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Dementia Care Practice.
Alzheimers Dement
December 2024
Yale School of Medicine, New Haven, CT, USA.
Objectives: Little data exists to date regarding effective interventions to improve emergency department (ED)-to-community care transitions for persons living with cognitive impairment (PLWCI) and their care partners. We sought to develop, refine, and pilot test the innovative pairing of artificial intelligence (AI)-enabled digital advisors and an occupational therapist-led care coach intervention to improve ED-to-community care transitions for PLWCI and their care partners.
Methods: We used a mixed methods, multi-phased approach to develop the intervention, with PLWCI and care partners sampled from the LiveWell Dementia Specialists network.
Dementia Care Practice.
Alzheimers Dement
December 2024
University of Wisconsin-Madison, Madison, WI, USA; University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Older adults use the emergency department (ED) as an important source of acute illness care, making over 20 million visits annually. Persons living with dementia are twice as likely to use the ED and 1.5 times more likely to have an avoidable visit.
View Article and Find Full Text PDFRobot-Assisted Gait Training for Achieving Gait Symmetry in a Subacute Stroke Patient: A Case Report.
Cureus
December 2024
Department of Rehabilitation, Musashigaoka Hospital, Kumamoto, JPN.
Gait asymmetry in post-stroke patients is an important gait characteristic that is associated with their balance control, inefficiency, and risks of musculoskeletal injury to the non-paretic lower limb and falling. Unfortunately, most stroke patients retain an asymmetrical gait pattern, even though their gait independence and gait speed improve. We describe the clinical course of a subacute stroke patient who achieved a symmetrical gait at discharge after undergoing both gait training with orthoses and robot-assisted gait training from the early intervention phase.
View Article and Find Full Text PDFA Mnemonic for Effective "Lesss PAINFUL" Pre-Rounding.
Cureus
December 2024
Radiology, University of California Davis School of Medicine, Sacramento, USA.
Due to much of medical training being inpatient centered, medical trainees generally do more pre-rounding on a per-patient basis than they do complete histories and physical exams (H&Ps). However, formal training often overlooks pre-rounding as a critical aspect of medical education and patient care, with at least 10 times more publications on H&Ps than on any other aspect of rounding over the past half-century. To address this critical gap in medical education, we introduce the "Lesss PAINFUL" pre-rounding mnemonic, emphasizing the importance of efficient pre-rounding for medical students or other trainees.
View Article and Find Full Text PDFAutomated line-clearing chest tubes reduce postoperative pain and atrial fibrillation after cardiac surgery.
JTCVS Open
December 2024
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Objective: Recent advancements in chest tube technologies have gained interest for their ability to enhance postoperative recovery via reduction of retained blood syndrome after cardiothoracic surgery. The present study investigates the effect of the Centese Thoraguard automated line-clearance chest tube system on postoperative pain and recovery after cardiac surgery.
Methods: This was a single-center retrospective review of 1771 adult patients undergoing nonemergency cardiac surgery between January 2021 and December 2022.
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