Upper extremity fractures in the elderly: consequences on utilization of rehabilitation care

2005 ◽  
Vol 17 (4) ◽  
pp. 276-280 ◽  
Author(s):  
Anne Lübbeke ◽  
Richard Stern ◽  
Bernard Grab ◽  
François Herrmann ◽  
Jean-Pierre Michel ◽  
...  
Keyword(s):  
Upper Extremity ◽  
The Elderly ◽  
Rehabilitation Care

scholarly journals Re-Admissions Following Hip Fracture Surgery

2009 ◽  
Vol 91 (7) ◽  
pp. 591-595 ◽  
Author(s):  
James Hahnel ◽  
Hannah Burdekin ◽  
Sanjeev Anand
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
The Elderly ◽  
Index Admission ◽  
Study Cohort ◽  
Rehabilitation Care ◽  
Hip Fracture Surgery ◽  
Fatal Adverse Events ◽  
The Uk ◽  
Fracture Surgery

INTRODUCTION Hip fractures in the elderly are a growing problem with a predicted incidence of 117,000 cases per year by 2016. Re-admission following a healthcare episode is an important outcome measure, which reflects non-fatal adverse events and indicates the natural history of disease. The purpose of this observational, multicentre audit was to examine rates and reasons for re-admission following hip fracture, to identify areas in the index admission and rehabilitation care that could be improved to prevent re-admission. PATIENTS AND METHODS A total of 535 patients (> 65 years old) in two district general hospitals in the UK who underwent hip fracture surgery were recruited into the study. RESULTS Of the study cohort, 72 patients (13.5%) died during their index admission and 88 (19.0%) of 463 patients were re-admitted once within 3 months. Causes of re-admission were attributed to medical (54.8%), failure to rehabilitate (23.8%), orthopaedic (19.0%) and surgical (2.4%) reasons. Infection was the most common (31.0%) reason for re-admission and arguably the most treatable. During the 3-month postoperative period, the mortality rate was 21.3%, increasing in those re-admitted to 35.1% representing the frailty of this group of patients. CONCLUSIONS High rates of re-admission are seen following discharge in elderly patients with hip fractures. Re-admitted patients have high mortality rates. Understanding causes of re-admission may help to reduce this burden.

scholarly journals Development and Validation of a Scale for Rating Motor Compensations Used for Reaching in Patients With Hemiparesis: The Reaching Performance Scale

2004 ◽  
Vol 84 (1) ◽  
pp. 8-22 ◽  
Author(s):  
Mindy F Levin ◽  
Johanne Desrosiers ◽  
Danielle Beauchemin ◽  
Nathalie Bergeron ◽  
Annie Rochette
Keyword(s):  
Upper Extremity ◽  
Performance Test ◽  
Movement Analysis ◽  
The Elderly ◽  
Movement Strategies ◽  
Individual Scale ◽  
Development And Validation ◽  
Interrater Reliability Coefficients ◽  
Performance Scale ◽  
Stroke Assessment

Abstract Background and Purpose. Recent movement analysis studies have described compensatory movement strategies used by people with hemiparesis secondary to stroke during reaching and grasping tasks. The purpose of this article is to describe the development of a new scale—the Reaching Performance Scale (RPS)—for assessing compensatory movements for upper-extremity reaching in people with hemiparesis secondary to stroke. Subjects. Twenty-eight individuals with hemiparesis, with a mean age of 54.9 years (SD=18.6), participated. Methods. The study design involved scale development with expert panels and criterion standards for validity. Participants were evaluated on the new scale as well as other clinical tests for validity. They were videotaped while performing reaching and grasping movements. Results. The RPS scores correlated with measurements of grip force and Chedoke-McMaster Stroke Assessment and Upper Extremity Performance Test for the Elderly (TEMPA) scores. The RPS discriminated patients with different impairment levels according to the Chedoke-McMaster Stroke Assessment. Preliminary intrarater and interrater reliability coefficients were acceptable for the whole scale. Mean kappa values on individual scale components for 3 raters represented a mean of 67% (SD=13.5%) agreement. Discussion and Conclusion. Although the RPS shows some types of validity, more rigorous tests of reliability are needed for meaningful conclusions. This study is a first step in validating the scale to assess efficacy of intervention for motor recovery of the arm.

scholarly journals Research on Stroke Rehabilitation Nursing Mode with Senior Nurses as Bond

2020 ◽  
Vol 2 (1) ◽  
pp. 15-20
Author(s):  
Xiao-hong He ◽  
Ping Wang ◽  
Zu-qin Rui ◽  
Xiang-li Zhang ◽  
Wen-yun Ma ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
The Elderly ◽  
Intermittent Catheterization ◽  
Control Group ◽  
Observation Group ◽  
Community Hospitals ◽  
Stroke Patients ◽  
Rehabilitation Care ◽  
Catheterization Technique ◽  
Number Of Patients

Objective To explore the effect of rehabilitation nursing model for stroke patients with senior nurses. Methods From October 2017 to October 2018, 46 stroke patients with hemiplegia in community hospitals were selected. 23 stroke patients in community who were willing to accept rehabilitation nursing service package were included in the observation group. The elderly nurses in sinking community were the leading nurses in rehabilitation nursing and home rehabilitation nursing guidance. Community stroke patients without rehabilitation nursing package were selected as control group. Community nurses were the leading nurses in rehabilitation nursing and home-based rehabilitation nursing. The incidence of pressure sores, aspiration rate, accuracy rate of anti-spasm posture placement, and mastery rate of intermittent catheterization technique were compared between the two groups. Results After the intervention, the incidence of pressure ulcer and aspiration rate in the observation group were significantly lower than those in the control group (P < 0.05). The accuracy of anti-spasm posture placement and the mastery rate of intermittent catheterization were significantly higher in the observation group than in the control group (P < 0.05). Conclusion Stroke rehabilitation nursing model with senior nurses as a link has certain effect on rehabilitation nursing of stroke patients in community by strengthening the training, learning and guidance of rehabilitation nursing knowledge and skills of community nurses. Nurses in community hospitals have strengthened two-way linkage, which is of research value, but they are now voluntarily selected in the community. The number of patients choosing rehabilitation care packages is still relatively small, the number of senior nurses in sinking communities is relatively small, and there is still a lot of work to be done to achieve real results. This is a long-term project, which requires time and experience precipitation. Key words Senior nurses; Link; Stroke; Rehabilitation nursing

Atypical bullous pemphigoid after linagliptin intake (Preprint)

2020 ◽  
Author(s):  
Antoine Salloum ◽  
Nagham Bazzi ◽  
Maya Habre
Keyword(s):  
Skin Lesion ◽  
Basement Membrane ◽  
Upper Extremity ◽  
Bullous Pemphigoid ◽  
The Elderly ◽  
Direct Immunofluorescence ◽  
Erythematous Papule ◽  
Immunologic Reaction ◽  
Pruritic Skin

UNSTRUCTURED Bullous pemphigoid is among the commonest pruritic skin lesion and affecting mainly the elderly. It is caused by an immunologic reaction between auto-antibodies and hemidesmosome proteins. Several forms of typical bullous pemphigoid post linaglipltin have been reported. However, this is the first reported case of atypical non-bullous pemphigoid after linagliptin intake. The patient presented with multiple erythematous papule and nodules on the upper extremity and on trunk. Diagnosis was made with biopsy followed by direct immunofluorescence. Direct immunofluorescence showed linear IgG and C3 antibodies to hemidesmosomes at lamina Lucida of the basement membrane.

Pedicled groin flaps for upper-extremity reconstruction in the elderly: A report of 4 cases

2002 ◽  
Vol 83 (6) ◽  
pp. 850-854 ◽  
Author(s):  
Sandra J. Buchman ◽  
W.Andrew Eglseder ◽  
Bradley C. Robertson
Keyword(s):  
Upper Extremity ◽  
The Elderly ◽  
Extremity Reconstruction

Upper Extremity Performance Test for the Elderly (TEMPA): Normative Data for Young Adults

2011 ◽  
Vol 24 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Bernadette Nedelec ◽  
Karyne Dion ◽  
José A. Correa ◽  
Johanne Desrosiers
Keyword(s):  
Young Adults ◽  
Upper Extremity ◽  
Normative Data ◽  
Performance Test ◽  
The Elderly

Validity of the TEMPA: A Measurement Instrument for Upper Extremity Performance

1994 ◽  
Vol 14 (4) ◽  
pp. 267-281 ◽  
Author(s):  
Johanne Desrosiers ◽  
Rejean Hebert ◽  
Elisabeth Dutil ◽  
Gina Bravo ◽  
Louisette Mercier
Keyword(s):  
Upper Extremity ◽  
Upper Limb ◽  
Living Arrangements ◽  
Concurrent Validity ◽  
Measurement Instrument ◽  
The Elderly ◽  
Functional Independence ◽  
Evaluation Instrument ◽  
Different Types ◽  
Block Test

Motivated by the important role played by the upper extremities in daily activities and the limitations of existing tests for measurement of upper extremity performance for the elderly, an evaluation instrument, the TEMPA, was developed. Reliability studies having been previously reported, this study investigates two types of validity for the TEMPA. Concurrent validity was tested by examining the instrument's agreement with two tests measuring similar concepts: the Action Research Armtest (ARA) and the Box and Block Test (B&BT). The TEMPA's construct validity was simultaneously explored by testing two hypotheses relating the concept of upper limb performance to that of functional independence. One hundred four men and women, aged between 60 and 94 years old, with various living arrangements and presenting different types of upper limb impairment, participated in the study. The TEMPA correlated significantly with the ARA and the B&BT. Correlation with independence was significantly higher with the TEMPA than with the ARA.

Decision Making in Upper Extremity Problems in the Elderly

1995 ◽  
Vol &NA; (316) ◽  
pp. 63-69 ◽  
Author(s):  
David R. Steinberg ◽  
Robert M. Szabo
Keyword(s):  
Decision Making ◽  
Upper Extremity ◽  
The Elderly
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