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Mild Cognitive Impairment In Heart Failure Affects Care Transition, Kitsum Li, Kristin Myers Nov 2015

Mild Cognitive Impairment In Heart Failure Affects Care Transition, Kitsum Li, Kristin Myers

Kitsum Li

Objectives After attending the presentation, the audiences will be able to: Understand the importance of cognition in everyday activity and the cognitive hierarchy to guide practice. Recognize the incidence of mild cognitive impairment in individuals with heart failure. Understand how mild cognitive impairment may affect heart failure self- care practice and hospitalization readmission. Identify the evidence that support use of cognitive screen to identify mild cognitive impairment in individuals with heart failure. Compare the evidence among three cognitive screens (Mini-mental Status Exam, Montreal Cognitive Assessment and St. Louis University Mental State Exam). (Using Montreal Cognitive Assessment as an example)Identify cognitive …


A Transformative Experience For Occupational Therapy Students In A Simulated Learning Environment, Kitsum Li, Barbara Mccamish Nov 2015

A Transformative Experience For Occupational Therapy Students In A Simulated Learning Environment, Kitsum Li, Barbara Mccamish

Kitsum Li

Simulation is being integrated into nursing and medical curriculum nationally and it is well integrated into the Nursing program at Dominican University of California, However, use of simulation in allied health professionals is only an emerging practice. The aim of this program is to integrate simulation into the OT curriculum in order to facilitate the development of therapy foundation skill.


Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi Oct 2015

Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi

Kitsum Li

Literature reports the frequent use of shoulder slings by occupational therapists for the management of post-stroke shoulder subluxation despite the low evidence for its efficacy. To understand the clinical context that defies current research evidence, a survey was distributed among California occupational therapists. One hundred and sixty-eight participants responded to the survey, answering questions regarding the occurrences and clinical reasoning in the use of shoulder sling with patients post stroke. 81.5% of the respondents reported the use of shoulder sling. However, the actual sling prescription was limited to 28.4% of their patients. Slings were primarily prescribed for upper extremity management …


Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella Oct 2015

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Kitsum Li

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …


Does Therapeutic Horseback Riding Decrease Balance Deficits In Community-Dwelling Older Adults?, Salwa Yaser, Lisa Mrsny, Krystin Beeman, Skyler Moon, Kitsum Li Aug 2015

Does Therapeutic Horseback Riding Decrease Balance Deficits In Community-Dwelling Older Adults?, Salwa Yaser, Lisa Mrsny, Krystin Beeman, Skyler Moon, Kitsum Li

Kitsum Li

Hippotherapy and therapeutic riding (TR) provide pleasurable activity and physical exercise to individuals and yet limited study is available on its therapeutic value to improve balance in older adults. In this study, the researchers measured the benefit of TR on balance and quality of life in communitydwelling older adults. A convenience sample of individuals 65 years and older was recruited from a local community. The study is a single-blind, pretest-posttest, controlled study of a 10-session TR program with a Professional Association of Therapeutic Horsemanship (PATH) trained and certified TR instructor. Each TR session included grooming and tacking, mounting, a warm-up …


Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi Aug 2015

Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi

Kitsum Li

Literature reports the frequent use of shoulder slings by occupational therapists for the management of post-stroke shoulder subluxation despite the low evidence for its efficacy. To understand the clinical context that defies current research evidence, a survey was distributed among California occupational therapists. One hundred and sixty-eight participants responded to the survey, answering questions regarding the occurrences and clinical reasoning in the use of shoulder sling with patients post stroke. 81.5% of the respondents reported the use of shoulder sling. However, the actual sling prescription was limited to 28.4% of their patients. Slings were primarily prescribed for upper extremity management …


Does Therapeutic Horseback Riding Decrease Balance Deficits In Community-Dwelling Older Adults?, Salwa Yaser, Lisa Mrsny, Krystin Beeman, Skyler Moon, Kitsum Li Aug 2015

Does Therapeutic Horseback Riding Decrease Balance Deficits In Community-Dwelling Older Adults?, Salwa Yaser, Lisa Mrsny, Krystin Beeman, Skyler Moon, Kitsum Li

Kitsum Li

Hippotherapy and therapeutic riding (TR) provide pleasurable activity and physical exercise to individuals and yet limited study is available on its therapeutic value to improve balance in older adults. In this study, the researchers measured the benefit of TR on balance and quality of life in communitydwelling older adults. A convenience sample of individuals 65 years and older was recruited from a local community. The study is a single-blind, pretest-posttest, controlled study of a 10-session TR program with a Professional Association of Therapeutic Horsemanship (PATH) trained and certified TR instructor. Each TR session included grooming and tacking, mounting, a warm-up …


Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella Aug 2015

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Kitsum Li

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …


Does Therapeutic Horseback Riding Decrease Balance Deficits In Community-Dwelling Older Adults?, Salwa Yaser, Lisa Mrsny, Krystin Beeman, Skyler Moon, Kitsum Li Aug 2015

Does Therapeutic Horseback Riding Decrease Balance Deficits In Community-Dwelling Older Adults?, Salwa Yaser, Lisa Mrsny, Krystin Beeman, Skyler Moon, Kitsum Li

Kitsum Li

Hippotherapy and therapeutic riding (TR) provide pleasurable activity and physical exercise to individuals and yet limited study is available on its therapeutic value to improve balance in older adults. In this study, the researchers measured the benefit of TR on balance and quality of life in communitydwelling older adults. A convenience sample of individuals 65 years and older was recruited from a local community. The study is a single-blind, pretest-posttest, controlled study of a 10-session TR program with a Professional Association of Therapeutic Horsemanship (PATH) trained and certified TR instructor. Each TR session included grooming and tacking, mounting, a warm-up …


Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi Aug 2015

Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi

Kitsum Li

Literature reports the frequent use of shoulder slings by occupational therapists for the management of post-stroke shoulder subluxation despite the low evidence for its efficacy. To understand the clinical context that defies current research evidence, a survey was distributed among California occupational therapists. One hundred and sixty-eight participants responded to the survey, answering questions regarding the occurrences and clinical reasoning in the use of shoulder sling with patients post stroke. 81.5% of the respondents reported the use of shoulder sling. However, the actual sling prescription was limited to 28.4% of their patients. Slings were primarily prescribed for upper extremity management …


Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella Aug 2015

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Kitsum Li

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …


For Low-Income Adults Who Experience Trouble With One Or More Activities Of Daily Living (Adl) Or Two Or More Instrumental Activities Of Daily Living (Iadl), Does The Community Aging In Place: Advancing Better Living For Elders (Capable) Improve Performance Of Adls And Iadls?, Noelle Bakken, Lauryn Banovitz, Abigail Lafrenz, Kitsum Li Aug 2015

For Low-Income Adults Who Experience Trouble With One Or More Activities Of Daily Living (Adl) Or Two Or More Instrumental Activities Of Daily Living (Iadl), Does The Community Aging In Place: Advancing Better Living For Elders (Capable) Improve Performance Of Adls And Iadls?, Noelle Bakken, Lauryn Banovitz, Abigail Lafrenz, Kitsum Li

Kitsum Li

The growing population of older adults has created a societal shift, with many older adults preferring to stay in their homes for a longer period of time. This trend, known as aging-inplace, may provide greater independence and autonomy to older adults compared with those living in nursing homes. However, physical and cognitive changes associated with age may affect the ability to safely perform activities of daily living (ADL) and instrumental activities of daily living (IADL). This study examined performance in ADLs and IADLs, fall efficacy, and quality of life in 40 low-income, community dwelling adults aged 65 and older. Participants …


Do Restorative Home Care Programs Increase Independence In Adls And Iadls In Older Adults Receiving Home Health Services?, Adrienne Angeles, Shanee Ben-Haim, Amy Smith-Schwartz, Kitsum Li Aug 2015

Do Restorative Home Care Programs Increase Independence In Adls And Iadls In Older Adults Receiving Home Health Services?, Adrienne Angeles, Shanee Ben-Haim, Amy Smith-Schwartz, Kitsum Li

Kitsum Li

There has been a worldwide shift from viewing aging as a dependent stage of life to one that increasingly encourages independence and a more active lifestyle for older adults. In Australia, where this study was conducted, restorative care that embraces active aging was not yet considered an essential component of home health care on the national level. However, restorative home care has been gaining more recognition as increasing importance is placed on independence and self-management in older adults. The researchers of this study explored whether older adults’ participation in restorative home care programs reduced the need for ongoing personal care. …


Does A Multicomponent Home Intervention Reduce Functional Difficulties In Community-Dwelling Older Adults As Compared To No Intervention?, Laura Henty-Clark, Rosemarie Lion, Nadine Marcelo, Kitsum Li Aug 2015

Does A Multicomponent Home Intervention Reduce Functional Difficulties In Community-Dwelling Older Adults As Compared To No Intervention?, Laura Henty-Clark, Rosemarie Lion, Nadine Marcelo, Kitsum Li

Kitsum Li

Many older adults live with chronic conditions that may affect their ability to safely perform their daily occupations. Small decreases in ability of older adults to function independently can have profound effects, possibly leading to hospitalization, institutionalization, or death. However, preventative home-based interventions for older adults typically are not reimbursed by Medicare or other insurance carriers. This study on intervention effectiveness contributes to a growing body of evidence for providing preventative home-based intervention to older adults to support their abilities to function independently in their communities. This study examined whether a preventative home-based intervention, including occupational therapy and physical therapy, …


For Healthy Older Adults, Does Participation In A Water-Based Balance Training Exercise Program, When Compared To A Land-Based Balance Training Exercise Program, Improve Balance Performance?, Sara Pro, Rajvinder Bains, Kitsum Li Aug 2015

For Healthy Older Adults, Does Participation In A Water-Based Balance Training Exercise Program, When Compared To A Land-Based Balance Training Exercise Program, Improve Balance Performance?, Sara Pro, Rajvinder Bains, Kitsum Li

Kitsum Li

Occupational therapy plays a significant role in wellness promotion for older adults. Critical to maintaining health and wellness in older adults is prevention of falls and fall-related injuries. One in three community-dwelling older adults reports a fall every year, and the incidence of falls increases exponentially from ages 60 to 65 and 80 to 85. Falls are associated with increased morbidity and mortality from fractures and secondary complications. Leading causes of falls in older adults include decreased balance and an abnormal gait pattern. Balance training programs can help improve balance, decrease the risk of falling, and promote functional independence. However, …