Acute Care and Beyond: Stories and Lessons Learned(The 7th Annual Acute Care Lecture Award)
This article presents a synopsis of the lessons learned from the literature, other people, and personal research. The lessons are broad ranging, but mostly focus on muscle strength, mobility, and the need for normative reference values. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2017 Category: Physiotherapy Tags: Acute Care Lecture Source Type: research

Reliability of an Installed Chair Exit Alarm System for Fall Prevention: A Double-Blind Randomized Controlled Trial
Introduction and Background: Within the acute care hospital setting, falls and fall prevention are a common concern among clinical staff as significant time and resources are dedicated to fall prevention. Chair alarm systems are commonly used; however, they can increase costs and may also contribute to alarm fatigue via overly sensitive systems. Purpose: To compare the reliability and accuracy of an installed chair alarm system with a timer (developed by the principal investigator), titled Safe Sitting System, as compared with 2 commercially available and commonly used products: (1) a single-patient use pressure-sensing a...
Source: The Journal of Acute Care Physical Therapy - September 25, 2017 Category: Physiotherapy Tags: Original Study Source Type: research

Physical Therapy Intervention for an Individual With Severe Thrombocytopenia
This report describes the complex physical mobility needs of an individual who incurred platelet refractoriness and physical deconditioning after undergoing a hematopoietic stem cell transplant (HSCT). Case Description: A 47-year-old man with a diagnosis of myelodysplastic syndrome was admitted to an inpatient hospital setting and underwent an allogenic HSCT. After the transplant, he developed thrombocytopenia refractory to platelet transfusion with accompanying physical deconditioning. At the time of the physical therapy evaluation, the patient required moderate assistance for transfers and moderate assistance to ambulat...
Source: The Journal of Acute Care Physical Therapy - September 25, 2017 Category: Physiotherapy Tags: Case Report Source Type: research

The Effect of Interprofessional Rounds on Length of Stay and Discharge Destination for Patients Who Have Had Lower Extremity Total Joint Replacements
Purpose: To determine whether inclusion of interprofessional rounds (IPR) during hospitalization affects patient length of stay and discharge destination (eg, home and skilled nursing facility) following total hip or knee arthroplasty. Methods: A retrospective medical record review was conducted for 300 patients who underwent a total hip arthroplasty or a total knee arthroplasty. These patients were categorized into groups based on whether IPRs were received or not received (NR) between the dates of January 2011 and February 2013. Patient demographics and functional outcomes, length of hospital stay, and discharge destina...
Source: The Journal of Acute Care Physical Therapy - September 25, 2017 Category: Physiotherapy Tags: Original Study Source Type: research

Acute Care and Beyond: Stories and Lessons Learned: (The 7th Annual Acute Care Lecture Award)
This article presents a synopsis of the lessons learned from the literature, other people, and personal research. The lessons are broad ranging, but mostly focus on muscle strength, mobility, and the need for normative reference values. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - September 25, 2017 Category: Physiotherapy Tags: Acute Care Lecture Source Type: research

The Fourth Aim: Care of the Provider
No abstract available (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - September 25, 2017 Category: Physiotherapy Tags: President's Message Source Type: research

Relationship Between Physical Therapy, Occupational Therapy, Palliative Care Consultations, and Hospital Length of Stay
This study analyzed which hospitalized patients have received an order for a PC consultation and also received an order for PT or OT during that admission and described the patients most likely to have these services ordered. Methods: Palliative care orders were examined retrospectively for presence or absence of PT/OT orders in the context of primary PC diagnoses, age, and length of stay (LOS). Results: Of the 824 unique patients, 681 patients (83%) received at least 1 order for PT while 615 patients (75%) received at least 1 order for OT. Palliative care patients who received orders for PT and OT (9.7 days) and PT and/...
Source: The Journal of Acute Care Physical Therapy - June 24, 2017 Category: Physiotherapy Tags: Original Study Source Type: research

Optimizing Portable Pulse Oximeter Measurement Accuracy and Consistency During Exercise
Conclusions: Results suggest that oximeter performance is better when measuring SpO2 than heart rate. Cold-induced hypoperfusion caused inaccuracies in SpO2 measurements, which were greater at rest than during exercise. Study results also suggest that some pulse oximeters perform better when the oximeter sensor attachment clip is reinforced with an elastic band. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - June 24, 2017 Category: Physiotherapy Tags: Research Report Source Type: research

Achieving a Culture of Mobility: Implementation of a Mobility Aide Program to Increase Patient Mobilizations in an Acute Care Hospital
Conclusion: Adding an MA to patients' plan of care may be a cost-effective method to optimize patient mobility in the acute care hospital setting. The addition of an MA to a medical/surgical unit produced positive outcomes in number of patient mobilizations and allowed improved use of the PT. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - June 24, 2017 Category: Physiotherapy Tags: Original Study Source Type: research

A Hybrid Simulation-Based Pre-Professional Physical Therapist Intensive Care Unit Course: Erratum
No abstract available (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - June 24, 2017 Category: Physiotherapy Tags: Erratum Source Type: research

Use of the Postural Assessment Scale for Stroke Patients in Determining Acute Care Discharge Recommendations
Conclusions: One hundred fifty-three subjects, with a mean age of 64.5 ± 15.5 years, were included in this cohort. The mean PASS score was 19.7 ± 11.1, the mean mRS score was 3.7 ± 2.2, and the mean FIM scores was 2.7 ± 2.4 for transfers and 3.7 ± 1.6 for ambulation. Of the persons discharged home (N = 40), mean PASS scores were 31.8 for those recommended for home physical therapy (N = 14), 32.6 for an outpatient therapy recommendation (N = 12), and 34.9 for those requiring no therapy at discharge (N = 14). The mean PASS scores for persons with an acute rehabilitation recommendation (N = 100) was higher than those rec...
Source: The Journal of Acute Care Physical Therapy - June 24, 2017 Category: Physiotherapy Tags: Original Study Source Type: research

Congratulations, Graduate (and Their Team)!
No abstract available (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - June 24, 2017 Category: Physiotherapy Tags: President's Message Source Type: research

JACPT Reviewers for 2016
No abstract available (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - March 23, 2017 Category: Physiotherapy Tags: List of Reviewers Source Type: research

A Hybrid Simulation-Based Pre-Professional Physical Therapist Intensive Care Unit Course
Discussion: This elective course used a combination of lectures, SBLEs, and clinical experiences to successfully prepare physical therapist students for mentored ICU internships and employment in acute and critical care practice settings. More research is required to evaluate the simulation pedagogy (structure, types of cases, and time in simulation) and criteria for determining student competence level for ICU practice. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - March 23, 2017 Category: Physiotherapy Tags: Case Report Source Type: research

Cane Handle Designs—Pressure and Preference: A Pilot Study
Conclusions: Pressure applied while grasping a cane handle is a complex biomechanical activity involving many factors. In this study no clear differences were found in average mean pressure when comparing the 2 cane handles used by individuals without impairment. Additional research is needed to assist therapists in selecting the most appropriate cane handle for specific patients. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - March 23, 2017 Category: Physiotherapy Tags: Original Study Source Type: research