Functional outcomes in rural Australia of two continuing care teams: a regional town–city comparison of the 16-item Life Skills Profile

2021 ◽  
pp. 103985622199265
Author(s):  
Cortney Husodo ◽  
Brett McDermott ◽  
Calogero Longhitano ◽  
Gabrielle Matta
Keyword(s):  
Health Service ◽  
Functional Outcomes ◽  
Life Skills ◽  
Functional Health ◽  
Continuing Care ◽  
Functional Impairments ◽  
Consumer Demographics ◽  
Regional Service ◽  
The Difference ◽  
Data Analysis Plan

Objective: The primary aim was to examine differences in functional health outcomes in consumers entering a regional mental health service compared with a city service. Method: A retrospective analysis of consumer outcomes and characteristics was undertaken. Consumer demographics and diagnoses were compared between the two services. Functional outcomes were measured using the 16-item Life Skills Profile (LSP-16). The data analysis plan utilised descriptive statistics. For between-clinic comparisons, relevant inferential statistics was used. Results: Patients attending the regional health service were five times more likely to be in the high impairment category on the LSP-16, independent of demographic factors and diagnosis. Other independent contributions to high impairment were being male, Indigenous and a diagnosis of schizophrenia. Of the four LSP-16 subscales, regional consumers scored relatively higher on withdrawal, compliance and anti-social but not self-care subscales. Conclusions: There was a greater level of functional impairment in consumers attending the regional service. The independent contributions did not explain the higher impairment; therefore, other factors such as socioeconomic disadvantage may explain the difference. Regional clinicians may need to consider recovery-orientated interventions that address a greater burden of functional impairments in regional services.

Mental health service provision in rural Australia: a regional town–city comparison of two continuing care teams

2020 ◽  
pp. 103985622092886
Author(s):  
Gabrielle Matta ◽  
Calogero Longhitano ◽  
Cortney Husodo ◽  
Brett McDermott
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Service ◽  
Health Service ◽  
Rating Scales ◽  
Service Utilisation ◽  
Health Service Provision ◽  
Consumer Demographics ◽  
Retrospective Audit ◽  
Regional Service

Objective: The primary aims were to compare the characteristics and health outcomes of consumers entering a regional mental health service compared with a city service. Method: A retrospective audit was undertaken of consumers aged 18 and over from a regional town and city mental health service. Consumer demographics, diagnoses and outcomes were compared between the two services. The data analysis plan utilised descriptive statistics. For between-clinic comparisons, relevant inferential statistics was used. Results: Regional service patients had a significantly greater proportion of substance use disorder diagnoses. Outcome rating scales were higher (worse) for regional consumers. There was significantly less overall service utilisation for regional service consumers including shorter duration of episodes of care, less hospitalisations and less people treated under the Mental Health Act. Conclusions: There were a broader range of patient presentations in the regional town. Regional practitioners may specifically need more training and skills in treating substance use disorders.

scholarly journals Rates of Cognitive and Functional Impairments in Older Adults Residing in a Continuing Care Senior Housing Community

2021 ◽  
pp. 1-12
Author(s):  
Ryan Van Patten ◽  
Zanjbeel Mahmood ◽  
Tanya T. Nguyen ◽  
Jacqueline E. Maye ◽  
Ho-Cheol Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Functional Capacity ◽  
Independent Living ◽  
Visual Learning ◽  
Cognitive Test ◽  
Continuing Care ◽  
Cognitive Screening ◽  
Functional Impairments ◽  
Senior Housing ◽  
The Mean

Abstract Objective: The current cross-sectional study examined cognition and performance-based functional abilities in a continuing care senior housing community (CCSHC) that is comparable to other CCSHCs in the US with respect to residents’ demographic characteristics. Method: Participants were 110 older adult residents of the independent living unit. We assessed sociodemographics, mental health, neurocognitive functioning, and functional capacity. Results: Compared to normative samples, participants performed at or above expectations in terms of premorbid functioning, attention span and working memory, processing speed, timed set-shifting, inhibitory control, and confrontation naming. They performed below expectation in verbal fluency and verbal and visual learning and memory, with impairment rates [31.4% (>1 SD below the mean) and 18.49% (>1.5 SD below the mean)] well above the general population (16% and 7%, respectively). Within the cognitive test battery, two tests of delayed memory were most predictive of a global deficit score. Most cognitive test scores correlated with performance-based functional capacity. Conclusions: Overall, results suggest that a subset of older adults in the independent living sector of CCSHCs are cognitively and functionally impaired and are at risk for future dementia. Results also argue for the inclusion of memory tests in abbreviated screening batteries in this population. We suggest that CCSHCs implement regular cognitive screening procedures to identify and triage those older adults who could benefit from interventions and, potentially, a transition to a higher level of care.

scholarly journals Comparative Study on the Difference in Functional Outcomes at Discharge between Proximal and Total Gastrectomy

2012 ◽  
Vol 6 (2) ◽  
pp. 400-409 ◽  
Author(s):  
Kazuaki Kuwabara ◽  
Shinya Matsuda ◽  
Kiyohide Fushimi ◽  
Koichi B. Ishikawa ◽  
Hiromasa Horiguchi ◽  
...  
Keyword(s):  
Comparative Study ◽  
Total Gastrectomy ◽  
Functional Outcomes ◽  
The Difference

The Functional Outcomes of Coloanal and Low Colorectal Anastomoses with Reservoirs after Low Rectal Cancer Resections

2014 ◽  
Vol 80 (12) ◽  
pp. 1222-1229 ◽  
Author(s):  
FranÇ Ois Rubin ◽  
Richard Douard ◽  
Philippe Wind
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Functional Outcomes ◽  
Functional Results ◽  
Functional Impairments ◽  
Level Of Evidence ◽  
Anastomotic Complications ◽  
Colorectal Anastomoses ◽  
Anterior Rectal Resection ◽  
Colonic Reservoir

Nearly half of patients undergoing low anterior rectal cancer resection have a functional sequelae after straight coloanal or low colorectal anastomoses (SA), including low anterior rectal resection syndrome, which combines stool fragmentation, urge incontinence, and incontinence. SA are responsible for anastomotic leakage rates of 0 to 29.2 per cent. Adding a colonic reservoir improves the functional results while reducing anastomotic complications. These colonic reservoir techniques include the colonic J pouch (CJP), transverse coloplasty (TC), and side-to-end anastomosis (STEA) procedures. The aim of this literature review was to compare the functional outcomes of these three techniques from a high level of evidence. CJP with a 4- to 6-cm reservoir is a good surgical option because it reduces functional impairments during the first year, and probably up to 5 years, but is not always feasible. TC appears to perform as well as CJP, is achievable in over 95 per cent of patients, but still with some doubts about a higher anastomotic leakage rate and worse functional outcomes. STEA appears equivalent to CJP in terms of morbidity and even better functional outcomes. STEA, with a terminal side segment size of 3 cm, is feasible in the majority of nonobese patients, combines good functional results, has low anastomotic leakage rates, and is easy to complete.

Client-Centred Practice: What does it Mean and Does it Make a Difference?

1995 ◽  
Vol 62 (5) ◽  
pp. 250-257 ◽  
Author(s):  
Mary Law ◽  
Sue Baptiste ◽  
Jennifer Mills
Keyword(s):  
Health Service ◽  
Occupational Therapy ◽  
Functional Outcomes ◽  
Research Evidence ◽  
Occupational Therapists ◽  
Individual Autonomy ◽  
The Past ◽  
Canadian Association ◽  
Key Concepts ◽  
Current Guidelines

During the past 15 years, occupational therapists in Canada, through the Canadian Association of Occupational Therapists, have worked to develop and implement guidelines for practice of a client-centred approach to occupational therapy. One of the difficulties with the current Guidelines for the Client-Centred Practice of Occupational Therapy is the lack of a definition and discussion of the concepts and issues fundamental to client-centred practice. In this paper, key concepts of client-centred practice: individual autonomy and choice, partnership, therapist and client responsibility, enablement, contextual congruence, accessibility and respect for diversity are discussed. Two practice examples are used to illustrate these ideas and raise issues about obstacles to the practice of client-centred occupational therapy. Research evidence about the effectiveness of client-centred concepts in enhancing client satisfaction, functional outcomes and adherence to health service programmes is reviewed.

scholarly journals Functional and cognitive outcomes after COVID-19 delirium

2020 ◽  
Author(s):  
Benjamin C Mcloughlin ◽  
Amy Miles ◽  
Thomas Webb ◽  
Paul Knopp ◽  
Clodagh Eyres ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Primary Outcome ◽  
Cognitive Outcomes ◽  
Clinical Team ◽  
Functional Impairments ◽  
College Hospital ◽  
Point Prevalence Study ◽  
All Cause Mortality ◽  
Dsm Iv

AbstractPurposeTo ascertain delirium prevalence and outcomes in COVID-19.MethodsWe conducted a point-prevalence study in a cohort of COVID-19 inpatients at University College Hospital. Delirium was defined by DSM-IV criteria. The primary outcome was all-cause mortality at 4 weeks; secondary outcomes were physical and cognitive function.ResultsIn 71 patients, 31 (42%) had delirium, of which only 19 had been recognised by the clinical team. At 4 weeks, 20 (28%) had died, 26 (36%) were interviewed by telephone and 21 (30%) remained as inpatients. Physical function was substantially worse in people after delirium (−39 points on functional scale/166, 95% CI −92 to −21, p=0.01) (Table 2). Mean cognitive scores at follow-up were similar and delirium was not associated with mortality in this sample.ConclusionsOur findings indicate that delirium is common, yet under-recognised. Delirium is associated with functional impairments in the medium-term.Key summary pointsAimTo investigate functional and cognitive outcomes among patients with delirium in COVID-19.FindingsDelirium in COVID-19 was prevalent (42%) but only a minority had been recognised by the clinical team. At 4-week follow-up, delirium was significantly associated with worse functional outcomes, independent of pre-morbid frailty. Cognitive outcomes were not appreciably worse.MessageThe presence of delirium is a significant factor in predicting worse functional outcomes in patients with COVID-19.

scholarly journals Creating and Keeping Exercise Gains Into Your 70s, 80s and 90s

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 771-772
Author(s):  
Kenneth Manning ◽  
Teresa Kopp ◽  
Kris ann Oursler ◽  
Michelle McDonald ◽  
Miriam Morey ◽  
...  
Keyword(s):  
Gait Speed ◽  
Functional Outcomes ◽  
Exercise Program ◽  
Functional Health ◽  
First Year ◽  
Mean Values ◽  
Age Related ◽  
Functional Assessments ◽  
Minute Walk

Abstract Background: Gerofit, an exercise program for older Veterans, is undergoing national dissemination (17 sites in 6 years). Four sites have accrued 4-year functional outcomes (gait speed, 8-foot-up-and-go, 30-second chair stand, and six-minute walk). Methods: Functional assessments were administered quarterly in first year and annually thereafter. Individuals with baseline and at least two follow up measures were included for analysis (n=587). Means were gathered across each timepoint. Results: Mean values for functional assessments from baseline to 4 year were as follows: gait speed m/s- 1.04, 1.12, 1.13, 1.13, 1.09, 1.07, 1.13; 8 ft-up-and-go seconds- 7.6, 6.82, 6.69, 6.69, 7.29, 7.29, 7.51; 30 second chair stands 11.88, 14.06, 14.72, 14.89, 14.69, 14.71, 14.96; and six-minute-walk yards- 499, 532, 541, 544, 531, 530, 556. All follow up measures were significantly improved over baseline (P<.01) and superior to normative age-related decline. Implications: Results indicate that exercise promotes compression of morbidity and improved functional health.

scholarly journals Uncertainty among Scottish psychiatrists over NHS continuing care guidance

2009 ◽  
Vol 33 (10) ◽  
pp. 381-383
Author(s):  
Gary S. Stevenson ◽  
Agnieszka Philipson ◽  
Gordon McLaren
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Strong Association ◽  
Postal Questionnaire ◽  
Previous Experience ◽  
Continuing Care ◽  
Clinical Implications ◽  
The South

Aims and MethodTo examine knowledge among Scottish psychiatrists of the 1996 guidance on National Health Service (NHS) responsibility for continuing healthcare, a postal questionnaire was devised and sent to the 132 consultants and specialist registrars in the South-East Scotland Deanery in May 2007.ResultsTwo-thirds of the clinicians (67%, n= 88) responded, 88% of whom had in-patient responsibilities. Only 24% responded positively to an awareness of the current Scottish guidance. There was a strong association between awareness of the guidance and psychiatric speciality, and greater awareness among clinicians with previous experience of a relevant complaint or appeal.Clinical ImplicationsUncertainty about NHS continuing healthcare guidance among practising psychiatrists suggests a need for increased awareness of the issues, with training implications for the new guidance on NHS continuing healthcare in Scotland which became effective in February 2008.

scholarly journals The Thinking Based on Wisdom of the Graduate Students in the College of Education

2017 ◽  
Vol 221 (2) ◽  
pp. 465-503
Author(s):  
M.M. Qusai Ajaj Saood Al-diabi
Keyword(s):  
Graduate Students ◽  
Life Skills ◽  
Basic Research ◽  
College Of Education ◽  
Small Extent ◽  
Self Report ◽  
Emotional Management ◽  
Significant Difference ◽  
Self Knowledge ◽  
The Difference

The current research aims to identify the thinking based on the wisdom of graduatestudents in the college of Education/AL Mustansiriy University,as well as the knowledge of the difference in thinking based on the wisdom of these students depending on the gender variable(Males – Females). The research adopted the thinking based on the wisdom scale of (Brown & Green, 2006) Based om Brown,s mutidimentional model of wisdom, and the translation of Ayud and his condification into the Arabyan environment. The research obtained this scale from the study of (AL Dahim, 2016). This scale is a self – report questionnaire consisting of (64) items measuring eight dimensions.The dimensions are: Self – Knowledge, Emotional Management, Altruism, Inspirational Engagement, Judgment, Life Knowledge, Life Skills, Willingness to Learn. The respondent determines his response to the scale by using the likert method by choosing one of the following five atternatives: I agree very strongly, Iagree to alarge extent, Iagree moderately, Iagree to a small extent, Iagree very little and takes the correction grades (1,2,3,4,5). After checking the standard properties of the scale of the validity an dstability. The scale was applied to the basic research sample of(60) male and female graduate studentin the College  of Education. The data obtained feom the sample  were processed statistically, the following results were obtained: The sample of graduate students dose not have a thinking based on wisdom (to toal grade). But they have some components of the thinking based on wisdom (Self- Knowledge, Management of Emotions, Knowledge of Life, and Willingness to Learn). While they have components (Altruism, Inspirational Engagemen, Judgment, and Life Skills). There is no statistically significant difference in the thinking based on wisdom (total score) depending on the gender variable. There is statistically significant difference in the components of the thinking based on wisdom (Emotional Management, Altruism, Judgment, Life Knowledge) depending on the gender variable. The difference was statistically significant for males, while the difference significant for females in the component (Willingness to Learn). There was no statistically significant difference according to the gender variable in the components (Self – Knowledge, Inspirational Engagement, and Life Skills).

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