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Biomedical subjects

G R Penington

Publications and source records attributed to G R Penington.

12 recordsLinked to original sources
PubMed1992

Benefits of rehabilitation in the presence of advanced age or severe disability.

OBJECTIVE: To review the economic and psychosocial benefits of rehabilitation for patients with advanced age or severe disability. PATIENTS: Fifteen patients admitted to the Mount Royal rehabilitation unit who had been rejected by other rehabilitation services. OUTCOME MEASURES: Discharge destination; and the relative costs of rehabilitation with continuing community support and nursing home care. RESULTS: In 11 of 12 patients who were discharged home, the cost of rehabilitation was significantly less than the cost of nursing home care. The psychosocial implications are discussed. CONCLUSION: Rehabilitation for patients with advanced age or severe disability can be cost effective in economic and (by presumption) in psychosocial terms.

Aftercare↗
PubMed1990

Swallowing disorders: assessment and rehabilitation.

Advances over the last 15 years in the assessment and management of disorders of the upper swallowing tract, well publicized and applied in North America, appear to have received scant attention elsewhere. A coordinated, expert, interdisciplinary approach is most relevant to the rehabilitation of patients with swallowing disorders. Expert follow-up is important whenever totally safe swallowing is not achieved by the time of discharge from hospital.

Clinical Protocols↗
PubMed1986

Management of non-traumatic paraplegia.

Spinal cord damage with resultant paraplegia or quadriplegia is associated with special problems that require expert attention, irrespective of the cause of the damage. Where the damage results from disease, as opposed to acute trauma, it is easy for these problems to be overlooked while attention is directed to the disease. A review is presented of 109 patients with spinal cord damage of non-traumatic origin who were treated in a rehabilitation hospital. A plea is made for the recognition of the special needs of such persons, for the early involvement of spinal rehabilitation expertise in the management team, and for the availability of adequate and appropriate rehabilitation facilities.

Adult↗
PubMedDate not supplied

Severe complications following a "barium swallow" investigation for dysphagia.

OBJECTIVE: To highlight the risks of investigation of patients with swallowing disorders by "barium swallow", when the disorders may arise from dysfunction of the upper swallowing tract. CLINICAL FEATURES: An 81-year-old Italian woman presented to her local doctor with a history of dysphagia of five days' duration. A barium swallow resulted in aspiration of a large amount of barium into the right main bronchus, causing severe problems. After a period of intensive respiratory care including intubation and continuous positive airway pressure, she recovered sufficiently to be referred to a rehabilitation unit. She had mild hemiplegia but severe dysphagia, secondary to a brain stem infarct. INTERVENTION AND OUTCOME: Persisting severe dysphagia was confirmed, with extreme risk of aspiration. The patient underwent percutaneous endoscopic gastrostomy and was discharged to live independently, but requiring long-term gastrostomy feeding. CONCLUSION: When a patient presents with dysphagia, great care should be taken to exclude upper tract dysfunction with its attendant risk of aspiration, generally by referral to a centre or consultant with expertise in this area, before ordering or carrying out investigations appropriate to disorders of the lower tract.

Aged↗