Nursing Home Residence

Jd, Putzke; Js, Richards

doi:10.1097/00002060-200106000-00002

Cited by 25 publications

(3 citation statements)

References 19 publications

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“…Functional status due to early and advanced professional rehabilitation can affect the discharge destination. Nursing home management for all ages has demonstrated a significantly lower quality of life across multiple domains as compared with those living elsewhere [ 19 , 20 ]. Return to living at home is an important patient-reported outcome following a traumatic injury.…”

Section: Discussionmentioning

confidence: 99%

Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

Chowdhury

Leenen

2021

PLoS ONE

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Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants’ demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group’s time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6–20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury.

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Section: Discussionmentioning

confidence: 99%

Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

Chowdhury

Leenen

2021

PLoS ONE

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“…A major consequence of SCI can be the inability to return to their previous residence [ 46 ]. Some people with SCI must transition to an assisted-living facility, such as a nursing home, due to not being able to return to their prior home because of inaccessibility or not having sufficient resources and social supports [ 36 , 47 ].…”

Section: Living Situation and Community Integrationmentioning

confidence: 99%

“…Quality of life was determined to be lower for people with SCI living in a nursing home compared to others living in the community [ 46 , 47 ]. Duggan et al [ 47 ] discovered that the social and attitudinal environment of the nursing home had the most influence on reported quality of life.…”

Section: Living Situation and Community Integrationmentioning

confidence: 99%

Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Budd

Gater

Channell

2022

JPM

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Consequences of a spinal cord injury (SCI) entail much more than damage to the spinal cord. The lives of people with SCI, along with those around them, experience profound long-lasting changes in nearly every life domain. SCI is a physical (biological) injury that is inextricably combined with various psychological and social consequences. The objective of this review is to present psychosocial challenges following SCI through the biopsychosocial model, beginning with acknowledgement of the larger societal effects of ableism and stigma before addressing the many unique psychosocial aspects of living with SCI. Included in this review are qualitative studies and systematic reviews on current psychosocial outcomes and consequences. This paper attempts to structure this information by dividing it into the following sections: relationships and family; changes in finances and employment; issues related to the person’s living situation; community reintegration; factors associated with mood and coping (e.g., depression, anxiety, substance use, and PTSD); self-harm behaviors (ranging from nonadherence to suicide); effects of traumatic brain injury; considerations regarding sexual health; aging with SCI; and concludes with a brief discussion about post-traumatic growth. Cultivating an understanding of the unique and interrelated psychosocial consequences of people living with SCI may help mitigate the psychosocial aftermath and serve as a reminder to providers to maintain a person-centered approach to care.

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Spinal Cord Injury

Elliott

Rivera

2003

Handbook of Psychology

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Spinal cord injury is a high‐cost, low‐incidence neurological disability. This condition has a significant impact on the individual, the family, health care service delivery systems, and society in general. Medical advancements have improved the likelihood of survival following spinal cord injury, and estimated life spans for persons with this condition now approach life expectancies of other people. Unfortunately, the costs associated with ongoing care and assistance escalate as financial support for these services decline. In this chapter, we review the major aspects of spinal cord injury and current information about the condition and its concomitants. We will then provide a model of adjustment and present evidence concerning the major components of the model. We consider the alternative views of adjustment, assistance and service delivery espoused by health care programs, professionals, and by consumers and their families. We conclude with an overview of intervention strategies and issues in health and public policy that affect persons with SCI.

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Nursing Home Residence

Cited by 25 publications

References 19 publications

Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Spinal Cord Injury

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