The Pulse

Comprehensive Approach to Wound Healing

Posted by ACP - Accelerated Care Plus on Jan 21, 2022 1:27:31 PM

Wounds are typically managed with standard nursing care including maintaining a clean wound bed and appropriate dressings and medications. Therapeutic interventions including biophysical agents can be used to directly facilitate and accelerate wound healing. Factors such as pressure, pain, and contracture may delay wound progression or cause wounds to reoccur. Addressing these adjunctive factors related to the wound provides the best overall approach to wound management and limits the risk of reoccurrence.

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Topics: Clinical Tip, Wound Management

Improving Swallow Ability with sEMG and Exercise

Posted by ACP - Accelerated Care Plus on Dec 17, 2021 1:57:54 PM

Patient Information: Female, Age 75

Diagnosis: Supraglottic Cancer / Oropharyngeal Dysphagia / Chronic Obstructive Pulmonary Disease

History: This woman was referred to a skilled nursing facility for rehabilitation services due to progressively worsening swallow function following completion of radiation therapy for supraglottic (throat) cancer. During hospitalization, a video fluoroscopic swallow study (VFSS) was conducted due to dysphagia (difficulty swallowing) indicating aspiration (material entering the lungs), and a feeding tube was placed for all nutritional needs. Prior to the onset of throat cancer, she ate a regular diet.

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Topics: Dysphagia, Patient Success Story

Ventilatory Strategies for Cardiopulmonary Conditions

Posted by ACP - Accelerated Care Plus on Dec 15, 2021 12:27:03 PM

Individuals with cardiopulmonary conditions often present with dyspnea, severe weakness, poor endurance, limited mobility, and decreased activity tolerance. As their disease state progresses, their ability to perform activities of daily living (ADLs) declines, ultimately leading to a loss of independence. A therapy plan of care that includes breathing exercises, energy conservation techniques (e.g., paced activity, assistive device, task planning), and ventilatory strategies may improve the individual’s breathing and functional performance as well as help maintain independence.

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Topics: Clinical Tip, Cardiopulmonary

Decreasing Pain and Improving Strength Using Diathermy and Exercise

Posted by ACP - Accelerated Care Plus on Nov 29, 2021 4:44:27 PM

Patient Information: Female, Age 78

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Topics: Pain Management, Patient Success Story

Dementia Care Using Advanced Rehabilitation Technology

Posted by ACP - Accelerated Care Plus on Nov 29, 2021 3:21:40 PM

According to the CDC, dementia affects one’s ability to remember, think, and make decisions that impact daily activities and safety. Alzheimer’s disease (AD) is the most common type of dementia accounting for 60-80% of cases. As dementia progresses to increased levels of memory loss and confusion, the individual becomes more sedentary and frail. Rehabilitation in this population should be tailored to patient needs addressing cognition, strength, gait, balance, endurance, and function.

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Topics: Clinical Tip, Neuro Rehab

Improving Activity Tolerance and Functional Mobility Using Breathing Therapy and Exercise

Posted by ACP - Accelerated Care Plus on Oct 27, 2021 9:45:52 AM

Patient Information: Female, Age 64

Diagnosis: Acute Respiratory Failure / COVID-19 / Chronic Obstructive Pulmonary Disease (COPD)

History:
This woman was referred to a skilled nursing facility due to severe debility following a seven week hospitalization due to COVID-19. Her condition was complicated by diabetes, COPD, and pulmonary fibrosis. At the time of hospital discharge, she required 8 liters per minute of supplemental oxygen to maintain oxygen saturation level. Prior to hospitalization she lived with her family in a 2-story home, was independent with walking and all self-care, and worked as a construction supervisor.

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Topics: Patient Success Story, Cardiopulmonary

Dysphagia Prevalence and Treatment in Cardiopulmonary and Airway Disorders

Posted by Valerie Middleton, MA CCC-SLP on Oct 27, 2021 9:44:43 AM

Speech-language pathologists (SLPs) are commonly involved in the rehabilitation of patients presenting with cardiopulmonary disorders. Hospitalized patients diagnosed with respiratory diseases, Chronic Obstructive Pulmonary Disease (COPD), Chronic Heart Failure (CHF), and those with xerostomia are indicated as risk groups for development of oropharyngeal dysphagia. Additionally, patients who experience prolonged endotracheal intubation have been associated with the development of dysphagia (Malandraki et al., 2016).

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Topics: Dysphagia

Interventions for Individuals with Parkinson's Disease

Posted by ACP - Accelerated Care Plus on Oct 27, 2021 8:56:18 AM

Parkinson’s disease (PD) is a progressive neurodegenerative disorder often requiring therapy to address motor symptoms such as bradykinesia, rigidity, tremors, shuffling and freezing gait, poor postural control, and impaired balance. Exercise plays a key role in rehabilitation for this population with additional benefits being achieved by incorporating biophysical agents and advanced technologies. Research demonstrates that exercise improves motor skill performance, which may be enhanced with cognitive engagement through feedback, cueing, dual-tasking training, and motivation (Petzinger, et al., 2013).

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Topics: Clinical Tip, Neuro Rehab

Virtual Reality in Fall Prevention

Posted by ACP - Accelerated Care Plus on Sep 30, 2021 9:06:22 AM

According to the CDC, more than one in four older adults fall each year. Falls may lead to fear of falling, decreased mobility, dependence, increased risk of future falls, and even death. The goal of a fall prevention and balance program is to decrease future falls and improve functional mobility, safety, and quality of life. Rehabilitation for those at risk of falling may include training for static and dynamic balance, gait, dual-task (DT) activity, and cognition which may be accomplished with virtual reality.

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Topics: Fall Prevention & Balance, Clinical Tip

The 5 P's of Fall Prevention

Posted by ACP - Accelerated Care Plus on Sep 24, 2021 2:57:58 PM

Pain*
Is your resident experiencing pain?
• Always assess pain level
• If resident is in pain, report immediately

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Topics: Fall Prevention & Balance

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