Browsing by Subject "health management"

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    Essential Components of Physical Therapist Management of Patients With Osteoporosis: A Delphi Study
    (Wolters Kluwer, 2022-04) Avin, Keith G.; Nithman, Robert W.; Osborne, Raine; Betz, Sherri R.; Lindsey, Carleen; Hartley, Gregory W.; Physical Therapy, School of Health and Human Sciences
    Background and Purpose: Osteoporosis is a systemic, metabolic bone disease that affects bone quality, increases susceptibility to low-trauma bone fracture, and has downstream effects on falls and fragility fractures. Osteoporosis is a multifactorial disease process that requires management from multiple health care providers including physicians, nurses, and physical therapists. However, the paucity of information regarding comprehensive physical therapist management for patients with osteoporosis indicated the need for an evidence-based document. The purpose of this document was to provide the best available expert guidance for clinicians in the selection of screening tools, essential tests and measures, treatment goals, and interventions for patients with osteoporosis. Methods: A Delphi process was used. Thirty-one physical therapists with expertise in the care of patients with osteoporosis participated in a series of 3 sequential surveys designed to build and reach agreement on the management of patients with osteoporosis. The desired survey outcomes were to: (1) identify the range of examination and plan of care components considered important to physical therapists' care for patients with osteoporosis, (2) determine which components should be considered essential, and (3) achieve consensus on the final list of essential components and related operational definitions. Results: A clear consensus on the essential components of examination and interventions was achieved. In general, there were 4 to 6 items across each category of history, tests and measures, education/goals, and treatment. Conclusions: The prioritization of these management items will better support clinicians working with adults who have osteoporosis.
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    Promoting an Interdisciplinary Approach to Health Management for Patients with an Acute Spinal Cord Injury: A Doctoral Capstone Report
    (2024-04-25) LaVier, Grace; Hull, Kristin; Department of Occupational Therapy, School of Health and Human Sciences; Bavender, Clay; Kiser, Ryan
    A spinal cord injury (SCI) can cause permanent impairments impacting quality of life and participation in daily activities. Due to the impact on daily living, occupational therapy is an integral component of the SCI recovery process. Occupational therapy goals focus on improving all aspects of daily task performance for patients with an SCI. Health management is a component of occupational therapy that involves establishing and managing health and wellness routines for increased participation in daily living and meaningful activities. An individual following an SCI may experience limitations and differences in body functions such as bowel and bladder changes which limit that individual’s quality of life if new health management strategies are not adopted. Rehabilitation staff at a level one trauma hospital identified a gap in interdisciplinary knowledge and confidence in health management best practices for patients admitted with an SCI. In an acute care setting, health management goals are shared with other disciplines as physicians guide the care plan and nursing staff carries out the plan including the initiation of new health management strategies. The purpose of this doctoral capstone experiential and project was to increase interdisciplinary knowledge and confidence in best practices for health management when caring for individuals after an SCI. The capstone student disseminated different modes of education to nursing staff on best practices for SCI health management and collected confidence surveys before and after the education interventions. Results of the survey support the effectiveness of the education in increasing overall self-reported confidence and knowledge in each target category.