scholarly journals People with physical disabilities in Sri Lanka are in need for the service of community physiotherapists

2021 ◽  
Vol 8 (8) ◽  
pp. 3799
Author(s):  
Vindya Vimani Senadheera ◽  
Kavinda Tharani Malwanage ◽  
Sithravelayuthan Mayooran ◽  
Abdul Majeed Mohomad Rikas ◽  
Agampodi Liyanage Indrajith Prasanna
Keyword(s):  
Health Care ◽  
Sri Lanka ◽  
Physical Disabilities ◽  
Pediatric Population ◽  
Health Care Team ◽  
Rehabilitation Program ◽  
Health Care Practitioner ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
People With Physical Disabilities

Background: Physiotherapists have long been recognized as important providers of services for people with disability. In Sri Lanka the concept of community physiotherapy has not emerged yet. The present study aimed to identify the need for ‘community physiotherapy service’ in Kandy district, Sri Lanka. Methods: A community service projection community based rehabilitation, of three years was conducted by the department of physiotherapy, faculty of allied health sciences, University of Peradeniya, Sri Lanka in 2017-2019 in collaboration with department of social service and social welfare of Kandy district secretariat, Sri Lanka.Results: One hundred and seventy participants with physical disabilities were included in the study 94 (55.29%) were males (mean age; 33.57 (SD ±23.17) and 76 (44.71%) were females (mean age; 33.14 (SD ±24.98). The pediatric population was 41.76% (N=71) followed by 38.82% of adults (N=66) and 19.41% of elderly patients (N=33) of the total population. The highest number of PWD had pediatric conditions (39.41%), followed by musculoskeletal (31.76%), neurological (15.88%), geriatric (8.82%) and cardio-respiratory (4.12%) conditions. The majority (55.88%) of all the people with disabilities who visited the clinics were in need for further physiotherapy consultation and follow up.Conclusions: In Kandy district of Sri Lanka alone, number of people with physical disabilities who are in need of continuous physiotherapy follow ups is high compared to services already available. Conducting a successful community-based rehabilitation program in Sri Lanka as a whole, require having a specialized health care practitioner to the primary health care team; ‘a community physiotherapist’.

Management of Subarachnoid Hemorrhage

2019 ◽  
Vol 39 (5) ◽  
pp. 58-67 ◽  
Author(s):  
Bryan Boling ◽  
Tasha R. Groves
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Subarachnoid Hemorrhage ◽  
Health Care Team ◽  
Current Evidence ◽  
Small Community ◽  
Community Based ◽  
Acute Bleeding ◽  
Specialized Care ◽  
Arachnoid Hemorrhage

Subarachnoid hemorrhage is an often devastating intracranial hemorrhage resulting from acute bleeding into the subarachnoid space. Although its overall incidence is less than that of acute ischemic stroke, sub-arachnoid hemorrhage carries increased risks of both mortality and disability. Although many patients with subarachnoid hemorrhage are transferred to specialty centers, they might initially present to small community-based hospitals. Treatment for these patients is complex, requiring specialized care and knowledge, and various complications can occur quickly and without warning. Therefore, all members of the health care team who care for these patients must understand proper management. Nurses in the intensive care unit play an important role in influencing outcomes, as they are best positioned to recognize neurological decline and provide rapid intervention. This article discusses the anatomy relevant to, and the epidemiology and pathophysiology of, subarachnoid hemorrhage and provides an overview of current evidence and clinical guidelines for managing this brain injury.

Sexual Health Care for People with Physical Disabilities

2015 ◽  
Vol 12 (3) ◽  
pp. 584-589 ◽  
Author(s):  
Tami Serene Rowen ◽  
Sorah Stein ◽  
Mitchell Tepper
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Physical Disabilities ◽  
Sexual Health Care ◽  
People With Physical Disabilities

scholarly journals Mental Health and Community-Based Rehabilitation: A Qualitative Description of the Experiences and Perspectives of Service Users and Carers in Bangladesh

2020 ◽  
Author(s):  
Kamrun Nahar Koly ◽  
Rehnuma Abdullah ◽  
Fahima Akter Shammi ◽  
Taslima Akter ◽  
Tasdik Hasan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Intellectual Disabilities ◽  
Cognitive Impairments ◽  
Explanatory Models ◽  
Service Users ◽  
Community Based ◽  
Community Based Rehabilitation

Abstract BackgroundSince 2016, Promotion of Human Rights of Persons with Disabilities in Bangladesh (PHRPB) has been working to include people with psychosocial disabilities in their community-based inclusive development work, and to increase access to formal mental health care.MethodsField visits were carried out to PHRPBD catchment areas in Dhaka and Chittagong for a case study on the integration of mental health into community-based rehabilitation (CBR). This paper synthesizes the results of twenty-five semi-structured interviews carried out as part of the case study. Participants included people with psychosocial disabilities, intellectual disabilities, epilepsy or other cognitive impairments and their carers as needed. Interviews were audio-recorded, transcribed and translated from Bangla to English, then hand-coded for content analysis.ResultsResults were organized into five overarching categories: (1) explanatory models, (2) help-seeking behaviors, (3) impact of services, (4) challenges and barriers to improving mental health, (5) recommendations of users and carers. Respondents either had no explanation for why service users had become unwell or attributed it to physically and/or emotionally traumatic events or supernatural causes. Before attending PHRPBD’s mental health services, most had visited formal or informal health care providers, often with disappointing results. Despite positive feedback on PHRPBD’s services, participants identified ongoing challenges. Stigma, discrimination and human rights abuses persist and are compounded by issues of gender inequality. Participants also identified barriers and made recommendations specific to the program itself, mainly regarding accessibility (e.g., cost, distance, frequency).ConclusionsThis study adds to the limited body of qualitative research on mental health in Bangladesh, reinforcing previous findings on explanatory models and health-seeking behaviors while providing new insights into the impact of a CBR program in this context. Feedback of service users and carers suggests that CBR may indeed be a useful approach to increase access to services in Bangladesh for people with psychosocial or intellectual disabilities, epilepsy or other cognitive impairments. However, this program is not without its limitations, some of which are the product of broader issues within the mental health system and others of the social and cultural context. More research is needed to formally evaluate this and other CBR programs in the Global South.

Sign in / Sign up

Export Citation Format

Share Document