Sustaining physical activity following cardiac rehabilitation discharge
Sustaining physical activity following cardiac rehabilitation discharge

Author: Kelly R. Evenson

Publisher: RTI Press

Published: 2021-01-31

Total Pages: 18

ISBN-13:

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Because many patients reduce exercise following outpatient cardiac rehabilitation (CR), we developed an intervention to assist with the transition and evaluated its feasibility and preliminary efficacy using a one-group pretest–posttest design. Five CR patients were enrolled ~1 month prior to CR discharge and provided an activity tracker. Each week during CR they received a summary of their physical activity and steps. Following CR discharge, participants received an individualized report that included their physical activity and step history, information on specific features of the activity tracker, and encouraging messages from former CR patients for each of the next 6 weeks. Mixed model trajectory analyses were used to test the intervention effect separately for active minutes and steps modeling three study phases: pre-intervention (day activity tracking began to CR discharge), intervention (day following CR discharge to day when final report sent), and maintenance (day following the final report to ~1 month later). Activity tracking was successfully deployed and, with weekly reports following CR, may offset the usual decline in physical activity. When weekly reports ceased, a decline in steps/day occurred. A scaled-up intervention with a more rigorous study design with sufficient sample size can evaluate this approach further.

Interdisciplinary Nutritional Management and Care for Older Adults
Interdisciplinary Nutritional Management and Care for Older Adults

Author: Ólöf G. Geirsdóttir

Publisher: Springer Nature

Published: 2021

Total Pages: 274

ISBN-13: 3030638928

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Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.

Physical Activity and Rehabilitation in Life-threatening Illness
Physical Activity and Rehabilitation in Life-threatening Illness

Author: Amy J. Litterini

Publisher: Routledge

Published: 2021-05-04

Total Pages: 384

ISBN-13: 1000356892

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This book is a comprehensive summary of the recommendations for best practice, and current evidence, for physical activity and rehabilitation of functional deficits in individuals with end-stage diseases. While advances in technology have afforded us the opportunity to live longer lives, it has also demanded an expansion of focus of medical interventions towards palliative care to enhance the quality of life. Exercise and healthcare professionals must strive to broaden their perspectives to provide for the unique needs of these individuals, and to successfully engage with them, to achieve the most positive outcomes throughout the entire continuum of care. Healthcare providers play a critical role in advocating for care to allow individuals to remain physically active for as long as possible, even in the face of declining health. Finally, due to the increasing and progressively emergent healthcare utilization required by these individuals, a significant cost burden is experienced by healthcare systems, patients, families, and payers. There is evidence of substantial protective effects of physical activity, prevention, safety, and rehabilitative procedures to reduce hospital readmissions, reduce length of stay, and assist in avoiding unwarranted or unnecessary diagnostic tests or procedures. Physical activity has been proven to have a substantial impact and protective effects on virtually all medical conditions. During curative management, but especially during transitional phases to palliative care, other strategies need enhanced consideration to complement the existing plan of care and help to improve patient’s quality of life. Ideally, physical medicine would be at the forefront of allowing individuals to live their best life until the very end. Physical Activity and Rehabilitation in Life-threatening Illness is key reading for academics and policy makers in physical activity, international exercise, wellness and rehabilitation, and related disciplines, as well as research-focused clinicians in settings where patients with advanced illness are frequently encountered.

Rehabilitation Medicine for Elderly Patients
Rehabilitation Medicine for Elderly Patients

Author: Stefano Masiero

Publisher: Springer

Published: 2017-09-04

Total Pages: 533

ISBN-13: 331957406X

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This book clearly explains when and how different rehabilitation techniques should be applied in the aging patient, thereby enabling readers to identify and apply those rehabilitation strategies that will maximize quality of life and functional independence in individual cases. It is specifically designed for ease of consultation and rapid retrieval of the information most relevant to clinical practice. Prominence is given to the benefits of a multidisciplinary approach to rehabilitation, with discussion of a very wide range of aspects of rehabilitation in different disease settings. The breadth of coverage is illustrated by the attention paid to less commonly addressed topics such as visual and hearing rehabilitation, the role of robotics and 3D imaging techniques, variations in approach among health care systems, and rehabilitation in end-of-life care. The authors are international academic experts in their fields, guaranteeing a high scientific standard throughout. This manual will be an invaluable tool and source of knowledge for geriatricians and physiatrists but will also appeal to a wider range of clinicians, practitioners, and students.

Functional Exercise Prescription
Functional Exercise Prescription

Author: Eyal Lederman

Publisher: Jessica Kingsley Publishers

Published: 2022-04-21

Total Pages: 265

ISBN-13: 1912085496

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In Functional Exercise Prescription, Eyal Lederman presents a revolutionary new approach for exercise prescription that uses the individual's own movement repertoire. The book demonstrates how daily activities (the life gym) can be amplified to provide the necessary movement challenges to support movement rehabilitation in many musculoskeletal and pain conditions. Hence, all activities can become remedial without the need to prescribe unfamiliar exercise; in other words, 'how to exercise without exercise' or 'how to rehabilitate without exercise'. People recover from most musculoskeletal and pain conditions through three key processes: repair, adaptation, and alleviation of symptoms. The author explains how to identify the individual's recovery process and how to select the appropriate daily or sporting activities, and, how they can be modified to support recovery. Functional Exercise Prescription is a dramatic departure from the traditional strength and conditioning models that have been used for rehabilitation. The book explores the limitation of these models and explains how they can be replaced by functional daily activities ('functioncise'). It provides the practitioner with practical tools to construct a tailor-made plan for each individual to help expedite and optimize their recovery. Most rehabilitation can be constructed from a small familiar set of daily or sports activities. All human physical activity is exercise. Life is your gym.

Rehab Science: How to Overcome Pain and Heal from Injury
Rehab Science: How to Overcome Pain and Heal from Injury

Author: Tom Walters

Publisher: National Geographic Books

Published: 2023-04-11

Total Pages: 0

ISBN-13: 1628601396

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Recover from injuries and put a stop to pain with this step-by-step guide In his new book, Rebab Science, renowned orthopedic physical therapist Tom Walters shows you how to take back the power to heal. He explains how to understand and identify pain and injury, how to treat common issues to muscles, tendons, ligaments, and more, and how to end chronic pain for good. Our current healthcare model, with its emphasis on treating symptoms rather than addressing the root cause of those symptoms, can be frustrating, especially for people with ongoing pain. Rehab Science outlines a new way of thinking about pain and injury with a movement-based system that helps you treat pain and heal from injuries on your own terms. Dr. Walters delivers proven protocols that strengthen the body, improve mobility and movement quality, alleviate pain, ensure full recovery, and keep pain and injury from reoccurring in the future. This book highlights common issues like ankle sprains, tennis elbow, and low back pain and provides protocols for rehabilitating each one step by step and week by week. Find out what you can do to accelerate the phases of healing by using targeted movements and pain-relieving rehab exercises. Full-color photo sequences show how to do each exercise correctly. In Rehab Science, you’ll learn: • How to identify and treat common pains and injuries • Which exercises can prevent pain from returning • How long you should be doing rehab exercises • Major signs and symptoms that may require medical attention • How a diagnosis can factor into recovery • What common X-ray and MRI findings mean • How to program exercises to rehab specific injuries • When you might need to consider surgery • And much, much more

Fragility Fracture Nursing
Fragility Fracture Nursing

Author: Karen Hertz

Publisher: Springer

Published: 2018-06-15

Total Pages: 169

ISBN-13: 3319766813

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This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Functional Exercise and Rehabilitation
Functional Exercise and Rehabilitation

Author: James Crossley

Publisher: CRC Press

Published: 2021-04-08

Total Pages: 353

ISBN-13: 1482232375

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Functional training develops the attributes and abilities required to perform tasks, skills and activities useful and relevant to daily life. Functional Exercise and Rehabilitation serves as an accessible and visual guide providing the essentials of therapeutic exercise and rehabilitation, including mobilization, stabilization and myofascial release. This book begins by explaining functional training and the foundation of the STRIVE approach. Chapter 2 introduces functional anatomy and Chapter 3 explains the fundamentals of neuroscience. The final chapters discuss the STRIVE principles and apply them to exercise, program design and injury recovery. Each chapter includes key point boxes, illustrations and photos of exercises discussed. Written by an exercise specialist and osteopath, this practical guide is presented in an easy-to-read style. Functional Exercise and Rehabilitation is essential reading for all health professionals, sports therapists and trainers involved in exercise prescription.

Ultimate Knee Rehab Guide
Ultimate Knee Rehab Guide

Author: Dr Luqman Shaikh

Publisher: Prehab Wellness and Sports Pvt Ltd

Published: 2020-03-23

Total Pages: 79

ISBN-13:

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The Ultimate Knee Rehab Guide is for heath and fitness professionals and individuals who are looking for scientific and evidence based knee rehab exercises and educate in the field of exercise prescription and rehabilitation programming involving pain/ ailments, injuries and surgery for the knee. You will be learning key exercises and progressions, as well as how to design, construct and implement effective knee rehab programs for yourself and your clients. What's included in the book? Rehab Strategies - Prehab 121 7 phases of Rehab protocols for Intermediate to late stage rehabilitation - Role of criteria based progression - Return to Sport/ activity decision making - Rehabilitation of multi-ligament knee injuries Prehab Strategies - Injury Prevention Program - Pre-operative Rehabilitation Phase 100 + exercises with illustration and how to perform Topics Included: Injury Recovery and Readiness for Surgery This phase outlines steps to be taken towards conservative and surgery management with outcome measures and goals. It will cover specific loading progressions and stress free strengthening. Recovery from Surgery This phase outlines guidelines to be taken to manage early rehabilitation of the knee post-surgery. It will cover post-surgery loading the knee with exercises to maintain tone of the muscles and focus motion exercises to limit dysfunction. Early Strengthening This phase covers exercises to increase muscle strength adding body weight and stressing the tissues. Understanding tissue loading with outcome measures will be introduced with volume loading and the acute to chronic workload ratio. ​ Strength and Balance + Proprioception This phase will be gym / clinic based regime with a mixture of resistance, balance, and co – ordination exercises. Different exercises focusing on same muscles to avoid adaptation for clients, and cueing and motor control strategies to optimize technique. Progression to next phase with evidence based outcome measures will be covered in this phase Early Return to Sport - Agility This phase focuses on return to running, agility, jumping and hopping, as well as continuation of gym based strength and neuromuscular program. Cover managing fatigue and recovery with recovery modalities to manage fatigue day to day. Return to sport decision making with evidence based tests will be covered in this phase Prevention of re-injury – Advance Sports and Functional This phase covers balance between adequate strength and preventing injuries in non-injured clients. This includes how training volume and intensity should be incorporated with strategies for various goals, including strength, endurance, power, hypertrophy and movement tolerance.