...Fall is a serious problem in people with Parkinson’s disease (PD) due to the nature of the disease that impairs gait, motor, and cognition (Canning, et al., 2015; Gao, et al., 2014; Mirelman, et al., 2011). Sixty percent of people with PD fall annually and two-third of them fall repeatedly (Canning et al., 2015). Falls may lead to injury, pain, functional decline, fear of falling, and reduction in quality of life (Canning, et al., 2015; Gao, et al., 2014). Therefore, the purpose of this paper is to provide an overview of exercise interventions that could prevent or reduce fall incidence in people with PD. Computerized literature searches were conducted using CINAHL and PubMed. For CINAHL, “fall prevention” AND “Parkinson’s disease” were used...
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...Falls are very common in the geriatric population. They are the leading cause of injury and death by injury in adults over the age of 65 years (Lee, 2013, p.37). Falls can have devastating results in the geriatric population. Fear of falling is a defined geriatric syndrome that may contribute to further functional decline in an already frail patient. When people experience something unpleasant, their natural response is an aversion to that experience. People may begin to limit their activities after a fall or as they become weaker and less agile with increasing age. This leads to a more sedentary lifestyle and physical atrophy, which further predisposes them to falls (Lee, 2013, p.37). According to Al-Aama (2011): A fall is a complex multifactorial phenomenon. In order to understand the mechanism of falls, it is essential to understand the prerequisites of normal gait. Essential substrates for a normal gait include fine neural networks such as the cortical–basal ganglia loop and the basal ganglia–brainstem system, exquisite musculoskeletal structures with appropriately regulated muscle tone, and proper processing of sensory information (p. 772). A fall in the geriatric population could be the result of various long-term or short-term factors. A short-term factor could include an acute illness or an adverse drug reaction. Normal gait and balance requires freely moving joints; muscles contracting at the right time with the appropriate strength; and accurate visual, vibratory...
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...J A Collaborative Approach to Fall Prevention By ANGELA MERRETT, PATRICIA THOMAS, ANNE STEPHENS, ROLA MOGHABGHAB and MARILYN GRUNEIR The four partner organizations formally recognized their commitment and shared vision through a letter of agreement, which specified a framework, definitions and terms for their respective roles and responsibilities. The letter of agreement was intended to foster a sense of belonging among the group and identify leadership and governance for the project. The two site coordinators were responsible for preparing and coordinating the ethical review applications and letters of support. The team decided to use the existing practices of community service providers. To facilitate referrals of participating patients, the team first identified the existing service pathways. The hospital medical director distributed an overview document to inform emergency department physicians of the project, and the clinical nurse specialist reviewed the referral process, protocols and documentation with nursing staff. ore than ever, health-care providers need to communicate with each other to stay informed about the services clients receive. Working in collaboration is essential to the delivery of effective, efficient and timely care (D'Amour, Ferrada-Videla, San Martin Rodriguez, & Beaulieu, 2005; Interprofessional Care Steering Committee, 2007). We all had roles on the Geriatric Emergency ManagementFalls Intervention Team (GEM-FIT) project, which was aimed...
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...2016, p. 7). Due to these findings, it is vital that falls prevention programs are implemented, as Mrs Field would be a high-risk of additional falls following her several others; preventing falls not only improves the health and wellbeing of Mrs Field, it promotes hospital avoidance by preventing the main issue, in this case falls (College of Nursing & Health Sciences 2015). Relevant programs that are available in Mrs Fields district is a private in-home physiotherapist offered through the (Government of South Australia: SA Health 2017, p. 15) to provide fall prevention strategies through assessments, education, exercise, balance training, care plans and regular consultations; this service, Xtra Homecare, is designed to allow older adults to live independently as long as possible in their own home. Home assessments and therapy of community-dwelling older adults has proven to have a client centred impact on health, attitude and confidence while also supporting hospital avoidance strategies (Chase et al. 2012, p. 285). Falls prevention will be effective in hospital avoidance due to its nature of building independence and knowledge in avoiding falls, therefore injuries, furthermore hospital visits. Mrs Filed will be provided with the tools and knowledge to gain strength and an understanding of...
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...sure that pneumonia patients receive antibiotics in a timely manner, and ensuring smoking cessation programs while hospitalized and at discharge. Senior leadership is responsible for defining quality for the organization. When the leadership team is familiar with using quality measures, the health care team can do the right thing for the customer and increase financial responsibility for the hospital (Dlugacz, 2006). In this paper the subject to explore is potential improvement for the BayCare organization, the data needed to monitor improvement, data collection tools, and two tools that measure and display the quality improvement data. Potential Areas of Improvement Three areas of potential improvement for the BayCare organization are falls, hand hygiene, and improving team member satisfaction. Although the team goals for each of these are within the goal target, areas for improvement still exist. Monitoring Improvement Monitoring improvement for each potential area requires collecting specific data collection. Hand hygiene requires quality improvement personnel to monitor if a clinician’s hands are washed with soap and water when visibly soiled. Hand hygiene quality improvement also looks at the use of an alcohol-based hand sanitizer that can be used when a clinician’s hands are not visibly soiled but still require cleansing. For example, before entering a patient’s room or coming in contact with the patient, before wearing...
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...Chapter 1 Introduction to Pathophysiology Lee-Ellen C. Copstead Key Questions • What is pathophysiology? • How are etiology and pathogenesis used to predict clinical manifestations and response to therapy? • How are normal and abnormal physiologic parameters defined? • What general factors affect the expression of disease in a particular person? • What kinds of information about disease can be gained through understanding concepts of epidemiology? http://evolve.elsevier.com/Copstead/ • Review Questions and Answers • Glossary (with audio pronunciations for selected terms) • Animations • Case Studies • Key Points Review Pathophysiology derives from the intersection of two older, related disciplines: pathology (from pathos, suffering) and physiology (from physis, nature). Pathology is the study and diagnosis of disease through examination of organs, tissues, cells, and bodily fluids. Physiology is the study of the mechanical, physical, and biochemical functions of living organisms. Together, as pathophysiology, the term refers to the study of abnormalities in physiologic functioning of living beings. Pathophysiology seeks to reveal physiologic responses of an organism to disruptions in its internal or external environment. Because humans exhibit considerable diversity, healthy structure and function are not precisely the same in any two individuals. However, discovering the common and expected responses to abnormalities in physiologic functioning is useful, and it...
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...The first type is called a macro trauma and it is “a sudden acute injury from a major force, for example a collision or a fall.” (Micheli, Glassman, & Klein, 2000) The second injury that can an adolescent can be at risk for is a micro trauma, which happens from “chronic repetitive injury to tissue over an extended period, such as a stress fracture.” (Micheli, Glassman, & Klein, 2000) Since these are precisely defined it makes them easier to use on further research with adolescent injuries. It was very eye opening to see that the, “United States for product-related injuries was $365,470,091,189 for 28 sports.” (Micheli, Glassman, & Klein, 2000) These statistics give understanding money, time, and effort are being put into something that we can try to...
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...Op-Ed Who pays the bill and who makes the profit in treating chronic disease? .............................. Lack of financial incentives means prevention is often ignored John Roberts Bellingham, WA 98226 Correspondence to: Dr Roberts jcroberts@hinet.org “A courtyard common to all will be swept by none” goes a Chinese proverb. Sadly, this ancient saying remains true in the modern American medical system. At the start of the third millennium of Western culture and progress, the suffering of medical illness arguably may be higher than in the centuries past. Until the last 50 years, illness—often combined with poverty—was a greater shortener of lives. But death, compared with today, came more quickly. In practice, an internist sees the local viewpoint of national statistics: 90 million Americans alive with chronic disease who spend more than 60% of the country’s health care budget.1 Of the 20 or so patients that many physicians see each day, one, maybe two, might not have a chronic disease. Almost every one of these patients has needs far beyond what a doctor can provide. And much of the reason is inferred from two questions: “Who pays the bill?” and “Who makes the profit?” At a policy level, the “epidemic” of chronic illness is as much a philosophical debate as it is a medical problem. If people live longer, they get illnesses of aging—dementia, loss of vision and hearing, organ failure, and cancers. In addition, chronic illness today may not...
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...perspective this equates to one person every 2 minutes. Mortality is at approximately 30% which is 68,100 deaths in the UK per year. The National Service Framework (NSF) for Coronary Heart disease (CHD) is a 10-year programme published by the Department of Health in 2000 and has set key standards for the prevention and treatment of CHD. Access to the right treatment for those who suffer from an AMI, is essential to reduce morbidity and mortality and improve clinical outcomes. People with diabetes mellitus constitute a group of patients who have a higher risk of having an MI and also a poorer prognosis post infarction. The higher death and complication rates appear to be multifactorial but a significant finding in the Diabetes Mellitus Insulin-Glucose Infusion in Acute Myocardial Infarction (DIGAMI) Trial showed to reduce one year mortality by 30% (Malberg et al., 1995). It’s recommended 1.1 Primary Objective To determine the relationship between HbA1c and prognosis of patients in East Lancashire having a myocardial infarction. 1.2 Secondary Objectives To assess the prognosis of patients below the glucose cut off threshold for DIGAMI treatment and whether or not this borderline category falls in to the highest risk group in terms of mortality and morbidity. To determine if there is both a clinical and analytical case to use fluoride oxalate tubes for plasma glucose and HbA1c collection and analysis in East Lancashire. To ascertain the effect of a...
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...Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, Josephine Lee and Y.L. Lau Pediatrics 2004;114;e565; originally published online October 18, 2004; DOI: 10.1542/peds.2004-1107 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/114/5/e565.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2004 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Downloaded from pediatrics.aappublications.org at University of Southern Queensland Library on August 5, 2014 Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, MBBS, FRCP(Edin, Lond.), FRCPCH(UK), FHKCPaed; Josephine Lee, RN, MSN; and Y.L. Lau, MD (Hons), FRCP(Edin, Glasg. Lond.) FRCPCH(UK) ABSTRACT. Objective. Health care–associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However...
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...t TO ASSESS THE IMPACT OF PRENATAL CARE AND HEALTH CARE ACCESS ON INFANT DEATH OUTCOMES IN FIVE PUBLIC HEALTH DISTRICTS WITH THE HIGHEST AND LOWEST RATES OF INFANT DEATHS IN GEORGIA INTRODUCTION Infant rate mortality in Georgia is extremely high and is an indicator of the overall poor status of health among women and children in this state. Between 1990 and 2000, it is reported that Georgia was among the states with the highest rate of infant deaths. In 1990 the infant morality rate in Georgia was at 12.4 deaths for each 1,000 live births and decreasing to 8.5 per 1,000 in 1998. The infant death rate among the white population is 6.1 per 1,000 while the African American population was stated at a much greater rate of 13.5 per 1,000, which is over twice as high as infant death rates among the white population in the state of Georgia. (Georgia Department of Human Resources: Infant Mortality Fact Sheet, 2000) PURPOSE OF STUDY The purpose of this study is to investigate Infant mortality in African American women in Georgia for the years 2000-2005 in five public health districts with the highest rates of infant mortality and five public health districts with the lowest infant mortality rates (so we are looking at 10 public health districts total that can be found on the OASIS website) in the state of Georgia). LITERATURE REVIEW It is stated by the Georgia Department of Human Resources in the work entitled: “Infant Mortality: Fact Sheet” that the primary cause...
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...Health Needs Assessment: Practice Population BSc (Hons) Specialist Practitioner Community Nursing Word Count: 3836 Pages:17 Public health is a multifactorial approach to the health of the population and is concerned primarily with the promotion of health (Naidoo and Wills 2000). Wanless (2004) defines it as ‘The science and art of preventing disease, prolonging life and promoting health through the organised efforts and informed choices of society, organisations, public and private, communities and individuals’. Baggott (2004) agrees with the above, but suggests that public health is fundamentally concerned with the activities of the community to improve health, rather than treatment of disease in individuals. As a student practice nurse working in a GP practice in primary care I will often be the public’s first point of contact with the National Health Service (NHS) (Ewles and Simnett 1999). Primary care is increasingly being seen as the key area within the NHS for the implementation of public health strategies (Peckham 2003, p.20). It is important, therefore, that I have an understanding of the wider issues which impact on the health of individuals and the population as a whole, in my area of practice (Jones 2000). Carey (2003, p.221) suggests that it is crucial for practice nurses to deliver care that meets the needs, and addresses the public health issues of the local population. One way to review whether health services are...
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...M.Sc. Program DISTANCE LEARNING ASSIGNMENT Introduction to Occupational Health Q1.( A) Define Health Hazards. Explain the processes that can be hazardous for the health of workers with examples. ANS. Health hazard is the state of events which has the potential to threaten and / or adversely affect health of the exposed employees. Or A danger to health resulting from exposure to environmental pollutants, such as asbestos or ionizing radiation, or to a life-style choice, such as cigarette smoking or chemical abuse. Health hazards may be classified as below 1. Chemical 2. Physical 3. Mechanical 4. Biological 5. Psychosocial Above mentioned hazards as well as all other health hazards are disastrous due to their adverse effects on exposed people like Bodily injury, Disease, Change in the way the body functions, grows, or develops, Effects on a developing fetus (teratogenic effects, fetotoxic effects), Effects on children, grandchildren, etc. (inheritable genetic effects) Decrease in life span, Change in mental condition resulting from stress, traumatic experiences, exposure to solvents. Effects on the ability to accommodate additional stress Following are some processes that can be hazardous for the health of workers 1. Abrasive blasting; abrasive blasting operations can create high levels of dust and noise. Abrasive material and the surface being blasted may contain toxic materials (e.g., lead paint, silica) that are hazardous...
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...FINISHED HERBAL PRODUCTS The World Health Organization (WHO) defines traditional medicine as the sum total of knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures. Traditional medicine is used in the maintenance of health the prevention, diagnosis, improvement or treatment of physical and mental illness, whether explicable or not and is passed on from generation to generation. Herbal Preparations contain plant parts or plant material in the crude or processed state as active ingredients and may contain excipients. (WHO, 1996a; Busse, 1999). Combinations with chemically defined active substances or isolated constituents are not considered herbal preparations (Busse, 2000; GNDP, 2004). According to the European Medicine Evaluation Agency (EMEA), herbal preparations are medicinal products containing exclusively herbal drugs or herbal drug preparations as active substances (WHO, 1996b; Busse, 2000). Several chemical constituents with different pharmacological targets are involved in the therapeutic action of herbal preparations. This may be an advantage compared to single isolated compounds, especially when the underlying disease has a multifactorial etiology which is the case in many chronic illnesses. Herbal preparations may include comminuted or powdered plant material, extracts, tinctures, fatty or essential oils of herbal materials. Herbal preparations are made from different plant parts such as roots, bark, stems, leaves...
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...Makati Medical Center - College of Nursing SY 2011 – 2012 A Case Study Presentation on the Care of a Mother with Preeclampsia Superimposed on Chronic Hypertension In Partial Fulfillment of the Course Requirement of NCM102 – Related Learning Experience Submitted To: Submitted By: Leader: Knight, Catherine P. Members: Iglesias, Pauleen Itliong, Juliane B. Javier, Reniccia Janel Joaquin, Gian Denise M. Kwek, Michael Angelo L. La Sangre, Anne Gabrielle B. Lacerna, Iruel Victor III Leynes, Sofia Antonniette M. Lindawan, Ma. Kristine S. BSN II – B Group 2 December 17, 2011 Table of Contents Chapter I - Introduction A. Description of the Case………................................................................. 4 B. Purpose and Objectives........................................................................... 5 C. Significance and Justification....................
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