{"title":"Pain relief in the rheumatic and other disorders.","authors":"F D Hart","doi":"10.3109/03790798509166128","DOIUrl":"https://doi.org/10.3109/03790798509166128","url":null,"abstract":"<p><p>When severe pain is present, so usually is fear. Whether the pain results from a traffic accident, a sports injury, an arthritic exacerbation or a coronary thrombosis, an explanation of what is going on carries considerable reassurance, for uncertainty and fear of the unknown aggravates and increases the pain. I remember well a frightened lady being admitted with acute dorsal backache, the pain of which was not controlled by 6-hourly injections of morphine. She feared she had metastatic malignant disease in the spine, which indeed she did have, but in a calm and reassuring atmosphere and with excellent nursing staff she was maintained only on mild sedation and simple analgesics. For some patients the knowledge that injections are given for serious conditions adds to their anxiety. The pain of metastatic malignant disease is often helped considerably by NSAIDs or simple analgesics. Almost all pains have several components and therefore different therapeutic approaches.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 2","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14990693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What would physiotherapists in geriatric medicine do if they had more staff?","authors":"K Andrews","doi":"10.3109/03790798509166127","DOIUrl":"https://doi.org/10.3109/03790798509166127","url":null,"abstract":"<p><p>Forty-one per cent of UK physiotherapy departments responding to a questionnaire felt that they had sufficient staff, and these had more physiotherapists per elderly population than those who felt that they had insufficient staff. At present 77% of therapist time is spent in direct patient contact. There were areas where it appeared that an excessive amount of time was being spent in administration etc. Therapists felt that, with more staff, there would be an increase in the intensity of treatment, group therapy, work with long-stay patients and more pre-discharge home visits. Very few units would carry out research even if more time was available.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 2","pages":"85-6"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15143117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outcome of comprehensive medical rehabilitation: an analysis based upon the impairment, disability, and handicap model.","authors":"C V Granger","doi":"10.3109/03790798509166114","DOIUrl":"https://doi.org/10.3109/03790798509166114","url":null,"abstract":"<p><p>The World Health Organization model of disablement was applied to patients 2 years after admission to rehabilitation centres. Various established measures were also applied. This study confirmed the usefulness of the concept of impairment, disability and handicap, as well as the applicability of the scoring methods in predicting rehabilitation outcome.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 2","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14291897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Geriatric rehabilitation in day hospitals.","authors":"M Hildick-Smith","doi":"10.3109/03790798509166138","DOIUrl":"https://doi.org/10.3109/03790798509166138","url":null,"abstract":"<p><p>The main objective of geriatric day hospitals, that of physical rehabilitation of elderly patients mainly with strokes and arthritis, is matched by their facilities and their medical, nursing and therapy staffing. Patients attend by ambulance on 1 or 2 days a week for about 3 months for assessment and treatment, while continuing to live at home. Day hospitals are a popular and effective resource for the rehabilitation of selected patients, though not necessarily cheaper than institutional care. Problems remain in the separation of social care and psychogeriatric patients and in ambulance transport.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 3","pages":"120-4"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14069673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation in geriatric orthopaedics.","authors":"R E Irvine","doi":"10.3109/03790798509166137","DOIUrl":"https://doi.org/10.3109/03790798509166137","url":null,"abstract":"<p><p>The paper reviews the advantages to be gained from a joint approach to fractured neck of femur by departments of orthopaedic surgery and geriatric medicine.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 3","pages":"115-20"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15178179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Glasgow Assessment Schedule: clinical and research assessment of head injury outcome.","authors":"M G Livingston, H M Livingston","doi":"10.3109/03790798509165983","DOIUrl":"https://doi.org/10.3109/03790798509165983","url":null,"abstract":"<p><p>A new rating instrument, the Glasgow Assessment Schedule (GAS), is described for the evaluation of head injury outcome. The instrument, which has been used in samples of head-injured men, provides for a comprehensive assessment, and can distinguish mildly and severely injured patients and rate change over time. Inter-rater reliability and concurrent validity with a global rating scale has been found to be satisfactory. It is expected that the GAS will mainly be of use in clinical and research settings in which longer-term management is envisaged.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 4","pages":"145-9"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509165983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15204947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A developmental approach to sensory disabilities in early childhood.","authors":"P M Sonksen","doi":"10.3109/03790798509165976","DOIUrl":"https://doi.org/10.3109/03790798509165976","url":null,"abstract":"<p><p>Rehabilitation for young children with hearing and visual disabilities is considered from a developmental angle. The effect of these sensory disabilities on parents; the constraints on development imposed by each disability; and medical and surgical treatment and the use of aids in young children are discussed.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 1","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509165976","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15100755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drugs in the management of malignant disease.","authors":"E Gilby","doi":"10.3109/03790798509165980","DOIUrl":"https://doi.org/10.3109/03790798509165980","url":null,"abstract":"","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 1","pages":"41-2"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509165980","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15100756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An evaluation of perceptual retraining.","authors":"N B Lincoln, S E Whiting, J Cockburn, G Bhavnani","doi":"10.3109/03790798509166132","DOIUrl":"https://doi.org/10.3109/03790798509166132","url":null,"abstract":"<p><p>A group of head injury and stroke patients with impairment of visual perception were randomly allocated to receive either perceptual retraining or conventional occupational therapy. No significant differences were found between the groups, either before or after 4 weeks of treatment, on measures of visual perception or on activities of daily living scale.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 3","pages":"99-101"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15178185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social activities after stroke: measurement and natural history using the Frenchay Activities Index.","authors":"D T Wade, J Legh-Smith, R Langton Hewer","doi":"10.3109/03790798509165991","DOIUrl":"https://doi.org/10.3109/03790798509165991","url":null,"abstract":"<p><p>A method of assessing general (i.e. other than personal care) activities of stroke patients is described: the Frenchay Activities Index (FAI), a scale comprising 15 individual activities summed to give an overall score from 0 (low) to 45 (high). Data from 976 patients with acute stroke were analysed to establish the validity and reliability of the index, and to give information on the level of activities seen before stroke, at 6 months and 1 year post-stroke. Factors related to a lower overall score included loss of functional (ADL) ability, more depression, a lower IQ and, at 1 year, being female.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 4","pages":"176-81"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509165991","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15203886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}