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Critically Appraised Paper For “The Effects Of A Home-Based Virtual Reality Rehabilitation Program On Balance Among Individuals With Parkinson’S Disease”, Amanda Lee, Sophie Miller, Holly Snyder, Phoebe Taasan, Kitsum Li Sep 2017

Critically Appraised Paper For “The Effects Of A Home-Based Virtual Reality Rehabilitation Program On Balance Among Individuals With Parkinson’S Disease”, Amanda Lee, Sophie Miller, Holly Snyder, Phoebe Taasan, Kitsum Li

Kitsum Li

This study evaluated the effectiveness of a 12-week home-based exercise program using the Nintendo Wii system in its capacity to improve balance and balance confidence and maintain exercise compliance. Balance and balance confidence were measured with the Center of Pressure Length (COPL) and Activities-Specific Balance Confidence Scale (ABC), which were administered before the start of the intervention, 6 weeks into the intervention, and within 1 week postintervention. Although changes in balance and balance confidence scores were found to be nonsignificant, a pattern emerged in which scores for both measures rose between preand postintervention assessments, then fell to nearly baseline levels …


Community Mental Health Services: A Way Forward To Rehabilitate Chronic Mentally Ill Client., Ambreen Tharani, Salima Farooq, Anila Naveed Aug 2017

Community Mental Health Services: A Way Forward To Rehabilitate Chronic Mentally Ill Client., Ambreen Tharani, Salima Farooq, Anila Naveed

Ambreen Tharani

Schizophrenia and other mental illnesses produce devastating effects on a clients' personal and psychosocial wellbeing. Besides the sufferer, it has irrevocable impacts on the lives of their loved ones. With advancement in the treatment modalities, researches have proven that hospital based care and psychotropic drugs are not the sole solution in managing the client symptoms. Deinstitutionalization is the paradigm shift from hospital based to community based care model that allows client/s to spend rest of their lives in the community setting. A well-structured community care based programme that focuses on psychosocial interventions has significant contribution in treatment and rehabilitation of …


Paradigm Shift In Spinal Cord Injury Rehabilitation Education Delivery, Tammy Young, Julie Gassaway, Christine Willis, Kimberly Queen Jun 2017

Paradigm Shift In Spinal Cord Injury Rehabilitation Education Delivery, Tammy Young, Julie Gassaway, Christine Willis, Kimberly Queen

Christine Willis

Nurse educators expressed uneasiness and reluctance when rehabilitation hospital’s strategic objectives focused on increasing person centered care by promoting chronic disease self-management approaches that included peer delivery of group education classes for persons with spinal cord injury. Conventional self-care group education classes delivered by nurse educators were changed to interactive designs led by peer mentors. While peers assumed the lead in classroom education delivery, nurses continued to play important roles in program development and evaluation and in the provision of medical expertise as it was needed during classes.

After witnessing immediate and dramatic improvements in patient engagement during class, nurses …