PubMed Health⌕ Search

Biomedical subjects

Jane Reid

Publications and source records attributed to Jane Reid.

6 recordsLinked to original sources

The effects of an early physical therapy intervention for very preterm, very low birth weight infants: a randomized controlled clinical trial.

PURPOSE: A randomized controlled clinical trial was used to investigate effects of physical therapy (PT) intervention on motor outcome of infants born very preterm with very low birth weight (VLBW). METHODS: Seventy-two infants born very preterm with VLBW were randomly assigned to a nontreatment (NT) (n = 38) or treatment (T) (n = 34) group. The T group received developmental PT from birth until four months corrected age (CA) weekdays during the infant's neonatal stay and on a needs- and problem-orientated basis thereafter. The NT group received no intervention. Both groups were assessed at four months CA using the Alberta Infant Motor Scale (AIMS) as was a control group of 14 infants born full term. Parental compliance was measured using a parent questionnaire. RESULTS: PT intervention had no significant effect on the T group's motor performance. However, no T group subjects had abnormal motor development at four months CA when compared to the NT group (16%) and the control group (14%) (p = 0.09). The T group subjects with high levels of parental compliance had better scores on the AIMS than those with lower parental compliance (p = 0.05). CONCLUSION: PT intervention does not significantly affect motor performance of infants born very preterm with VLBW at four months CA. Parental compliance and intervention frequency may have influenced the outcome. Preliminary evidence suggests that neonatal and early PT may reduce the incidence of motor delay among infants born very preterm with VLBW. Follow-up of this group is recommended to ascertain the long-term benefits of this type of early PT.

Apgar Score↗

Improving the monitoring and assessment of fluid balance.

This article reports on a project conducted by final-year students on a preregistration nursing programme. The students explored the potential to improve practice in a clinical area relevant to the trust at which they undertook their clinical placements. It is seen as innovative because it encourages partnership working between the educational institution and the NHS, helps to prepare students for their forthcoming registered nurse status and provides information of real practical value to the trust, enabling it to change and improve an important aspect of care.

Documentation↗

Predisposing factors for occasional and multiple falls in older Australians who live at home.

This study, which was part of a larger study on the Health Status of Older People conducted in Melbourne, Australia, aimed to identify factors that discriminate between multiple and occasional falls amongst older people living at home. It used a survey of 1000 Australians aged 65 years and over. Subjects were classified as multiple fallers (two or more falls in the past year), occasional fallers (one fall in the past year), or non-fallers. Twenty-nine percent of older people who lived at home reported falling once or more in the previous 12 months. Nearly 20% of older people fell once in the previous 12 months and just under 10% fell more than once. Occasional fallers were more likely to be women (OR 1.75, 95% CI 1.26 to 2.45), to have reported back pain (OR 1.54, 95% CI 1.10 to 2.16) and were nearly twice as likely to have more than three medical conditions compared to non-fallers (OR 1.88, 95% CI 1.22 to 2.90). Multiple fallers were also more likely to be women (OR 1.61, 95% CI 1.03 to 2.51). More multiple fallers (17%) than occasional fallers (9%) reported being very afraid of falling. Intervention strategies should take into account these differing predisposing factors for multiple and occasional falls.

Accidental Falls↗

Learning intimate examination skills. An ethical challenge.

Learning how to perform intimate examinations poses ethical challenges for those needing to develop clinical competence and for those responsible for the supervision of learners. Perioperative practitioners need to challenge unethical behaviour and promote ethical caring.

Consciousness Disorders↗

Facilitating practice learning through a clinical academy.

This article reports on a project that identified a range of solutions to the challenges of facilitating induction and mandatory training within an acute general hospital. This involved developing a 'blended' approach to delivering induction and mandatory training/education.

Academies and Institutes↗