Expectations and Perceptions of Dutch Pharmacy Staff Regarding a New Framework for Continence Care: A Focus Group Study

Based on complaints that patients with urinary incontinence were not receiving the correct medical aids, the Dutch Ministry of Health, Wellbeing, and Sports requested further exploration. This resulted in a new framework based on considering individual activities of daily living when providing continence products. We aimed to explore the expectations of pharmacy staff regarding this new framework for continence care in the Netherlands and to establish the facilitators and barriers associated with that care. In total, 15 participants from 7 different pharmacies participated in 2 focus groups. Data analysis was by thematic content analysis. Pharmacy employees were positive about the idea of considering individual daily activities when providing continence products in the new framework, but they did have some reservations about the feasibility of implementation in daily practice. Barriers to optimal continence care included low reimbursement for patients with incontinence, especially with non-standard needs, and poor communication between the various stakeholders in continence care. Efforts must be extended to review the current reimbursement system and to change the policies and information provided by stakeholders in continence care, before the new framework will make a real impact in clinical practice.

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Frequency and nature of pain in patients undergoing neurorehabilitation

Clinical Rehabilitation ◽

10.1177/0269215520956784 ◽

2020 ◽

pp. 026921552095678

Author(s):

Alicja Timm ◽

Stefan Knecht ◽

Matthias Florian ◽

Heidrun Pickenbrock ◽

Bettina Studer ◽

...

Keyword(s):

Treatment Period ◽

Daily Living ◽

Severe Pain ◽

Pain Medication ◽

Daily Activities ◽

Inpatient Stay ◽

Moderate Pain ◽

Group Level ◽

Analog Scale ◽

Pain Scores

Objective: This prospective study investigated the extent to which patients undergoing neurorehabilitation reported pain, how this pain developed during inpatient stay and whether patients were treated accordingly (using pain medication). Methods: The extent of pain, performance in daily activities, with a focus on possible impairment from pain, and pain medication were assessed at the beginning and the end of neurorehabilitation treatment. Overall 584 patients, with various neurological diagnoses, such as stroke, intracerebral hemorrhage, polyneuropathy, etc. were classified into four groups based on whether they reported having “no pain,” “mild pain,” “moderate pain,” or “severe pain.” All patients received conventional neurorehabilitation therapy in the Mauritius Hospital, Germany. Results: A total of 149 patients had clinically relevant pain at the beginning of their inpatient stay, at a group level this did not change significantly during the treatment period. At the end of inpatient stay, a slight increase was noted in patients reporting pain. Overall 164 patients suffered from moderate or severe pain, operationalized of pain scores >3 on the visual analog scale. A total of 145 patients who had pain at the end of inpatient stay, did not receive pain medication. There was a weak negative association between pain at baseline and activities of daily living at the end of the treatment period, such that, patients with higher pain levels tended to showed lower Barthel Index scores at the end. Conclusion: In our study, about one-third of patients suffered from clinically relevant pain during neurorehabilitation treatment and most of them did not receive any pain medication.

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Assessment of Daily Living of Patients with Spinal Cord Injury: A Cross-Sectional Study in Kermanshah

Archives of Neuroscience ◽

10.5812/ans.117199 ◽

2021 ◽

Vol 8 (3) ◽

Author(s):

Masoud Hatefi ◽

AmirHosein Meisami ◽

Alalleh Dalvand ◽

Milad Borji

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Daily Living ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Daily Activities ◽

Sectional Study ◽

Cross Sectional ◽

Cord Injury ◽

The Impact

Background: Spinal cord injuries (SCI) are a variety of chronic diseases that various causes such as trauma may contribute to its onset. One of the problems in these patients is the problem of physical activity and, consequently, daily activities. Objectives: This study aimed to assess daily living of patients with SCI. Methods: In this descriptive cross-sectional study in 2019, 120 patients with SCI in Kermanshah were included in the study using purposive sampling. The instruments used in this study fell into two parts. One part included the demographic characteristics of the SCI patients, and the other part was a questionnaire of the rate of the Impact on Participation and Autonomy questionnaire (IPA-P). Data were analyzed by SPSS software version 16 using descriptive tests such as mean and standard deviation. Results: The result showed there was a significant relationship between demographic characteristics such as education (P < 0.007), time of spinal cord injury (P < 0.01), and income (P = 0.000). Also, the results showed there was a relationship between Autonomy and Participation, and the age of patients and their autonomy and participation decreased with age (P = 0.000, R = 0.72). Most of the patients had severe problems with daily activities. Also, most patients had very poor scores in relation to daily living activities. Conclusions: Considering the low rate of participation and autonomy in patients with SCI, it is suggested to conduct studies aimed at improving their self-care and social participation.

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The use of partial prosthesis in shoulder surgery

Medicinski pregled ◽

10.2298/mpns16s1047n ◽

2016 ◽

Vol 69 (suppl. 1) ◽

pp. 47-51

Author(s):

Srdjan Ninkovic ◽

Sladjana Radosavljevic ◽

Vladimir Harhaji ◽

Ivica Lalic ◽

Natasa Janjic ◽

...

Keyword(s):

Orthopedic Surgery ◽

Daily Living ◽

Articular Surface ◽

Functional Results ◽

Risk Groups ◽

Daily Activities ◽

Shoulder Prosthesis ◽

Clinical Center ◽

Novi Sad ◽

Shoulder Score

Introduction. Indications for the use of partial shoulder prosthesis are dislocated four-part fractures and multi-part and four-part fractures-dislocations, impressive fractures of the humeral head (including involvement of more than 40% of the articular surface) and ?head splitting? fractures of humerus. The aim of this study was to present the results of the application of partial shoulder prosthesis at the Department of Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina in Novi Sad and identify risk groups among the participants. Material and Methods. The study, which was retrospective, included 22 patients who had undergone the partial shoulder arthroplasty in the period from 2005 to 2015 at the Department of Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina. The functional results were evaluated on the basis of the Constant Shoulder Score. Results. The study sample consisted of 15 women and 7 men, whose mean age was 64.9 ? 9.1 years. The average time from the injury to surgery was 13.3 days. According to the Constant scoring scale, the result was excellent in 6 (27%) patients, good in 3 (14%), fair in 7 (32%), and poor in 6 (27%) participants. 75% of participants said they were satisfied with the results of the operation. Conclusion. Partial shoulder prosthesis gives good functional results and allows resumption of activities of daily living. Better results were obtained within the subjective segments (pain, daily activities, vitality), which points out a greater subjective patient?s satisfaction in relation to the measured functio?nal outcome.

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Validating the Adolescent/Adult Sensory Profile and Examining its Ability to Screen Sensory Processing Difficulties among Israeli People

British Journal of Occupational Therapy ◽

10.4276/030802212x13418284515839 ◽

2012 ◽

Vol 75 (7) ◽

pp. 321-329 ◽

Cited By ~ 14

Author(s):

Batya Engel-Yeger

Keyword(s):

Sensory Processing ◽

Daily Living ◽

Sensation Seeking ◽

Age Groups ◽

Sensory Profile ◽

Daily Activities ◽

Adolescents And Adults ◽

Good Internal Consistency ◽

Hebrew Version ◽

Vast Range

Purpose: The purpose of this study was to (1) validate the Hebrew version of the Adolescent/Adult Sensory Profile (AASP); (2) screen sensory processing difficulties, as expressed in daily living in a vast range of ages of healthy Israeli adolescents, adults and older people; and (3) examine gender effect on sensory processing in the different age groups. Findings: Good internal consistency was found for each of the AASP quadrants, although factor analysis did not find total similarity between the Hebrew version of the AASP and the original AASP. Sensory processing difficulties were shown by 22–42% of the participants in the different age groups. Older participants had lower tendency for Sensation Seeking. Females were more sensitive than males in the age groups of 11–17 years and 18–64 years. Conclusion: In general, the Hebrew version of the AASP was found to be valid and succeeded in profiling sensory processing difficulties along the life span of typical Israeli adolescents and adults. Further studies should apply the Hebrew version of the AASP to screen sensory processing difficulties among individuals with disabilities and elaborate their impact on people's performance/participation in daily activities.

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Polyneuropathy relates to impairment in daily activities, worse gait, and fall-related injuries

Neurology ◽

10.1212/wnl.0000000000004067 ◽

2017 ◽

Vol 89 (1) ◽

pp. 76-83 ◽

Cited By ~ 14

Author(s):

Rens Hanewinckel ◽

Judith Drenthen ◽

Vincentius J.A. Verlinden ◽

Sirwan K.L. Darweesh ◽

Jos N. van der Geest ◽

...

Keyword(s):

Logistic Regression ◽

Linear Regression ◽

Activities Of Daily Living ◽

Daily Living ◽

Health Assessment ◽

Population Based ◽

Daily Activities ◽

Instrumental Activities ◽

Gait Parameters ◽

History Of

Objective:To extensively investigate the association of chronic polyneuropathy with basic and instrumental activities of daily living (BADL and IADL), falls, and gait.Methods:A total of 1,445 participants of the population-based Rotterdam Study (mean age 71 years, 54% women) underwent a polyneuropathy screening involving a symptom questionnaire, neurologic examination, and nerve conduction studies. Screening yielded 4 groups: no, possible, probable, and definite polyneuropathy. Participants were interviewed about BADL (Stanford Health Assessment questionnaire), IADL (Instrumental Activities of Daily Living scale), and frequency of falling in the previous year. In a random subset of 977 participants, gait was assessed with an electronic walkway. Associations of polyneuropathy with BADL and IADL were analyzed continuously with linear regression and dichotomously with logistic regression. History of falling was evaluated with logistic regression, and gait changes were evaluated with linear regression.Results:Participants with definite polyneuropathy had more difficulty in performing BADL and IADL than participants without polyneuropathy. Polyneuropathy related to worse scores of all BADL components (especially walking) and 3 IADL components (housekeeping, traveling, and shopping). Participants with definite polyneuropathy were more likely to fall, and these falls more often resulted in injury. Participants with polyneuropathy had worse gait parameters on the walkway, including lower walking speed and cadence, and more errors in tandem walking.Conclusions:Chronic polyneuropathy strongly associates with impairment in the ability to perform daily activities and relates to worse gait and an increased history of falling.

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OPERATION TOKHANG ENFORCEMENT: SENTIMENTS AND DILEMMAS AMONG DRUG-USER SURRENDEREES IN BRGY SINAWILAN, DIGOS CITY

International Journal of Legal Studies ( IJOLS ) ◽

10.5604/01.3001.0015.0433 ◽

2021 ◽

Vol 9 (1) ◽

pp. 153-180

Author(s):

Jonel Mark Daligdig Sarno ◽

Jories F. Baluran ◽

Alsan Lorie P. Santillan ◽

Roweno B. Gamban

Keyword(s):

Qualitative Research ◽

Drug User ◽

Daily Living ◽

Research Method ◽

Sport Activity ◽

Coping Mechanisms ◽

Daily Activities ◽

Motivation To Change ◽

Negative Experiences ◽

Positive Experiences

The researchers conducted this study to unveil the experiences, the motivation to change their lives and the coping mechanisms of the drug-user surrenderees. A qualitative research method employed in the conduct of the study. The researchers personally made an inter-view questionnaire to 10 participants but only 8 participants came, which are the drug-user surrenderees in Brgy. Sinawilan, Digos City. The results are summarized according to the themes that were drawn from the participants’ responses and these are followed: Positive Experiences, Negative Experiences, Acceptance, Faith and Hope and Advantages of OPLAN Tokhang. Based on the findings of the study, the researchers recommended by giving spiritual practices and rehabilitation to discover the life beyond delinquency and to enlighten them. Giving livelihood program can help them survive in their daily living and it gives benefits to their family. Lastly, giving them a sport activity so that the attention of the surrenderees be redirected and be comforted. The drug-user surrenderees should be active in participating such activities for them to have more knowledge and able to apply in their daily activities in life.

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The Relationship between Knee Extension Strength and Activities of Daily Living in Patients with Dementia

Early Detection and Rehabilitation Technologies for Dementia ◽

10.4018/978-1-60960-559-9.ch032 ◽

2011 ◽

pp. 244-256

Author(s):

Makoto Suzuki ◽

Hikari Kirimoto ◽

Atsushi Inamura ◽

Yoshitsugu Omori ◽

Sumio Yamada

Keyword(s):

Lower Extremity ◽

Activities Of Daily Living ◽

Daily Living ◽

Functional Independence Measure ◽

Knee Extensor ◽

Functional Independence ◽

Knee Extension ◽

Daily Activities ◽

Lower Body ◽

Knee Extensor Strength

The purpose of this study was to examine the test-retest reliability of hand-held dynamometer measurements in patients with dementia and determine if predictions about a patient’s ability to perform daily activities can be made from knee extension strength measurements. This study was composed of two rounds of data collection. Sixty patients with dementia were enrolled in the first round to assess the reliability of hand-held dynamometer measurements, and 54 patients with dementia were enrolled in the second round for predicting their ability to perform daily activities. Knee extensor strength was measured twice, separated by a three minute interval, with hand-held dynamometer. The authors also assessed daily activities related to the patient’s lower extremities, including dressing the lower body, using the toile, transferring to the bed/toilet/shower, and walking. Lower extremity activities of the Functional Independence Measure were assessed by the nursing home caregiver that had the most regular contact with each subject. When the Functional Independence Measure score of each lower extremity function was =6 points, the subject was considered to be independent. The intraclass correlation coefficient was 0.97. Bland-Altman plots showed the 95% difference value to be within 2 SDs of the mean. The curves of negative and positive predictive values revealed the following threshold levels: 0.8 Nm/kg was the best predictor for dressing the lower body and using the toilet; 1.2 Nm/kg was the best predictor for transferring to the bed/toilet/shower; and 0.6 Nm/kg was the best predictor for gait performance. Strength measurements taken with a hand-held dynamometer were reliable in patients with dementia, and normalized knee extensor strength was found to be a predictor of the ability to perform activities of daily living.

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COVID-19: How did community pharmacies get through the first wave?

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada ◽

10.1177/1715163520945741 ◽

2020 ◽

Vol 153 (5) ◽

pp. 243-251 ◽

Cited By ~ 1

Author(s):

Paul A. M. Gregory ◽

Zubin Austin

Keyword(s):

Data Gathering ◽

Daily Practice ◽

Mass Scale ◽

Considerable Change ◽

Study Data ◽

Community Pharmacies ◽

Pharmacy Staff ◽

Service Community ◽

Managerial Decisions

Background: The coronavirus disease 2019 (COVID-19) pandemic of early 2020 was one of the most impactful events in living memory. As an essential service, community pharmacies remained open to provide care and service. The unprecedented nature and scale of the pandemic triggered considerable change in daily practice. In anticipation of future pandemic waves and similar mass-scale civil disruptions, it is important to understand how community pharmacies adapted and responded in the early weeks of COVID-19. Methods: A combination of convenience, snowball and purposive sampling methods was used to recruit staff from community pharmacies across Ontario, from a variety of different practice locations and types. A semistructured focus group interview protocol was used to elicit experiences. Data gathering was undertaken until the point of saturation. Thematic analysis was used to surface common experiences and to describe how community pharmacies adapted and responded. Results: A total of 39 participants (pharmacists, registered technicians and assistants) from 11 different pharmacies participated in this study. Data were coded based on 1) what happened, 2) how community pharmacies responded, and 3) what worked and did not work to support pharmacy staff in continued provision of service and care. Key findings included the collapse of provision of nondispensing remunerated services, the central role of managerial decisions in supporting resilience (e.g., change to 8-hour shifts from 12-hour shifts) and the central role of technology in supporting continuity of quality pharmacy services. Discussion: With anticipated future pandemic waves, preparedness of community pharmacy will be essential. This study provides important insights based on participants’ own experiences regarding ways employers can better support staff in provision of care and service to patients during times of mass-scale civil disruption. Can Pharm J (Ott) 2020;153:xx-xx.

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Inertial Measurement Unit Based Upper Extremity Motion Characterization for Action Research Arm Test and Activities of Daily Living

Sensors ◽

10.3390/s19081782 ◽

2019 ◽

Vol 19 (8) ◽

pp. 1782 ◽

Cited By ~ 8

Author(s):

Hyung Seok Nam ◽

Woo Hyung Lee ◽

Han Gil Seo ◽

Yoon Jae Kim ◽

Moon Suk Bang ◽

...

Keyword(s):

Action Research ◽

Upper Extremity ◽

Daily Living ◽

Arm Movements ◽

Daily Activities ◽

Measurement Unit ◽

Dominant Hand ◽

Study Results ◽

Flexion Extension ◽

Extremity Motion

In practical rehabilitation robot development, it is imperative to pre-specify the critical workspace to prevent redundant structure. This study aimed to characterize the upper extremity motion during essential activities in daily living. An IMU-based wearable motion capture system was used to access arm movements. Ten healthy subjects performed the Action Research Arm Test (ARAT) and six pre-selected essential daily activities. The Euler angles of the major joints, and acceleration from wrist and hand sensors were acquired and analyzed. The size of the workspace for the ARAT was 0.53 (left-right) × 0.92 (front-back) × 0.89 (up-down) m for the dominant hand. For the daily activities, the workspace size was 0.71 × 0.70 × 0.86 m for the dominant hand, significantly larger than the non-dominant hand (p ≤ 0.011). The average range of motion (RoM) during ARAT was 109.15 ± 18.82° for elbow flexion/extension, 105.23 ± 5.38° for forearm supination/pronation, 91.99 ± 0.98° for shoulder internal/external rotation, and 82.90 ± 22.52° for wrist dorsiflexion/volarflexion, whereas the corresponding range for daily activities were 120.61 ± 23.64°, 128.09 ± 22.04°, 111.56 ± 31.88°, and 113.70 ± 18.26°. The shoulder joint was more abducted and extended during pinching compared to grasping posture (p < 0.001). Reaching from a grasping posture required approximately 70° elbow extension and 36° forearm supination from the initial position. The study results provide an important database for the workspace and RoM for essential arm movements.

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From the concept of Independence to the questioning of its use in practice: scoping review

Enfermería Global ◽

10.6018/eglobal.444151 ◽

2022 ◽

Vol 21 (1) ◽

pp. 625-654

Author(s):

Andreia Lima ◽

Maria Manuela Ferreira da Silva Martins ◽

Maria Salomé Martins Ferreira ◽

Carla Sílvia Fernandes ◽

Soraia Dornelles Schoeller ◽

...

Keyword(s):

Scoping Review ◽

Daily Living ◽

Conceptual Analysis ◽

Health Knowledge ◽

Self Care ◽

Cognitive Capacity ◽

Daily Activities ◽

Analysis Method ◽

Inclusion Criteria ◽

Subsequent Application

Background: Independence is a widely used concept by the most practical areas of health knowledge, being essential to know its real meaning for subsequent application. Method: Scoping review based on the recommended principles by Joanna Briggs Institute and by the conceptual analysis method from Walker and Avant. Careful research was realized in the databases: Scopus, CINAHL complete, and MEDLINE. Two independent reviewers evaluate the relevance of the articles' understudy, the extraction, and article synthesis.Results: One hundred and two articles were included, after the application of the inclusion criteria. The majority of the authors define independence as the physical capacity for self-care and for the realization of the daily activities. Other authors, confuse independence with autonomy, referring to independence as the cognitive capacity, financial capacity, social capacity, and decision capacity.Conclusions: Independence includes the ability to perform self-care and daily living activities. Introducción: La independencia es un concepto muy utilizado por las áreas más prácticas del conocimiento en salud, siendo fundamental conocer su significado real para su posterior aplicación.Método: Revisión de alcance basada em los princípios recomendados por el Instituto Joanna Briggs y por el método de análisis conceptual de Walker y Avant. Se realizó uma cuidadosa investigación en las bases de datos: Scopus, CINAHL complete y MEDLINE. Dos revisores independientes evalúan la relevancia de los artículos en estudio, la extracción y síntesis del artículo.Resultados: Se incluyeron ciento y dos de los artículos, luego de la aplicación de los criterios de inclusión. La mayoria de los autores definen la independencia como la capacidad física para el autocuidado y para la realización de las actividades diarias. Otros autores confunden independencia com autonomia, refiriéndose a la independencia como capacidad cognitiva, capacidade financiera, capacidad social y capacidad de decisión.Conclusiones: La independencia incluye la capacidad para realizar actividades de autocuidado y de la vida diaria. Antecedentes: Independência é um conceito amplamente utilizado pelas áreas mais práticas do conhecimento em saúde, sendo essencial conhecer o seu real significado para posterior aplicação. Método: Scoping review baseada nos princípios recomendados pela Joanna Briggs Institute e pelo método de análise conceitual de Walker e Avant. Uma pesquisa cuidados foi realizada nas bases de dados: Scopus, CINAHL complete, and MEDLINE. Dois revisores independentes avaliaram a relevância dos artigos em estudo, a extração e síntese dos artigos.Resultados: Cento e dois artigos foram incluídos, após a aplicação dos critérios de inclusão. A maioria dos autores define independência como a capacidade física para o autocuidado e para a realização das atividades de vida diárias. Outros autores confundem independência com autonomia, referindo-se à independência como a capacidade cognitiva, capacidade financeira, capacidade de sociabilizar e capacidade de decisão. Conclusions: Independência inclui a capacidade para o autocuidado e para as atividades de vida diária.

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