Effects of Transitional Care Management Services From an Interprofessional Team on 30-Day Readmission Rates Among Medicare Beneficiaries
Conclusion:
The utilization of a Transitional Care Management team reduced the rate of readmission among Medicare beneficiaries by 50%. Economically, the TCM approach saves the hospital money by reducing the rate of readmissions that the hospital must reimburse. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2018 Category: Geriatrics Tags: Interprofessional Views on Geriatric Rehabilitation and Health Source Type: research
Interventions to Reduce High-Risk Medication Use in the Geriatric Population
Background:
The Beers List is a guideline for health care workers to prescribe medications that are safe in the elderly. Using Beers List guidelines in the primary care setting, morbidity and mortality secondary to adverse effects, drug-drug interactions, and falls can be reduced significantly.
Objective:
To improve the quality and decrease the number of high-risk medications prescribed to the geriatric population through an interprofessional appointment approach.
Methods:
A prospective quality improvement project was completed over a 3-month period from August 2016 to November 2016 at a residency training outpatie...
Source: Topics in Geriatric Rehabilitation - July 1, 2018 Category: Geriatrics Tags: Interprofessional Views on Geriatric Rehabilitation and Health Source Type: research
Using Quality Measures for Performance Improvement in the Skilled Nursing Facility/Long-Term Care Setting
The escalating cost of health care and the increasing number of older adults make it necessary to focus on effectiveness/efficiency of care. Quality measures can help providers identify areas in which improved processes may lead to better outcomes. Quality assurance and performance improvement) involve collecting and analyzing data to facilitate meaningful conclusions and action plans for improvement. Performance improvement to optimize outcomes in the skilled nursing facility for community discharge, improvement in or maintenance of function, and avoiding hospital readmissions requires a team approach. A background for th...
Source: Topics in Geriatric Rehabilitation - July 1, 2018 Category: Geriatrics Tags: Interprofessional Views on Geriatric Rehabilitation and Health Source Type: research
Roles, Responsibilities, and Implications of Health Care Practitioners Providing Interprofessional Collaborative Practice to the Geriatric Population
Health care providers are facing escalating growth within the number of geriatric patients as well as increased medical complexity and soaring health care costs. There is a movement in place refocusing efforts to provide new models of health care concentrated on treating individual complexities of the aging populations as a team. Research shows interprofessional collaboration improves patient outcomes, patient safety, and staff morale while decreasing hospital admissions, length of hospital stays, and staff turnover. The purpose of this article is to show research supporting the implementation and benefits of interprofessi...
Source: Topics in Geriatric Rehabilitation - July 1, 2018 Category: Geriatrics Tags: Interprofessional Views on Geriatric Rehabilitation and Health Source Type: research
Preface: It Takes a Village
No abstract available (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2018 Category: Geriatrics Tags: Interprofessional Views on Geriatric Rehabilitation and Health Source Type: research
Analysis of 2 Operational Criteria Related to Muscle Loss in Elderly Brazilian Women: A Critical View of Discriminative Values
The aim of this study was to evaluate 2 operational criteria of the muscle loss adjusted to the body mass index in relation to the discriminative values for muscle mass corrected by height, in elderly Brazilian women. Muscle function (handgrip strength and gait speed) and body composition (dual-energy x-ray absorptiometry) were evaluated. A total of 112 elderly women (mean, 76.42 years; standard deviation, 6.53 years) participated of this study. The muscle loss index adjusted to the body mass was not capable of identifying elderly participants with muscle loss, as muscle mass corrected by height, with an area under the rec...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Effect of Neuromuscular Electrical Stimulation on Labial and Lingual Weakness: A Single-Case Preexperimental Study
This study explored the effect of facial and submental neuromuscular electrical stimulation (NMES) in individuals with lingual, labial and buccal weakness.
Method:
An ABC/ACB design was used. Two male participants who acquired cerebrovascular accident (60 years) involved in this study. Both engaged in 2 treatment phases. One phase included performing an oral motor exercise program in conjunction with the NMES. Second phase included performing only oral motor exercise program.
Results:
Submental NMES did not have any effect on lingual strength. However, facial NMES had positive effect on labial strength in the 2 parti...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
The Effects of Ridged Perimeter Insoles on Gait Parameters in Older Adults
Conclusions:
Ridged perimeter insoles have a positive effect on gait characteristics when ambulating on level surface terrain. A statistically significant difference in double limb support time (P = .0297) was found. Gait velocity was not found to be statistically significant (P = .0947) but did demonstrate a mean increase of 0.06 m/s from baseline to 6 weeks. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Issues on Health Care for People With Parkinson's Disease in Korea: A Focus Group Study
It is important to fully appreciate perceptions of the physical, emotional, and social effects of Parkinson's disease (PD), which is progressive and complex. This is a qualitative study with focus group interviews to understand patients' challenges and needs relating to health care in PD. Thematic analyses were applied to analyze the qualitative data. There were 3 main themes, that is, “physical challenges,” “psychosocial response,” and “family relationships,” and 8 subthemes. These findings suggest that health care providers should be aware of specific patients' difficulties and needs to provide timely and app...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Muscle Strength of Lower Limbs as a Predictor of Postural Stability and Fear of Falling in Physically Active and Inactive Older Men and Women
Conclusions.
Shorter time to complete TUG test coexisted with the greater strength of all examined muscles (from r = −0.28 to r = −0.48), except the gastrocnemius. The results of FR test in physically active individuals correlated significantly with gastrocnemius muscle strength (r = 0.34). Subjective FoF showed statistically significant correlations with the strength of all examined muscles (from R = −0.38 to R = −0.44), as well as with the results of TUG (R = 0.45) and FR tests (R = −0.43). Physically inactive older men show a considerable decrease in quadriceps muscle and hamstring strength. The strength of ...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Influence of Chronic Pain on Perceived Health Status and Physical Activity in Elderly People After Lumbar Surgery
This present study investigated perceived health status and physical activity in elderly people after lumbar surgery to assess the effect of postoperative chronic pain on perceived health status and daily living. A total of 171 people were divided into the moderate to severe pain group and the nonpain/slight pain group. Effect sizes (r) of the assessed item scores were calculated from intergroup comparisons. The r values for the perceived health status and physical activity scores were as follows: physical, 0.49; mental, 0.43; social health, 0.24; and physical activity, 0.31. Chronic pain after lumbar surgery negatively in...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Efficacy of Reminiscence Therapy on Cognitive Functioning in Older Adults: A Horticultural Life Review Program
Both life review programs and horticulture are beneficial for older adults' cognitive functioning. The purpose of this study was to examine the cognitive effects of reminiscence therapy. Participants older than 65 years in a day care center were recruited, and 14 of 24 participants were assigned to an experimental group. The intervention was based on Erickson's life stages and using plant lives as a metaphor for a human's life from birth to death. The intervention program was designed for 7 weeks of seven 1-hour sessions. The results demonstrated that the subscale scores of Orientation and Memory in the experimental group ...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Efficacy of Elastic Resistance Training Program for the Institutionalized Elderly
This study aimed to assess the efficacy of a progressive resistance training program on dynamic balance and functional mobility among the institutionalized elderly.
Methods:
A total of 45 institutionalized elderly from a senior welfare home participated in this quasi-experimental study. The exercise group (n = 21) attended a group-based program for 12 weeks, meeting twice a week. A 2-factor repeated-measures analysis of variance and independent and paired t tests were used to analyze the data.
Results:
The results showed a significant improvement for the exercise group in the Reach Test for the forward (%Δ= 18.51%),...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Synergy Extraction of Jaw Muscles During Mastication Based on Principal Components Analysis of Electromyogram Signal
Disorder in chewing food is a major problem in patients with stroke, some of those who suffer from brain lesion, multiple sclerosis, and other diseases such as head and neck cancer. This kind of disorder causes significantly decreased food consumption and consequently malnutrition or dehydration and in severe cases leads to suffocation. It can also increase the rate of death during the first year after the stroke to 45%. Therefore, finding an appropriate and common pattern of cooperation of jaw muscles in the act of chewing can have a very important role in assisting the process of rehabilitation in these patients. In this...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
Does an Aerobic Exercise Improve Outcomes in Older Sedentary Nonspecific Low Back Pain Subjects? A Randomized Controlled Study
Purpose:
To demonstrate that a tailored, supervised aerobic exercise after a general back-school rehabilitation program will improve outcomes for older patients with low back pain more than the general back-school program alone.
Method:
Twenty-two older patients with chronic nonspecific low back pain were recruited for this study, and they were randomly assigned to a control or an interventional group. Both groups received a standard back-school program, while subjects in the intervention group received an additional 15 minutes of the aerobic training program. The numerical pain rating scale (NPRS) and the Roland-Morr...
Source: Topics in Geriatric Rehabilitation - April 1, 2018 Category: Geriatrics Tags: Off the Topic Source Type: research
