The Pulse

Rehabilitation of Individuals with Pulmonary Conditions

Posted by ACP - Accelerated Care Plus on Mar 23, 2021 4:08:34 PM

Respiratory diseases are among the leading causes of death and disability in the United States. In 2019, chronic lower respiratory disease including asthma, but predominately chronic obstructive pulmonary disease (COPD), was the 4th leading cause of death and influenza and pneumonia the 9th leading cause of death (Kochanek et al., 2020). The ranking for 2020 will likely change due to COVID-19-related deaths at greater than 500,000.

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Topics: Clinical Tip, Cardiopulmonary

Improving Functional Mobility Using Exercise

Posted by ACP - Accelerated Care Plus on Mar 15, 2021 11:26:56 AM

Patient Information: Female, Age 85

Diagnosis: Chronic Heart Failure (CHF) / Chronic Obstructive Pulmonary Disease (COPD) / Muscle Weakness

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Topics: Patient Success Story, Cardiopulmonary

Improving Swallow Ability with Electrical Stimulation and Exercise

Posted by ACP - Accelerated Care Plus on Feb 24, 2021 12:30:28 PM

Patient Information: Male, Age 71

Diagnosis: Guillain-Barré Syndrome / Oropharyngeal Dysphagia

History: This gentleman was referred to a skilled nursing facility for rehabilitation services after a 3-month hospital stay. He was visiting his son in the United States from Venezuela when he began experiencing numbness in his legs. He was hospitalized and diagnosed with Guillain-Barré Syndrome (rare autoimmune disorder that causes rapid and unexpected muscle weakness). While hospitalized he experienced multiple complications including infection, being placed on a ventilator, and placement of a feeding tube. Prior to his hospitalization he lived independently and ate a regular diet.

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Topics: Dysphagia, Patient Success Story

Evidence Based Practice in Swallowing Rehabilitation - 3 Part Series (part 3)

Posted by Valerie Middleton, MA CCC-SLP on Feb 24, 2021 11:51:52 AM

Part 3: What about My Clinical Judgement?

We bring our EBP series discussion to a close with consideration of clinical expertise/expert opinion. This component of the triangle may be defined as “The knowledge, judgment, and critical reasoning acquired through [your] training and professional experiences” (ASHA, 2020).

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Topics: Dysphagia

Biophysical Agents and Advanced Technologies in the Rehabilitation of Patients with Heart Failure

Posted by ACP on Feb 19, 2021 2:29:28 PM

Heart disease is the leading cause of death for both men and women in the United States with greater than 600,000 deaths attributed each year. Along with other conditions such as diabetes and obesity, heart disease may lead to heart failure which affects 6.2 million Americans per year (CDC, 2020).

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Topics: Clinical Tip, Cardiopulmonary

Improving Swallow Ability with sEMG and Exercise

Posted by ACP on Jan 22, 2021 1:18:00 PM

Patient Information: Male, Age 91

Diagnosis: Parkinson’s Disease / Oropharyngeal Dysphagia /
COVID-19

History: This gentleman, a long-term resident of a skilled nursing facility, was diagnosed one and a half years ago with oropharyngeal dysphagia (difficulty swallowing), a complication of his Parkinson’s disease. Since that time he has had known aspiration (liquids entering the airway), altered diet, hospitalization for aspiration pneumonia, and COVID-19. Due to his complaint of his liquids being too thick, he requested to participate in swallowing therapy for possible return to thin liquids. As a result, swallowing evaluation and resultant therapy was initiated.

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Topics: Dysphagia, Patient Success Story

Evidence Based Practice in Swallowing Rehabilitation - 3 Part Series (part 2)

Posted by Valerie Middleton, MA CCC-SLP on Jan 22, 2021 1:02:01 PM

Part 2: Implementing Internal and External Evidence

We began our discussion on employing evidence-based practice (EBP) in swallowing rehabilitation during the spring newsletter, with careful consideration for upholding ethics in treatment and focusing on patient perspective. Let’s continue by delving deeper into incorporation of evidence in dysphagia therapy. ASHA defines the implementation of evidence as “The best available information gathered from the scientific literature (external evidence) and from data and observations collected on your individual client (internal evidence).” ASHA’s recommended EBP process includes the following steps: Frame the clinical question, gather evidence, assess the evidence, and make the clinical decision (ASHA 2020).

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Topics: Dysphagia

Evidence Based Practice in Swallowing Rehabilitation - 3 Part Series

Posted by Valerie Middleton, MA CCC-SLP on Dec 19, 2020 11:05:11 AM

Not unique to the field of Speech-Language Pathology, integration of Evidence Based Practice (EBP) is a hot topic and is essential in ensuring we are practicing at the top of our profession. Let’s begin by reviewing the three characteristics comprising the EBP triangle as outlined by the National Joint Committee for the Needs of Persons with Disabilities (NJC): (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) the perspectives of individuals with severe disabilities and their families and friends to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve (NJC, n.d.). Over the next few months, we will discuss each of these areas in more detail. Although patient value and perspective is listed last, we will address this first, as this is an area worth consistent reflection and application.

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Topics: Dysphagia

Advanced Technology and Biophysical Agents to Address Balance Impairment

Posted by ACP - Accelerated Care Plus on Dec 15, 2020 9:06:48 AM

According to the CDC, falls are common among older adults with 36 million occurring each year and more than 8 million requiring medical attention. Among those with Parkinson’s disease, diabetes, stroke, and those experiencing impaired strength, coordination, and balance after prolonged hospitalization falls are also common. Individuals with or recovering from COVID-19 may also have these impairments and are at an increased risk of falls.

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Accelerated Care Plus Announces Exclusive Partnership with Current Health

Posted by ACP - Accelerated Care Plus on Dec 2, 2020 5:41:59 PM

Collaboration to provide ability to monitor, manage and analyze vital signs from post-acute care patients

RENO, Nev. – Dec. 1, 2020 – Accelerated Care Plus (ACP), a Hanger, Inc. (NYSE: HNGR) company, today announced a partnership with Current Health, a global leader in remote healthcare delivery. ACP, the nation’s leading provider of specialized rehabilitation technologies and evidence-based clinical solutions for post-acute providers, will distribute Current Health’s remote monitoring platform, co-branded as OmniVitals Powered by Current Health, to the post-acute care market through ACP’s network of more than 7,000 post-acute care facilities.

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