Evidence Based Care: A Case Study

Furthermore it has been considered also the need of developing measures that capture the impact of rehabilitation interventions on the patients’ functional ability in real-life conditions, like the home and community settings [162, 172]. An emerging therapeutic approach called Constraint-Induced Movement Therapy (CIMT) has been shown to prevent and/or reverse learned non-use following stroke [1 pr]. CIMT involves constraining the unaffected limb thereby forcing the patient to use their affected limb. In this way the neuroplasticity is stimulated and the motor function is improved, simply forcing the use of the affected limb [2 pr].

Thankfully, there has been on-going research conducted, that relates to the overall care of post-stroke victims, and how they have been conditioned back into their old living habits prior to the stroke. When the care of a patient, who has suffered from a stroke is determined, rehabilitation that may suite the individual’s needs, is often recommended and required to get the best end results possible. Furthermore, most of the aftercare that post stroke patients receive is acute patient care; which provides an extensive amount of care, given within a

References American Occupational Therapy Association. (2012). Fall prevention for people with disabilities and older adults. Retrieved Sept 23, 2015 from http://www.aota.org/About-Occupational-Therapy/PatientsClients/Adults/Falls/FallPreventionwithDisabilitiesandOlderAdults.aspx Center for Disease Control and Prevention.(n.d). Important facts about falls.

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

Rehabilitation involves the successful and productive interactions of several clinicians. According to Lewis, Rehabilitation is the process of maximizing the patient’s capabilities and resources to promote optimal functioning related to physical, mental, and social well-being. There is no one universal definition of rehabilitation, but the goal and outcome of each patient implemented by a collaborative healthcare team are relatively similar. The goals of rehabilitation are to prevent deformity, maintain and improve function. Rehabilitation can occur in several settings, ranging from acute, subacute, or long term care.

Nurses often depend on physical therapy to do even the simplest of mobility tasks, such as range of motion. However they are not regularly available. According to Bassett, Vollman, Brandwene, & Murray,(2012), barriers to the promotion of early mobility include clinicians’ knowledge deficits, sedation practices, lack of staff and equipment resources, patient physiologic instability and established ICU culture. Altering well-established routines and patterns of care requires a comprehensives approach to instituting not only individual behaviour change, but also a system that support a shift in group

Thank you for your time and interest regarding my post on Bobath. In the same corollary, systemic review of RCTs in 2009 done by Kollen et al covering seven domains (sensorimotor control of the upper and lower limb; sitting and standing balance control and dexterity; mobility; ADLs; health quality of life and cost effectiveness) concluded that there is no evidence that Bobath treatment is superior to other treatments but the study went further, stating that there was no evidence that any other treatment was superior to Bobath either. Also, a more recent Cochrane Collaboration systemic review on April 2014 concluded that no one physical therapy method was more effective than any other approach in treatment of patients with stroke (Pollock

It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as

Currently, the key advocacy in neuroscientific studies for stroke rehabilitation is that therapy should be directed towards task specificity performed with multiple repetitions (Lawal et al. 2015). CCT would be a suitable treatment for Michael’s lower limb in aiding

Your statements humble me. Thank you for your time reading my posts. Truly my first indoctrination regarding Bobath was in my pre-clinical days. At that time we have been introduced to the reflex inhibiting patterns and the use of key points of control in our interventions with stroke patients (Bobath, 1990).

Approximately 800,000 primary (first-time) or secondary (recurrent) strokes occur each year in the U.S., with the majority being primary strokes (roughly 600,000) [Roger et.al 2011]. This makes stroke the third leading death in the United States. According to the American Heart And Stroke Association “Stroke is defined as when the brain is ischemic unable to receive and absorb oxygen also nutrients to a block in a clotted blood vessel” (American Heart And Stroke Association 2016). Stroke is preventable and can be avoided from spreading to further victims.

There were 35 participants in the study, seven in-depth question were asked to policymakers and six focus groups were conducted with physicians and allied health professional. Researchers were mindful of personal views and bias about CPG on hypertension when conducting their research. Everyone who participated was sent emails to make remarks on the results identified to check for validity of the date interpretations. The result of the study was divided into main themes and three sub-themes. The main theme were variations to using CPG and barriers to adhering to CPG.

For example, some virtual reality therapy exercises require patients to perform seemingly daily tasks, such as move about and physically interact with objects as normally as possible. Other simulations may include the use of a gaming scenario, such as playing soccer or other sports to get the patient to react and move about. Dr. Gustavo Saposnik, director of the Stroke Outcomes Research Unit at St. Michael 's Hospital at the University of Toronto, and colleagues did an analysis on 12 case studies that tested the effectiveness of the utilization of VR therapy to stroke victims specifically. Five of the case studies were experimental trials where patients were randomly selected to receive standard therapy or use virtual reality therapy by playing games. Conducted simultaneously, these studies were able to conclude that subjects who were under a virtual reality therapy program were able to build their upper body strength nearly 5 times more than the patients who received the standard therapy in the same amount of time.

Chennai. 3.3. Participants We recruited 60 participants with stroke who fulfilled the selection criteria from Krupanidhi physiotherapy center and nearby rehabilitation clinics in Bangalore. We enrolled the participants after they signed the institutionally approved

Rehabilitation is the action of restoring someone to health or normal life through training and therapy after an illness. Rehabilitation should begin when the patient enters a hospital with an injury or illness that will result in increased overall functional status, and improved quality of life. There are different types of rehabilitation processes that depend on status of patients’ illness. Acute Rehabilitation unit in hospitals is the most common setting where patient is medically stabilized after spending two to four weeks and is also termed as short-term improvement and the patient is transferred to a different setting, based on their medical needs. Long-Term Acute Care (LTAC), facilities that provide services to patients who have