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Meeting the need for post-stroke vision care in Australia: a scoping narrative review of current practice
CONCLUSION: Further research is needed into current Australian post-stroke vision care to accurately assess whether the needs of stroke survivors are being met. Available evidence indicates that in Australia, there is a requirement for well-defined protocols for vision screening, education, management, and referral of stroke survivors.Implications for RehabilitationPost-stroke vision care in Australia is unstandardised, which may cause inequities in vision care provision to Australian stroke survivors in different regions and/or care facilities.Education and training pertaining to stroke-related vision conditions for strok...
Source: Disability and Rehabilitation - May 25, 2023 Category: Rehabilitation Authors: Shanelle Sorbello Kathryn Rose Amanda French Fiona Rowe Sonia Lau Source Type: research

Evaluation of a staff behaviour change intervention to increase the use of ward-based practice books and active practice during inpatient stroke rehabilitation: a phase-1 pre-post observational study.
CONCLUSION: A staff behaviour change intervention has the potential to increase the number of stroke survivors receiving ward-based practice books but did not increase active practice. PMID: 32204599 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 22, 2020 Category: Rehabilitation Authors: Stewart C, Power E, McCluskey A, Kuys S, Lovarini M Tags: Clin Rehabil Source Type: research

Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis
CONCLUSIONS: This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language ...
Source: Disability and Rehabilitation - February 21, 2022 Category: Rehabilitation Authors: Lauren Hammond Tiffany Conroy Joanne Murray Source Type: research

Development of a participatory, tailored behaviour change intervention to increase active practice during inpatient stroke rehabilitation.
CONCLUSIONS: This example of collaborative implementation research can be used and adapted by clinicians and researchers in other rehabilitation services. IMPLICATIONS FOR REHABILITATION Rehabilitation staff can be actively involved in designing behaviour change interventions. Behaviour change interventions should target local barriers to increase activity levels and practice completed by stroke inpatients. The process of co-designing behaviour change interventions has the potential to improve the uptake of a strategy such as ward-based practice books, by more precisely identifying local barriers and possible solutions. ...
Source: Disability and Rehabilitation - April 13, 2019 Category: Rehabilitation Authors: Stewart C, Power E, McCluskey A, Kuys S Tags: Disabil Rehabil Source Type: research

Hemianopia after stroke: A randomised controlled trial of the effectivenessof a standardised versus an individualised rehabilitation program, on scanning ability whilst walking1.
CONCLUSIONS: A standardized intervention of static scanning and mobility training improved QOL. Allocation of resources to visual rehabilitation services point towards the implementation of more mobility practice over a longer period of time. PMID: 30040755 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - July 25, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Prognostication in post-stroke aphasia: speech pathologists' clinical insights on formulating and delivering information about recovery
CONCLUSIONS: Speech pathologists use implicit competencies to formulate and deliver aphasia prognoses. A patient-centred, holistic contextualisation of aphasia recovery may enable realistic, optimistic, and constructive conversations about prognosis. These conversations may have therapeutic potential if prognostic uncertainty, emotional adjustment, and conditional outcomes are carefully addressed. Future research should seek to understand the perceptions and preferences of people with aphasia and their significant others.Implications for RehabilitationAphasia prognostication in clinical practice is complex and nuanced, thu...
Source: Disability and Rehabilitation - May 10, 2021 Category: Rehabilitation Authors: Bonnie B Y Cheng Brooke Ryan David A Copland Sarah J Wallace Source Type: research

"You felt like a prisoner in your own self, trapped": the experiences of Aboriginal people with acquired communication disorders.
Conclusions: An increase in healthcare staff's appreciation of the health and social contexts of Aboriginal people after brain injury is needed in order to improve communication with Aboriginal patients and the ability to offer accessible rehabilitation services. Ongoing support is required, with cultural identity noted as key to ensuring cultural security and ultimately recovery. Involvement of family and other Aboriginal people in recovery processes, as well as access to relevant Aboriginal languages and proximity to ancestral lands is central.Implications for rehabilitationAcknowledgment of cultural identity and strengt...
Source: Disability and Rehabilitation - November 5, 2019 Category: Rehabilitation Authors: Armstrong E, Coffin J, Hersh D, Katzenellenbogen JM, Thompson SC, Ciccone N, Flicker L, Woods D, Hayward C, Dowell C, McAllister M Tags: Disabil Rehabil Source Type: research

Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences
CONCLUSIONS: The use and effectiveness of vocational services were variable across participants and depended on insurance coverage and needs. Barriers and facilitators for RTW were affected by both the environment and the individual. Implications for vocational rehabilitation were identified.Implications for RehabilitationA supportive workplace and family, and access to appropriate vocational rehabilitation are important environmental facilitators for RTW in individuals with ABI.Workplaces with a poor understanding of ABI and employment service providers unable to find work for individuals with ABI are environmental barrie...
Source: Disability and Rehabilitation - April 1, 2021 Category: Rehabilitation Authors: Charlotte L Brakenridge Charmaine Kai Ling Leow Melissa Kendall Ben Turner Donna Valiant Ray Quinn Venerina Johnston Source Type: research