The Pulse

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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Biophysical Agents in the Treatment of Chronic Wounds

Posted by ACP - Accelerated Care Plus on Nov 23, 2020 5:44:55 PM

According to the National Institute of Nursing Research (NINR), five million Americans are affected by chronic wounds each year. Chronic wounds are those that do not show measurable progress in wound healing with standard nursing care in 30 days. Individuals with diabetes, disability, and the elderly are among those at highest risk.

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Improving Strength and Functional Mobility with Electrical Stimulation and Exercise

Posted by ACP on Oct 29, 2020 10:45:41 AM

Patient Information: Male, Age 75

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Topics: Patient Success Story, Neuro Rehab

Improving Functional Mobility with Exercise After COVID-19

Posted by ACP on Sep 29, 2020 10:38:48 AM

Patient Information: Male, Age 81

Diagnosis: COVID-19 / Acute Hypoxemic Respiratory Failure

History: This gentleman was referred to a skilled nursing facility for rehabilitation services due to severe debility and confusion after hospitalization for COVID-19. During hospitalization, he was found to have acute hypoxemic respiratory failure (not enough oxygen in the blood), as a result of COVID-19, and was intubated (placement of an artificial airway into the trachea) and placed on a ventilator (life support to assist breathing). During treatment he received convalescent plasma which led to removal of mechanical ventilation, but he required oxygen supplementation of three liters. Prior to his diagnosis of COVID-19, he lived at home with his wife and walked independently, no oxygen supplementation was needed.

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Topics: Patient Success Story

Objective Tests and Measures: Strength Assessment and Treatment Guidance

Posted by ACP on Sep 29, 2020 10:26:02 AM

Muscle strength decline is associated with normal aging and may be accelerated by illness, disease, or injury. Decreased physical activity resulting from COVID-19 mitigation efforts is exacerbating the incidence of muscle disuse atrophy in older adults. Strength declines may lead to functional and mobility deficits with increased risk of falls, injury, or death. According to the CDC, each year three million adults are treated in emergency departments for injuries related to falls. By 2030 fall deaths are anticipated to rise to seven per hour. Accurate assessment of strength using validated tests and objective measures is crucial to creating an appropriate treatment plan and achieving outcomes that reduce fall risk.

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Topics: Fall Prevention & Balance, Clinical Tip, Cardiopulmonary

Prioritizing Diversity & Inclusion in Healthcare

Posted by ACP on Sep 15, 2020 8:50:13 AM
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Topics: Industry News

Casamba + ACP

Posted by ACP - Accelerated Care Plus on Sep 2, 2020 12:48:03 PM

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Topics: Industry News

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