroke: Results from a National Prospective Registry
Original Paper Neuroepidemiology 207;49:3 20 Received: September 0, 207 Accepted: October 0, 207 Published online: November 4, 207 Treatment and Outcomes of Working Aged Adults with Stroke: Results from
More informationANNUAL REPORT: 1 Nov 2003
UWS - College of Social & Health Science OCCUPATIONAL THERAPY RESEARCH GROUP ANNUAL REPORT: 1 Nov 2003 June 2002- Dec 2003 Members Summary Julia Bowman Ros Bye (Maternity Leave June 2002- March 2003) Dr
More informationPalliative Rehabilitation: a qualitative study of Australian practice and clinician attitudes
Palliative Rehabilitation: a qualitative study of Australian practice and clinician attitudes Dr F Runacres 1, 2, Dr. H Gregory 1 & Dr A Ugalde 3, 4 1. Calvary Health Care Bethlehem, Caulfield, Victoria,
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Schweickert, W. D., Pohlman, M. C., Pohlman, A. S., Nigos, C., Pawlik, A. J., Esbrook, C. L., Kress, J.P. (2009). Early physical and occupational therapy in mechanically
More informationBecause there is some evidence that falls in hospital can
BRIEF METHODOLOGICAL REPORTS A Comparative Study of the Use of Four Fall Assessment Tools on Acute Medical Wards Michael Vassallo, FRCP, PhD, Rachel Stockdale, MRCP (UK), w Jagdish C. Sharma, FRCP, Roger
More information2010 National Audit of Dementia (Care in General Hospitals) Chelsea and Westminster Hospital NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: NHS Foundation Trust The 2010 national audit of dementia
More informationSentinel Stroke National Audit Programme (SSNAP)
Sentinel Stroke National Audit Programme (SSNAP) Changes over Time: 4 years of data April 2013 March 2017 National results Based on stroke patients admitted to and/or discharged from hospital between April
More informationThe Experience in Exeter with. hip fracture care. Data For Change
The Experience in Exeter with hip fracture care Data For Change John Charity Associate Specialist in T&O, Lead NHFD Clinician, Royal Devon and Exeter NHS Foundation Trust Respond Deliver & Enable People
More informationThe power of home rehabilitation: a single case study
The power of home rehabilitation: a single case study Author Lackie, Rebecca, Bisset, Leanne Published 2012 Journal Title International Journal of Therapy and Rehabilitation Copyright Statement 2012 MA
More informationREHABILITATION UNIT ANNUAL OUTCOMES REPORT
REHABILITATION UNIT ANNUAL OUTCOMES REPORT - 2013 Prepared by Keir Ringquist, PT, PhD, GCS Rehabilitation Program Manager Director of Occupational and Physical Therapy 1 DEMOGRAPHICS OF THE REHABILITATION
More information