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Changing practice for acute hemiplegic shoulder care: a best practice model.

This study evaluates the implementation of a best practice management model for hemiplegic shoulder care in acute neurological patients. Following a three-month trial, an existing model was modified and implemented on the neurosciences ward. Sixty-five patient records were randomly audited to evalua...

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Published in:International Journal of Therapy & Rehabilitation Vol. 14; no. 6; pp. 266 - 274
Main Authors: Nicks RJ, DeGruyter MA, Walkenhorst-Maccanti H, Bernhardt J
Format: protocol research tables/charts Journal Article
Published: Mark Allen Holdings Limited Jun2007
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Therapy & Rehabilitation
      issn: 17411645
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      dt: Jun2007
      vid: 14
      iid: 6
      pid: 11383
      pub: Mark Allen Holdings Limited
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        106146637
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        2009612737
        10.12968/ijtr.2007.14.6.23896
        106146637
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        atl: Changing practice for acute hemiplegic shoulder care: a best practice model.
      aug:
        au:
          Nicks RJ
          DeGruyter MA
          Walkenhorst-Maccanti H
          Bernhardt J
        affil: Senior Clinician Occupational Therapist, Allied Health -- Neurosciences, Royal Melbourne Hospital, Melbourne, Australia
      sug:
        subj:
          Hemiplegia Rehabilitation
          Hemiplegia Therapy
          Occupational Therapy
          Physical Therapy
          Shoulder Joint Physiopathology
          Acute Care
          Adult
          Aged
          Aged, 80 and Over
          Audit
          Clinical Assessment Tools
          Descriptive Research
          Evaluation Research
          Female
          Male
          Middle Age
          Occupational Therapy Practice
          Physical Therapy Practice
          Prospective Studies
          Range of Motion
          Scales
          Subluxation
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study evaluates the implementation of a best practice management model for hemiplegic shoulder care in acute neurological patients. Following a three-month trial, an existing model was modified and implemented on the neurosciences ward. Sixty-five patient records were randomly audited to evaluate implementation. Of these, 30 (46%) had signs that indicated use of the model, and of these, the model was used for 28 (93%). Following implementation, the use of outcome measures increased from 25% to 94%, and the consistency of management for the hemiplegic shoulder improved from 69% to 97%. The management tool for acute hemiplegic shoulder encourages timely identification of risk in patients with upper limb hemiplegia, assists clinicians to prioritize their time and appropriately allocate resources according to best practice.
      pubtype: Academic Journal
      doctype:
        protocol
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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