scholarly journals CHALLENGES OF PHYSIOTHERAPIST DURING PROSTHESIS REHABILITATION IN MALAYSIA

2021 ◽  
Vol 9 (Spl-1- GCSGD_2020) ◽  
pp. S85-S94
Author(s):  
Chong Li Chi ◽  
◽  
Vinodhkumar Ramalingam ◽  
Keyword(s):  
Health Care ◽  
Environmental Factors ◽  
Health Service ◽  
Lower Limb ◽  
Online Survey ◽  
Limb Amputation ◽  
Patient Factors ◽  
Physical Demand ◽  
Health Care Practitioners ◽  
Specific Health

The present study reported the challenges faced by the physiotherapist during prosthesis rehabilitation in Malaysia. Mortality due to lower limb amputation is a concern in recent days that can be improved by providing proper rehabilitation. However, challenges faced by the physiotherapist during rehabilitation are expected to affect the effectiveness of the rehabilitation. Hence, it is important to identify the possible challenges faced by the physiotherapist during prosthesis rehabilitation to take the necessary precautions for better outcomes. A total of 200 Malaysian physiotherapists who have experience in rehabilitating amputees were selected to participate in this online survey. The participants were requested to complete a self-administered electronic questionnaire containing 20 questions. The present study reported a few challenges faced by the physiotherapists in Malaysia during prosthesis rehabilitation such as “encountering patient that refuse to perform exercises is common” (77%), encountered high physical demand (81.5%), encountering language barriers (48.5%), patients often encounter difficulty in assessing health service (63.5%) and encountering prosthesis problems (67%). The barriers were inconsistent and complex, including patient factors, healthcare provider’s factors, environmental factors, other factors. The study has highlighted challenges faced by the physiotherapists during prosthesis rehabilitation to raise awareness among physiotherapists and at the same time create ideas for specific health care practitioners to overcome the barriers, therefore shortening the length of rehabilitation and enhancing the effectiveness of the rehabilitation to lower the mortality.

Workforce insights on how health promotion is practised in an Aboriginal Community Controlled Health Service

2017 ◽  
Vol 23 (3) ◽  
pp. 243 ◽  
Author(s):  
Kathryn McFarlane ◽  
Sue Devine ◽  
Jenni Judd ◽  
Nina Nichols ◽  
Kerrianne Watt
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Health Service ◽  
Online Survey ◽  
Aboriginal Community ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Health Council ◽  
Health Promotion Practice

Aboriginal Community Controlled Health Services deliver holistic and culturally appropriate primary health care to over 150 communities in Australia. Health promotion is a core function of comprehensive primary health care; however, little has been published on what enables or challenges health promotion practice in an Aboriginal Community Controlled Health Service. Apunipima Cape York Health Council (Apunipima) delivers primary health care to 11 remote north Queensland communities. The workforce includes medical, allied health, Aboriginal and Torres Strait Islander health workers and health practitioners and corporate support staff. This study aimed to identify current health promotion practices at Apunipima, and the enablers and challenges identified by the workforce, which support or hinder health promotion practice. Sixty-three staff from across this workforce completed an online survey in February 2015 (42% response rate). Key findings were: (1) health promotion is delivered across a continuum of one-on-one approaches through to population advocacy and policy change efforts; (2) the attitude towards health promotion was very positive; and (3) health promotion capacity can be enhanced at both individual and organisational levels. Workforce insights have identified areas for continued support and areas that, now identified, can be targeted to strengthen the health promotion capacity of Apunipima.

Foot Ulceration and Lower Limb Amputation in Type 2 Diabetic Patients in Dutch Primary Health Care

Diabetes Care ◽  
2002 ◽  
Vol 25 (3) ◽  
pp. 570-574 ◽  
Author(s):  
I. S. Muller ◽  
W. J.C. de Grauw ◽  
W. H.E.M. van Gerwen ◽  
M. L. Bartelink ◽  
H. J.M. van den Hoogen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Lower Limb ◽  
Limb Amputation ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Foot Ulceration ◽  
Primary Health ◽  
Type 2 Diabetic

Foot care: who cares?

1998 ◽  
Vol 8 (3) ◽  
pp. 197-202
Author(s):  
N Gilbert ◽  
T Galloway ◽  
R Green
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Elderly People ◽  
Lower Limb ◽  
Systemic Disease ◽  
Limb Amputation ◽  
Care Provision ◽  
Foot Care ◽  
Foot Problems

Foot disorders are common in elderly people and lead to significant difficulties in the form of immobility, pain and gait imbalance. Neuropathic changes associated with systemic disease, such as diabetes, carries the potential for ulcer development leading to possible foot or lower limb amputation. The role of the podiatric surgeon and the podiatrist/chiropodist in the prevention of foot problems in elderly patients is an important and often neglected element of health care for this group. Foot care is at present provided by podiatrists/chiropodists, nurses, orthotists, general practitioners, rheumatologists, geriatricians, casualty specialists, orthopaedic surgeons and podiatric surgeons. Sadly, foot care provision by these professionals is poorly co-ordinated. In most cases this is the result of the general lack of knowledge most professions have about the role of others; however, in at least one instance (orthopaedics), the issue is one of professional rivalry.

scholarly journals Doing More with Less in Health Care: Findings from a Multi-Method Study of Decommissioning in the English National Health Service

2017 ◽  
Vol 47 (3) ◽  
pp. 543-564 ◽  
Author(s):  
JENNY HARLOCK ◽  
IESTYN WILLIAMS ◽  
GLENN ROBERT ◽  
KELLY HALL ◽  
RUSSELL MANNION ◽  
...  
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Online Survey ◽  
Local Context ◽  
National Study ◽  
Local Health ◽  
English National Health ◽  
English National Health Service

AbstractIn the context of an austere financial climate, local health care budget holders are increasingly expected to make and enact decisions to decommission (reduce or stop providing) services. However, little is currently known about the experiences of those seeking to decommission. This paper presents the first national study of decommissioning in the English National Health Service drawing on multiple methods, including: an interview-based review of the contemporary policy landscape of health care decommissioning; a national online survey of commissioners of health care services responsible for managing and enacting budget allocation decisions locally; and illustrative vignettes provided by those who have led decommissioning activities. Findings are presented and discussed in relation to four themes: national-local relationships; organisational capacity and resources for decommissioning; the extent and nature of decommissioning; and intended outcomes of decommissioning. Whilst it is unlikely that local commissioners will be able to ‘successfully’ implement decommissioning decisions unless aspects of engagement, local context and outcomes are addressed, it remains unclear what ‘success’ looks like in terms of a decommissioning process.

scholarly journals Health care practitioners’ views of the support women, partners, and the couple relationship require for birth trauma: current practice and potential improvements

2020 ◽  
Vol 21 ◽  
Author(s):  
Amy Delicate ◽  
Susan Ayers ◽  
Sarah McMullen
Keyword(s):  
Health Care ◽  
Online Survey ◽  
Birth Trauma ◽  
Couple Relationship ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Health Care Practitioners ◽  
Post Traumatic ◽  
Women Partners ◽  
The Impact

Abstract Aim: To examine health care practitioners’ views of the support women, partners, and the couple relationship require when affected by birth trauma, barriers to gaining such support, and potential improvements. Background: Ongoing distress following psychologically traumatic childbirth, also known as birth trauma, can affect women, partners, and the couple relationship. Birth trauma can lead to post traumatic stress symptoms (PTSS) or disorder (PTSD). Whilst there is a clear system of care for a PTSD diagnosis, support for the more prevalent experience of birth trauma is not well-defined. Method: An online survey of health care practitioners’ views of the support parents require for birth trauma, barriers to accessing support, and potential improvements. Practitioners were recruited in 2018 and the sample for the results presented in the article ranged from 95 to 110. Results: Practitioners reported differing needs of support for women, partners, and the couple as a unit. There was correlation between practitioners reporting having the skills and knowledge to support couples and feeling confident in giving support. The support most commonly offered by practitioners to reduce the impact on the couple relationship was listening to the couple. However practitioners perceived the most effective support was referral to a debriefing service. Practitioners observed several barriers to both providing support and parents accessing support, and improvements to birth trauma support were suggested. Conclusions: Practitioners indicate that some women, partners, and the couple as a unit require support with birth trauma and that barriers exist to accessing effective support. The support that is currently provided often conflicts with practitioners’ perception of what is most effective. Practitioners indicate a need to improve the identification of parents who need support with birth trauma, and more suitable services to support them.

scholarly journals Incorporating environmental factors in gait assessments of persons following amputation

2016 ◽  
Vol 29 (1) ◽  
pp. 113-120
Author(s):  
Andersom Ricardo Fréz ◽  
Christiane Riedi Daniel ◽  
Ivo Ilvan Kerppers ◽  
João Afonso Ruaro ◽  
Jussara Paula da Luz ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Lower Limb ◽  
Literature Search ◽  
Lower Limb Amputation ◽  
International Classification Of Functioning ◽  
Limb Amputation ◽  
Complex Nature ◽  
Disability And Health ◽  
Literature Reviews

Abstract Introduction: Environmental factors have also been recognized to be a component of a multidimensional gait assessment of people living with disabilities, like persons following an amputation. Objective: To investigated whether the environmental factors outlined by the International Classification of Functioning, Disability, and Health (ICF) are considered when evaluating gait following lower limb amputations. Materials and methods: A literature search of the PubMed, EMBASE, CINAHL, and SPORTDiscus databases was performed. The keywords "amputation" and "gait" were combined with the keywords "barriers", "facilitators", and "environmental factors". Searches were performed without language restrictions. All articles containing data about environmental influences on gait functionality after lower limb amputations published during or after 2002, were included. Manuscripts that did not study adults and literature reviews were excluded. Two researchers identified potentially eligible articles and the methods used to assess gait. To make comparisons between scales, the 2 researchers selected the categories from the ICF chapter on environmental factors. Results: Fourteen studies were obtained from the search. Seven studies were duplicates and 4 were excluded. The remaining 3 articles were evaluated. We identified a total of 74 possibilities for categorization according to the ICF environmental factors, but only 7 ICF categories (9.45%) were considered in the studies analyzed. Conclusions: The influence of environmental factors is frequently not considered in the evaluation of gait following a lower limb amputation. Thorough evaluation of gait after lower limb amputation should reflect the complex nature of gait changes, including environmental factors.

scholarly journals Psychological distress among health service providers during COVID-19 pandemic in Nepal

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246784
Author(s):  
Khagendra Kafle ◽  
Dhan Bahadur Shrestha ◽  
Abinash Baniya ◽  
Sandesh Lamichhane ◽  
Manoj Shahi ◽  
...  
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Health Service ◽  
Online Survey ◽  
Service Providers ◽  
Mental Health Center ◽  
Care Service ◽  
Health Care Service ◽  
Working Hours ◽  
Health Service Providers

Background COVID-19 pandemic has provoked a wide variety of psychological problems such as anxiety, depression, and panic disorders, especially among health service providers. Due to a greater risk of exposure to the virus, increased working hours, and fear of infecting their families, health service providers are more vulnerable to emotional distress than the general population during this pandemic. This online survey attempts to assess the psychological impact of COVID-19 and its associated variables among healthcare workers in Nepal. Materials and methods For data collection purposes, Covid-19 Peritraumatic Distress Index (CPDI) Questionnaire, was used whose content validity was verified by Shanghai mental health center. Data for the survey were collected from 11 to 24 October 2020 which was extracted to Microsoft Excel-13 and analyzed. Results A total of 254 health care workers from different provinces of the country participated in this study with a mean age of 26.01(± 4.46) years. A majority 46.9% (n = 119) of the participants were not distressed (score ≤28) while 46.5% (n = 118) were mild to moderately distressed (score >28 to ≤51) and 6.7% (n = 17) were severely distressed (score ≥52) due to the current COVID-19 pandemic. Female participants (p = 0.004) and participants who were doctors by profession (p = 0.001) experienced significantly more distress. Conclusions COVID-19 pandemic has heightened the psychological distress amongst health care service providers. The findings from the present study may highlight the need for constructing and implementing appropriate plans and policies by relevant stakeholders that will help to mitigate the distress among health service providers in the current pandemic so that we can have an efficient frontline health workforce to tackle this worse situation.

Causes of successful medico-legal claims following amputation

Vascular ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 346-349 ◽  
Author(s):  
Caroline C Toolan ◽  
Matthew Cartwright-Terry ◽  
James RH Scurr ◽  
Jonathan D Smout
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Lower Limb ◽  
Burn Injury ◽  
Road Traffic ◽  
Demographic Data ◽  
Delayed Diagnosis ◽  
Limb Amputation ◽  
Medical Education And Training

Introduction The causes of successful medico-legal claims following amputation were reviewed. Methods A retrospective analysis of claims handled by the National Health Service Litigation Authority, from 2005 to August 2010, was performed. Under the Freedom of Information Act, the National Health Service Litigation Authority provided limited details on closed claims, settled with damages, following a search of their database with the term “amputation.” No demographic data were provided. Results During this period, 174 claims were settled by the National Health Service Litigation Authority, who paid out more than £36.3 million. The causes of the claims were the need for a lower limb amputation due to a delay in the diagnosis and or treatment of arterial ischaemia (56), an iatrogenic injury (15), the development of preventable pressure sores (15), the delay and or failure to diagnose a limb malignancy (6) and the delay in the management of an infected pseudo-aneurysm (1). Complications following orthopaedic surgery resulted in 25 successful claims as did the delayed diagnosis or mismanagement of 10 lower limb fractures. Additional claims followed the amputation of the wrong toe (1), a retained foreign body (2), an unnecessary amputation (4), inadequate consent (4), failure to provide thrombo-prophylaxis following amputation resulting in death (2) and a diathermy burn injury during an amputation (1). Delay in the diagnosis of and/or failure to manage an injury or infection resulted in 21 upper limb amputations. There was insufficient information provided in the remaining 11 claims to determine how the claim related to an amputation procedure. The largest single payout for damages (£1.9 million) resulted from the failure to diagnose and treat a femoral artery injury following a road traffic accident leading to an eventual below knee amputation. Conclusion Delays in the diagnosis and or treatment of arterial ischaemia were the commonest reasons for a settled claim. Lessons can be learnt from potentially preventable cases that can be incorporated in medical education and training programs with the aim of reducing both amputation rates and litigation costs.

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