Critical Appraisals - Aged Care

Topics:

Balance/Falls

Clinical Scenario Discipline
Is a supervised exercise program better than an unsupervised program in improving the balance of older people who have experienced a fall?

Kao, C, Chen, L, Chern, C, Hsu, L, Chen, C & Hwang, S 2010 ‘Rehabilitation outcome in home-based versus supervised exercise programs for chronically dizzy patients’, Archives of Gerontology and Geriatrics, vol. 51, pp. 264–267.

Multi-d
How does the use of a Wii improved balance issues in over 60yo? 

Nitz, J, Kuys, S, Isles, R, & Fu, S 2010, ‘Is the Wii Fit™ a new-generation tool for improving balance, health and well-being? A pilot study’, Climacteric, vol. 13, pp. 487-491.

Multi-d

General Health

Clinical Scenario Discipline
How does hoarding impact on the safety of people over the age of 65 living in the community?

Chapin, R, Sergeant, J, Landry, S, Koenig, T, Leiste, M, & Reynolds, K 2010 ‘Hoarding cases involving older adults: The transition from a private matter to the public sector’, Journal of Gerontological Social Work, vol. 53, no. 8, pp. 723-742.

OT
Is home follow up effective in reducing the risk of hospital readmission for elderly people?

Linertova, Ba Econ, R, Garcia-Perez, L, Ramon Vazquez-Diaz, J, Lorenzo-Riera, A, & Sarria-Santamera, A 2010, ‘Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review’, Journal of Evaluation in Clinical Practice, pp.1-9.

Multi-d
Does the administration of a frailty scale in community dwelling older people assist in determining length of service or type/intensity of service required?

Gobbens, R, van Assen, M, Luijkx, K, & Schols, J 2012 ‘The Predictive Validity of the Tilburg Frailty Indicator: Disability, Health Care Utilization, and Quality of Life in a Population at Risk’, The Gerontologist, pp. 1-13.

OT
What are the impacts of an extended period of hospitalisation, the associated de-conditioning and ill health, on the cognitive capacities of the older person (pre-admission having no cognitive issues) and implications on their return home to live safely and independently in the community?

Ehlenbach, W, Hough, C, Crane, P, Haneuse, S, Carson, S, Curtis, J, & Larson, E 2010, ‘Association between acute care and critical illness hospitalisation and cognitive function in older adults’, JAMA, vol. 303, no. 8, pp.763-770.

Multi-D
What does the evidence show about has gardening as an activity been used to bring older persons living in the community together to promoting healthy ageing & to build supportive communities?

Chen,T, & Janke, M 2012 , ‘Gardening as a potential activity to reduce falls in older adults’, Journal of aging and physical activity, vol. 20, pp.1-31.

Multi-D

Mental Health

Clinical Scenario Discipline
What is the reliability and validity of the Montreal Cognitive Assessment (MoCA) for people with cognitive decline?

Sweet, L, Van Adel, M, Metcalf, V, Wright, L, Harley, A, Leiva, R, & Taler, V 2011, ‘The Montreal Cognitive Assessment (MoCA) in geriatric rehabilitation: psychometric properties and association with rehabilitation outcomes’, International Psychogeriatrics, vol. 23, pp. 1582-1591.

OT
What evidence is there to support the use of alternative therapies in improving the cognition of clients with dementia or cognitive impairment?

Innes, KE, Selfe, TK, Brown, CJ, Rose, KM , & Heisterman, AT 2012, ‘The effects of meditation on perceived stress and related indices of psychological status and sympathetic activation in persons with Alzheimer’s disease and their care givers: A pilot study’, Evidence –based Complementary and Alternative Medicine, E-Pub Article ID 927509.

Multi-D
In individuals with advanced stage dementia does music therapy improve outcomes such as alertness, awareness, communication, quality of life etc?

Boughtwood, D, Shanley, C, Adams, J, et al. 2012 ‘Dementia information for culturally and linguistically diverse communities: sources, access and considerations for effective practice’, Australian Journal of Primary Health, vol. 18, pp.190-196.

Multi-D
What are the most effective occupational therapy cognitive assessments to use in an acute hospital setting for safe discharge planning?

Crennan, M, & MacRae, A 2010, ‘Occupational therapy discharge assessment of elderly patients from acute care hospitals’, Physical and Occupational Therapy in Geriatrics, vol. 28, no. 1, pp. 33-43.

Multi-D

Orthopaedic Rehabilitation 

Clinical Scenario Discipline
What is the effective dose (time and frequency) for a supervised home based exercise program?

Matsuda, PN, Shumway-Cook, A & Ciol, MA 2010, ‘The effects of a home-based exercise program on physical function in frail older adults’, Journal of Geriatric Physical Therapy, vol. 33, pp. 78-84.

PT

iCAHE will continually update this compendium of critically appraised research publications as a resource for health services interested in implementing journal clubs within their health services.

DOHSA Librarian Contact Details

The International Centre for Allied Health Evidence aims to make iCAHE Journal Club Critically Appraised articles available for review and consideration by South Australian Department of Health employees.

In order to access the articles South Australian Department of Health (DoHSA) employees will need to contact the DoHSA Librarian:

South Australian Department of Health 
Library & Information Services
Level 2 162 Grenfell Street Adelaide SA
PO Box 287 Rundle Mall Adelaide SA 5000 
Phone 08 8226 6070 Fax 08 8226 6677
Email health.library@health.sa.gov.au 
Department of Health, South Australia, Library website

Areas of study and research

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