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1.
Afr J AIDS Res ; 19(3): 263-268, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33119455

RESUMO

Background: Health care workers play an integral role in the rehabilitation and care of people living with HIV who face multiple impairments and often disabilities. The aim of the article was to understand the perceptions and attitudes of health care workers towards caring for people living with HIV, and experiencing disability. Methods: Fifteen health care workers offering care to people living with HIV were interviewed using a semi-structured guide. These health care workers included doctors, a social worker, a pharmacist, a dietician, an occupational therapist, a physiotherapist, and nurses and HIV couPnsellors who were employed at a public health care facility in KwaZulu-Natal. Data from the interviews were transcribed and analysed using conventional content analysis. Results: Four themes emerged from semi-structured interviews with the health care workers: a holistic disability framework, a multidisciplinary team dynamic, organisational barriers and recommendations by health care workers. Conclusion: Health care workers perceived a shift from a biomedical perspective of disability to a bio-psychosocial interpretation that is influenced by contextual and environmental barriers imposed by communities on people living with HIV. Barriers included stigmatisation that leads to attitudinal barriers and social exclusion of people living with HIV and experiencing disabilities within communities. Lack of resources, including of equipment, and a shortage of health care staff also posed barriers to the care offered to people living with HIV and experiencing disabilities. Participants agreed that improved communication in the multidisciplinary health care team, as well as continuing education and training, would enable health care workers to offer improved, integrated care to people living with HIV who experience disabilities.


Assuntos
Pessoas com Deficiência/reabilitação , Infecções por HIV/fisiopatologia , Infecções por HIV/reabilitação , Pessoal de Saúde/psicologia , Prestação Integrada de Cuidados de Saúde , Feminino , Infecções por HIV/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/educação , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pesquisa Qualitativa , África do Sul/epidemiologia
2.
Phys Ther ; 100(10): 1862-1871, 2020 09 28.
Artigo em Inglês | MEDLINE | ID: mdl-32949237

RESUMO

OBJECTIVE: Although Medicare assessment files will include Standardized Patient Assessment Data Elements from 2016 forward, lack of uniformity of functional data prior to 2016 impedes longitudinal research. The purpose of this study was to create crosswalks for postacute care assessment measures and the basic mobility and daily activities scales of the Activity Measure for Post-Acute Care (AM-PAC) and to test their accuracy and validity in development and validation datasets. METHODS: This cross-sectional study is a secondary analysis of AM-PAC, the Inpatient Rehabilitation Facility Patient Assessment Instrument, the Minimum Data Set, and the Outcome and Assessment Information Set data from 300 adults receiving rehabilitation recruited from 6 health care networks in 1 metropolitan area. Rasch analysis was used to co-calibrate items from the 3 measures onto the AM-PAC metric and to create look-up tables to create estimated AM-PAC (eAM-PAC) scores. Mean scores and correlation and agreement between actual and estimated scores were examined in the development dataset. Scores were estimated in a cohort of Medicare beneficiaries with hip, humerus and radius fractures. Correlations between eAM-PAC and Functional Independence Measure motor scores were examined. Differences in mean eAM-PAC scores were evaluated across groups of known differences (age, fracture type, dementia). RESULTS: Strong correlations were found between actual and eAM-PAC scores in the development dataset. Moderate to strong correlations were found between the eAM-PAC basic mobility and Functional Independence Measure motor scores in the validation dataset. Differences in basic mobility scores across known groups were statistically significant and appeared to be clinically important. Differences between mean daily activities scores were statistically significant but appeared not to be clinically important. CONCLUSION: Although further testing is warranted, the basic mobility crosswalk appears to provide valid scores for aggregate analysis of Medicare postacute care data. IMPACT: This study reports on a method to take data from different Medicare administrative data sources and estimate scores on 1 scale. This approach was applied separately for data related to basic mobility and to daily activities. This may allow researchers to overcome challenges with using Medicare administrative data from different sources.


Assuntos
Pessoas com Deficiência/reabilitação , Cuidados Semi-Intensivos/métodos , Inquéritos e Questionários/normas , Atividades Cotidianas , Adulto , Estudos Transversais , Avaliação da Deficiência , Feminino , Humanos , Masculino , Medicare , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Psicometria/estatística & dados numéricos , Recuperação de Função Fisiológica , Estados Unidos , Caminhada
3.
Work ; 67(1): 37-46, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32955472

RESUMO

BACKGROUND: The novel coronavirus (COVID-19) that emerged in late 2019, and later become a global pandemic, has unleashed an almost unprecedented global public health and economic crisis. OBJECTIVE: In this perspective, we examine the effects of COVID-19 and identify a likely 'new normal' in terms of challenges and opportunities within the fields of disability, telework, and rehabilitation. METHODS: We use a systems thinking lens informed by recent empirical evidence and peer-reviewed qualitative accounts regarding the pandemic to identify emerging challenges, and pinpoint opportunities related to health and changing employment infrastructure of people with disabilities and rehabilitation professionals. RESULTS: From our interpretation, the key leverage points or opportunities include: (1) developing disability-inclusive public health responses and emergency preparedness; (2) enabling employment and telework opportunities for people with disabilities; (3) addressing the new requirements in rehabilitation service provision, including participating as essential team members in the care of people with infectious diseases such as COVID-19; (4) embracing the added emphasis on, and capacity for, telehealth; and (5) developing greater resilience, distance learning, and employability among the rehabilitation workforce. CONCLUSIONS: The COVID-19 pandemic has become increasingly challenging to the lives of people with disabilities and rehabilitation professionals; however, key challenges can be minimized and opportunities can be capitalized upon in order to 'build back better' after COVID-19.


Assuntos
Infecções por Coronavirus/economia , Pessoas com Deficiência/reabilitação , Recessão Econômica , Emprego/organização & administração , Pandemias/economia , Pneumonia Viral/economia , Local de Trabalho/organização & administração , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Educação a Distância , Humanos , Inovação Organizacional , Pneumonia Viral/epidemiologia , Pesquisa de Reabilitação , Análise de Sistemas , Telecomunicações/organização & administração , Telemedicina , Recursos Humanos/tendências
4.
PLoS One ; 15(9): e0238851, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915874

RESUMO

Assistive products outcomes are needed globally to inform policy, practice, and drive investment. The International Society of Wheelchair Professionals developed a Minimum Uniform Dataset (MUD) for wheelchair services worldwide with the intent to gather data that is comparable globally. The MUD was developed with the participation of members from around the globe and its feasibility piloted at 3 sites. Three versions of the MUD are now available-a short form with 29 data points (available in English, Spanish, and French) and a standard version with 38 data points in English. Future work is to validate and complete the translation cycles followed by promoting the use of the MUD globally so that the data can be leveraged to inform policy, practice and direct investments.


Assuntos
Coleta de Dados/normas , Pessoas com Deficiência/reabilitação , Inquéritos e Questionários/normas , Análise e Desempenho de Tarefas , Cadeiras de Rodas/normas , Humanos , Agências Internacionais , Tradução
5.
PLoS Negl Trop Dis ; 14(9): e0008702, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32970717

RESUMO

BACKGROUND: Although Ethiopia eliminated leprosy as public health problem 20 years ago, still more than 3000 new cases are reported annually. Leprosy related disability affects patients' day to day physical activities and their participation in social activities. Assessing the degree of activity limitation and social participation is recommended to show disability and assess the efficacy of rehabilitation efforts. METHODOLOGY AND PRINCIPAL FINDING: A hospital based cross sectional study was conducted among a total of 305 leprosy patients. Data were collected by face to face interview using Screening of Activity Limitation and Safety Awareness (SALSA) scale and participation scale. The analysis was done with SPSS version 25. Descriptive statistics was done and then binary logistic regression was used to identify factors associated with activity limitation as well as participation limitation. Most patients (219, 71.8%) had activity limitation; 41 (13.4%) with severe and 25 (8.2%) with extreme limitations. More than half of patients (168, 55.1%) were suffering from participation restriction; with 43 (14.1%) having severe restriction and 30 (9.8%) extreme restriction. Older age, low educational status, distance from treatment center, time of treatment and higher Eye, Hand, Foot disability score were associated with activity limitation. Similarly, older age, low educational status and being unmarried were significantly associated with participation restriction. CONCLUSION: This study revealed that activity limitation and participation restriction are common among leprosy patients. Earlier diagnosis and improved rehabilitative services may help to decrease activity limitation, whereas community rehabilitation may improve social participation. The old and centralized leprosy rehabilitation services need to be decentralized and backed with modern equipment and trained staffs.


Assuntos
Pessoas com Deficiência/reabilitação , Hospitais , Hanseníase/reabilitação , Participação Social , Adolescente , Adulto , Idoso , Estudos Transversais , Avaliação da Deficiência , Etiópia , Feminino , Humanos , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Adulto Jovem
6.
Fisioterapia (Madr., Ed. impr.) ; 42(4): 177-184, jul.-ago. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-193505

RESUMO

INTRODUCCIÓN: El ciclo de rehabilitación se caracteriza por contribuir efectivamente en la calidad de vida y estimular la integración de las personas con discapacidad a sus diferentes roles. OBJETIVO: El propósito de este estudio fue demostrar las propiedades psicométricas de validez y fiabilidad del instrumento para medir el alcance de las acciones de los fisioterapeutas en el ciclo de rehabilitación de personas con discapacidad. MÉTODO: Este instrumento (42 ítems) se aplicó a una muestra de 118 fisioterapeutas colombianos de diferentes regiones del país. La validez del contenido fue realizada por 5 expertos mediante una matriz de validación y por una prueba piloto con 10 fisioterapeutas con características semejantes a las de la muestra. La validez de confiabilidad se estableció por homogeneidad con alfa de Cronbach y la de constructo mediante análisis factorial de extracción. RESULTADOS: La prueba KMO para validez de constructo resultó en 0,763, y la prueba de Bartlett con un p-valor prácticamente igual a cero. Los ítems 9, 36, 37 y 42 explican más del 80% de la varianza y el coeficiente alfa de Cronbach global resultó en 0,946. CONCLUSIONES: Se han obtenido resultados que sugieren la pertinencia del uso de este cuestionario como instrumento de recogida de datos para la investigación sobre las acciones en el ciclo de rehabilitación de personas con discapacidad en fisioterapeutas colombianos


INTRODUCTION: The rehabilitation cycle is characterized by effectively contributing to the quality of life and stimulating the integration of people with disabilities into their different roles. GOAL: The purpose of this study was to demonstrate the psychometric properties of validity and reliability of the instrument to measure the scope of the actions of physiotherapists in the rehabilitation cycle of people with disabilities. METHOD: This instrument (42 items) was applied to a sample of 118 Colombian physiotherapists from different regions of the country. The validity of the content was carried out by 5 experts through a validation matrix and by a pilot test with 10 physiotherapists with characteristics similar to those of the sample. Reliability validity was established by homogeneity with Cronbach's Alpha and construct validity using extraction factor analysis. RESULTS: The KMO test for construct validity resulted in .763, the Bartlett test with a p-value practically equal to zero. Items 9, 36, 37 and 42 explain more than 80% of the variance. The results showed that the scale is highly reliable (Cronbach Global Alpha Coefficient = 946). CONCLUSIONS: Sufficient validity has been obtained to use of this questionnaire as an instrument of data collection for research into the actions in the rehabilitation cycle of people with disabilities of Colombian physiotherapists


Assuntos
Humanos , Masculino , Feminino , Adulto , Psicometria/instrumentação , Reprodutibilidade dos Testes , Pessoas com Deficiência/reabilitação , Modalidades de Fisioterapia/instrumentação , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Qualidade de Vida , Análise Fatorial , Inquéritos e Questionários
7.
Rehabil Psychol ; 65(3): 199-205, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32804531

RESUMO

Objective/Purpose: The objective of this article is to provide information about the ways in which the novel coronavirus 2019 (COVID-19) pandemic may affect the ongoing public health issue of violence against people with disabilities and how rehabilitation psychologists and other providers can address these concerns in their practice. METHOD: This article reviews the literature on violence against people with disabilities as well as emerging literature on the COVID-19 pandemic and its social and medical consequences. RESULTS: The COVID-19 pandemic magnifies existing issues and barriers facing people with disabilities who are experiencing interpersonal violence. These issues include reliance on the perpetrator for care and assistance, barriers to reporting abuse and seeking help, fear of retaliation and other negative consequences if abuse is reported, emotional abuse related to disability, and exacerbation of secondary physical and mental health sequalae of abuse. CONCLUSIONS/IMPLICATIONS: The COVID-19 pandemic and its consequences enhance the already increased risk for abuse among people with disabilities. Providers who work with individuals with disabilities should address these issues at both the individual client and systems levels. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Pandemias/estatística & dados numéricos , Pneumonia Viral/psicologia , Violência/psicologia , Violência/estatística & dados numéricos , Pessoas com Deficiência/reabilitação , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos
9.
Geriatr Gerontol Int ; 20(7): 655-663, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32691925

RESUMO

Many patients in rehabilitation facilities are affected by polypharmacy. Polypharmacy is associated with rehabilitation outcomes and functional recovery. Consequently, a combination of rehabilitation and pharmacotherapy may improve the outcomes of older people undergoing rehabilitation. A recent report described the concept of rehabilitation pharmacotherapy. The concept envisages helping frail older people and people with disabilities to achieve the highest possible body function, activity level and quality of life. There are two key tenets of rehabilitation pharmacotherapy: "pharmacotherapy in consideration of rehabilitation" and "rehabilitation in consideration of pharmacotherapy." "Pharmacotherapy in consideration of rehabilitation" includes use of drugs to treat impairment, activity limitation and participation restriction based on the International Classification of Functioning, Disability, and Health. "Rehabilitation in consideration of pharmacotherapy" refers to tailoring of rehabilitation considering the content of pharmacotherapy. With respect to drugs and motor dysfunction, anticholinergic drugs are associated with dysphagia and fractures. Increased use of potentially inappropriate medications may adversely affect the nutritional status. With respect to activities of daily living, polypharmacy and use of potentially inappropriate medications negatively affect the improvement in motor function during rehabilitation. Potent anticholinergic drugs are more likely to impede the improvement in cognitive function. In this review, we address the concept of rehabilitation pharmacotherapy and discuss its importance from the perspective of polypharmacy, the effect of drugs on disability and disease, nutritional status and activities of daily living. Geriatr Gerontol Int 2020; 20: -.


Assuntos
Pessoas com Deficiência/reabilitação , Idoso Fragilizado , Polimedicação , Lista de Medicamentos Potencialmente Inapropriados , Atividades Cotidianas , Idoso , Antagonistas Colinérgicos/efeitos adversos , Cognição/efeitos dos fármacos , Feminino , Humanos , Masculino , Estado Nutricional , Qualidade de Vida
10.
J Rehabil Med ; 52(7): jrm00085, 2020 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-32719883

RESUMO

OBJECTIVE: Many different assessment tools are used to assess functioning in rehabilitation; this limits the comparability and aggregation of respective data. The aim of this study was to outline the development of an International Classification of Functioning, Disability and Health (ICF)-based interval-scaled common metric for 2 assessment tools assessing activities of daily living: the Functional Independence Measure (FIMTM) and the Extended Barthel Index (EBI), used in Swiss national rehabilitation quality reports. METHODS: The conceptual equivalence of the 2 tools was assessed through their linking to the ICF. The Rasch measurement model was then applied to create a common metric including FIMTM and EBI. SUBJECTS: Secondary analysis of a sample of 265 neurological patients from 5 Swiss clinics. RESULTS: ICF linking found conceptual coherency of the tools. An interval-scaled common metric, including FIMTM and EBI, could be established, given fit to the Rasch model in the related analyses. CONCLUSION: The ICF-based and interval-scaled common metric enables comparison of patients and clinics functioning outcomes when different activities of daily living tools are used. The common metric can be included in a Standardized Assessment and Reporting System for functioning information in order to enable data aggregation and comparability.


Assuntos
Atividades Cotidianas/psicologia , Avaliação da Deficiência , Pessoas com Deficiência/reabilitação , Classificação Internacional de Funcionalidade, Incapacidade e Saúde/normas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
11.
J Rehabil Med ; 52(6): jrm00074, 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-32488281

RESUMO

OBJECTIVE: To create and evaluate a preliminary ICF Core Set for myalgic encephalomyelitis/chronic fatigue syndrome using a team-based approach. DESIGN: Observational study. SUBJECTS/PATIENTS: A total of 100 consecutive patients (mean age 45 years (standard deviation (SD) 9 years)) were assessed by a rehabilitation team and included in the study. METHODS: A preliminary International Classification of Functioning, Disability and Health (ICF) Core Set was created, based on literature studies, and on discussion forums between the team and the researchers. Patients were assessed by a rehabilitation medicine team regarding impairments in body function, activity limitations, and restrictions in participation. RESULTS: Clinical assessments of the component Body Functions found impairments in energy, fatigue, physical endurance, fatigability, sleep and pain in 82-100% of patients. At least half of the patients had impairments in higher cognitive functions, attention, and emotions, as well as sound and light hypersensitivity, general hyper-reactivity and thermoregulatory functions. For the component Activity/Participation, the most frequent limitations and restrictions were in doing housework (93%), assisting others (92%), acquisition of goods and services (90%), remunerative employment (87%), handling stressful situations (83%), preparing food (83%), recreation and leisure (82%), informal socializing (78%) and carrying out daily activities (77%). The most frequent degrees of impairments/limitations/restrictions assessed were light and moderate, except for remuneative employment, for which restrictions were severe. CONCLUSION: Using unconventional methods, this study sets out a preliminary ICF Core Set list for patients with myalgic encephalomyelitis/chronic fatigue syndrome. Further studies are required to improve and test this Core Set in myalgic encephalomyelitis/chronic fatigue syndrome populations.


Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/reabilitação , Síndrome de Fadiga Crônica/terapia , Estresse Psicológico/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
12.
Int J Rehabil Res ; 43(3): 255-260, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32496283

RESUMO

This study was aimed to determine the effectiveness of the International Classification of Functioning, Disability and Health (ICF)-based multidisciplinary rehabilitation approach with serial assessment and discussion with the ICF rehabilitation set. This prospective cohort study included consecutive patients admitted to the convalescent rehabilitation ward during the period between 1 August 2017 and 30 September 2018. Serial assessment and discussion with the ICF rehabilitation set every 2 weeks in each patient commenced from 1 April 2018. We analyzed the difference in the Extension Index of the ICF rehabilitation set between the periods before the assessment of the ICF rehabilitation set (prior period) and after that (post-period). The change of the Extension Index of the ICF rehabilitation set was higher in patients of the post-period group (n = 59) compared with those of the prior period group (n = 45) (mean 31.6, SD 18.5 vs. mean 17.3, SD 18.4, respectively; 95% confidence interval for the difference 7.0-21.5). Multiple regression analysis showed that serial assessment by the ICF rehabilitation set was independently associated with the improvement of the Extension Index. Multidisciplinary rehabilitation approach combined with serial assessment and discussion using the ICF rehabilitation set was associated with favorable recovery. Our study highlighted the effectiveness of ICF-based multidisciplinary rehabilitation in a clinical setting.


Assuntos
Pessoas com Deficiência/reabilitação , Idoso , Idoso de 80 Anos ou mais , Avaliação da Deficiência , Feminino , Humanos , Classificação Internacional de Funcionalidade, Incapacidade e Saúde , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Análise de Regressão
13.
Rev Med Suisse ; 16(692): 911-914, 2020 May 06.
Artigo em Francês | MEDLINE | ID: mdl-32374536

RESUMO

One part of the population of neurolesioned patients is the transition of young patients with neurodisabilities to adult life. To guarantee favourable social and professional reinsertion is a major challenge, requiring inter-professional care. For this reason, in 2006 the CHUV, Lausanne created a transition-consultation framework with neuro-paediatricians and adult neurologists specialised in neuro-rehabilitation linked to a Swiss pilot social and professional reinsertion project collaborating with the invalidity insurance. As a model of the follow up of neurolesioned patients, this article reports the results of the reinsertion project that aims to bring awareness to the general practitioner of an inter-disciplinary care method adaptable to individuals. The holistic service saves time and improves the rate of successful reinsertion of young adults into social and professional life.


Assuntos
Pessoas com Deficiência/reabilitação , Emprego , Medicina Geral/métodos , Relações Interpessoais , Pessoas com Deficiência/psicologia , Clínicos Gerais , Humanos , Encaminhamento e Consulta
14.
Eur J Phys Rehabil Med ; 56(3): 361-365, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32383576

RESUMO

BACKGROUND: The COVID-19 pandemic is having a great impact on health services. Patients not receiving care due to closure of outpatient services suffer a collateral damage. Our aim was to provide first data on impact of COVID-19 on people experiencing disability in Europe. METHODS: We developed an estimation from a survey and publicly available data. Thirty-eight countries have been inquired through the European Bodies of Physical and Rehabilitation Medicine - the rehabilitation medical specialty. The nine questions of the survey focused on March 31st, 2020. We used the following indicators: for inpatients, acute and rehabilitative hospital beds; for outpatients, missing uniform European data, we used information from Italy, Belgium and the UK, and estimated for Europe basing on population, number of rehabilitation physicians, physiotherapists, and people with self-reported limitations. RESULTS: Thirty-five countries (92%) including 99% of the population (809.9 million) answered. Stop of admissions to rehabilitation, early discharge and reduction of activities involved 194,800 inpatients in 10 countries. Outpatient activities stopped for 87%, involving 318,000 patients per day in Italy, Belgium and the UK, leading to an estimate range of 1.3-2.2 million in Europe. Seven countries reported experiences on rehabilitation for acute COVID-19 patients. CONCLUSIONS: COVID-19 emergency is having a huge impact on rehabilitation of people experiencing disability. This may lead to future cumulative effects due to reduced functional outcome and consequent increased burden of care. When the emergency will fade, rehabilitation demand will probably grow due to an expected return wave of these not well treated patients, but probably also of post-COVID-19 patients' needs.


Assuntos
Betacoronavirus , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Pessoas com Deficiência/reabilitação , Acesso aos Serviços de Saúde/organização & administração , Medicina Física e Reabilitação/organização & administração , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/prevenção & controle , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Europa (Continente) , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Isolamento Social
15.
Eur J Phys Rehabil Med ; 56(3): 331-334, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32406226

RESUMO

COVID-19 pandemic is creating collateral damage to persons with disabling conditions of different aetiology. The restrictions imposed to contain the spread of infection is limiting the access to many health services, including rehabilitation. It is expected that such situation will lead to long lasting negative consequences for persons with disability, increasing functional limitations in chronic conditions and hindering the recovery after acute events. The aim of this paper is to explore the impact on people with disability, reporting the contents of the sixth Italian Society of Physical and Rehabilitation Medicine (SIMFER) webinar on the COVID-19 impact on rehabilitation ("Covinars"). Seven representatives of Associations of persons affected by different disabling conditions described the difficulties they are facing during the pandemic, the initiatives undertaken to support their members and their future perspectives and expectations. The users' inputs will be helpful in planning the future phases of the emergency and improve preparedness for other emergencies.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Pessoas com Deficiência/reabilitação , Acesso aos Serviços de Saúde/organização & administração , Medicina Física e Reabilitação/organização & administração , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Infecções por Coronavirus/complicações , Humanos , Itália/epidemiologia , Pandemias , Pneumonia Viral/complicações
16.
Adv Gerontol ; 33(1): 165-171, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32362100

RESUMO

The aim is to study the effectiveness of social and psychological rehabilitation of elderly people at the clinic of G.A.Albrecht Federal Scientific Centre of Rehabilitation of the Disabled - the impact of rehabilitation measures on the mental sphere of rehabilitated based on the identification of statistically significant changes in the components of psychological status using the questionnaire SAN.


Assuntos
Idoso/psicologia , Pessoas com Deficiência/reabilitação , Reabilitação/métodos , Humanos , Inquéritos e Questionários
18.
Am J Phys Med Rehabil ; 99(7): 567-570, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32398402

RESUMO

Coronavirus disease 2019 is an active pandemic that has required rapid conversion of practice patterns to mitigate disease spread. Although recommendations have been released for physicians to postpone elective procedures, the utility of common physiatry procedures and their infectious risk profile have yet to be clearly delineated. In this article, we describe an update on existing national recommendations and outline considerations as practitioners and institutions strive to meet the needs of patients with disabilities.


Assuntos
Betacoronavirus , Infecções por Coronavirus/terapia , Pessoas com Deficiência/reabilitação , Serviços de Saúde Mental/organização & administração , Pneumonia Viral/terapia , Sistemas Automatizados de Assistência Junto ao Leito/organização & administração , Humanos , Pandemias , Medicina Física e Reabilitação/normas , Estados Unidos
19.
Phys Ther ; 100(8): 1278-1288, 2020 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-32372072

RESUMO

OBJECTIVE: The purpose of this study was to describe the process and cost of delivering a physical therapist-guided synchronous telehealth exercise program appropriate for older adults with functional limitations. Such programs may help alleviate some of the detrimental impacts of social distancing and quarantine on older adults at-risk of decline. METHODS: Data were derived from the feasibility arm of a parent study, which piloted the telehealth program for 36 sessions with 1 participant. The steps involved in each phase (ie, development, delivery) were documented, along with participant and program provider considerations for each step. Time-driven activity-based costing was used to track all costs over the course of the study. Costs were categorized as program development or delivery and estimated per session and per participant. RESULTS: A list of the steps and the participant and provider considerations involved in developing and delivering a synchronous telehealth exercise program for older adults with functional impairments was developed. Resources used, fixed and variable costs, per-session cost estimates, and total cost per person were reported. Two potential measures of the "value proposition" of this type of intervention were also reported. Per-session cost of $158 appeared to be a feasible business case, especially if the physical therapist to trained assistant personnel mix could be improved. CONCLUSIONS: The findings provide insight into the process and costs of developing and delivering telehealth exercise programs for older adults with functional impairments. The information presented may provide a "blue print" for developing and implementing new telehealth programs or for transitioning in-person services to telehealth delivery during periods of social distancing and quarantine. IMPACT: As movement experts, physical therapists are uniquely positioned to play an important role in the current COVID-19 pandemic and to help individuals who are at risk of functional decline during periods of social distancing and quarantine. Lessons learned from this study's experience can provide guidance on the process and cost of developing and delivering a telehealth exercise program for older adults with functional impairments. The findings also can inform new telehealth programs, as well as assist in transitioning in-person care to a telehealth format in response to the COVID-19 pandemic.


Assuntos
Infecções por Coronavirus , Pessoas com Deficiência/reabilitação , Terapia por Exercício/economia , Serviços de Assistência Domiciliar/economia , Pandemias , Modalidades de Fisioterapia/economia , Pneumonia Viral , Telemedicina/economia , Atividades Cotidianas , Idoso , Dor Crônica/terapia , Análise Custo-Benefício , Feminino , Humanos , Masculino , Projetos Piloto , Telemedicina/métodos
20.
Rev Saude Publica ; 54: 38, 2020.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32267372

RESUMO

OBJECTIVE: To describe the implementation status of the Community-Based Rehabilitation in Chile. METHODS: Quantitative, transversal and descriptive study. The scope was constituted by the 66 community-based rehabilitation centers in the Chilean Metropolitan Region that implemented Community-Based Rehabilitation until December 2016. The sampling was based on a census method, so all the community centers were contacted. A self-administered questionnaire designed based on the Community-Based Rehabilitation matrix defined by the World Health Organization was applied. The questionnaire was answered on-line by the coordinators of the strategy in their respective centers. The data analysis was performed using descriptive statistics. RESULTS: A heterogeneous level of implementation of Community-Based Rehabilitation was identified, specifically in terms of the components of the matrix described by the World Health Organization. The most implemented component was Health; the Social, Livelihood and Empowerment components were moderately implemented; and the Education component was the least implemented. CONCLUSION: The implementation of Community-Based Rehabilitation is mainly based on the Health component. The level implementation of the other components of the matrix needs to be increased, as well as interdisciplinary and intersectoral strategies to achieve greater social inclusion of people with disabilities.


Assuntos
Serviços de Saúde Comunitária/estatística & dados numéricos , Participação da Comunidade/estatística & dados numéricos , Pessoas com Deficiência/reabilitação , Atenção Primária à Saúde/estatística & dados numéricos , Reabilitação/organização & administração , Atitude Frente a Saúde , Chile , Serviços de Saúde Comunitária/organização & administração , Estudos Transversais , Pessoas com Deficiência/estatística & dados numéricos , Educação em Saúde , Acesso aos Serviços de Saúde , Humanos , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários
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