Recording sentinel events in the life course of individuals with acquired brain injury: A preliminary study

Nalder, Emily; Fleming, Jennifer; Cornwell, Petrea; Foster, Michele; Ownsworth, Tamara; Shields, Cassandra; Haines, Terrence Peter

doi:10.3109/02699052.2012.676225

Cited by 21 publications

(15 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 Consisting of 8 items, the SEQ captures the occurrence of defined sentinel events, including financial strain, relationship breakdown, experiencing a change in living situation, having difficulty accessing therapy services, return to work, regaining independence in the home, returning to independent use of transportation, and return to driving. A Sentinel Events Questionnaire (SEQ) was used to record the occurrence of key events during the transition phase.…”

Section: Methodsmentioning

confidence: 99%

“…A Sentinel Events Questionnaire (SEQ) was used to record the occurrence of key events during the transition phase. 19 All interviews were completed by a member of the research team who was a healthcare professional; interviewers were trained to ensure consistent administration procedures. 19 Consisting of 8 items, the SEQ captures the occurrence of defined sentinel events, including financial strain, relationship breakdown, experiencing a change in living situation, having difficulty accessing therapy services, return to work, regaining independence in the home, returning to independent use of transportation, and return to driving.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury

Nalder¹,

Fleming

Foster³

et al. 2012

Journal of Head Trauma Rehabilitation

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury

Nalder¹,

Fleming

Foster³

et al. 2012

Journal of Head Trauma Rehabilitation

Self Cite

View full text Add to dashboard Cite

show abstract

“…Other factors such as cognitive impairment (Viscogliosi et al, 2011;Tatemichi et al, 1994), incontinence (Thomas et al, 2005), communication difficulty (Plante et al, 2010b) or sentinel 59 events (e.g. return to driving, financial strain, return to work) early following discharge (Nalder et al, 2012a) could also affect free-living ambulation recovery. However, while the potential effect of these factors is acknowledged, investigating all potential factors contributing to free-living ambulation outcomes after stroke is beyond the scope of this thesis.…”

Section: Other Factorsmentioning

confidence: 99%

“…Consequently, it is imperative that community ambulation is addressed during inpatient rehabilitation. This will allow for increased confidence with exploring community environments and tasks (Walsh et al, 2014) and reduce the incidence of sentinel events, which can lead to avoidance of communitybased activities (Ahuja et al, 2013;Barnsley et al, 2012;Nalder et al, 2012a;Nalder et al, 2012b) and poor community re-integration. Another option is the implementation of communitybased rehabilitation or community follow-up for all stroke survivors following hospital discharge.…”

Section: The Effect Of Current Practices On Free-living Ambulation Rementioning

confidence: 99%

“…During the subacute phase of stroke, stroke survivors display the greatest potential for improvement in functional outcomes (Jang, 2010;Carod-Artal et al, 2000;Jorgensen et al, 1995b). Further, experiences such as sentinel events, or mismatched expectations of recovery that can occur early after stroke survivors return home from hospital can change expectations of outcome and engagement in walking related activities if not sufficiently supported (Ahuja et al, 2013;Barnsley et al, 2012;Nalder et al, 2012a;Nalder et al, 2012b). Thus, this immediate phase post hospital discharge is important to target during recovery to ensure optimal outcomes later after stroke.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ambulation recovery after stroke

Mahendran¹

View full text Add to dashboard Cite

Most stroke survivors regard successful independent ambulation important. However, ambulation recovery is limited following stroke. Historically, limited availability of objective tools and measures to characterise free-living ambulation recovery has restricted investigation of this outcome after survivors return home. However, commercially available devices, including accelerometers and portable global positioning systems, are now available. Thus, this thesis aimed to characterise free-living ambulation recovery over the first six months after stroke survivors returned home from hospital and determine what factors at discharge contributed to ambulation recovery across this time.The first study of this thesis investigated the concurrent validity and retest reliability of accelerometers (ActivPAL TM and Sensewear Pro 2 Armband) and global positioning systems (GPS) (Garmin forerunner 405CX) to measure free-living ambulation after stroke. Measures of step counts, time spent walking, energy expenditure, distance and location were taken during walking tasks that impose demands similar to those encountered when walking in the community as well as free-living community ambulation over four days. This study determined that the ActivPAL TM was valid and reliable for measuring ambulation after stroke. The GPS was valid and reliable for all measures except distance, whereas the Sensewear Pro 2 Armband recorded with high error during all walking tests.The second study aimed to characterise ambulation activity after stroke across the first six months following discharge from hospital and investigate how ambulation activity changed across this time period. Free-living ambulation activity was measured over four days using the ActivPAL TM accelerometer at one, three and six months after stroke survivors left hospital. Measures of volume (daily step counts and time spent walking, sitting/lying, standing and upright), frequency (total number of ambulation bouts; number of bouts and total time spent in short, medium and long duration ambulation bouts) and intensity (number of bouts and total time per day spent in low, moderate and high intensity ambulation bouts) of ambulation activity were collected. This study highlighted that volume of ambulation activity was low across the first six months following hospital discharge, with a majority of ambulation bouts short and low in intensity. Stroke survivors rarely engaged in long duration and high intensity ambulation bouts across the first six months.Daily volume of ambulation activity increased from one month to both three and six months after iv discharge from hospital through an increase in medium duration and moderate intensity ambulation only.The third study aimed to determine what factors at discharge were related to and predicted ambulation activity outcomes over the first six months following hospital discharge in stroke.Factors including age, fatigue, mood, executive function, gait speed, gait endurance, perceived stroke recovery, pre-stroke physical activity, ambulat...

show abstract

Sentinel Events During the Transition From Hospital to Home: A Longitudinal Study of Women With Traumatic Brain Injury

Nalder

Fleming

Cornwell

et al. 2016

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

Sentinel events during the transition from hospital to home: a longitudinal study of women 1 with a traumatic brain injury 2 Abstract:3 Objective: To describe the occurrence of sentinel events and their influence on community 4 integration of women with a traumatic brain injury (TBI) transitioning from hospital to home. 5Design: A longitudinal study was completed with data collected prior to, and at 1, 3 and 6-6 months following, hospital discharge. Setting: Participants were recruited from a brain injury 7 rehabilitation unit and an acute neurosciences ward. Participants: The sample included 25 8 women, aged between 17 and 50, with severe TBI (duration of post traumatic amnesia ranged 9 from 1-123 days). Sixteen family caregivers also participated. Interventions: Not applicable.

show abstract

Recording sentinel events in the life course of individuals with acquired brain injury: A preliminary study

Abstract: This research highlights the benefit of using the SEQ to systematically record the occurrence of sentinel events in order to better understand the process of transition from hospital to home following ABI.

Cited by 21 publications

References 37 publications

Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury

Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury

Ambulation recovery after stroke

Sentinel Events During the Transition From Hospital to Home: A Longitudinal Study of Women With Traumatic Brain Injury

Contact Info

Product

Resources

About