A comparison of patients managed in specialist versus non-specialist inpatient rehabilitation units in Australia

McKechnie, Duncan; Pryor, John H.; Fisher, Murray; Alexander, Tara L

doi:10.1080/09638288.2019.1568592

Cited by 2 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These differences would suggest that a patient's dysphagia rehabilitation is optimized in a specialist center with access to a specialist dysphagia team including a Speech-Language Pathologist (SLP). There is an indication that those receiving rehabilitation in a specialist center achieve greater functional gains than those who do not [137]. This is supported by McRae's findings [136] that non-specialist centers had lower expectations for patients returning to safe eating and drinking and an increased reliance on diet and fluid modifications to manage dysphagia.…”

Section: Implications For Clinical Practicementioning

confidence: 89%

Oropharyngeal Dysphagia in Acute Cervical Spinal Cord Injury: A Literature Review

et al. 2022

View full text Add to dashboard Cite

Dysphagia (swallowing impairment) is a frequent complication of cervical spinal cord injury (cSCI). Recently published national guidance in the UK on rehabilitation after traumatic injury confirmed that people with cSCI are at risk for dysphagia and require early evaluation while remaining nil by mouth [National Institute for Health and Care Excellence. Rehabilitation after traumatic injury (NG211), 2022, https://www.nice.org.uk/guidance/ng21]. While the pathogenesis and pathophysiology of dysphagia in cSCI remains unclear, numerous risk factors have been identified in the literature. This review aims to summarize the literature on the risk factors, presentation, assessment, and management of dysphagia in patients with cSCI. A bespoke approach to dysphagia management, that accounts for the multiple system impairment in cSCI, is presented; the overarching aim of which is to support effective management of dysphagia in patients with cSCI to prevent adverse clinical consequences.

show abstract

Section: Implications For Clinical Practicementioning

confidence: 89%

Oropharyngeal Dysphagia in Acute Cervical Spinal Cord Injury: A Literature Review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Highlighting the importance of high quality inpatient ABI rehabilitation ("Rehabilitation of persons with traumatic brain injury," 1998), it has been shown that early functional gains can be made by people with ABI who receive intensive programmes delivered by experienced, multidisciplinary teams early in their recovery (Turner-Stokes et al, 2015). Further, receiving such programmes in a specialised brain injury rehabilitation unit can lead to greater functional gains than for people in non-specialised facilities (McKechnie, Pryor, Fisher & Alexander, 2020).…”

Section: Introductionmentioning

confidence: 99%

Mixed methods study to understand the experiences of adults with acquired brain injury and their family members who receive specialised rehabilitation

et al. 2022

View full text Add to dashboard Cite

Background and Aim: Rehabilitation therapy is a key part of the recovery pathway for people with severe acquired brain injury (ABI). The aim of this study was to explore inpatients’ and their family members’ experiences of a specialist ABI rehabilitation service. Methods: A cross sectional, prospective mixed method study was undertaken at a metropolitan specialist ABI rehabilitation unit in Victoria, Australia. All inpatients and their family members of the service were invited to complete a satisfaction survey. Employing purposive sampling, semi-structured interviews were conducted with inpatients and/or their family members. Results: In total, 111 people completed the satisfaction survey and 13 were interviewed. High levels of satisfaction with the specialist service were reported; the majority of inpatients (74%) and family members (81%) rated the overall quality of care received in the service as ‘high’ or ‘very high’. Interviews revealed four main themes: (i) satisfaction with rehabilitation services, (ii) inconsistent communication, (iii) variable nursing care, and (iv) strengths and weakness of the rehabilitation environment. Overall, important components of a positive experience were being involved in decision making and discharge planning, effective communication and information processes, and being able to form therapeutic relationships with staff. Key sources of dissatisfaction for inpatients and family members related to inconsistency in care, accessing information about treatments in a format easily understood, and communication. Conclusion: Specialised rehabilitation is valued by inpatients and their family members alike. The findings highlight the importance of exploring inpatient experiences to optimise service delivery in a tailored, specialised rehabilitation programme.

show abstract

A comparison of patients managed in specialist versus non-specialist inpatient rehabilitation units in Australia

Cited by 2 publications

References 32 publications

Oropharyngeal Dysphagia in Acute Cervical Spinal Cord Injury: A Literature Review

Oropharyngeal Dysphagia in Acute Cervical Spinal Cord Injury: A Literature Review

Mixed methods study to understand the experiences of adults with acquired brain injury and their family members who receive specialised rehabilitation

Contact Info

Product

Resources

About