185 Revisiting Comprehensive Geriatric Assessment in the Emergency Department

ConclusionThe prevalence of frailty was determined in this population and was not significantly associated with hospital admission, grip strength or calf circumference. A focus on alternative pathways to hospital admission with appropriate access to community services is recommended for individuals with frailty.
Source: Age and Ageing - Category: Geriatrics Source Type: research

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CONCLUSION: In contrast to commonly used perioperative risk classifications, frailty is a sensitive marker for the patient's biological age. Therefore, it appears more suitable for estimating the perioperative risk than chronological age or other conventional tools, such as the ASA classification and is therefore a prerequisite for patient centered treatment pathways. PMID: 31802172 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
Conclusions: A necessary compilation of the observational gait assessment scales validated to date was conducted. Besides, their characteristics and methodological quality were analyzed. Most scales were applied in neurological signs. The most approached topics were orthopedic aids, phases of the gait cycle, and kinematics of the leg and trunk. The scale that demonstrated a higher methodological quality was Visual Gait Assessment Scale, followed by CHAGS, Salford Gait Tool, and Edinburgh Visual Gait Score. PMID: 31781597 [PubMed - in process]
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
A paraplegic man made the first kick of the World Cup in Brazil in 2014; another paralyzed man was able to move all four of his limbs through mind-control, and yet another could walk down the aisle with the love of his life due to robotic structures called exoskeletons. These are just a few mind-blowing and heart-warming stories about their current power, but they haven’t reached their full potential yet. We looked around what exoskeleton technology can do today and what it promises for tomorrow. Exoskeleton becomes as real as a donut Remember the huge mechanic beasts fighting against the indigenous people on m...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine Robotics digital health exoskeleton science fiction technology exoskeletons rehabilitation paralyzed stroke injury spinal cord exoskeleton technology Source Type: blogs
A question I’ve asked myself many times! As a small profession with a long history (as long as physiotherapy, TBH), it does seem odd that there are many, many pain rehabilitation services where never an occupational therapist has darkened the door. Some of the reasons lie within the profession: in general, occupational therapists are busy being clinicians and have little time for research. In New Zealand, few occupational therapists pursue higher degrees, and many avoid statistical analyses, experimental design, randomised controlled studies. In fact, some occupational therapists have argued that the tailored appr...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Occupational therapy Pain conditions Resilience/Health interprofessional teams pain rehabilitation persistent pain Source Type: blogs
CONCLUSION: Our study highlighted increased 30-day and 1-year morbidity and mortality rates following hip fracture surgery with notable high rates of respiratory and renal complications in patients with reduced pre-fracture mobility. We would recommend pre- and postoperative optimisation with orthogeriatric review, chest physiotherapy and intravenous fluid hydration to reduce complication rates and improve morbidity and mortality. PMID: 31578085 [PubMed - as supplied by publisher]
Source: Hip International - Category: Orthopaedics Authors: Tags: Hip Int Source Type: research
ConclusionA significant cohort of ICTOP referrals report a fear of falling.  Specific physiotherapy and occupational therapy interventions aim to reduce the impact of this and our low rate of readmissions due to falls indicates the success of this program.
Source: Age and Ageing - Category: Geriatrics Source Type: research
Conclusions: Investigating the views and opinions of persons with MS on fall prevention programs gave important information which can be used to inform the development of such programs. IMPLICATIONS FOR REHABILITATION People with multiple sclerosis (MS) prefer short-term fall prevention programs that are practical, in-person and in groups. Online interventions were strongly rejected. People with MS want balance/strength exercises and falling techniques included within fall prevention programs. People with MS believe that awareness regarding falls prevention needs to be raised among healthcare professionals. Also, services ...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
ConclusionThe findings revealed that the clinical evidence supports the effectiveness of WPS as a positive ergogenic aid on athletes ’ amino acids, creatinine kinase and myoglobin.
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research
Authors: D'Amico E, Chisari CG, Gitto L, Zanghì A, Toscano S, Patti F Abstract INTRODUCTION: Recently, the economic impact of multiple sclerosis (MS), which includes both direct and indirect costs, has been increasing. While direct costs comprise health-care costs, such as the cost of pharmaceuticals, additional treatments such as physiotherapy, and medical aids, indirect costs are triggered by the productivity loss of patients and caregivers. Although new drugs for MS have changed the therapeutic scenario, they have increased the direct costs of health-care services. Areas covered: This review describes the...
Source: Expert Opinion on Pharmacotherapy - Category: Drugs & Pharmacology Tags: Expert Opin Pharmacother Source Type: research
Clinical reasoning is a cornerstone of evidence-based healthcare, in fact some would argue it’s the cornerstone of all healthcare. While there are many different processes, the ultimate purpose of clinical reasoning is to ensure the person seeking help has their needs identified then met, and the clinician has a basis upon which to decide which treatment they should offer. The approach we use in clinical reasoning, including the information we prioritise and search for, and the way we synthesise the information to make sense of it will depend on the model we have to explain our treatment approach. For example, if...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice embodiment intersubjectivity making sense persistent pain Source Type: blogs
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