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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 - March 23, 2017 Category: Physiotherapy Tags: Case Report Source Type: research

FDA Public Meeting on Training Health Care Providers on Pain Management and Safe Use of Opioid Analgesics
In 2012, FDA instituted a risk evaluation and mitigation strategy (REMS) for extended-release and long-acting (ER/LA) opioids that required companies marketing ER/LA opioids to provide a medication guide and make training available to prescribers. Under the REMS, the training must be provided by accredited providers and cover all elements of the agency's Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics. However, while the agency set goals for prescriber participation, prescribers were not required under the REMS to go through with the training. On May 9th and 10th, 2017, the...
Source: Policy and Medicine - May 23, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Integrating Physical Therapists Into Primary Care Within A Large Health Care System
Conclusion: The Bellin Health program is a blueprint for other primary care practices to integrate physical therapists into primary care teams.
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Bodenheimer, T., Kucksdorf, J., Torn, A., Jerzak, J. Tags: Family Medicine and the Health Care System Source Type: research

Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit
Conclusions: Physical therapy interventions in MICU patients with in situ femoral catheters appear to be feasible and safe. The presence of a femoral catheter should not automatically restrict ICU patients to bed rest.
Source: Journal of Critical Care - March 18, 2013 Category: Intensive Care Authors: Abdulla Damluji, Jennifer M. Zanni, Earl Mantheiy, Elizabeth Colantuoni, Michelle E. Kho, Dale M. Needham Tags: Electronic Articles Source Type: research

Safety profile and feasibility of early physical therapy and mobility for critically ill patients in the Medical Intensive Care Unit: Beginning experiences in Korea
To evaluate risk factors for potential safety events during mobility physical therapy (PT) sessions in the medical intensive care unit (ICU).
Source: Journal of Critical Care - April 24, 2015 Category: Intensive Care Authors: Hyun Lee, Young Jun Ko, Gee Young Suh, Jeong Hoon Yang, Chi-Min Park, Kyeongman Jeon, Yun Hee Park, Chi Ryang Chung Source Type: research

Patient and Family Perceptions of Physical Therapy in the Medical Intensive Care Unit
Patient and family member perceptions of physical therapy (PT) in the intensive care unit and the factors that influence their degree of satisfaction have not been described.
Source: Journal of Critical Care - May 8, 2015 Category: Intensive Care Authors: Peter D. Sottile, Amy Nordon-Craft, Malone Daniel, Margaret Schenkman, Marc Moss Source Type: research

Effects of Ambulation and Nondependent Transfers on Vital Signs in Patients Receiving Norepinephrine.
CONCLUSIONS: Infusion of low-dose norepinephrine should not be considered an automatic reason to keep patients on bed rest. PMID: 27965227 [PubMed - in process]
Source: American Journal of Critical Care - November 30, 2016 Category: Nursing Authors: Nievera RA, Fick A, Harris HK Tags: Am J Crit Care Source Type: research

Impact of a Mobility Team on Intensive Care Unit Patient Outcomes
Mobility for critically ill patients has been found to be safe, beneficial, and feasible, although a culture of immobility prevails in many adult intensive care units (ICU) because of staffing challenges and lack of physical therapy and occupational therapy involvement. Clinical practice guidelines recommended early mobility for ICU patients to improve long- and short-term outcomes. Addition of a mobility team to the licensed physical therapy and occupational therapy staff and interprofessional ICU team improved patient outcomes and staff satisfaction, and reduced facility cost related to employee injuries.
Source: Critical Care Nursing Clinics of North America - April 2, 2019 Category: Nursing Authors: Jennifer Ratcliffe, Brandy Williams Source Type: research

The feasibility and acceptability of using virtual world technology for interprofessional education in palliative care: a mixed methods study.
The objective of this mixed methods study was to evaluate the feasibility and acceptability of using a virtual world educational environment for interprofessional health professions students learning about palliative care. Graduate students (n = 35) from five different health professions programs (medicine, nursing, nutrition, physical therapy, and social work) across two educational institutions participated in a small-group immersive educational experience focused on palliative care in the virtual world of Second Life. Collected data included pre and post surveys of interprofessional attitudes using previously-publishe...
Source: Journal of Interprofessional Care - August 23, 2019 Category: Health Management Tags: J Interprof Care Source Type: research

Safely Ambulating Patients with a Pulmonary Artery Catheter: Changing Practice and Improving Care
ConclusionsBy utilizing and inclusion/exclusion criteria, setting limits on the frequency a patient is allowed to ambulate and creating a protocol to ensure a controlled setting, patients with PACs can safely ambulate without monitoring the PA waveforms. The use of a standard dressing and immobilization technique prevents catheter dislodgement during ambulation. By increasing physical activity, patients will gain strength to help prevent deconditioning during prolonged hospitalizations
Source: Heart and Lung: The Journal of Acute and Critical Care - August 30, 2019 Category: Respiratory Medicine Source Type: research

Interprofessional education and transitions of care: a case-based educational pilot experience.
Authors: Bland M, Stevens A, Nellis P, Mueggenburg K, Yau T, Chen JC Abstract Interprofessional education is becoming a requirement for accreditation of most health profession programs, therefore it is necessary to share innovative experiences so all can learn from the successes and barriers of implementation. Faculty members from five health profession programs (medicine, nursing, occupational therapy, pharmacy, and physical therapy) were tasked with developing a pilot interprofessional education experience focused on transitions of care. The result was a three-phase experience in which students individually compl...
Source: Journal of Interprofessional Care - July 3, 2020 Category: Health Management Tags: J Interprof Care Source Type: research

In-home care following total knee replacement
To meet the growing demand for total knee replacement (TKR) procedures, health care systems are obligated to design care paths that foster more rational use of resources, including home-based postacute care. Early discharge to home, with home-based rehabilitation and physical therapy, has been associated with reduced cost, improved clinical outcomes, and increased patient satisfaction. The goals of a home-based clinical care path for TKR include patient and family engagement, shared decision-making, and flexibility regarding changes in plans to accommodate changing needs.
Source: Cleveland Clinic Journal of Medicine - February 18, 2013 Category: Journals (General) Authors: FROIMSON, M. I. Tags: Home care for knee replacement and heart failure Source Type: research

One family ’s disastrous experience with a growth-driven long-term care company
by “E-PATIENT” DAVE DEBRONKART Continuing THCB’s occasional series on actual experiences with the health care system. This is the first in a short series about a patient and family experience from one of America’s leading ePatients. I’ve been blogging recently about what happens in American healthcare when predatory investor-driven companies start moving into care industries because the money’s good and enforcement is lax. The first two posts were about recent articles in The New Yorker on companies that are more interested in sales and growth than caring. I now have permission ...
Source: The Health Care Blog - January 10, 2023 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care ePatient Dave Patient Experience Respite care Source Type: blogs

My family ’s disastrous experience with a growth-driven long-term care company
by “E-PATIENT” DAVE DEBRONKART Continuing THCB’s occasional series on actual experiences with the health care system. This is the secondin a short series about a patient and family experience from one of America’s leading ePatients. I’ve been blogging recently about what happens in American healthcare when predatory investor-driven companies start moving into care industries because of, as Pro Publica puts it, “easy money and a lack of regulation.”  The first two posts were about recent articles in The New Yorker on companies that are more interested in sales and growth than caring. My mother...
Source: The Health Care Blog - January 12, 2023 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care ePatient Dave Patient Experience Respite care Source Type: blogs

Integrating Early Palliative Care for Patients With HIV: Provider and Patient Perceptions of Symptoms and Need for Services.
Abstract Increasingly clinicians are using palliative care to address the symptomatic and psychosocial effects of disease often missed by routine clinical care, termed "early" palliative care. Within an inner-city medical center, we began a program to integrate early palliative care into HIV inpatient care. Patient symptom burden and desired services were assessed and compared to provider perceptions of patient's needs. From 2010-2012, 10 patients, with a median CD4+ T-cell count of 32.5 cells/μL, and 34 providers completed the survey. Providers ranked their patients' fatigue, sadness, anxiety, sexual dysfunction...
Source: The American Journal of Hospice and Palliative Care - September 12, 2014 Category: Palliative Care Authors: Lofgren S, Friedman R, Ghermay R, George M, Pittman JR, Shahane A, Zeimer D, Del Rio C, Marconi VC Tags: Am J Hosp Palliat Care Source Type: research