Rehabilitation & Aged Care
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Publications produced by staff from the Department of Rehabilitation & Aged Care, Flinders University.
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Direct health and residential care costs of people living with dementia in Australian residential aged care
(Wiley, 2017-11-27)Objectives: This analysis estimates the whole‐of‐system direct costs for people living with dementia in residential care by using a broad health and social care provision perspective and compares it to people without ... -
Subacute Rehabilitation Does Have Benefits for Patients With Advanced Cancer
(Elsevier, 2017-10-28)To the Editor: It is with concern that we read a recent Letter to the Editor by Desai et al.,1 that stated “people with gastrointestinal cancer did not benefit from the admission to subacute rehabilitation,” concluding ... -
An empirical comparison of the measurement properties of the EQ-5D-5L, DEMQOL-U and DEMQOL-Proxy-U for older people in residential care
(Springer Nature, 2018-01-05)Purpose This study aimed to empirically compare the measurement properties of self-reported and proxy-reported (in cases of severe cognitive impairment) generic (EQ-5D-5L) and condition-specific (DEMQOL-U and DEMQOL-Proxy-U) ... -
Rehabilitation in dementia care
(Oxford, 2017-11-29)Multidisciplinary rehabilitation is increasingly accepted as valuable in the management of chronic disease. Whereas traditional rehabilitation models focussed on recovery, maintaining independence and delaying functional ... -
Associations between the Drug Burden Index, Potentially Inappropriate Medications and Quality of Life in Residential Aged Care
(Springer, 2018-01)Background Inappropriate polypharmacy may negatively impact the quality of life of residents in aged care facilities, but it remains unclear which medications may influence this reduced quality of life. Objective The ... -
Effectiveness of multicomponent interventions on incidence of delirium in hospitalized older patients with hip fracture: a systematic review
(Cambridge University Press, 2018-01-03)Delirium is the most frequent complication among the hospitalized elderly with hip fracture. Although, delirium is associated with longer hospital stay, higher mortality rates, worse functional outcomes, and higher ... -
A Practical Approach to Fatigue Management in Colorectal Cancer
(Elsevier, 2016-05-07)Cancer-related fatigue is serious and complex, as well as one of the most common symptoms experienced by patients with colorectal cancer, with the potential to compromise quality of life, activities of daily living, and ... -
Depression - A Major Contributor to Poor Quality of Life in Patients With Advanced Cancer
(Elsevier, 2017-08-10)Context Quality of life (QoL) and depression are important patient-reported outcomes in cancer care. However, the relative importance of depression severity in predicting QoL remains unclear because of few methodologically ... -
Promoting Activity in Geriatric Rehabilitation: A Randomized Controlled Trial of Accelerometry
(Public Library of Science, 2016-08-26)Background Low activity levels in inpatient rehabilitation are associated with adverse outcomes. The study aimed to test whether activity levels can be increased by the provision of monitored activity data to patients and ... -
Stroke Epidemiology in an Australian Rural Cohort (SEARCH)
(Sage, 2016-09-30)Background Stroke rates in Australia and New Zealand have been declining since 1990 but all studies have been completed in large urban centers. Aim We report the first Australasian stroke incidence study in a rural ... -
Virtual reality for stroke rehabilitation: an abridged version of a Cochrane Review.
(Minerva Medica, 2015-08)Aim: Virtual reality and interactive video gaming have emerged as new treatment approaches in stroke rehabilitation settings over the last ten years. The primary objective of this review was to determine the effectiveness ... -
Association of cardiovascular system medications with cognitive function and dementia in older adults living in nursing homes in Australia
(Journal of Geriatric Cardiology, 2017-06-28)Objective To examine associations between cardiovascular system medication use with cognition function and diagnosis of dementia in older adults living in nursing homes in Australia. Methods As part of a cross-sectional ... -
Which online format is most effective for assisting Baby Boomers to complete advance directives? A randomised controlled trial of email prompting versus online education module
(BioMed Central, 2017-08-29)Background: Completion of Advance Directives (ADs), being financial and healthcare proxy or instructional documents, is relatively uncommon in Australia. Efforts to increase completion rates include online education and ... -
Caregivers' Perspectives on the Use of Long-Term Oxygen Therapy for the Treatment of Refractory Breathlessness: A Qualitative Study
(Elsevier, 2016-11-11)Context Despite limited clinical evidence, long-term oxygen therapy (LTOT) is used for the management of refractory breathlessness in people with life-limiting illnesses who are not necessarily hypoxemic. Objectives The ... -
Pharmacovigilance in Hospice/Palliative Care: Net Effect of Haloperidol for Nausea or Vomiting
(Mary Ann Liebert, Inc. publishers, 2017-08-03)Background: Haloperidol is widely prescribed as an antiemetic in patients receiving palliative care, but there is limited evidence to support and refine its use. Objective: To explore the immediate and short-term net ... -
The Prospective Evaluation of the Net Effect of Red Blood Cell Transfusions in Routine Provision of Palliative Care.
(Mary Ann Liebert, Inc. publishers, 2017-06-09)Background Red Blood Cell (RBC) transfusions are commonly used in palliative care. RBCs are a finite resource, transfusions carry risks, and the net effect (benefits and harms) is poorly defined for people with life-limiting ... -
Chronic breathlessness associated with poorer physical and mental health-related quality of life (SF-12) across all adult age groups
(BMJ Publishing Group, 2017-03-29)Little is known about the impact of chronic breathlessness (modified Medical Research Council (mMRC) score ≥2 for most days, at least three of the last six months) on health-related quality of life (Short Form-12 (SF-12)). ... -
Quality of missing data reporting and handling in palliative care trials demonstrates that further development of the CONSORT statement is required: a systematic review
(Elsevier, 2017-05-19)Objectives: Assess (i) the quality of reporting and handling of missing data (MD) in palliative care trials, (ii) whether there are differences in the reporting of criteria specified by the Consolidated Standards of Reporting ... -
Study protocol: a phase III randomised, double-blind, parallel arm, stratified, block randomised, placebo-controlled trial investigating the clinical effect and cost-effectiveness of sertraline for the palliative relief of breathlessness in people with chronic breathlessness
(BMJ Publishing Group, 2016-10-26)Introduction Breathlessness remains a highly prevalent and distressing symptom for many patients with progressive life-limiting illnesses. Evidence-based interventions for chronic breathlessness are limited, and there is ... -
A pragmatic, phase III, multisite, double-blind, placebo-controlled, parallel-arm, dose increment randomised trial of regular, low-dose extended-release morphine for chronic breathlessness: Breathlessness, Exertion And Morphine Sulfate (BEAMS) study protocol
(BMJ Publishing Group, 2017-07-01)Introduction Chronic breathlessness is highly prevalent and distressing to patients and families. No medication is registered for its symptomatic reduction. The strongest evidence is for regular, low-dose, extended- release ...
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