Maria Crotty

..To compare hospital and home settings for the rehabilitation of patients following hip fracture...

..To assess the effectiveness of moving patients who are waiting in hospital for a long term care bed to an off-site transitional care facility...

..efficient strategies are needed to provide specialist advice in nursing homes to ensure quality medical care. We describe a case conference intervention involving a multidisciplinary team of health professionals...

..The aim of this project was to assess whether outreach visits would improve the implementation of evidence based clinical practice in the area of falls reduction and stroke prevention in a residential care setting...

..To compare the effect of early discharge and home-based therapy with conventional hospital rehabilitation on patient and caregiver outcomes at 12 months after hip fracture...

..Poorly executed transfers of older patients from hospitals to long-term care facilities carry the risk of fragmentation of care, poor clinical outcomes, inappropriate use of emergency department services, and hospital readmission...

..As the population ages and hip fractures increase, home rehabilitation in its current form will have little impact on future bed needs...

..Inclusion of liaison with community therapists in the clinical pathway and in selected cases use of 'rehabilitation at home' services to provide physiotherapy services should be considered...

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..To assess the feasibility of a physiotherapy intervention using an interactive gaming program compared with conventional physiotherapy for hospitalised older people...

..What walking aid prescription occurs at discharge after hip fracture? What changes in walking aid use occur in the following six months? Who initiates changes in walking aids and why?..

..Transition Care offers older people a flexible model of care. While the flexibility of the model is a strength, service providers are struggling to achieve integration with existing services...

..to assess the effect of home versus day rehabilitation on patient outcomes...

..The aim of this study was to determine the acceptability of the Nintendo Wii Fit as a therapy tool for hospitalised older people using a discrete choice experiment (DCE) before and after exposure to the intervention...

..To evaluate the utility of body mass index (BMI) and corrected-arm-muscle area (CAMA) as measures of nutritional health for lower-limb amputees attending prosthetics clinics...

..The number of nursing units of care activated also predicted falls. Data collected from nursing information systems can be used to identify patients at high risk of falls...

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..The overlap identified in this analysis suggests that up to 40% (75/187) of patients could be misidentified and prescribed inappropriate nutritional support...

..To describe a modification of the computer self efficacy scale for use in clinical settings and to report on the modified scale's reliability and construct validity...

..We evaluated a falls prevention strategy consisting of the introduction of volunteers to 'sit' with patients identified as being at high risk of falling...

..This study shows that the application of RRDs reduces acute LOS and time-to-first-prosthetic-casting, thereby providing substantial benefits in preparing the trans-tibial amputee for early rehabilitation and prosthetic intervention...

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..Further work is required to evaluate total energy expenditure before recommendations can be made to alter current practice for calculating theoretical total energy requirements of hip fracture patients...

..7; 95%CI=0.7-4.4). CONCLUSIONS: A patient centered evidence-based approach is feasible and effective in increasing uptake of falls prevention advice. Long term compliance with advice needs further exploration...

..To explore the relationship between disability and functional measures with vision-specific quality of life (QoL) measures for people with hemianopia and stroke...

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..The Australian planning ratio for residential aged-care services and community aged care services should be changed to take account of the shift to an older population with greater need of support...

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..The aim of this pilot study is to describe 12 month health outcomes of community-dwelling older adults who have attended a multi-disciplinary Falls Clinic...

..To compare the four-month outcomes of fallers and nonfallers as well as those with slow gait speed in patients with hip fracture successfully discharged back to the community...

..To ascertain the reasons for not taking up a fall or injury prevention strategy among older people who have sustained a fall and attended an emergency department...

..Waiting lists for the clinic have increased dramatically since its inception. Ideally many of the interventions should be available in the primary care setting to increase access for those in the community at risk of falls...

..To determine self-reported physical activity barriers, behaviors, and beliefs about exercise of a representative sample and to identify associated sociodemographic factors...

..The aim of the present study was to assess HRQoL and health outcomes at four months follow-up in a group of older people awaiting transfer to residential aged care...

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..The purpose of this study was to explore the predictive relationship of corrected arm muscle area (CAMA) with 8-year mortality in a representative sample of older Australians...

..We sought to determine the criterion validity of the Useful Field of View (UFOV) assessment and Stroke Drivers' Screening Assessment (SDSA) through comparison to the results of on-road assessment...

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..Crotty M, George S. Retraining visual processing skills to improve driving ability after stroke...

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..CONCLUSIONS: This National Demonstration Hospitals Program project has impacted on both hospital discharge planning and the hospital-community interface. Flow-on effects to other initiatives within the region are likely...

..The implementation of transitional care did not reduce the stress felt by carers when looking for a residential care facility, but it was an acceptable alternative to waiting for residential care in hospital...

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..Discrete choice experiments are a potential approach to assessing patient preferences, as they reveal the characteristics of programmes that are most important to consumers...

..As part of the National Evaluation of the Transition Care Program, the authors developed a questionnaire to measure recipient experience of TC...

..The aim of the ATLANTIC trial is to assess the potential benefits of an anti-inflammatory dose of fish oil within the context of a 12 week individualised nutrition program, commencing seven days post proximal femoral fracture surgery...

..In particular, commercial gaming consoles are being rapidly adopted in clinical settings; however, there is currently little information about their effectiveness...

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..To describe the use of upper limb orthoses and assistive technologies (AT) in a representative community-based sample of children with hemiplegic cerebral palsy (HCP) and compare children on the basis of their prescription...

..To describe and characterize the prevalence and quality of pain in a population-based community sample of children with hemiplegic cerebral palsy...

..This article examines this debate and the implications of Crotty's work for phenomenological research in nursing...

..The only valid starting point for resolving it, this article suggests, is a close reading of what Heidegger actually says in the pages of Being and Time...

..The technique has previously been proven safe and effective in the treatment of shoulder pain associated with rheumatoid arthritis and degenerative shoulder conditions but its usefulness in a stroke population is unclear...

..The purpose of this investigation was to determine whether the International Classification of Functioning, Disability and Health (ICF) framework can integrate concepts from driving frameworks...

..The aim of this study was to describe the participants' readiness and ability to set goals over time...

..To describe the development of the Adelaide Driving Self-Efficacy Scale (ADSES) and to report on its reliability and validity...

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..While hip fractures are an important cause of disability, dependency and death in older adults, the benefit of multi-disciplinary rehabilitation for people who have sustained hip fracture has not been demonstrated...

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..This study aims to determine which treatment is more effective, a standardized approach or individualized therapy in patients with homonymous hemianopia post stroke...

..To determine the accuracy of self-reported activity by community-dwelling, lower-limb amputees...

..The objective was to examine the evidence to determine the optimal management of phantom limb pain in the preoperative and postoperative phase of amputations...

..05) and had poorer function at 90 days (P = 0.017). CONCLUSIONS: Over half our sample was identified as at risk of malnutrition or malnourished and this was associated with poorer clinical outcomes...

..At the end of the first 20 months we evaluated the service in terms of patient access and the satisfaction of the local health care providers...

..To evaluate the efficacy of a self-management support program including a 6 week self-management course, individualised phone support and goal setting in osteoarthritis patients on a waiting list for arthroplasty surgery...

..There were no differences in drug use between groups over the study period. CONCLUSION: Functional gains were achieved with both exercise programmes compared with the control group...

..Motor performance in activities of daily living as detected by the AMPS seemed to worsen with age in children with hemiplegic CP. Further investigation into what can influence this outcome is required...

..Excessive weight is associated with an increased risk of limitation in function and mobility, both key components of health-related quality of life...

..To investigate self-esteem, self-concept and quality of life in children with hemiplegic cerebral palsy (HCP) compared with typically developing peers...

..Transition care services should be established within the context of overall regional plans for aged care, incorporating hospital acute and subacute inpatient services, and long-term community and residential care programs...