Patient education is crucial for preventing hospital falls, yet workforce constraints can hinder targeted delivery. Utilising supervised healthcare assistants can enhance standard care. This study sought to understand factors that impact the feasibility of supplementing usual care with patient falls education delivered by supervised allied health assistants.
Background: Globally there are few reports of the impairments, disabilities and medications used in people living with idiopathic Parkinson's disease.Caregiver characteristics and caregiver burden have seldom been reported.We examined the health status in a large cohort of people living with Parkinson's disease and their caregivers managed in a comprehensive health care setting. Methods/Design: A prospective, cross sectional analysis of impairments, disabilities and Parkinson's disease medication use was conducted in a sample of 100 people with Parkinson's disease rated I-IV on the modified Hoehn & Yahr scale.Participants were recruited from the Victorian Comprehensive Parkinson Program in Melbourne, Australia.Their caregivers were invited to provide their views on the burden of care, services provided and support received. Results:The severity of impairments and disabilities was strongly associated with disease duration (mean of 5.5 years).Those with long standing disease or more severe disease also used more Parkinson's disease medications and participated in fewer social roles than people who were newly diagnosed or mildly affected.The severity of impairments was strongly correlated with limitations in performing activities of daily living.Limitations in performing daily activities were also found to be a significant contributing factor for health-related quality of life (PDQ-39 SI β=0.55, p=0.000;EQ-5D SI β=0.43, p=0.001).People with Parkinson's disease lived at home with relatives.The average caregiver was a spouse or child providing approximately 3.5 hours of care per day, with the capacity to provide 9.4 hours per day and had provided care for four years.Additional support was high (63%) for 2.5 hours per day. Conclusion:The comprehensive care setting of this cohort describes a relatively benign condition despite a wide range of disease duration and severity.This report provides a baseline with which to compare other delivery models.
This data set provides the app titles retrieved from Apple iTunes as part of our systematic search of the Apple iTunes store, within our mobile app study.
Implementation of evidence-informed rehabilitation of the upper limb is variable, and outcomes for stroke survivors are often suboptimal. We established a national partnership of clinicians, survivors of stroke, researchers, healthcare organizations, and policy makers to facilitate change. The objectives of this study are to increase access to best-evidence rehabilitation of the upper limb and improve outcomes for stroke survivors. This prospective pragmatic, knowledge translation study involves four new specialist therapy centers to deliver best-evidence upper-limb sensory rehabilitation (known as SENSe therapy) for survivors of stroke in the community. A knowledge-transfer intervention will be used to upskill therapists and guide implementation. Specialist centers will deliver SENSe therapy, an effective and recommended therapy, to stroke survivors in the community. Outcomes include number of successful deliveries of SENSe therapy by credentialled therapists; improved somatosensory function for stroke survivors; improved performance in self-selected activities, arm use, and quality of life; treatment fidelity and confidence to deliver therapy; and for future implementation, expert therapist effect and cost-effectiveness. In summary, we will determine the effect of a national partnership to increase access to evidence-based upper-limb sensory rehabilitation following stroke. If effective, this knowledge-transfer intervention could be used to optimize the delivery of other complex, evidence-based rehabilitation interventions.
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