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ADHD and Everyday Life: Healthcare as a Significant Lifeline / Britt Laugesen in Journal of Pediatric Nursing, Vol. 35 (July/August 2017)
Titre : ADHD and Everyday Life: Healthcare as a Significant Lifeline Type de document : Article Auteurs : Britt Laugesen ; Marlene Briciet Lauritsen ; Rikke Jorgensen ; [et al.] Année de publication : 2017 Article en page(s) : p. 105-112 Langues : Anglais (eng) Descripteurs : HE Vinci
Parents ; Services de santé ; SoinsMots-clés : Trouble déficitaire de l'attention avec hyperactivité Professionnel de santé Résumé : Aim
The aim of this qualitative study was to explore parental experiences of how healthcare practices and healthcare professionals in hospital clinics in Denmark influence everyday life of parents with a child with ADHD.
Design and Methods
The methodology was focused ethnography. Participant observation and interviews were used as the primary data collection methods. Fifteen families of children with ADHD were included from somatic and psychiatric hospital clinics.
Results
Three main themes emerged from the experiences of the families: When the house of cards collapses in everyday life, Treading water before and after receiving the ADHD diagnosis, and Healthcare as a significant lifeline.
Conclusions
Accessibility to healthcare, trusting relationships and healthcare professionals recognizing how ADHD pervades all aspects of everyday life appear to be important factors in providing a lifeline for parents to help them regain confidence and control in disruptive phases. The parents depend on help from healthcare professionals and family-centred care to manage the complex challenges in everyday life.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81429
in Journal of Pediatric Nursing > Vol. 35 (July/August 2017) . - p. 105-112[article] ADHD and Everyday Life: Healthcare as a Significant Lifeline [Article] / Britt Laugesen ; Marlene Briciet Lauritsen ; Rikke Jorgensen ; [et al.] . - 2017 . - p. 105-112.
Langues : Anglais (eng)
in Journal of Pediatric Nursing > Vol. 35 (July/August 2017) . - p. 105-112
Descripteurs : HE Vinci
Parents ; Services de santé ; SoinsMots-clés : Trouble déficitaire de l'attention avec hyperactivité Professionnel de santé Résumé : Aim
The aim of this qualitative study was to explore parental experiences of how healthcare practices and healthcare professionals in hospital clinics in Denmark influence everyday life of parents with a child with ADHD.
Design and Methods
The methodology was focused ethnography. Participant observation and interviews were used as the primary data collection methods. Fifteen families of children with ADHD were included from somatic and psychiatric hospital clinics.
Results
Three main themes emerged from the experiences of the families: When the house of cards collapses in everyday life, Treading water before and after receiving the ADHD diagnosis, and Healthcare as a significant lifeline.
Conclusions
Accessibility to healthcare, trusting relationships and healthcare professionals recognizing how ADHD pervades all aspects of everyday life appear to be important factors in providing a lifeline for parents to help them regain confidence and control in disruptive phases. The parents depend on help from healthcare professionals and family-centred care to manage the complex challenges in everyday life.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81429 Exemplaires (1)
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Titre : Assessment of Rehabilitation Infrastructure in Peru Type de document : Article Auteurs : Amy K. Fuhs ; Lacey N. LaGrone ; Miguel G. Moscoso Porras Article en page(s) : p. 1116-1123 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergotherapie ; Médecine physique et de réadaptation ; Organisation mondiale de la sante ; Pérou ; Personnel de santé ; Rééducation et réadaptation ; Services de santéMots-clés : Health information systems Systèmes d'information sur la santé Health personnel Health services Interdisciplinary communication Communication interdisciplinaire Occupational therapy Peru Physical and rehabilitation medicine Physical therapists Kinésithérapeutes Rehabilitation nursing Soins infirmiers en rééducation-réadaptation Speech-language pathology Pathologie de la parole et du langage (spécialité) World Health Organization Résumé : Objective
To assess rehabilitation infrastructure in Peru in terms of the World Health Organization (WHO) health systems building blocks.
Design
Anonymous quantitative survey; questions were based on the WHO's Guidelines for Essential Trauma Care and rehabilitation professionals' input.
Setting
Large public hospitals and referral centers and an online survey platform.
Participants
Convenience sample of hospital personnel working in rehabilitation and neurology (N=239), recruited through existing contacts and professional societies.
Interventions
Not applicable.
Main Outcome Measures
Outcome measures were for 4 WHO domains: health workforce, health service delivery, essential medical products and technologies, and health information systems.
Results
Regarding the domain of health workforce, 47% of physical therapists, 50% of occupational therapists, and 22% of physiatrists never see inpatients. Few reported rehabilitative nurses (15%) or prosthetist/orthotists (14%) at their hospitals. Even at the largest hospitals, most reported ≤3 occupational therapists (54%) and speech-language pathologists (70%). At hospitals without speech-language pathologists, physical therapists (49%) or nobody (34%) perform speech-language pathology roles. At hospitals without occupational therapists, physical therapists most commonly (59%) perform occupational therapy tasks. Alternate prosthetist/orthotist task performers are occupational therapists (26%), physical therapists (19%), and physicians (16%). Forty-four percent reported interdisciplinary collaboration. Regarding the domain of health services, the most frequent inpatient and outpatient rehabilitation barriers were referral delays (50%) and distance/transportation (39%), respectively. Regarding the domain of health information systems, 28% reported rehabilitation service data collection. Regarding the domain of essential medical products and technologies, electrophysical agents (88%), gyms (81%), and electromyography (76%) were most common; thickened liquids (19%), swallow studies (24%), and cognitive training tools (28%) were least frequent.
Conclusions
Rehabilitation emphasis is on outpatient services, and there are comparatively adequate numbers of physical therapists and physiatrists relative to rehabilitation personnel. Financial barriers seem low for accessing existing services. There appear to be shortages of inpatient rehabilitation, specialized services, and interdisciplinary collaboration. These may be addressed by redistributing personnel and investing in education and equipment for specialized services. Further examination of task sharing's role in Peru's rehabilitation services is necessary to evaluate its potential to address deficiencies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118828
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 6 (2018) . - p. 1116-1123[article] Assessment of Rehabilitation Infrastructure in Peru [Article] / Amy K. Fuhs ; Lacey N. LaGrone ; Miguel G. Moscoso Porras . - p. 1116-1123.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 6 (2018) . - p. 1116-1123
Descripteurs : HE Vinci
Ergotherapie ; Médecine physique et de réadaptation ; Organisation mondiale de la sante ; Pérou ; Personnel de santé ; Rééducation et réadaptation ; Services de santéMots-clés : Health information systems Systèmes d'information sur la santé Health personnel Health services Interdisciplinary communication Communication interdisciplinaire Occupational therapy Peru Physical and rehabilitation medicine Physical therapists Kinésithérapeutes Rehabilitation nursing Soins infirmiers en rééducation-réadaptation Speech-language pathology Pathologie de la parole et du langage (spécialité) World Health Organization Résumé : Objective
To assess rehabilitation infrastructure in Peru in terms of the World Health Organization (WHO) health systems building blocks.
Design
Anonymous quantitative survey; questions were based on the WHO's Guidelines for Essential Trauma Care and rehabilitation professionals' input.
Setting
Large public hospitals and referral centers and an online survey platform.
Participants
Convenience sample of hospital personnel working in rehabilitation and neurology (N=239), recruited through existing contacts and professional societies.
Interventions
Not applicable.
Main Outcome Measures
Outcome measures were for 4 WHO domains: health workforce, health service delivery, essential medical products and technologies, and health information systems.
Results
Regarding the domain of health workforce, 47% of physical therapists, 50% of occupational therapists, and 22% of physiatrists never see inpatients. Few reported rehabilitative nurses (15%) or prosthetist/orthotists (14%) at their hospitals. Even at the largest hospitals, most reported ≤3 occupational therapists (54%) and speech-language pathologists (70%). At hospitals without speech-language pathologists, physical therapists (49%) or nobody (34%) perform speech-language pathology roles. At hospitals without occupational therapists, physical therapists most commonly (59%) perform occupational therapy tasks. Alternate prosthetist/orthotist task performers are occupational therapists (26%), physical therapists (19%), and physicians (16%). Forty-four percent reported interdisciplinary collaboration. Regarding the domain of health services, the most frequent inpatient and outpatient rehabilitation barriers were referral delays (50%) and distance/transportation (39%), respectively. Regarding the domain of health information systems, 28% reported rehabilitation service data collection. Regarding the domain of essential medical products and technologies, electrophysical agents (88%), gyms (81%), and electromyography (76%) were most common; thickened liquids (19%), swallow studies (24%), and cognitive training tools (28%) were least frequent.
Conclusions
Rehabilitation emphasis is on outpatient services, and there are comparatively adequate numbers of physical therapists and physiatrists relative to rehabilitation personnel. Financial barriers seem low for accessing existing services. There appear to be shortages of inpatient rehabilitation, specialized services, and interdisciplinary collaboration. These may be addressed by redistributing personnel and investing in education and equipment for specialized services. Further examination of task sharing's role in Peru's rehabilitation services is necessary to evaluate its potential to address deficiencies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118828
Titre : Brazilian Maternal Weight Perception and Satisfaction With Toddler Body Size : A Study in Primary Health Care Type de document : Article Auteurs : Luciane Simoes Duarte ; Elizabeth Fujimori ; Aurea Tamami Minagawa Toriyama ; [et al.] Année de publication : 2016 Article en page(s) : p. 490-497 Langues : Anglais (eng) Descripteurs : HE Vinci
Brésil ; Enfant ; Image du corps ; Obésité ; Pédiatrie ; Perception ; Poids du corps ; Services de santéRésumé : Maternal perception and satisfaction with child's weight status are important to detect early and to successfully treat the extremes in weight, especially during early childhood, when the child is more dependent on maternal care.
Objectives
To assess the inaccuracy of maternal perception of toddler body size and its associated factors and to analyze maternal dissatisfaction with toddler body size.
Methods
Cross-sectional study with 135 mother–toddler dyads attending Primary Health Care Facilities, São Paulo, Brazil. Children's actual weight status was classified using body mass index-for-age. Inaccuracy and dissatisfaction were assessed using an image scale. We used logistic regression to identify the factors associated with inaccuracy of maternal perception of toddler body size.
Results
Inaccuracy in maternal perception was observed in 34.8% of participants. Mothers of excessive weight children were more likely to have inaccurate perceptions (OR = 4.6; 95% CI 2.0–10.7), and mothers of children who attended well-child care were less likely to have inaccurate perceptions (OR = 0.3, 95% CI 0.1–0.9). More than half of mothers (52.6%) were dissatisfied with their toddler's size and desired a larger child (75.0% of mothers of underweight children, 25.0% of mothers whose children were at risk for overweight and 23.0% of mothers of overweight children).
Conclusion
The majority of mothers were inaccurate in their perception and was dissatisfied with their toddler's body size. Maternal inaccuracy and dissatisfaction differed by the weight status of the toddler. Attendance at well-child visits was an effective way to decrease maternal inaccuracy, which reinforces the importance of the influence of health professionals.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80363
in Journal of Pediatric Nursing > Vol. 31, n°5 (September/October 2016) . - p. 490-497[article] Brazilian Maternal Weight Perception and Satisfaction With Toddler Body Size : A Study in Primary Health Care [Article] / Luciane Simoes Duarte ; Elizabeth Fujimori ; Aurea Tamami Minagawa Toriyama ; [et al.] . - 2016 . - p. 490-497.
Langues : Anglais (eng)
in Journal of Pediatric Nursing > Vol. 31, n°5 (September/October 2016) . - p. 490-497
Descripteurs : HE Vinci
Brésil ; Enfant ; Image du corps ; Obésité ; Pédiatrie ; Perception ; Poids du corps ; Services de santéRésumé : Maternal perception and satisfaction with child's weight status are important to detect early and to successfully treat the extremes in weight, especially during early childhood, when the child is more dependent on maternal care.
Objectives
To assess the inaccuracy of maternal perception of toddler body size and its associated factors and to analyze maternal dissatisfaction with toddler body size.
Methods
Cross-sectional study with 135 mother–toddler dyads attending Primary Health Care Facilities, São Paulo, Brazil. Children's actual weight status was classified using body mass index-for-age. Inaccuracy and dissatisfaction were assessed using an image scale. We used logistic regression to identify the factors associated with inaccuracy of maternal perception of toddler body size.
Results
Inaccuracy in maternal perception was observed in 34.8% of participants. Mothers of excessive weight children were more likely to have inaccurate perceptions (OR = 4.6; 95% CI 2.0–10.7), and mothers of children who attended well-child care were less likely to have inaccurate perceptions (OR = 0.3, 95% CI 0.1–0.9). More than half of mothers (52.6%) were dissatisfied with their toddler's size and desired a larger child (75.0% of mothers of underweight children, 25.0% of mothers whose children were at risk for overweight and 23.0% of mothers of overweight children).
Conclusion
The majority of mothers were inaccurate in their perception and was dissatisfied with their toddler's body size. Maternal inaccuracy and dissatisfaction differed by the weight status of the toddler. Attendance at well-child visits was an effective way to decrease maternal inaccuracy, which reinforces the importance of the influence of health professionals.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80363 Exemplaires (1)
Cote Support Localisation Section Disponibilité REV Périodique papier Woluwe (Promenade de l'Alma) périodiques Exclu du prêt
Titre : Clinical Utility of Multisensory Environments for People With Intellectual and Developmental Disabilities: A Scoping Review Type de document : Article Auteurs : Laura Breslin ; Nichole Guerra ; Lori Ganz ; David Ervin Année de publication : 2020 Article en page(s) : p. 1-12 Note générale : doi:10.5014/ajot.2020.037267 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Déficience intellectuelle ; Incapacités de développement ; Services de santé ; Stimulation sensorielleRésumé : Importance: Adults with intellectual and developmental disabilities (IDD) are twice as likely as their peers without disabilities to have had a physical exam in the past year; however, as a result of challenging behavior during office visits, they are significantly less likely to have received recommended health screenings. Challenging behaviors in clinical settings have been identified as a barrier to providing adequate care for this population.
Objective: This scoping review examined the within-session effects of multisensory environments (MSEs) on people with IDD to determine the clinical utility of MSEs for this population.
Data Sources: Studies published between January 1, 2000, and August 1, 2018, were identified using Summon and Google Scholar.
Study Selection: Studies were included in the review if they systematically collected and reported data on within-session effects of an MSE intervention on people with IDD.
Findings: Thirteen studies met criteria for this review: 4 with Level I evidence, 2 with Level II evidence, 3 with Level III evidence, and 4 with Level IV evidence. Studies examined the effects of MSEs on maladaptive behaviors, positive behaviors, distress and discomfort, activity and alertness states, and cost of care for people with IDD.
Conclusion and Relevance: Preliminary support was found for the use of MSEs in clinical settings to reduce anxiety and challenging behaviors in patients with IDD during clinical care. Further research is needed to determine the efficacy of MSEs for producing the effects described in this review.Accès depuis la HE : http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141709569&site=ehost-live Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254381
in American journal of occupational therapy > Vol. 74, n° 1 (January/February 2020) . - p. 1-12[article] Clinical Utility of Multisensory Environments for People With Intellectual and Developmental Disabilities: A Scoping Review [Article] / Laura Breslin ; Nichole Guerra ; Lori Ganz ; David Ervin . - 2020 . - p. 1-12.
doi:10.5014/ajot.2020.037267
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 74, n° 1 (January/February 2020) . - p. 1-12
Descripteurs : HE Vinci
Accessibilité des services de santé ; Déficience intellectuelle ; Incapacités de développement ; Services de santé ; Stimulation sensorielleRésumé : Importance: Adults with intellectual and developmental disabilities (IDD) are twice as likely as their peers without disabilities to have had a physical exam in the past year; however, as a result of challenging behavior during office visits, they are significantly less likely to have received recommended health screenings. Challenging behaviors in clinical settings have been identified as a barrier to providing adequate care for this population.
Objective: This scoping review examined the within-session effects of multisensory environments (MSEs) on people with IDD to determine the clinical utility of MSEs for this population.
Data Sources: Studies published between January 1, 2000, and August 1, 2018, were identified using Summon and Google Scholar.
Study Selection: Studies were included in the review if they systematically collected and reported data on within-session effects of an MSE intervention on people with IDD.
Findings: Thirteen studies met criteria for this review: 4 with Level I evidence, 2 with Level II evidence, 3 with Level III evidence, and 4 with Level IV evidence. Studies examined the effects of MSEs on maladaptive behaviors, positive behaviors, distress and discomfort, activity and alertness states, and cost of care for people with IDD.
Conclusion and Relevance: Preliminary support was found for the use of MSEs in clinical settings to reduce anxiety and challenging behaviors in patients with IDD during clinical care. Further research is needed to determine the efficacy of MSEs for producing the effects described in this review.Accès depuis la HE : http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141709569&site=ehost-live Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254381
Titre : Determinants of Admission to Inpatient Rehabilitation Among Acute Care Survivors of Hypoxic-Ischemic Brain Injury: A Prospective Population-Wide Cohort Study Type de document : Article Auteurs : David Stock ; Cassandra Cowie ; Vincy Chan Article en page(s) : pp. 885–891 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Services de santéMots-clés : Health services Hypoxia-ischemia brain Hypoxie-ischémie du cerveau Résumé : Objective
To investigate demographic and acute care clinical determinants of admission to inpatient rehabilitation (IR) among patients with hypoxic-ischemic brain injury (HIBI) who survive the initial acute care episode.
Design
Population-wide prospective cohort study using Canadian Institutes for Health Information administrative health data from Ontario, Canada. All patients who survived their HIBI acute care episode during the study period remained eligible for the outcome, admission to IR, for 1 year postacute care discharge.
Setting
Inpatient rehabilitation.
Participants
We included all patients with HIBI using International Classification of Diseases, Tenth Revision, Canadian Enhancement codes recorded at acute care admission who were ≥20 years old (N=599) and discharged from acute care between the 2002 and 2010 fiscal years, inclusive. Six patients were excluded from analyses because of missing data.
Interventions
Not applicable.
Main Outcome Measure
Admission to IR.
Results
Of HIBI survivors admitted to IR within 1 year of acute care discharge (n=169), most (56.2%) had an IR admitting diagnosis indicating anoxic brain damage. Younger age, being a man, lower comorbidity burden, longer length of stay of preceding acute care episode, and shorter duration in special care were most predictive of admission to IR in multivariable regression models. Women had an almost 2-fold lower incidence of admission to IR (risk ratio, .62; 95% confidence interval, .46–.84).
Conclusions
Older age, higher comorbidity burden, and shorter lengths of stay and delayed discharge from acute care are associated with lower incidence of IR admission for patients with HIBI. That women are almost 2-fold less likely to receive rehabilitation requires further investigation.Accès depuis la HE : https://www.sciencedirect.com/science/article/pii/S0003999316000423 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118027
in Archives of Physical Medicine and Rehabilitation > 2016/6 (2016) . - pp. 885–891[article] Determinants of Admission to Inpatient Rehabilitation Among Acute Care Survivors of Hypoxic-Ischemic Brain Injury: A Prospective Population-Wide Cohort Study [Article] / David Stock ; Cassandra Cowie ; Vincy Chan . - pp. 885–891.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2016/6 (2016) . - pp. 885–891
Descripteurs : HE Vinci
Rééducation et réadaptation ; Services de santéMots-clés : Health services Hypoxia-ischemia brain Hypoxie-ischémie du cerveau Résumé : Objective
To investigate demographic and acute care clinical determinants of admission to inpatient rehabilitation (IR) among patients with hypoxic-ischemic brain injury (HIBI) who survive the initial acute care episode.
Design
Population-wide prospective cohort study using Canadian Institutes for Health Information administrative health data from Ontario, Canada. All patients who survived their HIBI acute care episode during the study period remained eligible for the outcome, admission to IR, for 1 year postacute care discharge.
Setting
Inpatient rehabilitation.
Participants
We included all patients with HIBI using International Classification of Diseases, Tenth Revision, Canadian Enhancement codes recorded at acute care admission who were ≥20 years old (N=599) and discharged from acute care between the 2002 and 2010 fiscal years, inclusive. Six patients were excluded from analyses because of missing data.
Interventions
Not applicable.
Main Outcome Measure
Admission to IR.
Results
Of HIBI survivors admitted to IR within 1 year of acute care discharge (n=169), most (56.2%) had an IR admitting diagnosis indicating anoxic brain damage. Younger age, being a man, lower comorbidity burden, longer length of stay of preceding acute care episode, and shorter duration in special care were most predictive of admission to IR in multivariable regression models. Women had an almost 2-fold lower incidence of admission to IR (risk ratio, .62; 95% confidence interval, .46–.84).
Conclusions
Older age, higher comorbidity burden, and shorter lengths of stay and delayed discharge from acute care are associated with lower incidence of IR admission for patients with HIBI. That women are almost 2-fold less likely to receive rehabilitation requires further investigation.Accès depuis la HE : https://www.sciencedirect.com/science/article/pii/S0003999316000423 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118027 PermalinkPermalinkÉthique de l'encadrement de proximité dans le secteur de la santé (2019)
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