Rehab Centers: Homeward Bound or Bound for a Home? Assessing the Capacity of Dementia Patients to Make Decisions About Hospital Discharge: Comparing Practice With Legal Standards.
Homeward bound or bound for a home? Assessing the capacity of dementia patients to make decisions about hospital discharge: Comparing practice with legal standards.
Filed under: Rehab Centers
Int J Law Psychiatry. 2012 Nov 24;
Emmett C, Poole M, Bond J, Hughes JC
BACKGROUND: This article stems from a larger project which considers ways of improving assessments of capacity and judgements about best interests in connection with people with dementia admitted to acute hospitals with respect to decisions about place of residence. AIMS: Our aim is to comment on how assessments of residence capacity are actually performed on general hospital wards compared with legal standards for the assessment of capacity set out in the Mental Capacity Act, 2005 (MCA). METHOD: Our findings are grounded in ethnographic ward-based observations and in-depth interviews conducted in three hospital wards, in two hospitals (acute and rehabilitation), within two NHS healthcare trusts in the North of England over a period of nine months between 2008 and 2009. Twenty-nine patient cases were recruited to the study. We also draw from broader conceptions of capacity found in domestic and international legal, medical, ethical and social science literature. RESULTS: Our findings suggest that whilst professionals profess to be familiar with broad legal standards governing the assessment of capacity under the MCA, these standards are not routinely applied in practice in general hospital settings when assessing capacity to decide place of residence on discharge from hospital. We discuss whether the criteria set out in the MCA and the guidance in its Code of Practice are sufficient when assessing residence capacity, given the particular ambiguities and complexities of this capacity. CONCLUSIONS: We conclude by suggesting that more specific legal standards are required when assessing capacity in this particular context.
HubMed – rehab
[Space Flight/Bedrest Immobilization and Bone. Development a devise to maintain the skeletal muscles in space].
Filed under: Rehab Centers
Clin Calcium. 2012 Dec; 22(12): 1871-8
Shiba N, Matsuse H, Nago T, Masayuki O, Kawaguchi T, Tagawa Y
We have developed a “hybrid training system” (HTS) that is designed to maintain the musculoskeletal system of astronauts by using an electrically stimulated antagonist to resist the volitional contraction of agonist muscles in weightlessness. In other words, electrical stimulation generates a resistive force instead of gravity. HTS will become a useful back-up for the standard training device in the International Space Station, or a useful training device in the small space ship for the exploration of the Moon and Mars.
HubMed – rehab
The Efficacy of Paraffin Bath Therapy in Hand Osteoarthritis: A Single-Blinded Randomized Controlled Trial.
Filed under: Rehab Centers
Arch Phys Med Rehabil. 2012 Nov 24;
Dilek B, Gözüm M, Sahin E, Baydar M, Ergör G, El O, Bircan C, Gülbahar S
OBJECTIVE: To evaluate the efficacy of paraffin bath therapy on pain, function and muscle strength in patients with hand osteoarthritis. DESIGN: Prospective single-blinded randomized controlled trial. SETTING: Department of Physical Medicine and Rehabilitation in a University Hospital. PARTICIPANTS: Fifty-six bilateral hand osteoarthritis patients. INTERVENTIONS: Patients were randomized into two groups with a random number table by using block randomization with four patients in a block. Group I (n=29) had paraffin bath therapy (five times/ week, for three week duration) for both hands. Group II (n=27) was the control group. All patients were informed about joint-protection techniques and paracetamol intake was recorded.
HubMed – rehab
The Relationships of C-Reactive Protein and Obesity to the Prevalence and the Odds of Reporting Low Back Pain.
Filed under: Rehab Centers
Arch Phys Med Rehabil. 2012 Nov 24;
Briggs MS, Givens DL, Schmitt LC, Taylor CA
OBJECTIVE: To assess the odds of reporting low back pain (LBP) as related to systemic inflammation and obesity. It was hypothesized that obesity and systemic inflammation would increase the odds of reporting LBP. DESIGN: Cross-sectional analysis of the 1999-2004 National Health and Nutrition Examination Survey (NHANES). SETTING: National database analysis. PARTICIPANTS: Population-based sample of 15,322 participants in the 1999-2004 NHANES databases. INTERVENTIONS: Not Applicable. MAIN OUTCOME MEASURES: Systemic inflammation was measured by C-reactive protein (CRP) and fibrinogen. Obesity was quantified by body mass index (BMI) and waist circumference (WC). LBP was identified by self-report. Analysis included logistic regression to assess the odds of reporting LBP as related to systemic inflammation and obesity. RESULTS: Participants with elevated CRP (>3.0 mg/dL) had 1.74(CI:1.04-2.91) greater odds of reporting LBP. Those who were obese (> 30 kg/m(2)) with elevated CRP had 2.87(CI: 1.18-6.96) greater odds of reporting LBP than those without elevated CRP. When using WC as the measure of obesity, participants with high WC values had a significantly greater odds of reporting LBP [OR: 2.39 (CI: 1.09-5.21)] CONCLUSION: To our knowledge, this is the first study showing that high levels of CRP may increase the odds of reporting LBP especially in those who are obese. These findings warrant further investigation of the inter-relationships among obesity, systemic inflammation and LBP.
HubMed – rehab
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