Physiotherapy Canada最新文献_第3页

Factors Influencing Physical Therapists’ Rehabilitation Prescription in the ICU: Semi-structured Interviews with Qualitative Analysis 影响物理治疗师在重症监护病房开具康复处方的因素：半结构式访谈与定性分析

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-12-19 DOI: 10.3138/ptc-2023-0017

Stephanie L. Hiser, Bhavna Seth, M. Hosey, Dale M. Needham, M. Eakin

{"title":"Factors Influencing Physical Therapists’ Rehabilitation Prescription in the ICU: Semi-structured Interviews with Qualitative Analysis","authors":"Stephanie L. Hiser, Bhavna Seth, M. Hosey, Dale M. Needham, M. Eakin","doi":"10.3138/ptc-2023-0017","DOIUrl":"https://doi.org/10.3138/ptc-2023-0017","url":null,"abstract":"Despite a plethora of studies on early rehabilitation, specific guidelines for rehabilitation prescription parameters are lacking. The objective of this study was to evaluate how physical therapists determine rehabilitation parameters such as initiation, frequency, intensity, duration, and type of interventions for patients in the ICU. Semi-structured interviews were conducted between April and August of 2021 using video conferencing software following a written interview guide. Purposive sampling was used among interested physical therapists to select those who work across a variety of ICU types with a range of years of ICU experience. We used thematic analysis to identify emerging themes using an inductive approach. We interviewed 30 physical therapists in the USA with 14 (47%) and 16 (53%) having ≤5 years and >5 years of ICU clinical experience, respectively. Nine factors were identified as impacting all rehabilitation prescription parameters (e.g., medical appropriateness, diagnosis/prognosis, and alertness/sedation). For decisions about each parameter there were a set of factors identified: five for initiation (e.g., indication for physical therapy; ventilator settings/oxygen), four for frequency (e.g., baseline function; prior therapy session), three for intensity (e.g., patient appearance and subjective response), nine for duration (e.g., session preparation; quality of performance), and eight for type of intervention (e.g., progressive mobility; patient goals). Interviews examining rehabilitation parameters, revealed that physical therapists consider each of these simultaneously when making decisions about rehabilitation prescription. Furthermore, physical therapists appear to modify to the intervention not only based on patient progress, but by other external factors related to working in an ICU environment (e.g., equipment availability, interruptions for other medical procedures).","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" 6","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138960667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Entry-to-Practice Business and Practice Management Competencies: A Qualitative Systematic Review to Inform Canadian Physiotherapy Curricula 入门业务和实践管理能力：为加拿大物理治疗课程提供信息的定性系统回顾

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-12-12 DOI: 10.3138/ptc-2022-0051

Corey Coward, Josh Hunter, Sandra M. Halliday, Brendy Jeffers, Diana Hopkins-Rosseel

{"title":"Entry-to-Practice Business and Practice Management Competencies: A Qualitative Systematic Review to Inform Canadian Physiotherapy Curricula","authors":"Corey Coward, Josh Hunter, Sandra M. Halliday, Brendy Jeffers, Diana Hopkins-Rosseel","doi":"10.3138/ptc-2022-0051","DOIUrl":"https://doi.org/10.3138/ptc-2022-0051","url":null,"abstract":"There is increasing demand for business skills among healthcare professionals. The aim of this qualitative systematic review was to identify and summarize existing business and practice management (BPM) competencies for rehabilitation university graduates with the intention to inform curricula. The key electronic databases searched include ABI/INFORM Global, CINAHL, Education Source, Embase, and Medline. The initial search was performed in December 2018 and updated June 2021 with the following inclusion criteria: articles addressing BMP competencies in university-level rehabilitation programs in developed countries. To ensure professional position statements and standards documents were captured, this grey literature was also included. Resources were extracted using EndNote and two reviewers independently screened and appraised the resources using the AACODS Checklist. Nine resources met the inclusion criteria and were incorporated in the qualitative synthesis. Quality-assessment scores ranged from 4 to 6 out of 6 on the AACODS Checklist. Several practice management competencies were consistent across multiple rehabilitation professions. However, business competencies were inconsistent with “marketing” and the “ability to develop a business plan” arising sporadically across Occupational Therapy and Physiotherapy competency profiles, as well as individual audiology courses. There is insufficient evidence to suggest that a consensus exists for BPM competencies for rehabilitation university graduates in Canada. The aggregate list of 64 competencies compiled can be used to inform further research.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Income on Physical Concerns, Help Seeking, and Unmet Needs of Adult Cancer Survivors. 收入对成年癌症幸存者身体问题、寻求帮助和未满足需求的影响。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0084

Irene Nicoli, Gina Lockwood, Lauren Fitch, Christopher J Longo, Margaret I Fitch

{"title":"Impact of Income on Physical Concerns, Help Seeking, and Unmet Needs of Adult Cancer Survivors.","authors":"Irene Nicoli, Gina Lockwood, Lauren Fitch, Christopher J Longo, Margaret I Fitch","doi":"10.3138/ptc-2021-0084","DOIUrl":"10.3138/ptc-2021-0084","url":null,"abstract":"Purpose: Cancer treatment can have consequences for individuals which may have profound impact on daily living. Accessing assistance can be problematic. This study explores associations between income and concerns, help-seeking, and unmet needs related to physical changes following cancer treatment.Method: A national survey was conducted with cancer survivors about experiences with follow-up care one to three years after treatment. We report a trend analysis describing associations between income and cancer survivors' concerns, help-seeking, and unmet needs related to physical changes after treatment.Results: In total 5,283 cancer survivors between 18 and 64 years responded, of which 4,264 (80.7%) indicated annual household income. The majority of respondents were survivors of breast (34.4%), colorectal (15.0%), and prostate (14.0%) cancers. Over 90% wrote about experiencing physical changes following cancer treatment. Survivors with low annual household incomes of less than $25,000 (CAN) reported the highest levels of concern about multiple physical changes and were more likely to seek help to address them.Conclusions: Cancer survivors can experience various physical challenges and unmet needs following cancer treatment and difficulty obtaining relevant help across all income levels. Those with low income are more severely affected. Financial assessment and tailored follow-up are recommended.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"339-347"},"PeriodicalIF":1.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Clinician's Commentary on Madara et al.¹. 临床医师对Madara等人的评论。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2020-0141-cc

Monica R Maly

引用次数: 0

Clinician's Commentary on Nakamura et al.¹. 临床医师对Nakamura等人的评论。

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0090-cc

Greg Alcock

引用次数: 0

Clinician Commentary on Brunne et al.¹. Brunne等人的临床评论。

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0097-cc

Erin Miller

引用次数: 0

Clinician's Commentary on Nicoll et al.¹. 临床医师对Nicoll等人的评论。

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0084-cc

Holly Edward, Jenna Smith-Turchyn

引用次数: 0

Clinician's Commentary on Strike et al. 临床医生对Strike等人的评论。

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0079-cc

Vitor Hugo Azevedo, Ana Oliveira

引用次数: 0

What Does Cochrane Say About Rehabilitation for Cancer? 关于癌症康复，科克伦说了些什么?

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-75.4-cochrane

引用次数: 0

A Non-Pharmacological Cough Therapy for People with Interstitial Lung Diseases: A Case Report. 肺间质性疾病的非药物咳嗽治疗一例报告。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0081

Sabrina Dasouki, Shirley Quach, Renata Mancopes, Sarah Chamberlain Mitchell, Roger Goldstein, Dina Brooks, Ana Oliveira

{"title":"A Non-Pharmacological Cough Therapy for People with Interstitial Lung Diseases: A Case Report.","authors":"Sabrina Dasouki, Shirley Quach, Renata Mancopes, Sarah Chamberlain Mitchell, Roger Goldstein, Dina Brooks, Ana Oliveira","doi":"10.3138/ptc-2021-0081","DOIUrl":"10.3138/ptc-2021-0081","url":null,"abstract":"Purpose: To explore the feasibility of a non-pharmacological cough control therapy (CCT) customized for a client with interstitial lung disease (ILD).Client description: An 83-year-old female with hypersensitivity pneumonitis, and chronic cough for 18 years treated previously with pharmacological treatment for the underlying lung disease and gastroesophageal reflux disease, as well as lozenges and breathing and relaxation strategies.Intervention: Four cough education and self-management sessions (45-60 minutes each) facilitated by a physiotherapist and speech-language pathologist via videoconference were conducted. Session topics included mechanisms of cough in ILD, breathing and larynx role in cough control, trigger identification, cough suppression and control strategies, and psychosocial support towards behaviour change using motivational interviewing.Measures and outcome: The following assessments were conducted prior to and one week after the intervention: semi-structured interviews, Leicester Cough Questionnaire, King's Brief Interstitial Lung Disease questionnaire, Functional Assessment of Chronic Illness Therapy Fatigue Scale, modified Borg Scale for severity and intensity of cough, and the Global Rating of Change Questionnaire.Implications: Implementing the CCT was feasible. The client reported increased perceived cough control, a reduction in exhaustion from coughing bouts, and a better understanding of the mechanisms behind cough management and suppression. Improvements were also observed in cough-related quality of life, severity, and intensity.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"389-394"},"PeriodicalIF":1.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1