Psychological interventions for patients with delirium in intensive care: A scoping review protocol.

The objective of this scoping review is to investigate psychological interventions developed, evaluated, and considered for patients with delirium in intensive care units (ICU). Data will be extracted from sources of evidence that address interventions for delirium-related distress and/or cognitive impairments in the adult ICU population, suitable for delivery by or under the supervision of a psychological practitioner. ICU delirium is a common and impactful condition that adversely affects patient outcomes, including prolonged hospitalisation and deteriorating mental health.

Prolonged disorder of consciousness: giving a second opinion on the best interests of a person.

Patients with a prolonged disorder of consciousness have a neurological disorder. Few neurologists undertake assessment and management after the acute phase of the person's illness, even though some of their patients with progressive neurological disorders become persistently unconscious. Their clinical evaluation and deciding on their best interests require full use of a neurologist's expertise, which is intellectually, emotionally and clinically challenging.

Sensorimotor functioning changes in response to global exercise versus handwriting upper limb exercise training in Parkinson's disease, results from a phase II randomised controlled trial.

Introduction: People with Parkinson's disease (PwPD) present motor alterations which can impact daily life tasks that require speed and/or accuracy of movement.

Objective: A sub analysis of NCT01439022, aiming to estimate the extent to which two different exercise training protocols (global and handwriting upper limb exercise training) impact reaction time, travel speed, and accuracy in PwPD.

Methods: Seventy PwPD, right-side dominant were randomised 1:1 into two six-month training protocol groups; 35 PwPD performed global exercise training and 35 performed specific training (handwriting upper limb exercise movements).

Does a service provide safe, effective rehabilitation? An evaluation method for providers and purchasers.

Background: Independent organisations monitor the safety and governance of clinical services but do not assess specialist expertise. Peer review can assess service capability but is resource-intense and infeasible.

The Problem: How can you ensure a service provides safe, effective rehabilitation? You ask them to provide data as evidence that they can be trusted to do so.