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Goal-Oriented Rehab Improves Recovery In Older Adults
Goal-oriented, motivational physical and occupational therapy helps older patients recover more fully from broken hips, strokes and other ailments that land them in skilled nursing facilities for rehabilitation, according to new research at Washington University School of Medicine in St. Louis.
Enhanced Medical Rehabilitation -- an approach in which physical and occupational therapists work to engage patients more fully during therapy sessions -- helped patients recover function better than standard physical and occupational therapy that was provided to others in the same skilled nursing facilities, the researchers found.
Their findings are published July 31 in the journal JAMA Network Open.
"We found that when you engage and motivate people, they do better," said the study's first author, Eric J. Lenze, MD, a professor of psychiatry.
Patients receiving enhanced rehab did not get mor
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6 In 10 Children Receive Opioids After Tonsillectomy, But Opioids May Not Protect Against Complications
Sixty percent of privately insured children undergoing tonsil removal received opioids –with average prescriptions lasting about six to 10 days – a new study finds.
And while the more powerful painkillers are often prescribed because they have been believed to reduce the risk of complications such as poorly controlled pain, researchers did not find evidence indicating that opioids protected children against those risks.
The Michigan Medicine study appears in the journal JAMA Otolaryngology-Head & Neck Surgery.
“Our findings suggest that it may be possible to reduce opioid exposure among children who undergo this common surgery without increasing the risk of complications,” says lead author Kao-Ping Chua, M.D., Ph.D., a researcher and pediatrician at University of Michigan C.S. Mott Children’s Hospital and the U-M Institute for Healthcare Policy and Innovation.
Researchers analyzed na
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Racial And Ethnic Disparities Found In Palliative Care Use Among Hospitalized Patients With End-Stage Kidney Disease
Striking racial and ethnic disparities exist in the use of palliative care by hospitalized patients with end-stage kidney disease (ESKD) on dialysis, researchers at the Icahn School of Medicine at Mount Sinai report. The findings were published today in Journal of the American Society of Nephrology.
Palliative care is team-based care focused on improving quality of life and reducing suffering for people with serious illness and their families. Palliative care—which better aligns medical treatments with patients’ goals and wishes, aggressively treats distressing symptoms, and improves care coordination—is associated with shorter hospital stays and lower costs, according to research published in 2018 by scientists at the Icahn School of Medicine at Mount Sinai.
To investigate palliative care use, the researchers conducted a retrospective cohort study using the National Inpatient Sample
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Study Finds Transport By Mobile Stroke Units Get Patients Quicker Treatment Than Traditional Ambulance
Every second counts for stroke patients, as studies show they can lose up to 27 million brain cells per minute. Researchers at The University of Texas Health Science Center at Houston (UTHealth) recently published new findings in Stroke that show patients transported to the hospital by mobile stroke unit instead of standard ambulance received a clot-busting procedure an average of 10 minutes faster, which could potentially save up to 270 million neurons per patient.
In 2014, McGovern Medical School at UTHealth was the first in the nation to launch a mobile stroke unit, a specially equipped ambulance for diagnosing and treating stroke rapidly before hospital arrival.
“The quicker we get stroke victims treatment that will restore blood flow, the more brain tissue we can save,” said Alexandra Czap, MD, vascular neurology fellow in the Department of Neurology at McGovern Medical School a